Brian Appleby, M.D.
Geriatric Psychiatry Physician in Cleveland, Ohio.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 787 in Geriatric Psychiatry 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.
What the federal data shows
Brian Appleby, M.D. reported a CMS MIPS final score of 79.5/100 - below the 83.1 national average - and filed 725 Medicare Part D claims in 2023.
- 79.5/100
- MIPS score · -4 vs avg
- 725
- 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 Appleby, M.D.'s MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
80 30th percentile higher than 30% 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 Appleby, M.D. sits
This provider among geriatric psychiatry physician peers
Across the 114 geriatric psychiatry physician providers who report both Medicare Part D prescribing and a MIPS quality score, Brian Appleby, M.D. writes more Part D claims than 45% of them and scores higher on MIPS quality than 35% - placing this provider in the lower-volume, lower-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 geriatric psychiatry physician peer from a representative sample of 60; the gold marker is Brian Appleby, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
Brian Appleby, M.D. 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 Brian Appleby, M.D.?
Near national averagePrimary specialty
Medicare Part D claims
MIPS final score
Specialty distribution in Ohio
How Geriatric Psychiatry Physician compares to other specialties among Ohio providers
Geriatric Psychiatry Physician ranks #323 among Ohio's specialties (0% of in-state providers)
Each bar is a specialty's share of the Ohio provider total, by primary NUCC taxonomy. The highlighted bar is Geriatric Psychiatry Physician; the long tail of smaller specialties is omitted for legibility.
Medicare quality performance, MIPS
Brian Appleby, M.D.'s 2023 MIPS final score plotted against the Geriatric Psychiatry Physician national average
- MIPS Final Score
- 79.5/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Geriatric Psychiatry Physician) - 79.5/100 vs national avg 83.1
Quality benchmarks
- National MIPS avg 2023 reporting year
- Quality dim CMS Quality category
- Cost dim CMS Cost category
- Specialty volume Geriatric Psychiatry Physician US NPIs
79.5/100 MIPS final score - 3.6 pts below the 83.1 national average
Quality, Cost, Promoting Interoperability, and Improvement Activities composite score for the 2023 performance year. Specialty: Geriatric Psychiatry Physician. Quality dim: 68.5. Cost dim: 63.1.
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 Appleby, M.D. appears in the CMS NPPES registry as a Geriatric Psychiatry Physician provider holding M.D. credentials at 11100 EUCLID AVE, Cleveland, OH, 44106, with a listed phone of (216) 844-3192. NPI 1558417030 was issued on 01/26/2007.
Medicare Part D records for calendar year 2023 show 725 prescription claims written by this provider, covering 124 Medicare beneficiaries and totaling roughly $43K in drug spend. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 79.5/100 for the 2023 performance year (Quality 68.5, Cost 63.1), compared with the national average of 83.1.
Geriatric Psychiatry Physician is a narrow specialty nationwide, with 787 enrolled providers across 46 states and an average of 1,586 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 | 1558417030 |
|---|---|
| Specialty | Geriatric Psychiatry Physician |
| Credentials | M.D. |
| Gender | Male |
| NPI Issued | 01/26/2007 |
Verify this provider's license
PlainDoctor pulls this profile from the CMS NPPES public registry. Confirm Brian Appleby, M.D.'s current license status, disciplinary history, and board certifications with the State Medical Board of Ohio in Ohio before relying on this page for a clinical or care decision.
How we sourced this profile
Profile fields combine the CMS NPPES monthly snapshot (provider directory, taxonomy, and address) with calendar-year 2023 Medicare Part D and MIPS public-use files when records are present. NPI 1558417030 is the unique 10-digit identifier CMS uses to link Appleby across every Medicare, Medicaid, and HIPAA-covered transaction. Read full methodology →
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
Reporting: Group practice
Hospital and facility affiliations
Facilities where Brian Appleby, M.D. 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.
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 Brian Appleby, M.D.. Source: openpaymentsdata.cms.gov.
Total received
$1.0K
Largest payer
Lundbeck LLC
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.
License & disciplinary context - Ohio OMB 2023 annual report
Aggregate state board data only, NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~48K Ohio medical licensees in 2023 - they are NOT specific to Brian Appleby, M.D.. To verify Brian Appleby, M.D.'s current license status, search the OMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
OMB publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Ohio disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
Prescribing Breakdown
- 30-Day Fills
- 1,785
- Total Day Supply
- 52,359
- Generic Drug Cost
- $42K
Patient Demographics
- Average Patient Age
- 77.1 years
- Avg HCC Risk Score
- 1.46
- Gender Split
- 52% female / 48% male
- Age Distribution
- <65: 13, 65-74: 35, 75-84: 43, 85+: 33
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Brian Appleby, M.D. prescribes most
Top Medicare Part D drugs by claim count, 2023
- Memantine Hcl
Memantine Hcl
87 claims
- Sertraline Hcl
Sertraline Hcl
85 claims
- Donepezil Hcl
Donepezil Hcl
70 claims
- Quetiapine Fumarate
Quetiapine Fumarate
53 claims
- Duloxetine Hcl
Duloxetine Hcl
51 claims
- Trazodone Hcl
Trazodone Hcl
50 claims
- Levetiracetam
Levetiracetam
43 claims
- Bupropion Xl
Bupropion Xl
37 claims
| Drug | Claims |
|---|---|
| Memantine Hcl | 87 |
| Sertraline Hcl | 85 |
| Donepezil Hcl | 70 |
| Quetiapine Fumarate | 53 |
| Duloxetine Hcl | 51 |
| Trazodone Hcl | 50 |
| Levetiracetam | 43 |
| Bupropion Xl Bupropion Hcl | 37 |
| Memantine Hcl Er Memantine Hcl | 32 |
| Aripiprazole | 23 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Geriatric Psychiatry Physician Overview
How Brian Appleby, M.D. fits within the Geriatric Psychiatry Physician landscape nationally.
Brian Appleby, M.D.'s 725 claims are below the specialty average of 1,586.
Nearby Geriatric Psychiatry Physician Providers in Ohio
Other clinicians with the same primary specialty enrolled in Ohio, drawn from the same CMS NPPES roster as Appleby.
Compare Geriatric Psychiatry 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 Ohio medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Geriatric Psychiatry 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.
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Frequently Asked Questions
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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
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.
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