2026 NPPES data Urology Physician NPI 1861500431 M.D.
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DAVID MIKKELSEN, M.D.

Urology Physician in SPOKANE, Washington. 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 · 465 beneficiaries · Urology Physician avg: 1K
Generic prescribing
93%
generic claims · 7% 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
$671.02
28 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: DAVID MIKKELSEN, M.D. is a Urology Physician ([object Object]) practicing in SPOKANE, Washington with a Medicare Part D prescribing footprint of 1K claims across 465 beneficiaries — 7% 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 $671.02 across 28 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: DAVID MIKKELSEN, M.D. reported a CMS MIPS final score of 75 out of 100, below the 83.1 national average, and filed 1,415 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)

DAVID MIKKELSEN, 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).

DAVID MIKKELSEN, M.D. at a glance

Below national average

NPI registry status

Active

Issued 08/25/2006

NPI 1861500431

Primary specialty

Urology Physician

Mid-sized

13,350 US NPIs in this specialty

Medicare Part D claims

1,415 11% vs specialty avg

2023 prescription claims

Specialty avg: 1,280

MIPS final score

75/100 8.099999999999994% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Washington

How Urology Physician compares to other specialties among Washington providers

Washington providers

Urology Physician share within Washington

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

Medicare quality performance — MIPS

DAVID MIKKELSEN, M.D.'s 2023 MIPS final score plotted against the Urology Physician national average

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

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

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

DAVID MIKKELSEN, M.D. is a Urology Physician provider practicing in SPOKANE, Washington, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1861500431. 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.

DAVID MIKKELSEN, M.D. appears in the CMS NPPES registry as a Urology Physician provider holding M.D. credentials at 1401 E TRENT AVE STE 200, SPOKANE, WA, 99202, with a listed phone of (509) 747-3147. NPI 1861500431 was issued on 08/25/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what MIKKELSEN 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 1,415 prescription claims written by this provider, covering 465 Medicare beneficiaries and totaling roughly $320K in drug spend, split 7% brand-name and 93% generic by claim count, with an opioid prescribing rate of 7.6%. 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.

Urology Physician is a mid-sized specialty nationwide, with 13,350 enrolled providers across 54 states and an average of 1,280 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

1401 E TRENT AVE STE 200
SPOKANE, WA 99202

Provider Details

NPI 1861500431
Specialty Urology Physician
Credentials M.D.
Gender Male
NPI Issued 08/25/2006

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

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 DAVID MIKKELSEN, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$671

Largest payer

Sumitomo Pharma America, 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 — Washington WMC 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 ~34K Washington medical licensees in 2023 — they are NOT specific to DAVID MIKKELSEN, M.D.. To verify DAVID MIKKELSEN, M.D.'s current license status, search the WMC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

88
Total board actions, Washington 2023
Across 85 cases
2.59
Actions per 1,000 licensees
Washington statewide rate
probation
Most common action type
31 cases

WMC 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 Washington disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Generic-heavy

DAVID MIKKELSEN, M.D. — brand share 7.0%
Specialty average (est.)

7% brand-name claims vs 93% generic, on 1,415 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.

1,415
Total Claims
$320K
Total Drug Cost
465
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
3,309
Total Day Supply
92,843
Brand vs Generic
7% brand / 93% generic
Brand Drug Cost
$286K
Generic Drug Cost
$33K
Opioid Claims
107 (7.6% rate)
Antibiotic Claims
150

Patient Demographics

Average Patient Age
74.3 years
Avg HCC Risk Score
1.12
Gender Split
10% female / 90% male
Age Distribution
<65: 26, 65-74: 219, 75-84: 175, 85+: 45

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Tamsulosin Hcl
556
Finasteride
371
Oxycodone-Acetaminophen
Oxycodone Hcl/Acetaminophen
89
Levofloxacin
78
Myrbetriq
Mirabegron
65
Solifenacin Succinate
47
Sulfamethoxazole-Trimethoprim
Sulfamethoxazole/Trimethoprim
32
Nitrofurantoin Mono-Macro
Nitrofurantoin Monohyd/M-Cryst
31
Alfuzosin Hcl Er
Alfuzosin Hcl
22
Erleada
Apalutamide
16

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

Urology Physician Overview

How DAVID MIKKELSEN, M.D. fits within the Urology Physician landscape nationally.

13,350
Urology Physician Providers in US
54
States with Urology Physician
1,280
Avg Claims per Provider

DAVID MIKKELSEN, M.D.'s 1,415 claims are above the specialty average of 1,280.

Nearby Urology Physician Providers in Washington

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

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

Frequently Asked Questions

What is DAVID MIKKELSEN, M.D.'s specialty?
DAVID MIKKELSEN, M.D. specializes in Urology Physician and practices in SPOKANE, Washington. Credentials: M.D..
How much does DAVID MIKKELSEN, M.D. prescribe under Medicare Part D?
In 2023, DAVID MIKKELSEN, M.D. wrote 1,415 Medicare Part D claims totaling $320K in drug costs for 465 beneficiaries.
What is DAVID MIKKELSEN, M.D.'s Medicare quality score?
DAVID MIKKELSEN, 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 DAVID MIKKELSEN, M.D. located?
DAVID MIKKELSEN, M.D. is located at 1401 E TRENT AVE STE 200, SPOKANE, WA, 99202. Phone: (509) 747-3147.
What is DAVID MIKKELSEN, M.D.'s NPI number?
DAVID MIKKELSEN, M.D.'s National Provider Identifier (NPI) is 1861500431, issued on 08/25/2006.
Does DAVID MIKKELSEN, M.D. prescribe more brand-name or generic drugs?
DAVID MIKKELSEN, M.D.'s prescribing is 7% brand-name and 93% generic drugs by claim count, with $286K in brand drug costs.
Does DAVID MIKKELSEN, M.D. prescribe opioids?
Yes, DAVID MIKKELSEN, M.D. had 107 opioid claims in 2023 with an opioid prescribing rate of 7.6%.
How many Urology Physician providers are there in the US?
There are 13,350 Urology Physician providers across 54 states in the US. The average Urology Physician provider writes 1,280 Medicare Part D claims per year.
What drugs does DAVID MIKKELSEN, M.D. prescribe most often?
Based on 2023 Medicare Part D data, DAVID MIKKELSEN, M.D.'s most frequently prescribed drugs include Tamsulosin Hcl, Finasteride, Oxycodone-Acetaminophen. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does DAVID MIKKELSEN, M.D. accept Medicare?
DAVID MIKKELSEN, M.D. appears in CMS Medicare data with 1,415 Part D claims and 465 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify DAVID MIKKELSEN, M.D.'s credentials?
DAVID MIKKELSEN, M.D.'s NPI is 1861500431 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