2026 NPPES data Otolaryngology Physician NPI 1912407172
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BRANDON FORNWALT

Otolaryngology Physician in GLENDALE, Arizona. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
310
Medicare Part D claims · 139 beneficiaries · Otolaryngology Physician avg: 509
Generic prescribing
96%
generic claims · 4% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
69.2421/100
▼ 14 pts below national avg 83.1 · [object Object]
Industry payments
$1.6K
44 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

BRANDON FORNWALT reported a CMS MIPS final score of 69.2421/100 — below the 83.1 national average — and filed 310 Medicare Part D claims in 2023.

69.2421/100
MIPS score · -14 vs avg
310
Part D claims, 2023
96%
generic prescribing
Likely
board-certified (heuristic)

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) — no proprietary rating or editorial opinion is applied.

BRANDON FORNWALT's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

69 8th percentile higher than 8% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). This entry sits in this band. 70–80: 118,074 scored providers (25%). Above this entry. 80–90: 129,887 scored providers (27%). Above this entry. 90–100: 189,403 scored providers (40%). Above this entry. This provider 0 100 every MIPS-scored clinician, bucketed by value

Each bar is a band; taller bars hold more scored providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Board certification likely (heuristic — not verified)

BRANDON FORNWALT practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about BRANDON FORNWALT?

Below national average

NPI registry status

Active

Issued 02/14/2018

NPI 1912407172

Primary specialty

Otolaryngology Physician

Mid-sized

10,895 US NPIs in this specialty

Medicare Part D claims

310 39% vs specialty avg

2023 prescription claims

Specialty avg: 509

MIPS final score

69.2421/100 13.8579% pts

Mid-tier band

vs 83.1 national avg

Specialty distribution in Arizona

How Otolaryngology Physician compares to other specialties among Arizona providers

Arizona providers

Otolaryngology Physician share within Arizona

1. Otolaryngology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Otolaryngology Physician share within Arizona

Medicare quality performance — MIPS

BRANDON FORNWALT's 2023 MIPS final score plotted against the Otolaryngology Physician national average

Below national average
MIPS Final Score
69.2421/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Otolaryngology Physician) — 69.2421/100 vs national avg 83.1

0%100%National avg83%69.2%
MIPS final score (Otolaryngology Physician) — 69.2421/100 vs national avg 83.1

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

BRANDON FORNWALT appears in the CMS NPPES registry as a Otolaryngology Physician provider at 18699 N 67TH AVE STE 300, GLENDALE, AZ, 85308, with a listed phone of (623) 566-4718. NPI 1912407172 was issued on 02/14/2018. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what FORNWALT most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 310 prescription claims written by this provider, covering 139 Medicare beneficiaries and totaling roughly $10K in drug spend, split 4% brand-name and 96% generic by claim count, with an opioid prescribing rate of 17.1%. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 69.2421/100 for the 2023 performance year (Quality 69.8691, Cost 28.438), compared with the national average of 83.1.

Otolaryngology Physician is a mid-sized specialty nationwide, with 10,895 enrolled providers across 54 states and an average of 509 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

18699 N 67TH AVE STE 300
GLENDALE, AZ 85308

Provider Details

NPI 1912407172
Specialty Otolaryngology Physician
Gender Male
NPI Issued 02/14/2018

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

69.2421
Final Score
Avg: 83.1
69.8691
Quality
28.438
Cost
99
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where BRANDON FORNWALT bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

VALLEY ENT PC
SCOTTSDALE, AZ

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for BRANDON FORNWALT. Source: openpaymentsdata.cms.gov.

Total received

$1.6K

Largest payer

Inspire Medical Systems, Inc.

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

Brand vs generic prescribing mix · Generic-heavy

BRANDON FORNWALT — brand share 4.0%
Specialty average (est.)

4% brand-name claims vs 96% generic, on 310 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

310
Total Claims
$10K
Total Drug Cost
139
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
375
Total Day Supply
6,187
Brand vs Generic
4% brand / 96% generic
Brand Drug Cost
$5K
Generic Drug Cost
$4K
Opioid Claims
53 (17.1% rate)
Antibiotic Claims
55

Patient Demographics

Average Patient Age
70.5 years
Avg HCC Risk Score
1.51
Gender Split
53% female / 47% male
Age Distribution
<65: 22, 65-74: 69, 75-84: 37, 85+: 11

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

What BRANDON FORNWALT prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Ondansetron Hcl
50
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
44
Cephalexin
36
Azelastine Hcl
25
Ipratropium Bromide
25
Methylprednisolone
24
Fluticasone Propionate
23
Amoxicillin-Clavulanate Potass
Amoxicillin/Potassium Clav
13

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Otolaryngology Physician Overview

How BRANDON FORNWALT fits within the Otolaryngology Physician landscape nationally.

10,895
Otolaryngology Physician Providers in US
54
States with Otolaryngology Physician
509
Avg Claims per Provider

BRANDON FORNWALT's 310 claims are below the specialty average of 509.

Nearby Otolaryngology Physician Providers in Arizona

Other clinicians with the same primary specialty enrolled in Arizona, drawn from the same CMS NPPES roster as FORNWALT.

Compare Otolaryngology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is BRANDON FORNWALT's specialty?
BRANDON FORNWALT specializes in Otolaryngology Physician and practices in GLENDALE, Arizona.
How much does BRANDON FORNWALT prescribe under Medicare Part D?
In 2023, BRANDON FORNWALT wrote 310 Medicare Part D claims totaling $10K in drug costs for 139 beneficiaries.
What is BRANDON FORNWALT's Medicare quality score?
BRANDON FORNWALT has a CMS MIPS Final Score of 69.2421/100 (Quality: 69.8691, Cost: 28.438). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is BRANDON FORNWALT located?
BRANDON FORNWALT is located at 18699 N 67TH AVE STE 300, GLENDALE, AZ, 85308. Phone: (623) 566-4718.
What is BRANDON FORNWALT's NPI number?
BRANDON FORNWALT's National Provider Identifier (NPI) is 1912407172, issued on 02/14/2018.
Does BRANDON FORNWALT prescribe more brand-name or generic drugs?
BRANDON FORNWALT's prescribing is 4% brand-name and 96% generic drugs by claim count, with $5K in brand drug costs.
Does BRANDON FORNWALT prescribe opioids?
Yes, BRANDON FORNWALT had 53 opioid claims in 2023 with an opioid prescribing rate of 17.1%.
How many Otolaryngology Physician providers are there in the US?
There are 10,895 Otolaryngology Physician providers across 54 states in the US. The average Otolaryngology Physician provider writes 509 Medicare Part D claims per year.
What drugs does BRANDON FORNWALT prescribe most often?
Based on 2023 Medicare Part D data, BRANDON FORNWALT's most frequently prescribed drugs include Ondansetron Hcl, Hydrocodone-Acetaminophen, Cephalexin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does BRANDON FORNWALT accept Medicare?
BRANDON FORNWALT appears in CMS Medicare data with 310 Part D claims and 139 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify BRANDON FORNWALT's credentials?
BRANDON FORNWALT's NPI is 1912407172. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) — 2023 performance year.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology