2026 NPPES data Gastroenterology Physician NPI 1043289903 DO FACP
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Charles Cohan, DO FACP

Gastroenterology Physician in Bartonsville, Pennsylvania.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 16,601 in Gastroenterology 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
900
Medicare Part D claims · 259 beneficiaries · Gastroenterology Physician avg: 833
Generic prescribing
95%
generic claims · 5% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
95.6/100
▲ 13 pts above national avg 83.1 · Exceptional
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Charles Cohan, DO FACP reported a CMS MIPS final score of 95.6/100 - above the 83.1 national average - and filed 900 Medicare Part D claims in 2023.

95.6/100
MIPS score · +13 vs avg
900
Part D claims, 2023
95%
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.

Charles Cohan, DO FACP's MIPS score vs every scored U.S. clinician

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

96 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+: 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 Charles Cohan, DO FACP sits

This provider among gastroenterology physician peers

Across the 5,957 gastroenterology physician providers who report both Medicare Part D prescribing and a MIPS quality score, Charles Cohan, DO FACP writes more Part D claims than 56% of them and scores higher on MIPS quality than 81% - placing this provider in the high-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 quality02550751000255075100Part D claim volume, percentile in specialtyMIPS quality, percentilePart D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 82Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 68Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 8Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 87Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 38Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 75Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 30Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 45Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 7Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 47Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 58Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 3Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 20Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 10Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 97Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 27Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 57Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 15Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 97Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 48Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 77Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 78Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 22Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 23Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 43Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 65Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 42Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 25Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 80Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 50Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 30Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 92Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 60Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 13Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 10Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 62Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 52Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 28Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 83Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 40Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 37Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 3Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 17Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 67Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 92Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 30Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 73Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 2Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 18Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 97Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 68Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 63Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 30Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 52Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 95Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 68Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 52Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 0Charles Cohan, DO FACP-Part D claim volume, percentile in specialty: 56 · MIPS quality, percentile: 81
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one gastroenterology physician peer from a representative sample of 60; the gold marker is Charles Cohan, DO FACP. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

Board certification likely (heuristic, not verified)

Charles Cohan, DO FACP 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 Charles Cohan, DO FACP?

High performer (top quartile)

NPI registry status

Active

Issued 03/14/2006

NPI 1043289903

Primary specialty

Gastroenterology Physician

Mid-sized

16,601 US NPIs in this specialty

Medicare Part D claims

900 8% vs specialty avg

2023 prescription claims

Specialty avg: 833

MIPS final score

95.6/100 12.5 pts vs avg

Exceptional band

vs 83.1 national avg

Specialty distribution in Pennsylvania

How Gastroenterology Physician compares to other specialties among Pennsylvania providers

Pennsylvania providers
Student in an Organized Health Care Education/Training Program - 5.6%Student in an Organized Health Care Education/Training Program5.6%Pharmacist - 5%Pharmacist5%Physical Therapist - 4.9%Physical Therapist4.9%Mental Health Counselor - 3.9%Mental Health Counselor3.9%Internal Medicine Physician - 3.3%Internal Medicine Physician3.3%Professional Counselor - 3.2%Professional Counselor3.2%Gastroenterology Physician - 0.3%Gastroenterology Physician0.3%
Largest specialties in Pennsylvania (% of in-state providers)

Medicare quality performance, MIPS

Charles Cohan, DO FACP's 2023 MIPS final score plotted against the Gastroenterology Physician national average

High performer (top quartile)
MIPS Final Score
95.6/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Gastroenterology Physician) - 95.6/100 vs national avg 83.1

0%100%National avg83%95.6%
MIPS final score (Gastroenterology Physician) - 95.6/100 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).

Charles Cohan, DO FACP appears in the CMS NPPES registry as a Gastroenterology Physician provider holding DO FACP credentials at 3565 ROUTE 611 STE 300, Bartonsville, PA, 18321, with a listed phone of (484) 526-6545. NPI 1043289903 was issued on 03/14/2006.

Medicare Part D records for calendar year 2023 show 900 prescription claims written by this provider, covering 259 Medicare beneficiaries and totaling roughly $233K in drug spend, split 5% brand-name and 95% generic by claim count. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 95.6/100 for the 2023 performance year (Quality 80.6), compared with the national average of 83.1.

