NPI registry status
Active
2026 NPPES data Sleep Medicine (Internal Medicine) Physician NPI 1891736948 MD
Verify on CMS → David Picard, MD
Sleep Medicine (Internal Medicine) Physician in Concord, New Hampshire.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 859 in Sleep Medicine (Internal Medicine) 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
223
Medicare Part D claims · 39 beneficiaries · Sleep Medicine (Internal Medicine) Physician avg: 1K
Generic prescribing
90%
generic claims · 10% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
89.4/100
▲ 6 pts above national avg 83.1 · Exceptional
Industry payments
$46.77
1 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
David Picard, MD reported a CMS MIPS final score of 89.4/100 - above the 83.1 national average - and filed 223 Medicare Part D claims in 2023.
- 89.4/100
- MIPS score · +6 vs avg
- 223
- Part D claims, 2023
- 90%
- 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.
David Picard, MD's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
89 Top 42% higher than 58% of 477,587 scored providers
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 David Picard, MD sits
This provider among sleep medicine (internal medicine) physician peers
Across the 295 sleep medicine (internal medicine) physician providers who report both Medicare Part D prescribing and a MIPS quality score, David Picard, MD writes more Part D claims than 29% of them and scores higher on MIPS quality than 63% - 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
Each dot is one sleep medicine (internal medicine) physician peer from a representative sample of 60; the gold marker is David Picard, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
David Picard, 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 David Picard, MD?
High performer (top quartile)Primary specialty
Sleep Medicine (Internal Medicine) Physician
Medicare Part D claims
223 83% vs specialty avg
MIPS final score
89.4/100 6.3 pts vs avg
Specialty distribution in New Hampshire
How Sleep Medicine (Internal Medicine) Physician compares to other specialties among New Hampshire providers
Medicare quality performance, MIPS
David Picard, MD's 2023 MIPS final score plotted against the Sleep Medicine (Internal Medicine) Physician national average
- MIPS Final Score
- 89.4/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Sleep Medicine (Internal Medicine) Physician) - 89.4/100 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).
David Picard, MD appears in the CMS NPPES registry as a Sleep Medicine (Internal Medicine) Physician provider holding MD credentials at 18 FOUNDRY ST STE 103, Concord, NH, 03301, with a listed phone of (032) 305-6276. NPI 1891736948 was issued on 06/09/2006.
Medicare Part D records for calendar year 2023 show 223 prescription claims written by this provider, covering 39 Medicare beneficiaries and totaling roughly $332K in drug spend, split 10% brand-name and 90% generic by claim count. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 89.4/100 for the 2023 performance year (Quality 72.2), compared with the national average of 83.1.
Sleep Medicine (Internal Medicine) Physician is a narrow specialty nationwide, with 859 enrolled providers across 52 states and an average of 1,310 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
Provider Details
| NPI | 1891736948 |
|---|---|
| Specialty | Sleep Medicine (Internal Medicine) Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 06/09/2006 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
89.3601
Final Score
Avg: 83.1
72.1931
Quality
100
Promoting Interoperability
Reporting: Alternative Payment Model
Hospital and facility affiliations
Facilities where David Picard, 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.
Concord Hospital Inc
Concord, NH
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 David Picard, MD. Source: openpaymentsdata.cms.gov.
Total received
$47
Largest payer
Inspire Medical Systems, 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 · Typical
David Picard, MD - brand share 10.0%
Sleep Medicine (Internal Medicine) Physician average
10% brand-name claims vs 90% generic, on 223 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.
223
Total Claims
$332K
Total Drug Cost
39
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 274
- Total Day Supply
- 8,111
- Brand vs Generic
- 10% brand / 90% generic
- Brand Drug Cost
- $326K
- Generic Drug Cost
- $6K
Patient Demographics
- Average Patient Age
- 67.8 years
- Avg HCC Risk Score
- 1.26
- Gender Split
- 41% female / 59% male
- Age Distribution
- <65: 11, 65-74: 13, 75-84: 15, 85+: 0
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What David Picard, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Clonazepam
Clonazepam
41 claims
- Gabapentin
Gabapentin
29 claims
- Armodafinil
Armodafinil
24 claims
- Modafinil
Modafinil
22 claims
- Eszopiclone 11
Eszopiclone
11 claims
- Zolpidem Tartrate 11
Zolpidem Tartrate
11 claims
| Drug | Claims |
|---|---|
| Clonazepam | 41 |
| Gabapentin | 29 |
| Armodafinil | 24 |
| Modafinil | 22 |
| Eszopiclone | 11 |
| Zolpidem Tartrate | 11 |
| Xywav "Sodium | N/A |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
More Sleep Medicine (Internal Medicine) Physician in NH →
All providers in New Hampshire →
Compare specialties →
Sleep Medicine (Internal Medicine) Physician Overview
How David Picard, MD fits within the Sleep Medicine (Internal Medicine) Physician landscape nationally.
859
Sleep Medicine (Internal Medicine) Physician Providers in US
52
States with Sleep Medicine (Internal Medicine) Physician
1,310
Avg Claims per Provider
David Picard, MD's 223 claims are below the specialty average of 1,310.
Nearby Sleep Medicine (Internal Medicine) Physician Providers in New Hampshire
Other clinicians with the same primary specialty enrolled in New Hampshire, drawn from the same CMS NPPES roster as Picard.
Dr. Danilo Ablan
MD
Portsmouth, NH
Dr. Celia Englander
M.D.
Concord, NH
Dr. Erin Hattan
MD
Manchester, NH
Dr. Bianca Lang
M.D.
Lebanon, NH
Dr. Elizabeth Lynch
MD
Kingston, NH
Compare Sleep Medicine (Internal Medicine) 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 New Hampshire medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Sleep Medicine (Internal Medicine) 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.
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Frequently Asked Questions
What is David Picard, MD's specialty? ▼
David Picard, MD specializes in Sleep Medicine (Internal Medicine) Physician and practices in Concord, New Hampshire. Credentials: MD.
How much does David Picard, MD prescribe under Medicare Part D? ▼
In 2023, David Picard, MD wrote 223 Medicare Part D claims totaling $332K in drug costs for 39 beneficiaries.
What is David Picard, MD's Medicare quality score? ▼
David Picard, MD has a CMS MIPS Final Score of 89.4/100 (Quality: 72.2). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is David Picard, MD located? ▼
David Picard, MD is located at 18 FOUNDRY ST STE 103, Concord, NH, 03301. Phone: (032) 305-6276.
What is David Picard, MD's NPI number? ▼
David Picard, MD's National Provider Identifier (NPI) is 1891736948, issued on 06/09/2006.
Does David Picard, MD prescribe more brand-name or generic drugs? ▼
David Picard, MD's prescribing is 10% brand-name and 90% generic drugs by claim count, with $326K in brand drug costs.
How many Sleep Medicine (Internal Medicine) Physician providers are there in the US? ▼
There are 859 Sleep Medicine (Internal Medicine) Physician providers across 52 states in the US. The average Sleep Medicine (Internal Medicine) Physician provider writes 1,310 Medicare Part D claims per year.
What drugs does David Picard, MD prescribe most often? ▼
Based on 2023 Medicare Part D data, David Picard, MD's most frequently prescribed drugs include Clonazepam, Gabapentin, Armodafinil. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does David Picard, MD accept Medicare? ▼
David Picard, MD appears in CMS Medicare data with 223 Part D claims and 39 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify David Picard, MD's credentials? ▼
David Picard, MD's NPI is 1891736948 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
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.