2026 NPPES data Urology Physician NPI 1174573125 MD
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BRIAN BENWAY, MD

Urology Physician in WASHINGTON, Missouri. 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
255
Medicare Part D claims · 88 beneficiaries · Urology Physician avg: 1K
Generic prescribing
90%
generic claims · 10% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
85.7185/100
▲ 3 pts above national avg 83.1 · [object Object]
What the federal data reveals: BRIAN BENWAY, MD is a Urology Physician ([object Object]) practicing in WASHINGTON, Missouri with a Medicare Part D prescribing footprint of 255 claims across 88 beneficiaries — 10% brand-name prescribing . Their CMS MIPS Final Score of 85.7185/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities .

What stands out: BRIAN BENWAY, MD reported a CMS MIPS final score of 85.7185 out of 100, above the 83.1 national average, and filed 255 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

BRIAN BENWAY, MD 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).

BRIAN BENWAY, MD at a glance

High performer (top quartile)

NPI registry status

Active

Issued 05/11/2006

NPI 1174573125

Primary specialty

Urology Physician

Mid-sized

13,350 US NPIs in this specialty

Medicare Part D claims

255 80% vs specialty avg

2023 prescription claims

Specialty avg: 1,280

MIPS final score

85.7185/100 2.6185000000000116% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Missouri

How Urology Physician compares to other specialties among Missouri providers

Missouri providers

Urology Physician share within Missouri

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

Medicare quality performance — MIPS

BRIAN BENWAY, MD's 2023 MIPS final score plotted against the Urology Physician national average

High performer (top quartile)
MIPS Final Score
85.7185/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Urology Physician) — 85.7185/100 vs national avg 83.1

0%100%National avg83%85.7%
MIPS final score (Urology Physician) — 85.7185/100 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).

BRIAN BENWAY, MD is a Urology Physician provider practicing in WASHINGTON, Missouri, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1174573125. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

BRIAN BENWAY, MD appears in the CMS NPPES registry as a Urology Physician provider holding MD credentials at 901 PATIENTS FIRST DR STE 3400, WASHINGTON, MO, 63090, with a listed phone of (636) 239-5155. NPI 1174573125 was issued on 05/11/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BENWAY 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 255 prescription claims written by this provider, covering 88 Medicare beneficiaries and totaling roughly $13K in drug spend, split 10% brand-name and 90% generic by claim count. 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 85.7185/100 for the 2023 performance year (Quality 85.6751, Cost 61.479), compared with the national average of 83.1.

Urology Physician is a mid-sized specialty nationwide, with 13,350 enrolled providers across 54 states and an average of 1,280 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

901 PATIENTS FIRST DR STE 3400
WASHINGTON, MO 63090

Provider Details

NPI 1174573125
Specialty Urology Physician
Credentials MD
Gender Male
NPI Issued 05/11/2006

CMS Quality Score (MIPS)

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

85.7185
Final Score
Avg: 83.1
85.6751
Quality
61.479
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where BRIAN BENWAY, MD 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.

MERCY CLINIC UROLOGY LLC
WASHINGTON, MO

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

Brand vs generic prescribing mix · Typical

BRIAN BENWAY, MD — brand share 10.0%
Specialty average (est.)

10% brand-name claims vs 90% generic, on 255 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.

255
Total Claims
$13K
Total Drug Cost
88
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
516
Total Day Supply
13,573
Brand vs Generic
10% brand / 90% generic
Brand Drug Cost
$5K
Generic Drug Cost
$8K
Antibiotic Claims
63

Patient Demographics

Average Patient Age
70.5 years
Avg HCC Risk Score
2.28
Gender Split
34% female / 66% 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
Tamsulosin Hcl
81
Nitrofurantoin Mono-Macro
Nitrofurantoin Monohyd/M-Cryst
29
Alfuzosin Hcl Er
Alfuzosin Hcl
21
Potassium Citrate Er
Potassium Citrate
19
Finasteride
18
Levofloxacin
13

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

Urology Physician Overview

How BRIAN BENWAY, MD fits within the Urology Physician landscape nationally.

13,350
Urology Physician Providers in US
54
States with Urology Physician
1,280
Avg Claims per Provider

BRIAN BENWAY, MD's 255 claims are below the specialty average of 1,280.

Nearby Urology Physician Providers in Missouri

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

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

Frequently Asked Questions

What is BRIAN BENWAY, MD's specialty?
BRIAN BENWAY, MD specializes in Urology Physician and practices in WASHINGTON, Missouri. Credentials: MD.
How much does BRIAN BENWAY, MD prescribe under Medicare Part D?
In 2023, BRIAN BENWAY, MD wrote 255 Medicare Part D claims totaling $13K in drug costs for 88 beneficiaries.
What is BRIAN BENWAY, MD's Medicare quality score?
BRIAN BENWAY, MD has a CMS MIPS Final Score of 85.7185/100 (Quality: 85.6751, Cost: 61.479). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is BRIAN BENWAY, MD located?
BRIAN BENWAY, MD is located at 901 PATIENTS FIRST DR STE 3400, WASHINGTON, MO, 63090. Phone: (636) 239-5155.
What is BRIAN BENWAY, MD's NPI number?
BRIAN BENWAY, MD's National Provider Identifier (NPI) is 1174573125, issued on 05/11/2006.
Does BRIAN BENWAY, MD prescribe more brand-name or generic drugs?
BRIAN BENWAY, MD's prescribing is 10% brand-name and 90% generic drugs by claim count, with $5K in brand drug costs.
How many Urology Physician providers are there in the US?
There are 13,350 Urology Physician providers across 54 states in the US. The average Urology Physician provider writes 1,280 Medicare Part D claims per year.
What drugs does BRIAN BENWAY, MD prescribe most often?
Based on 2023 Medicare Part D data, BRIAN BENWAY, MD's most frequently prescribed drugs include Tamsulosin Hcl, Nitrofurantoin Mono-Macro, Alfuzosin Hcl Er. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does BRIAN BENWAY, MD accept Medicare?
BRIAN BENWAY, MD appears in CMS Medicare data with 255 Part D claims and 88 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify BRIAN BENWAY, MD's credentials?
BRIAN BENWAY, MD's NPI is 1174573125 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

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