2026 NPPES data Family Medicine Physician NPI 1619396389 M.D.
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Doria Pothen, M.D.

Family Medicine Physician in Everett, Washington. This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers — including 147,640 in Family 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
3K
Medicare Part D claims · 358 beneficiaries · Family Medicine Physician avg: 3K
Generic prescribing
88%
generic claims · 11% brand-name · higher generic rates reduce patient out-of-pocket costs
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Doria Pothen, M.D. filed 3,138 Medicare Part D claims in 2023 as a Family Medicine Physician in Everett, Washington, prescribing 88% generic.

3K
Part D claims, 2023
88%
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.

Doria Pothen, M.D.'s Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

3,138 Top 11% higher than 89% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). Below this entry. 400–600: 90,619 prescribers (7%). Below this entry. 600–800: 56,224 prescribers (4%). Below this entry. 800–1,000: 40,919 prescribers (3%). Below this entry. 1,000–1,200: 31,827 prescribers (2%). Below this entry. 1,200–1,400: 26,224 prescribers (2%). Below this entry. 1,400–1,600: 21,710 prescribers (2%). Below this entry. 1,600–1,800: 19,072 prescribers (1%). Below this entry. 1,800–2,000: 16,451 prescribers (1%). Below this entry. 2,000–2,200: 213,991 prescribers (16%). This entry sits in this band. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

Each bar is a band; taller bars hold more prescribers. 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 Medicare Part D Prescriber Public Use File · 2023

Board certification likely (heuristic — not verified)

Doria Pothen, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 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 Doria Pothen, M.D.?

Quality data not reported

NPI registry status

Active

Issued 04/10/2014

NPI 1619396389

Primary specialty

Family Medicine Physician

High-volume

147,640 US NPIs in this specialty

Medicare Part D claims

3,138 8% vs specialty avg

2023 prescription claims

Specialty avg: 3,418

Specialty distribution in Washington

How Family Medicine Physician compares to other specialties among Washington providers

Washington providers

Largest specialties in Washington (% of in-state providers)

Mental Health Counselor — 8.6%Mental Health Counselor8.6%Massage Therapist — 6.5%Massage Therapist6.5%Counselor — 5.7%Counselor5.7%Behavior Technician — 4.5%Behavior Technician4.5%Pharmacist — 4%Pharmacist4%Physical Therapist — 3.6%Physical Therapist3.6%Family Medicine Physician — 2.6%Family Medicine Physician2.6%
Largest specialties in Washington (% of in-state providers)

Specialty board-certification context

Estimated specialty board-certified rate — Family Medicine Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Family Medicine Physician ABMS/AOA estimate

Est. board-certified rate (Family Medicine Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Family Medicine Physician) — ABMS / AOA estimate

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).

Doria Pothen, M.D. appears in the CMS NPPES registry as a Family Medicine Physician provider holding M.D. credentials at 2930 MAPLE ST, Everett, WA, 98201, with a listed phone of (425) 261-1500. NPI 1619396389 was issued on 04/10/2014. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Pothen 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 3,138 prescription claims written by this provider, covering 358 Medicare beneficiaries and totaling roughly $137K in drug spend, split 11% brand-name and 88% generic by claim count, with an opioid prescribing rate of 4.8%. 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.

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

2930 MAPLE ST
Everett, WA 98201

Provider Details

NPI 1619396389
Specialty Family Medicine Physician
Credentials M.D.
Gender Female
NPI Issued 04/10/2014

Hospital and facility affiliations

Facilities where Doria Pothen, 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.

Kaiser Foundation Health Plan OF Washington
Everett, WA

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 — 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 Doria Pothen, M.D.. To verify Doria Pothen, 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 · Typical

Doria Pothen, M.D. — brand share 11.0%
Family Medicine Physician average

11% brand-name claims vs 88% generic, on 3,138 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.

3,138
Total Claims
$137K
Total Drug Cost
358
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
6,768
Total Day Supply
195,322
Brand vs Generic
11% brand / 88% generic
Brand Drug Cost
$78K
Generic Drug Cost
$57K
Opioid Claims
150 (4.8% rate)
Antibiotic Claims
26

Patient Demographics

Average Patient Age
73.6 years
Avg HCC Risk Score
1.09
Gender Split
65% female / 35% male
Age Distribution
<65: 17, 65-74: 197, 75-84: 105, 85+: 39

Top Prescribed Drugs (Medicare Part D)

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

What Doria Pothen, 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
205
Lisinopril
146
Rosuvastatin Calcium
142
Amlodipine Besylate
141
Omeprazole
123
Levothyroxine Sodium
91
Losartan Potassium
83
Gabapentin
77
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
74
Trazodone Hcl
71

* 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 Doria Pothen, 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

Doria Pothen, M.D.'s 3,138 claims are below the specialty average of 3,418.

Nearby Family Medicine Physician Providers in Washington

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

Compare Family 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 Washington medical board — federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Family 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.

Frequently Asked Questions

What is Doria Pothen, M.D.'s specialty?
Doria Pothen, M.D. specializes in Family Medicine Physician and practices in Everett, Washington. Credentials: M.D..
How much does Doria Pothen, M.D. prescribe under Medicare Part D?
In 2023, Doria Pothen, M.D. wrote 3,138 Medicare Part D claims totaling $137K in drug costs for 358 beneficiaries.
Where is Doria Pothen, M.D. located?
Doria Pothen, M.D. is located at 2930 MAPLE ST, Everett, WA, 98201. Phone: (425) 261-1500.
What is Doria Pothen, M.D.'s NPI number?
Doria Pothen, M.D.'s National Provider Identifier (NPI) is 1619396389, issued on 04/10/2014.
Does Doria Pothen, M.D. prescribe more brand-name or generic drugs?
Doria Pothen, M.D.'s prescribing is 11% brand-name and 88% generic drugs by claim count, with $78K in brand drug costs.
Does Doria Pothen, M.D. prescribe opioids?
Yes, Doria Pothen, M.D. had 150 opioid claims in 2023 with an opioid prescribing rate of 4.8%.
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 Doria Pothen, M.D. prescribe most often?
Based on 2023 Medicare Part D data, Doria Pothen, M.D.'s most frequently prescribed drugs include Atorvastatin Calcium, Lisinopril, Rosuvastatin Calcium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Doria Pothen, M.D. accept Medicare?
Doria Pothen, M.D. appears in CMS Medicare data with 3,138 Part D claims and 358 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Doria Pothen, M.D.'s credentials?
Doria Pothen, M.D.'s NPI is 1619396389 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.
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.