2026 NPPES data Plastic and Reconstructive Surgery Physician NPI 1447415625 MD
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Brian Showalter, MD

Plastic and Reconstructive Surgery Physician in Charlottesville, 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 2,352 in Plastic and Reconstructive Surgery 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
39
Medicare Part D claims · 21 beneficiaries · Plastic and Reconstructive Surgery Physician avg: 86
MIPS score
95.1/100
▲ 12 pts above national avg 83.1 · Exceptional
Industry payments
$357.49
4 payments · CMS Open Payments (Sunshine Act)
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Brian Showalter, MD reported a CMS MIPS final score of 95.1/100 — above the 83.1 national average — and filed 39 Medicare Part D claims in 2023.

95.1/100
MIPS score · +12 vs avg
39
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 Showalter, MD's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

95 Top 21% higher than 79% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). Below this entry. 90–100: 189,403 scored providers (40%). This entry sits in this band. This provider 0 100 every MIPS-scored clinician, bucketed by value

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 Showalter, MD sits

This provider among plastic and reconstructive surgery physician peers

Across the 276 plastic and reconstructive surgery physician providers who report both Medicare Part D prescribing and a MIPS quality score, Brian Showalter, MD writes more Part D claims than 37% of them and scores higher on MIPS quality than 79% — 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

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality0255075100024.448.873.297.7Part D claim volume — percentile in specialtyMIPS quality — percentilePart D claim volume — percentile in specialty: 77 · MIPS quality — percentile: 18Part D claim volume — percentile in specialty: 20 · MIPS quality — percentile: 58Part D claim volume — percentile in specialty: 38 · MIPS quality — percentile: 90Part D claim volume — percentile in specialty: 45 · MIPS quality — percentile: 93Part D claim volume — percentile in specialty: 70 · MIPS quality — percentile: 18Part D claim volume — percentile in specialty: 8 · MIPS quality — percentile: 12Part D claim volume — percentile in specialty: 48 · MIPS quality — percentile: 10Part D claim volume — percentile in specialty: 58 · MIPS quality — percentile: 7Part D claim volume — percentile in specialty: 20 · MIPS quality — percentile: 0Part D claim volume — percentile in specialty: 40 · MIPS quality — percentile: 75Part D claim volume — percentile in specialty: 12 · MIPS quality — percentile: 93Part D claim volume — percentile in specialty: 17 · MIPS quality — percentile: 47Part D claim volume — percentile in specialty: 87 · MIPS quality — percentile: 93Part D claim volume — percentile in specialty: 62 · MIPS quality — percentile: 60Part D claim volume — percentile in specialty: 3 · MIPS quality — percentile: 50Part D claim volume — percentile in specialty: 20 · MIPS quality — percentile: 53Part D claim volume — percentile in specialty: 73 · MIPS quality — percentile: 18Part D claim volume — percentile in specialty: 28 · MIPS quality — percentile: 25Part D claim volume — percentile in specialty: 55 · MIPS quality — percentile: 52Part D claim volume — percentile in specialty: 72 · MIPS quality — percentile: 13Part D claim volume — percentile in specialty: 82 · MIPS quality — percentile: 8Part D claim volume — percentile in specialty: 7 · MIPS quality — percentile: 93Part D claim volume — percentile in specialty: 67 · MIPS quality — percentile: 32Part D claim volume — percentile in specialty: 92 · MIPS quality — percentile: 0Part D claim volume — percentile in specialty: 78 · MIPS quality — percentile: 68Part D claim volume — percentile in specialty: 82 · MIPS quality — percentile: 37Part D claim volume — percentile in specialty: 3 · MIPS quality — percentile: 27Part D claim volume — percentile in specialty: 10 · MIPS quality — percentile: 45Part D claim volume — percentile in specialty: 90 · MIPS quality — percentile: 88Part D claim volume — percentile in specialty: 30 · MIPS quality — percentile: 5Part D claim volume — percentile in specialty: 68 · MIPS quality — percentile: 42Part D claim volume — percentile in specialty: 63 · MIPS quality — percentile: 85Part D claim volume — percentile in specialty: 88 · MIPS quality — percentile: 83Part D claim volume — percentile in specialty: 98 · MIPS quality — percentile: 3Part D claim volume — percentile in specialty: 58 · MIPS quality — percentile: 92Part D claim volume — percentile in specialty: 93 · MIPS quality — percentile: 65Part D claim volume — percentile in specialty: 30 · MIPS quality — percentile: 38Part D claim volume — percentile in specialty: 95 · MIPS quality — percentile: 28Part D claim volume — percentile in specialty: 100 · MIPS quality — percentile: 77Part D claim volume — percentile in specialty: 53 · MIPS quality — percentile: 55Part D claim volume — percentile in specialty: 13 · MIPS quality — percentile: 87Part D claim volume — percentile in specialty: 40 · MIPS quality — percentile: 15Part D claim volume — percentile in specialty: 55 · MIPS quality — percentile: 72Part D claim volume — percentile in specialty: 43 · MIPS quality — percentile: 15Part D claim volume — percentile in specialty: 97 · MIPS quality — percentile: 30Part D claim volume — percentile in specialty: 35 · MIPS quality — percentile: 93Part D claim volume — percentile in specialty: 27 · MIPS quality — percentile: 82Part D claim volume — percentile in specialty: 0 · MIPS quality — percentile: 78Part D claim volume — percentile in specialty: 50 · MIPS quality — percentile: 62Part D claim volume — percentile in specialty: 80 · MIPS quality — percentile: 18Part D claim volume — percentile in specialty: 18 · MIPS quality — percentile: 63Part D claim volume — percentile in specialty: 37 · MIPS quality — percentile: 35Part D claim volume — percentile in specialty: 85 · MIPS quality — percentile: 40Part D claim volume — percentile in specialty: 75 · MIPS quality — percentile: 33Part D claim volume — percentile in specialty: 47 · MIPS quality — percentile: 67Part D claim volume — percentile in specialty: 13 · MIPS quality — percentile: 43Part D claim volume — percentile in specialty: 65 · MIPS quality — percentile: 70Part D claim volume — percentile in specialty: 25 · MIPS quality — percentile: 73Part D claim volume — percentile in specialty: 52 · MIPS quality — percentile: 57Part D claim volume — percentile in specialty: 0 · MIPS quality — percentile: 48Brian Showalter, MD — Part D claim volume — percentile in specialty: 37 · MIPS quality — percentile: 79
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one plastic and reconstructive surgery physician peer from a representative sample of 60; the gold marker is Brian Showalter, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

