2026 NPPES data Family Medicine Physician NPI 1205876380 M.D.
Verify on CMS →

DONALD COHEN, M.D.

Family Medicine Physician in ARMONK, New York. 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
7K
Medicare Part D claims · 871 beneficiaries · Family Medicine Physician avg: 3K
Generic prescribing
86%
generic claims · 14% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
91.5824/100
▲ 8 pts above national avg 83.1 · [object Object]

What the federal data shows

DONALD COHEN, M.D. reported a CMS MIPS final score of 91.5824/100 — above the 83.1 national average — and filed 6,776 Medicare Part D claims in 2023.

91.5824/100
MIPS score · +8 vs avg
7K
Part D claims, 2023
86%
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.

DONALD COHEN, M.D.'s MIPS score vs every scored U.S. clinician

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

92 Top 37% higher than 63% 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. 90–100: 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

Board certification likely (heuristic — not verified)

DONALD COHEN, M.D. 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 DONALD COHEN, M.D.?

High performer (top quartile)

NPI registry status

Active

Issued 06/07/2006

NPI 1205876380

Primary specialty

Family Medicine Physician

High-volume

147,640 US NPIs in this specialty

Medicare Part D claims

6,776 98% vs specialty avg

2023 prescription claims

Specialty avg: 3,418

MIPS final score

91.5824/100 8.482400000000013% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in New York

How Family Medicine Physician compares to other specialties among New York providers

New York providers

Family Medicine Physician share within New York

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

Medicare quality performance — MIPS

DONALD COHEN, M.D.'s 2023 MIPS final score plotted against the Family Medicine Physician national average

High performer (top quartile)
MIPS Final Score
91.5824/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Family Medicine Physician) — 91.5824/100 vs national avg 83.1

0%100%National avg83%91.6%
MIPS final score (Family Medicine Physician) — 91.5824/100 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).

DONALD COHEN, M.D. appears in the CMS NPPES registry as a Family Medicine Physician provider holding M.D. credentials at 16 ORCHARD DR, ARMONK, NY, 10504, with a listed phone of (914) 273-3404. NPI 1205876380 was issued on 06/07/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what COHEN 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 6,776 prescription claims written by this provider, covering 871 Medicare beneficiaries and totaling roughly $673K in drug spend, split 14% brand-name and 86% generic by claim count, with an opioid prescribing rate of 2.2%. 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 91.5824/100 for the 2023 performance year (Quality 90.0969), compared with the national average of 83.1.

Family Medicine Physician is a high-volume specialty nationwide, with 147,640 enrolled providers across 56 states and an average of 3,418 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

16 ORCHARD DR
ARMONK, NY 10504

Provider Details

NPI 1205876380
Specialty Family Medicine Physician
Credentials M.D.
Gender Male
NPI Issued 06/07/2006

CMS Quality Score (MIPS)

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

91.5824
Final Score
Avg: 83.1
90.0969
Quality

Reporting: Group practice

Hospital and facility affiliations

Facilities where DONALD COHEN, M.D. 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.

WESTCHESTER HEALTH MEDICAL PC
ARMONK, NY

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 — New York NYSBPMC 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 ~100K New York medical licensees in 2023 — they are NOT specific to DONALD COHEN, M.D.. To verify DONALD COHEN, M.D.'s current license status, search the NYSBPMC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

312
Total board actions, New York 2023
Across 302 cases
3.12
Actions per 1,000 licensees
New York statewide rate
probation
Most common action type
89 cases

NYSBPMC 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 New York disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

DONALD COHEN, M.D. — brand share 14.0%
Specialty average (est.)

14% brand-name claims vs 86% generic, on 6,776 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.

6,776
Total Claims
$673K
Total Drug Cost
871
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
15,450
Total Day Supply
444,657
Brand vs Generic
14% brand / 86% generic
Brand Drug Cost
$542K
Generic Drug Cost
$130K
Opioid Claims
151 (2.2% rate)
Antibiotic Claims
74

Patient Demographics

Average Patient Age
75.9 years
Avg HCC Risk Score
0.95
Gender Split
51% female / 49% male

Top Prescribed Drugs (Medicare Part D)

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

What DONALD COHEN, M.D. 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
Atorvastatin Calcium
661
Amlodipine Besylate
442
Lisinopril
282
Losartan Potassium
246
Arexvy
Rsvpref3 Antigen/As01e/Pf
214
Metformin Hcl Er
Metformin Hcl
200
Rosuvastatin Calcium
193
Zolpidem Tartrate
192
Levothyroxine Sodium
150
Metoprolol Succinate
134

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

Family Medicine Physician Overview

How DONALD COHEN, M.D. fits within the Family Medicine Physician landscape nationally.

147,640
Family Medicine Physician Providers in US
56
States with Family Medicine Physician
3,418
Avg Claims per Provider

DONALD COHEN, M.D.'s 6,776 claims are above the specialty average of 3,418.

Nearby Family Medicine Physician Providers in New York

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

Compare Family Medicine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is DONALD COHEN, M.D.'s specialty?
DONALD COHEN, M.D. specializes in Family Medicine Physician and practices in ARMONK, New York. Credentials: M.D..
How much does DONALD COHEN, M.D. prescribe under Medicare Part D?
In 2023, DONALD COHEN, M.D. wrote 6,776 Medicare Part D claims totaling $673K in drug costs for 871 beneficiaries.
What is DONALD COHEN, M.D.'s Medicare quality score?
DONALD COHEN, M.D. has a CMS MIPS Final Score of 91.5824/100 (Quality: 90.0969). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is DONALD COHEN, M.D. located?
DONALD COHEN, M.D. is located at 16 ORCHARD DR, ARMONK, NY, 10504. Phone: (914) 273-3404.
What is DONALD COHEN, M.D.'s NPI number?
DONALD COHEN, M.D.'s National Provider Identifier (NPI) is 1205876380, issued on 06/07/2006.
Does DONALD COHEN, M.D. prescribe more brand-name or generic drugs?
DONALD COHEN, M.D.'s prescribing is 14% brand-name and 86% generic drugs by claim count, with $542K in brand drug costs.
Does DONALD COHEN, M.D. prescribe opioids?
Yes, DONALD COHEN, M.D. had 151 opioid claims in 2023 with an opioid prescribing rate of 2.2%.
How many Family Medicine Physician providers are there in the US?
There are 147,640 Family Medicine Physician providers across 56 states in the US. The average Family Medicine Physician provider writes 3,418 Medicare Part D claims per year.
What drugs does DONALD COHEN, M.D. prescribe most often?
Based on 2023 Medicare Part D data, DONALD COHEN, M.D.'s most frequently prescribed drugs include Atorvastatin Calcium, Amlodipine Besylate, Lisinopril. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does DONALD COHEN, M.D. accept Medicare?
DONALD COHEN, M.D. appears in CMS Medicare data with 6,776 Part D claims and 871 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify DONALD COHEN, M.D.'s credentials?
DONALD COHEN, M.D.'s NPI is 1205876380 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