2026 NPPES data Pain Medicine (Physical Medicine & Rehabilitation) Physician NPI 1811077241 MD
Verify on CMS →

DONNA BLOODWORTH, MD

Pain Medicine (Physical Medicine & Rehabilitation) Physician in HOUSTON, Texas. 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
343
Medicare Part D claims · 23 beneficiaries · Pain Medicine (Physical Medicine & Rehabilitation) Physician avg: 1K
Generic prescribing
94%
generic claims · 6% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
84.059/100
▲ 1 pts above national avg 83.1 · [object Object]
What the federal data reveals: DONNA BLOODWORTH, MD is a Pain Medicine (Physical Medicine & Rehabilitation) Physician ([object Object]) practicing in HOUSTON, Texas with a Medicare Part D prescribing footprint of 343 claims across 23 beneficiaries — 6% brand-name prescribing . Their CMS MIPS Final Score of 84.059/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities .

What stands out: DONNA BLOODWORTH, MD reported a CMS MIPS final score of 84.059 out of 100, above the 83.1 national average, and filed 343 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)

DONNA BLOODWORTH, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 2 hospital affiliations — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

DONNA BLOODWORTH, MD at a glance

Near national average

NPI registry status

Active

Issued 10/17/2006

NPI 1811077241

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) Physician

Niche

1,626 US NPIs in this specialty

Medicare Part D claims

343 76% vs specialty avg

2023 prescription claims

Specialty avg: 1,401

MIPS final score

84.059/100 0.9590000000000032% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Texas

How Pain Medicine (Physical Medicine & Rehabilitation) Physician compares to other specialties among Texas providers

Texas providers

Pain Medicine (Physical Medicine & Rehabilitation) Physician share within Texas

1. Pain Medicine (Physical Medicine & Rehabilitation) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Pain Medicine (Physical Medicine & Rehabilitation) Physician share within Texas

Medicare quality performance — MIPS

DONNA BLOODWORTH, MD's 2023 MIPS final score plotted against the Pain Medicine (Physical Medicine & Rehabilitation) Physician national average

Near national average
MIPS Final Score
84.059/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Pain Medicine (Physical Medicine & Rehabilitation) Physician) — 84.059/100 vs national avg 83.1

0%100%National avg83%84.1%
MIPS final score (Pain Medicine (Physical Medicine & Rehabilitation) Physician) — 84.059/100 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).

DONNA BLOODWORTH, MD is a Pain Medicine (Physical Medicine & Rehabilitation) Physician provider practicing in HOUSTON, Texas, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1811077241. 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.

DONNA BLOODWORTH, MD appears in the CMS NPPES registry as a Pain Medicine (Physical Medicine & Rehabilitation) Physician provider holding MD credentials at 1504 TAUB LOOP, HOUSTON, TX, 77030, with a listed phone of (713) 873-8890. NPI 1811077241 was issued on 10/17/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BLOODWORTH 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 343 prescription claims written by this provider, covering 23 Medicare beneficiaries and totaling roughly $25K in drug spend, split 6% brand-name and 94% generic by claim count, with an opioid prescribing rate of 38.5%. 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 84.059/100 for the 2023 performance year (Quality 84.4904, Cost 54.3968), compared with the national average of 83.1.

Pain Medicine (Physical Medicine & Rehabilitation) Physician is a narrow specialty nationwide, with 1,626 enrolled providers across 50 states and an average of 1,401 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

1504 TAUB LOOP
HOUSTON, TX 77030

Provider Details

NPI 1811077241
Specialty Pain Medicine (Physical Medicine & Rehabilitation) Physician
Credentials MD
Gender Female
NPI Issued 10/17/2006

CMS Quality Score (MIPS)

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

84.059
Final Score
Avg: 83.1
84.4904
Quality
54.3968
Cost

Reporting: Group practice

Hospital and facility affiliations

Facilities where DONNA BLOODWORTH, 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.

BAYLOR COLLEGE OF MEDICINE
HOUSTON, TX
BAYLOR COLLEGE OF MEDICINE
HOUSTON, TX

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 — Texas TMB 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 ~77K Texas medical licensees in 2023 — they are NOT specific to DONNA BLOODWORTH, MD. To verify DONNA BLOODWORTH, MD's current license status, search the TMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

344
Total board actions, Texas 2023
Across 334 cases
4.47
Actions per 1,000 licensees
Texas statewide rate
probation
Most common action type
94 cases

TMB 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 Texas disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Generic-heavy

DONNA BLOODWORTH, MD — brand share 6.0%
Specialty average (est.)

