NPI registry status
Active
2026 NPPES data Otolaryngology Physician NPI 1891051827 M.D.
Verify on CMS → Brian Langford, M.D.
Otolaryngology Physician in Tyler, Texas.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 10,893 in Otolaryngology 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
715
Medicare Part D claims · 278 beneficiaries · Otolaryngology Physician avg: 509
Generic prescribing
98%
generic claims · 2% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
65.2/100
▼ 18 pts below national avg 83.1 · Mid-tier
Industry payments
$487.88
12 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2023
What the federal data shows
Brian Langford, M.D. reported a CMS MIPS final score of 65.2/100 - below the 83.1 national average - and filed 715 Medicare Part D claims in 2023.
- 65.2/100
- MIPS score · -18 vs avg
- 715
- Part D claims, 2023
- 98%
- 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.
Brian Langford, 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
65 7th percentile higher than 7% 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 Langford, M.D. sits
This provider among otolaryngology physician peers
Across the 3,669 otolaryngology physician providers who report both Medicare Part D prescribing and a MIPS quality score, Brian Langford, M.D. writes more Part D claims than 69% of them and scores higher on MIPS quality than 11% - placing this provider in the high-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 otolaryngology physician peer from a representative sample of 60; the gold marker is Brian Langford, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Brian Langford, 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 Langford, M.D.?
Below national averagePrimary specialty
Otolaryngology Physician
Medicare Part D claims
715 40% vs specialty avg
MIPS final score
65.2/100 17.9 pts vs avg
Specialty distribution in Texas
How Otolaryngology Physician compares to other specialties among Texas providers
Medicare quality performance, MIPS
Brian Langford, M.D.'s 2023 MIPS final score plotted against the Otolaryngology Physician national average
- MIPS Final Score
- 65.2/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Otolaryngology Physician) - 65.2/100 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 Langford, M.D. appears in the CMS NPPES registry as an Otolaryngology Physician provider holding M.D. credentials at 1136 E GRANDE BLVD, Tyler, TX, 75703, with a listed phone of (903) 592-5601. NPI 1891051827 was issued on 04/04/2012.
Medicare Part D records for calendar year 2023 show 715 prescription claims written by this provider, covering 278 Medicare beneficiaries and totaling roughly $40K in drug spend, split 2% brand-name and 98% generic by claim count, with an opioid prescribing rate of 4.1%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 65.2/100 for the 2023 performance year (Quality 72.4, Cost 33.3), compared with the national average of 83.1.
Otolaryngology Physician is a mid-sized specialty nationwide, with 10,893 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
Provider Details
| NPI | 1891051827 |
|---|---|
| Specialty | Otolaryngology Physician |
| Credentials | M.D. |
| Gender | Male |
| NPI Issued | 04/04/2012 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
65.2163
Final Score
Avg: 83.1
72.3841
Quality
33.3369
Cost
74
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where Brian Langford, 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.
Heaton Ear Nose And Throat Associates OF East Texas P A
Tyler, TX
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 Langford, M.D.. Source: openpaymentsdata.cms.gov.
Total received
$488
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.
License & disciplinary context - Texas TMB 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 ~77K Texas medical licensees in 2023 - they are NOT specific to Brian Langford, M.D.. To verify Brian Langford, M.D.'s current license status, search the TMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
344
Total board actions, Texas 2023
Across 334 cases
4.47
Actions per 1,000 licensees
Texas statewide rate
probation
Most common action type
94 cases
TMB 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 Texas disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Brand vs generic prescribing mix · Generic-heavy
Brian Langford, M.D. - brand share 2.0%
Otolaryngology Physician average
2% brand-name claims vs 98% generic, on 715 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.
