2026 NPPES data Otolaryngology Physician NPI 1053553990 M.D.
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CLINTON ASHFORD, M.D.

Otolaryngology Physician in ATHENS, Georgia. 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
2K
Medicare Part D claims · 449 beneficiaries · Otolaryngology Physician avg: 509
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]
What the federal data reveals: CLINTON ASHFORD, M.D. is a Otolaryngology Physician ([object Object]) practicing in ATHENS, Georgia with a Medicare Part D prescribing footprint of 2K claims across 449 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 .

What stands out: CLINTON ASHFORD, M.D. reported a CMS MIPS final score of 75 out of 100, below the 83.1 national average, and filed 1,672 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)

CLINTON ASHFORD, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

CLINTON ASHFORD, M.D. at a glance

Below national average

NPI registry status

Active

Issued 03/24/2009

NPI 1053553990

Primary specialty

Otolaryngology Physician

Mid-sized

10,895 US NPIs in this specialty

Medicare Part D claims

1,672 228% vs specialty avg

2023 prescription claims

Specialty avg: 509

MIPS final score

75/100 8.099999999999994% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Georgia

How Otolaryngology Physician compares to other specialties among Georgia providers

Georgia providers

Otolaryngology Physician share within Georgia

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

Medicare quality performance — MIPS

CLINTON ASHFORD, M.D.'s 2023 MIPS final score plotted against the Otolaryngology Physician national average

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

MIPS final score (Otolaryngology Physician) — 75/100 vs national avg 83.1

0%100%National avg83%75%
MIPS final score (Otolaryngology 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).

CLINTON ASHFORD, M.D. is a Otolaryngology Physician provider practicing in ATHENS, Georgia, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1053553990. 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.

CLINTON ASHFORD, M.D. appears in the CMS NPPES registry as a Otolaryngology Physician provider holding M.D. credentials at 1000 HAWTHORNE AVE STE T, ATHENS, GA, 30606, with a listed phone of (706) 248-6860. NPI 1053553990 was issued on 03/24/2009. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what ASHFORD 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 1,672 prescription claims written by this provider, covering 449 Medicare beneficiaries and totaling roughly $34K in drug spend, split 2% brand-name and 98% generic by claim count, with an opioid prescribing rate of 2.8%. 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.

Otolaryngology Physician is a mid-sized specialty nationwide, with 10,895 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

1000 HAWTHORNE AVE STE T
ATHENS, GA 30606

Provider Details

NPI 1053553990
Specialty Otolaryngology Physician
Credentials M.D.
Gender Male
NPI Issued 03/24/2009

CMS Quality Score (MIPS)

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

75
Final Score
Avg: 83.1

Reporting: Individual

Brand vs generic prescribing mix · Generic-heavy

CLINTON ASHFORD, M.D. — brand share 2.0%
Specialty average (est.)

2% brand-name claims vs 98% generic, on 1,672 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.

1,672
Total Claims
$34K
Total Drug Cost
449
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,996
Total Day Supply
45,813
Brand vs Generic
2% brand / 98% generic
Brand Drug Cost
$2K
Generic Drug Cost
$32K
Opioid Claims
46 (2.8% rate)
Antibiotic Claims
120

Patient Demographics

Average Patient Age
70.5 years
Avg HCC Risk Score
1.21
Gender Split
58% female / 42% male
Age Distribution
<65: 65, 65-74: 240, 75-84: 118, 85+: 26

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Mupirocin
344
Fluticasone Propionate
285
Omeprazole
163
Ipratropium Bromide
66
Montelukast Sodium
61
Methylprednisolone
55
Gabapentin
47
Amoxicillin-Clavulanate Potass
Amoxicillin/Potassium Clav
39
Fluocinolone Acetonide Oil
33
Hydrocortisone
33

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

Otolaryngology Physician Overview

How CLINTON ASHFORD, M.D. fits within the Otolaryngology Physician landscape nationally.

10,895
Otolaryngology Physician Providers in US
54
States with Otolaryngology Physician
509
Avg Claims per Provider

CLINTON ASHFORD, M.D.'s 1,672 claims are above the specialty average of 509.

Nearby Otolaryngology Physician Providers in Georgia

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

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

Frequently Asked Questions

What is CLINTON ASHFORD, M.D.'s specialty?
CLINTON ASHFORD, M.D. specializes in Otolaryngology Physician and practices in ATHENS, Georgia. Credentials: M.D..
How much does CLINTON ASHFORD, M.D. prescribe under Medicare Part D?
In 2023, CLINTON ASHFORD, M.D. wrote 1,672 Medicare Part D claims totaling $34K in drug costs for 449 beneficiaries.
What is CLINTON ASHFORD, M.D.'s Medicare quality score?
CLINTON ASHFORD, M.D. 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 CLINTON ASHFORD, M.D. located?
CLINTON ASHFORD, M.D. is located at 1000 HAWTHORNE AVE STE T, ATHENS, GA, 30606. Phone: (706) 248-6860.
What is CLINTON ASHFORD, M.D.'s NPI number?
CLINTON ASHFORD, M.D.'s National Provider Identifier (NPI) is 1053553990, issued on 03/24/2009.
Does CLINTON ASHFORD, M.D. prescribe more brand-name or generic drugs?
CLINTON ASHFORD, M.D.'s prescribing is 2% brand-name and 98% generic drugs by claim count, with $2K in brand drug costs.
Does CLINTON ASHFORD, M.D. prescribe opioids?
Yes, CLINTON ASHFORD, M.D. had 46 opioid claims in 2023 with an opioid prescribing rate of 2.8%.
How many Otolaryngology Physician providers are there in the US?
There are 10,895 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 CLINTON ASHFORD, M.D. prescribe most often?
Based on 2023 Medicare Part D data, CLINTON ASHFORD, M.D.'s most frequently prescribed drugs include Mupirocin, Fluticasone Propionate, Omeprazole. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does CLINTON ASHFORD, M.D. accept Medicare?
CLINTON ASHFORD, M.D. appears in CMS Medicare data with 1,672 Part D claims and 449 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify CLINTON ASHFORD, M.D.'s credentials?
CLINTON ASHFORD, M.D.'s NPI is 1053553990 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

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