2026 NPPES data Gastroenterology Physician NPI 1194734624 MD
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CORNELIUS DOOLEY, MD

Gastroenterology Physician in SANTA FE, New Mexico. 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
819
Medicare Part D claims · 535 beneficiaries · Gastroenterology Physician avg: 833
Generic prescribing
75%
generic claims · 25% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
100/100
▲ 17 pts above national avg 83.1 · [object Object]
Industry payments
$207.6
4 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: CORNELIUS DOOLEY, MD is a Gastroenterology Physician ([object Object]) practicing in SANTA FE, New Mexico with a Medicare Part D prescribing footprint of 819 claims across 535 beneficiaries — 25% brand-name prescribing . Their CMS MIPS Final Score of 100/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $207.6 across 4 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: CORNELIUS DOOLEY, MD reported a CMS MIPS final score of 100 out of 100, above the 83.1 national average, and filed 819 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)

CORNELIUS DOOLEY, 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).

CORNELIUS DOOLEY, MD at a glance

High performer (top quartile)

NPI registry status

Active

Issued 08/05/2006

NPI 1194734624

Primary specialty

Gastroenterology Physician

Mid-sized

16,567 US NPIs in this specialty

Medicare Part D claims

819 2% vs specialty avg

2023 prescription claims

Specialty avg: 833

MIPS final score

100/100 16.900000000000006% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in New Mexico

How Gastroenterology Physician compares to other specialties among New Mexico providers

New Mexico providers

Gastroenterology Physician share within New Mexico

1. Gastroenterology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Gastroenterology Physician share within New Mexico

Medicare quality performance — MIPS

CORNELIUS DOOLEY, MD's 2023 MIPS final score plotted against the Gastroenterology Physician national average

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

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

0%100%National avg83%99%
MIPS final score (Gastroenterology Physician) — 100/100 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).

CORNELIUS DOOLEY, MD is a Gastroenterology Physician provider practicing in SANTA FE, New Mexico, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1194734624. 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.

CORNELIUS DOOLEY, MD appears in the CMS NPPES registry as a Gastroenterology Physician provider holding MD credentials at 1691 GALISTEO ST, SANTA FE, NM, 87505, with a listed phone of (505) 983-5631. NPI 1194734624 was issued on 08/05/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what DOOLEY 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 819 prescription claims written by this provider, covering 535 Medicare beneficiaries and totaling roughly $95K in drug spend, split 25% brand-name and 75% 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 100/100 for the 2023 performance year, compared with the national average of 83.1.

Gastroenterology Physician is a mid-sized specialty nationwide, with 16,567 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

1691 GALISTEO ST
SANTA FE, NM 87505

Provider Details

NPI 1194734624
Specialty Gastroenterology Physician
Credentials MD
Gender Male
NPI Issued 08/05/2006

CMS Quality Score (MIPS)

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

100
Final Score
Avg: 83.1
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where CORNELIUS DOOLEY, 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.

NNM GASTROENTEROLOGY ASSOCIATES PA
SANTA FE, NM

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 CORNELIUS DOOLEY, MD. Source: openpaymentsdata.cms.gov.

Total received

$208

Largest payer

Medtronic, 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.

Brand vs generic prescribing mix · Above average

CORNELIUS DOOLEY, MD — brand share 25.0%
Specialty average (est.)

25% brand-name claims vs 75% generic, on 819 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.

819
Total Claims
$95K
Total Drug Cost
535
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,065
Total Day Supply
18,537
Brand vs Generic
25% brand / 75% generic
Brand Drug Cost
$73K
Generic Drug Cost
$22K

Patient Demographics

Average Patient Age
71.8 years
Avg HCC Risk Score
0.93
Gender Split
55% female / 45% male
Age Distribution
<65: 45, 65-74: 301, 75-84: 174, 85+: 15

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Peg 3350-Electrolyte
Sodium Chloride/Nahco3/Kcl/Peg
419
Pantoprazole Sodium
191
Famotidine
35
Omeprazole
22
Budesonide Dr
Budesonide
21
Esomeprazole Magnesium
14
Gavilyte-G
"Peg3350/Sod Sulf
N/A

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

Gastroenterology Physician Overview

How CORNELIUS DOOLEY, MD fits within the Gastroenterology Physician landscape nationally.

16,567
Gastroenterology Physician Providers in US
54
States with Gastroenterology Physician
833
Avg Claims per Provider

CORNELIUS DOOLEY, MD's 819 claims are below the specialty average of 833.

Nearby Gastroenterology Physician Providers in New Mexico

Other clinicians with the same primary specialty enrolled in New Mexico, drawn from the same CMS NPPES roster as DOOLEY.

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

Frequently Asked Questions

What is CORNELIUS DOOLEY, MD's specialty?
CORNELIUS DOOLEY, MD specializes in Gastroenterology Physician and practices in SANTA FE, New Mexico. Credentials: MD.
How much does CORNELIUS DOOLEY, MD prescribe under Medicare Part D?
In 2023, CORNELIUS DOOLEY, MD wrote 819 Medicare Part D claims totaling $95K in drug costs for 535 beneficiaries.
What is CORNELIUS DOOLEY, MD's Medicare quality score?
CORNELIUS DOOLEY, MD has a CMS MIPS Final Score of 100/100. The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is CORNELIUS DOOLEY, MD located?
CORNELIUS DOOLEY, MD is located at 1691 GALISTEO ST, SANTA FE, NM, 87505. Phone: (505) 983-5631.
What is CORNELIUS DOOLEY, MD's NPI number?
CORNELIUS DOOLEY, MD's National Provider Identifier (NPI) is 1194734624, issued on 08/05/2006.
Does CORNELIUS DOOLEY, MD prescribe more brand-name or generic drugs?
CORNELIUS DOOLEY, MD's prescribing is 25% brand-name and 75% generic drugs by claim count, with $73K in brand drug costs.
How many Gastroenterology Physician providers are there in the US?
There are 16,567 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 CORNELIUS DOOLEY, MD prescribe most often?
Based on 2023 Medicare Part D data, CORNELIUS DOOLEY, MD's most frequently prescribed drugs include Peg 3350-Electrolyte, Pantoprazole Sodium, Famotidine. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does CORNELIUS DOOLEY, MD accept Medicare?
CORNELIUS DOOLEY, MD appears in CMS Medicare data with 819 Part D claims and 535 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify CORNELIUS DOOLEY, MD's credentials?
CORNELIUS DOOLEY, MD's NPI is 1194734624 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