715
Total Claims
$40K
Total Drug Cost
278
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 1,036
- Total Day Supply
- 26,406
- Brand vs Generic
- 2% brand / 98% generic
- Brand Drug Cost
- $2K
- Generic Drug Cost
- $37K
- Opioid Claims
- 29 (4.1% rate)
- Antibiotic Claims
- 56
Patient Demographics
- Average Patient Age
- 72.9 years
- Avg HCC Risk Score
- 1.47
- Gender Split
- 64% female / 36% male
- Age Distribution
- <65: 30, 65-74: 135, 75-84: 85, 85+: 28
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Brian Langford, M.D. prescribes most
Top Medicare Part D drugs by claim count, 2023
- Azelastine Hcl
Azelastine Hcl
124 claims
- Ipratropium Bromide
Ipratropium Bromide
104 claims
- Mupirocin
Mupirocin
83 claims
- Fluticasone Propio…
Fluticasone Propionate
69 claims
- Omeprazole
Omeprazole
51 claims
- Nortriptyline Hcl 31
Nortriptyline Hcl
31 claims
- Hydrocodone-Acetam… 28
Hydrocodone-Acetaminophen
28 claims
- Pantoprazole Sodium 22
Pantoprazole Sodium
22 claims
| Drug | Claims |
|---|---|
| Azelastine Hcl | 124 |
| Ipratropium Bromide | 104 |
| Mupirocin | 83 |
| Fluticasone Propionate | 69 |
| Omeprazole | 51 |
| Nortriptyline Hcl | 31 |
| Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen | 28 |
| Pantoprazole Sodium | 22 |
| Cephalexin | 18 |
| Amoxicillin-Clavulanate Potass Amoxicillin/Potassium Clav | 17 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Otolaryngology Physician Overview
How Brian Langford, M.D. fits within the Otolaryngology Physician landscape nationally.
10,893
Otolaryngology Physician Providers in US
54
States with Otolaryngology Physician
509
Avg Claims per Provider
Brian Langford, M.D.'s 715 claims are above the specialty average of 509.
Nearby Otolaryngology Physician Providers in Texas
Other clinicians with the same primary specialty enrolled in Texas, drawn from the same CMS NPPES roster as Langford.
Dr. Jason Acevedo
MD
Abilene, TX
Jason Adams
Jbsa Ft Sam Houston, TX
Dr. Jane Admire
MD
Dallas, TX
Dr. Robert Africa
MD
Galveston, TX
Dr. Ashley Agan
MD
Dallas, TX
Compare Otolaryngology 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 Texas medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Otolaryngology 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
What is Brian Langford, M.D.'s specialty? ▼
Brian Langford, M.D. specializes in Otolaryngology Physician and practices in Tyler, Texas. Credentials: M.D..
How much does Brian Langford, M.D. prescribe under Medicare Part D? ▼
In 2023, Brian Langford, M.D. wrote 715 Medicare Part D claims totaling $40K in drug costs for 278 beneficiaries.
What is Brian Langford, M.D.'s Medicare quality score? ▼
Brian Langford, M.D. has a CMS MIPS Final Score of 65.2/100 (Quality: 72.4, Cost: 33.3). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Brian Langford, M.D. located? ▼
Brian Langford, M.D. is located at 1136 E GRANDE BLVD, Tyler, TX, 75703. Phone: (903) 592-5601.
What is Brian Langford, M.D.'s NPI number? ▼
Brian Langford, M.D.'s National Provider Identifier (NPI) is 1891051827, issued on 04/04/2012.
Does Brian Langford, M.D. prescribe more brand-name or generic drugs? ▼
Brian Langford, M.D.'s prescribing is 2% brand-name and 98% generic drugs by claim count, with $2K in brand drug costs.
Does Brian Langford, M.D. prescribe opioids? ▼
Yes, Brian Langford, M.D. had 29 opioid claims in 2023 with an opioid prescribing rate of 4.1%.
How many Otolaryngology Physician providers are there in the US? ▼
There are 10,893 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 Brian Langford, M.D. prescribe most often? ▼
Based on 2023 Medicare Part D data, Brian Langford, M.D.'s most frequently prescribed drugs include Azelastine Hcl, Ipratropium Bromide, Mupirocin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Brian Langford, M.D. accept Medicare? ▼
Brian Langford, M.D. appears in CMS Medicare data with 715 Part D claims and 278 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Brian Langford, M.D.'s credentials? ▼
Brian Langford, M.D.'s NPI is 1891051827 with credentials M.D.. 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
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.