6% brand-name claims vs 94% generic, on 343 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.

343
Total Claims
$25K
Total Drug Cost
23
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
391
Total Day Supply
11,138
Brand vs Generic
6% brand / 94% generic
Brand Drug Cost
$13K
Generic Drug Cost
$12K
Opioid Claims
132 (38.5% rate)

Patient Demographics

Average Patient Age
60.6 years
Avg HCC Risk Score
1.61
Gender Split
52% female / 48% male
Age Distribution
<65: 12, 65-74: N/A, 75-84: N/A, 85+: 0

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
80
Gabapentin
61
Baclofen
37
Morphine Sulfate Er
Morphine Sulfate
15
Pregabalin
14
Zolpidem Tartrate
13
Diazepam
12
Ambien Cr
Zolpidem Tartrate
11
Cyclobenzaprine Hcl
11
Oxycodone Hcl
11

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

Pain Medicine (Physical Medicine & Rehabilitation) Physician Overview

How DONNA BLOODWORTH, MD fits within the Pain Medicine (Physical Medicine & Rehabilitation) Physician landscape nationally.

1,626
Pain Medicine (Physical Medicine & Rehabilitation) Physician Providers in US
50
States with Pain Medicine (Physical Medicine & Rehabilitation) Physician
1,401
Avg Claims per Provider

DONNA BLOODWORTH, MD's 343 claims are below the specialty average of 1,401.

Nearby Pain Medicine (Physical Medicine & Rehabilitation) Physician Providers in Texas

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

Compare Pain Medicine (Physical Medicine & Rehabilitation) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is DONNA BLOODWORTH, MD's specialty?
DONNA BLOODWORTH, MD specializes in Pain Medicine (Physical Medicine & Rehabilitation) Physician and practices in HOUSTON, Texas. Credentials: MD.
How much does DONNA BLOODWORTH, MD prescribe under Medicare Part D?
In 2023, DONNA BLOODWORTH, MD wrote 343 Medicare Part D claims totaling $25K in drug costs for 23 beneficiaries.
What is DONNA BLOODWORTH, MD's Medicare quality score?
DONNA BLOODWORTH, MD has a CMS MIPS Final Score of 84.059/100 (Quality: 84.4904, Cost: 54.3968). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is DONNA BLOODWORTH, MD located?
DONNA BLOODWORTH, MD is located at 1504 TAUB LOOP, HOUSTON, TX, 77030. Phone: (713) 873-8890.
What is DONNA BLOODWORTH, MD's NPI number?
DONNA BLOODWORTH, MD's National Provider Identifier (NPI) is 1811077241, issued on 10/17/2006.
Does DONNA BLOODWORTH, MD prescribe more brand-name or generic drugs?
DONNA BLOODWORTH, MD's prescribing is 6% brand-name and 94% generic drugs by claim count, with $13K in brand drug costs.
Does DONNA BLOODWORTH, MD prescribe opioids?
Yes, DONNA BLOODWORTH, MD had 132 opioid claims in 2023 with an opioid prescribing rate of 38.5%.
How many Pain Medicine (Physical Medicine & Rehabilitation) Physician providers are there in the US?
There are 1,626 Pain Medicine (Physical Medicine & Rehabilitation) Physician providers across 50 states in the US. The average Pain Medicine (Physical Medicine & Rehabilitation) Physician provider writes 1,401 Medicare Part D claims per year.
What drugs does DONNA BLOODWORTH, MD prescribe most often?
Based on 2023 Medicare Part D data, DONNA BLOODWORTH, MD's most frequently prescribed drugs include Hydrocodone-Acetaminophen, Gabapentin, Baclofen. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does DONNA BLOODWORTH, MD accept Medicare?
DONNA BLOODWORTH, MD appears in CMS Medicare data with 343 Part D claims and 23 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify DONNA BLOODWORTH, MD's credentials?
DONNA BLOODWORTH, MD's NPI is 1811077241 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