Board certification likely (heuristic — not verified)

Brian Showalter, 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).

What does the federal data show about Brian Showalter, MD?

High performer (top quartile)

NPI registry status

Active

Issued 07/27/2008

NPI 1447415625

Primary specialty

Plastic and Reconstructive Surgery Physician

Niche

2,352 US NPIs in this specialty

Medicare Part D claims

39 55% vs specialty avg

2023 prescription claims

Specialty avg: 86

MIPS final score

95.1/100 12 pts vs avg

Exceptional band

vs 83.1 national avg

Specialty distribution in Virginia

How Plastic and Reconstructive Surgery Physician compares to other specialties among Virginia providers

Virginia providers

Largest specialties in Virginia (% of in-state providers)

Behavior Technician — 5.2%Behavior Technician5.2%Clinical Social Worker — 5.1%Clinical Social Worker5.1%Student in an Organized Health Care Education/Training Program — 4.7%Student in an Organized Health Care Education/Training Program4.7%Physical Therapist — 4.6%Physical Therapist4.6%Pharmacist — 4.5%Pharmacist4.5%Professional Counselor — 4%Professional Counselor4%Plastic and Reconstructive Surgery Physician — 0%Plastic and Reconstructive Surgery Physician0%
Largest specialties in Virginia (% of in-state providers)

Medicare quality performance — MIPS

Brian Showalter, MD's 2023 MIPS final score plotted against the Plastic and Reconstructive Surgery Physician national average

High performer (top quartile)
MIPS Final Score
95.1/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Plastic and Reconstructive Surgery Physician) — 95.1/100 vs national avg 83.1