Gastroenterology Physician is a mid-sized specialty nationwide, with 16,601 enrolled providers across 54 states and an average of 833 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

3565 ROUTE 611 STE 300
Bartonsville, PA 18321

Provider Details

NPI 1043289903
Specialty Gastroenterology Physician
Credentials DO FACP
Gender Male
NPI Issued 03/14/2006

CMS Quality Score (MIPS)

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

95.6426
Final Score
Avg: 83.1
80.5735
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where Charles Cohan, DO FACP 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.

St Lukes Physician Group Inc
Bartonsville, PA

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

License & disciplinary context - Pennsylvania PA-BOM 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 ~45K Pennsylvania medical licensees in 2023 - they are NOT specific to Charles Cohan, DO FACP. To verify Charles Cohan, DO FACP's current license status, search the PA-BOM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

133
Total board actions, Pennsylvania 2023
Across 129 cases
2.96
Actions per 1,000 licensees
Pennsylvania statewide rate
probation
Most common action type
48 cases

PA-BOM 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 Pennsylvania disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Generic-heavy

Charles Cohan, DO FACP - brand share 5.0%
Gastroenterology Physician average

5% brand-name claims vs 95% generic, on 900 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.

900
Total Claims
$233K
Total Drug Cost
259
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,347
Total Day Supply
38,429
Brand vs Generic
5% brand / 95% generic
Brand Drug Cost
$186K
Generic Drug Cost
$47K
Antibiotic Claims
34

Patient Demographics

Average Patient Age
69.6 years
Avg HCC Risk Score
1.62
Gender Split
57% female / 43% male
Age Distribution
<65: 56, 65-74: 130, 75-84: 59, 85+: 14

Top Prescribed Drugs (Medicare Part D)

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

What Charles Cohan, DO FACP prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Pantoprazole Sodium
345
Esomeprazole Magnesium
72
Metoclopramide Hcl
68
Famotidine
64
Omeprazole
40
Dicyclomine Hcl
38
Hydrocortisone
25
Sucralfate
21
Ondansetron Hcl
14
Lansoprazole
13

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

Gastroenterology Physician Overview

How Charles Cohan, DO FACP fits within the Gastroenterology Physician landscape nationally.

16,601
Gastroenterology Physician Providers in US
54
States with Gastroenterology Physician
833
Avg Claims per Provider

Charles Cohan, DO FACP's 900 claims are above the specialty average of 833.

Nearby Gastroenterology Physician Providers in Pennsylvania

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

Compare Gastroenterology 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 Pennsylvania medical board, federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Gastroenterology 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 Charles Cohan, DO FACP's specialty?
Charles Cohan, DO FACP specializes in Gastroenterology Physician and practices in Bartonsville, Pennsylvania. Credentials: DO FACP.
How much does Charles Cohan, DO FACP prescribe under Medicare Part D?
In 2023, Charles Cohan, DO FACP wrote 900 Medicare Part D claims totaling $233K in drug costs for 259 beneficiaries.
What is Charles Cohan, DO FACP's Medicare quality score?
Charles Cohan, DO FACP has a CMS MIPS Final Score of 95.6/100 (Quality: 80.6). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Charles Cohan, DO FACP located?
Charles Cohan, DO FACP is located at 3565 ROUTE 611 STE 300, Bartonsville, PA, 18321. Phone: (484) 526-6545.
What is Charles Cohan, DO FACP's NPI number?
Charles Cohan, DO FACP's National Provider Identifier (NPI) is 1043289903, issued on 03/14/2006.
Does Charles Cohan, DO FACP prescribe more brand-name or generic drugs?
Charles Cohan, DO FACP's prescribing is 5% brand-name and 95% generic drugs by claim count, with $186K in brand drug costs.
How many Gastroenterology Physician providers are there in the US?
There are 16,601 Gastroenterology Physician providers across 54 states in the US. The average Gastroenterology Physician provider writes 833 Medicare Part D claims per year.
What drugs does Charles Cohan, DO FACP prescribe most often?
Based on 2023 Medicare Part D data, Charles Cohan, DO FACP's most frequently prescribed drugs include Pantoprazole Sodium, Esomeprazole Magnesium, Metoclopramide Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Charles Cohan, DO FACP accept Medicare?
Charles Cohan, DO FACP appears in CMS Medicare data with 900 Part D claims and 259 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Charles Cohan, DO FACP's credentials?
Charles Cohan, DO FACP's NPI is 1043289903 with credentials DO FACP. 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

Compiled from official public sources by the PlainDoctor editorial team.

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.