NPI registry status
Active
2026 NPPES data Emergency Medicine Physician NPI 1386140879 MD
Verify on CMS → Brian Ahearn, MD
Emergency Medicine Physician in Portsmouth, Virginia.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 64,463 in Emergency Medicine Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
135
Medicare Part D claims · 101 beneficiaries · Emergency Medicine Physician avg: 352
MIPS score
91.3/100
▲ 8 pts above national avg 83.1 · Exceptional
Industry payments
$124.77
1 payments · CMS Open Payments (Sunshine Act)
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Brian Ahearn, MD reported a CMS MIPS final score of 91.3/100 - above the 83.1 national average - and filed 135 Medicare Part D claims in 2023.
- 91.3/100
- MIPS score · +8 vs avg
- 135
- Part D claims, 2023
- 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.
Brian Ahearn, MD's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
91 Top 37% higher than 63% of 477,587 scored providers
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
Where Brian Ahearn, MD sits
This provider among emergency medicine physician peers
Across the 14,967 emergency medicine physician providers who report both Medicare Part D prescribing and a MIPS quality score, Brian Ahearn, MD writes more Part D claims than 44% of them and scores higher on MIPS quality than 54% - placing this provider in the lower-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Part D claim volume vs MIPS quality, by specialty percentile
Each dot is one emergency medicine physician peer from a representative sample of 60; the gold marker is Brian Ahearn, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Brian Ahearn, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting - 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 Brian Ahearn, MD?
High performer (top quartile)Primary specialty
Emergency Medicine Physician
Medicare Part D claims
135 62% vs specialty avg
MIPS final score
91.3/100 8.2 pts vs avg
Specialty distribution in Virginia
How Emergency Medicine Physician compares to other specialties among Virginia providers
Medicare quality performance, MIPS
Brian Ahearn, MD's 2023 MIPS final score plotted against the Emergency Medicine Physician national average
- MIPS Final Score
- 91.3/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Emergency Medicine Physician) - 91.3/100 vs national avg 83.1
How MIPS and board certification work
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).
Brian Ahearn, MD appears in the CMS NPPES registry as an Emergency Medicine Physician provider holding MD credentials at 3636 HIGH ST, Portsmouth, VA, 23707, with a listed phone of (757) 398-2200. NPI 1386140879 was issued on 04/03/2018.
Medicare Part D records for calendar year 2023 show 135 prescription claims written by this provider, covering 101 Medicare beneficiaries and totaling roughly $4K in drug spend, with an opioid prescribing rate of 14.1%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 91.3/100 for the 2023 performance year (Quality 74.9), compared with the national average of 83.1.
Emergency Medicine Physician is a high-volume specialty nationwide, with 64,463 enrolled providers across 56 states and an average of 352 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
Provider Details
| NPI | 1386140879 |
|---|---|
| Specialty | Emergency Medicine Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 04/03/2018 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
91.2532
Final Score
Avg: 83.1
74.9203
Quality
91.6794
Promoting Interoperability
Reporting: Alternative Payment Model
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 Brian Ahearn, MD. Source: openpaymentsdata.cms.gov.
Total received
$125
Largest payer
Boehringer Ingelheim Pharmaceuticals, 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.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
135
Total Claims
$4K
Total Drug Cost
101
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 135
- Total Day Supply
- 1,453
- Generic Drug Cost
- $2K
- Opioid Claims
- 19 (14.1% rate)
- Antibiotic Claims
- 45
Patient Demographics
- Average Patient Age
- 72.3 years
- Avg HCC Risk Score
- 1.40
- Gender Split
- 60% female / 40% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
| Drug | Claims |
|---|---|
| Oxycodone-Acetaminophen Oxycodone Hcl/Acetaminophen | 16 |
| Cephalexin | 15 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Emergency Medicine Physician Overview
How Brian Ahearn, MD fits within the Emergency Medicine Physician landscape nationally.
64,463
Emergency Medicine Physician Providers in US
56
States with Emergency Medicine Physician
352
Avg Claims per Provider
Brian Ahearn, MD's 135 claims are below the specialty average of 352.
Nearby Emergency Medicine Physician Providers in Virginia
Other clinicians with the same primary specialty enrolled in Virginia, drawn from the same CMS NPPES roster as Ahearn.
Dr. Michael Abatzis
MD
Mechanicsville, VA
Dr. Gary Abel
MD
Blacksburg, VA
Dr. Kimberly Abel
MD
Roanoke, VA
Jonathan Abraham
Mc Lean, VA
Dr. Nazir Adam
MD
Harrisonburg, VA
Compare Emergency Medicine Physician nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the Virginia medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Emergency Medicine Physician peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
Healthcare Guides
Learn more about finding, verifying, and understanding healthcare providers.
How to Find a Doctor
Step-by-step guide to choosing a provider
Verify Credentials
Check NPI, board certification & license status
Medical Specialties Explained
Who treats what and how specialties differ
Understanding Medicare Claims Data
What prescribing data reveals about a provider
In-Network vs Out-of-Network
How insurance networks affect your costs
Telehealth Guide
Virtual care options and coverage in 2026
Explore Virginia
Frequently Asked Questions
What is Brian Ahearn, MD's specialty? ▼
Brian Ahearn, MD specializes in Emergency Medicine Physician and practices in Portsmouth, Virginia. Credentials: MD.
How much does Brian Ahearn, MD prescribe under Medicare Part D? ▼
In 2023, Brian Ahearn, MD wrote 135 Medicare Part D claims totaling $4K in drug costs for 101 beneficiaries.
What is Brian Ahearn, MD's Medicare quality score? ▼
Brian Ahearn, MD has a CMS MIPS Final Score of 91.3/100 (Quality: 74.9). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Brian Ahearn, MD located? ▼
Brian Ahearn, MD is located at 3636 HIGH ST, Portsmouth, VA, 23707. Phone: (757) 398-2200.
What is Brian Ahearn, MD's NPI number? ▼
Brian Ahearn, MD's National Provider Identifier (NPI) is 1386140879, issued on 04/03/2018.
Does Brian Ahearn, MD prescribe opioids? ▼
Yes, Brian Ahearn, MD had 19 opioid claims in 2023 with an opioid prescribing rate of 14.1%.
How many Emergency Medicine Physician providers are there in the US? ▼
There are 64,463 Emergency Medicine Physician providers across 56 states in the US. The average Emergency Medicine Physician provider writes 352 Medicare Part D claims per year.
What drugs does Brian Ahearn, MD prescribe most often? ▼
Based on 2023 Medicare Part D data, Brian Ahearn, MD's most frequently prescribed drugs include Oxycodone-Acetaminophen, Cephalexin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Brian Ahearn, MD accept Medicare? ▼
Brian Ahearn, MD appears in CMS Medicare data with 135 Part D claims and 101 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Brian Ahearn, MD's credentials? ▼
Brian Ahearn, MD's NPI is 1386140879 with credentials MD. 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
View source datasets and methodology notes
- 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
Compiled from official public sources by the PlainDoctor editorial team.
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of May 2026.