0%100%National avg83%95.1%
MIPS final score (Plastic and Reconstructive Surgery Physician) — 95.1/100 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 Showalter, MD appears in the CMS NPPES registry as a Plastic and Reconstructive Surgery Physician provider holding MD credentials at 595 MARTHA JEFFERSON DR STE 280, Charlottesville, VA, 22911, with a listed phone of (434) 654-8920. NPI 1447415625 was issued on 07/27/2008. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Showalter 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 39 prescription claims written by this provider, covering 21 Medicare beneficiaries and totaling roughly $467 in drug spend. 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 95.1/100 for the 2023 performance year (Quality 86.3), compared with the national average of 83.1.

Plastic and Reconstructive Surgery Physician is a narrow specialty nationwide, with 2,352 enrolled providers across 54 states and an average of 86 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

595 MARTHA JEFFERSON DR STE 280
Charlottesville, VA 22911

Provider Details

NPI 1447415625
Specialty Plastic and Reconstructive Surgery Physician
Credentials MD
Gender Male
NPI Issued 07/27/2008

CMS Quality Score (MIPS)

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

95.1126
Final Score
Avg: 83.1
86.3184
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where Brian Showalter, 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.

Martha Jefferson Medical Group LLC
Charlottesville, VA

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 Showalter, MD. Source: openpaymentsdata.cms.gov.

Total received

$357

Largest payer

PolyNovo North America 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.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

39
Total Claims
$467
Total Drug Cost
21
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
49
Total Day Supply
880
Generic Drug Cost
$398
Antibiotic Claims
14

Patient Demographics

Average Patient Age
72.9 years
Avg HCC Risk Score
0.85
Age Distribution
<65: 0, 65-74: 13, 75-84: N/A, 85+: N/A

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Montelukast Sodium
14

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

Plastic and Reconstructive Surgery Physician Overview

How Brian Showalter, MD fits within the Plastic and Reconstructive Surgery Physician landscape nationally.

2,352
Plastic and Reconstructive Surgery Physician Providers in US
54
States with Plastic and Reconstructive Surgery Physician
86
Avg Claims per Provider

Brian Showalter, MD's 39 claims are below the specialty average of 86.

Nearby Plastic and Reconstructive Surgery Physician Providers in Virginia

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

Compare Plastic and Reconstructive Surgery 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 Plastic and Reconstructive Surgery 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.

Frequently Asked Questions

What is Brian Showalter, MD's specialty?
Brian Showalter, MD specializes in Plastic and Reconstructive Surgery Physician and practices in Charlottesville, Virginia. Credentials: MD.
How much does Brian Showalter, MD prescribe under Medicare Part D?
In 2023, Brian Showalter, MD wrote 39 Medicare Part D claims totaling $467 in drug costs for 21 beneficiaries.
What is Brian Showalter, MD's Medicare quality score?
Brian Showalter, MD has a CMS MIPS Final Score of 95.1/100 (Quality: 86.3). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Brian Showalter, MD located?
Brian Showalter, MD is located at 595 MARTHA JEFFERSON DR STE 280, Charlottesville, VA, 22911. Phone: (434) 654-8920.
What is Brian Showalter, MD's NPI number?
Brian Showalter, MD's National Provider Identifier (NPI) is 1447415625, issued on 07/27/2008.
How many Plastic and Reconstructive Surgery Physician providers are there in the US?
There are 2,352 Plastic and Reconstructive Surgery Physician providers across 54 states in the US. The average Plastic and Reconstructive Surgery Physician provider writes 86 Medicare Part D claims per year.
What drugs does Brian Showalter, MD prescribe most often?
Based on 2023 Medicare Part D data, Brian Showalter, MD's most frequently prescribed drugs include Montelukast Sodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Brian Showalter, MD accept Medicare?
Brian Showalter, MD appears in CMS Medicare data with 39 Part D claims and 21 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Brian Showalter, MD's credentials?
Brian Showalter, MD's NPI is 1447415625 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

Compiled from official public sources by the PlainDoctor editorial team.