2026 NPPES data MOHS-Micrographic Surgery Physician NPI 1144361809 MD
Verify on CMS →

BRIAN RANSDELL, MD

MOHS-Micrographic Surgery Physician in SPICEWOOD, Texas. 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
1K
Medicare Part D claims · 359 beneficiaries · MOHS-Micrographic Surgery Physician avg: 607
Generic prescribing
98%
generic claims · 2% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
75/100
▼ 8 pts below national avg 83.1 · [object Object]
Industry payments
$85.61
4 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: BRIAN RANSDELL, MD is a MOHS-Micrographic Surgery Physician ([object Object]) practicing in SPICEWOOD, Texas with a Medicare Part D prescribing footprint of 1K claims across 359 beneficiaries — 2% brand-name prescribing . Their CMS MIPS Final Score of 75/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $85.61 across 4 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: BRIAN RANSDELL, MD reported a CMS MIPS final score of 75 out of 100, below the 83.1 national average, and filed 1,001 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 RANSDELL, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 2 hospital affiliations — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

BRIAN RANSDELL, MD at a glance

Below national average

NPI registry status

Active

Issued 02/08/2007

NPI 1144361809

Primary specialty

MOHS-Micrographic Surgery Physician

Niche

1,102 US NPIs in this specialty

Medicare Part D claims

1,001 65% vs specialty avg

2023 prescription claims

Specialty avg: 607

MIPS final score

75/100 8.099999999999994% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Texas

How MOHS-Micrographic Surgery Physician compares to other specialties among Texas providers

Texas providers

MOHS-Micrographic Surgery Physician share within Texas

1. MOHS-Micrographic Surgery Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
MOHS-Micrographic Surgery Physician share within Texas

Medicare quality performance — MIPS

BRIAN RANSDELL, MD's 2023 MIPS final score plotted against the MOHS-Micrographic Surgery Physician national average

Below national average
MIPS Final Score
75/100
vs 83.1 national avg · 2023 performance year

MIPS final score (MOHS-Micrographic Surgery Physician) — 75/100 vs national avg 83.1

0%100%National avg83%75%
MIPS final score (MOHS-Micrographic Surgery Physician) — 75/100 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 RANSDELL, MD is a MOHS-Micrographic Surgery Physician provider practicing in SPICEWOOD, Texas, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1144361809. 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 RANSDELL, MD appears in the CMS NPPES registry as a MOHS-Micrographic Surgery Physician provider holding MD credentials at 4900 BEE CREEK RD STE 101, SPICEWOOD, TX, 78669, with a listed phone of (512) 961-5250. NPI 1144361809 was issued on 02/08/2007. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what RANSDELL 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 1,001 prescription claims written by this provider, covering 359 Medicare beneficiaries and totaling roughly $32K in drug spend, split 2% brand-name and 98% 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 75/100 for the 2023 performance year, compared with the national average of 83.1.

MOHS-Micrographic Surgery Physician is a narrow specialty nationwide, with 1,102 enrolled providers across 52 states and an average of 607 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

4900 BEE CREEK RD STE 101
SPICEWOOD, TX 78669

Provider Details

NPI 1144361809
Specialty MOHS-Micrographic Surgery Physician
Credentials MD
Gender Male
NPI Issued 02/08/2007

CMS Quality Score (MIPS)

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

75
Final Score
Avg: 83.1

Reporting: Group practice

Hospital and facility affiliations

Facilities where BRIAN RANSDELL, 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.

CLEAR CREEK DERMATOLOGY
LLANO, TX
LONGHORN DERMATOLOGY, PLLC
SPICEWOOD, 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 RANSDELL, MD. Source: openpaymentsdata.cms.gov.

Total received

$86

Largest payer

ConvaTec 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 RANSDELL, MD. To verify BRIAN RANSDELL, MD'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 RANSDELL, MD — brand share 2.0%
Specialty average (est.)

2% brand-name claims vs 98% generic, on 1,001 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.

1,001
Total Claims
$32K
Total Drug Cost
359
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,169
Total Day Supply
30,018
Brand vs Generic
2% brand / 98% generic
Brand Drug Cost
$6K
Generic Drug Cost
$26K
Antibiotic Claims
72

Patient Demographics

Average Patient Age
74.9 years
Avg HCC Risk Score
1.05
Gender Split
47% female / 53% male
Age Distribution
<65: 11, 65-74: 170, 75-84: 140, 85+: 38

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Triamcinolone Acetonide
133
Ketoconazole
125
Mupirocin
101
Clobetasol Propionate
76
Nystatin
54
Doxycycline Hyclate
47
Betamethasone Dipropionate
43
Fluticasone Propionate
39
Prednisone
39
Valacyclovir
Valacyclovir Hcl
34

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

MOHS-Micrographic Surgery Physician Overview

How BRIAN RANSDELL, MD fits within the MOHS-Micrographic Surgery Physician landscape nationally.

1,102
MOHS-Micrographic Surgery Physician Providers in US
52
States with MOHS-Micrographic Surgery Physician
607
Avg Claims per Provider

BRIAN RANSDELL, MD's 1,001 claims are above the specialty average of 607.

Nearby MOHS-Micrographic Surgery Physician Providers in Texas

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

Compare MOHS-Micrographic Surgery Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is BRIAN RANSDELL, MD's specialty?
BRIAN RANSDELL, MD specializes in MOHS-Micrographic Surgery Physician and practices in SPICEWOOD, Texas. Credentials: MD.
How much does BRIAN RANSDELL, MD prescribe under Medicare Part D?
In 2023, BRIAN RANSDELL, MD wrote 1,001 Medicare Part D claims totaling $32K in drug costs for 359 beneficiaries.
What is BRIAN RANSDELL, MD's Medicare quality score?
BRIAN RANSDELL, MD has a CMS MIPS Final Score of 75/100. The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is BRIAN RANSDELL, MD located?
BRIAN RANSDELL, MD is located at 4900 BEE CREEK RD STE 101, SPICEWOOD, TX, 78669. Phone: (512) 961-5250.
What is BRIAN RANSDELL, MD's NPI number?
BRIAN RANSDELL, MD's National Provider Identifier (NPI) is 1144361809, issued on 02/08/2007.
Does BRIAN RANSDELL, MD prescribe more brand-name or generic drugs?
BRIAN RANSDELL, MD's prescribing is 2% brand-name and 98% generic drugs by claim count, with $6K in brand drug costs.
How many MOHS-Micrographic Surgery Physician providers are there in the US?
There are 1,102 MOHS-Micrographic Surgery Physician providers across 52 states in the US. The average MOHS-Micrographic Surgery Physician provider writes 607 Medicare Part D claims per year.
What drugs does BRIAN RANSDELL, MD prescribe most often?
Based on 2023 Medicare Part D data, BRIAN RANSDELL, MD's most frequently prescribed drugs include Triamcinolone Acetonide, Ketoconazole, Mupirocin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does BRIAN RANSDELL, MD accept Medicare?
BRIAN RANSDELL, MD appears in CMS Medicare data with 1,001 Part D claims and 359 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify BRIAN RANSDELL, MD's credentials?
BRIAN RANSDELL, MD's NPI is 1144361809 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