PlainDoctor

2026 NPPES data Adult Reconstructive Orthopaedic Surgery Physician NPI 1285781401 M.D.
Verify on CMS →

Doug Clouse, M.D.

Adult Reconstructive Orthopaedic Surgery Physician in Chandler, Arizona.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 1,286 in Adult Reconstructive Orthopaedic Surgery 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
186
Medicare Part D claims · 84 beneficiaries · Adult Reconstructive Orthopaedic Surgery Physician avg: 537
MIPS score
30.6/100
▼ 53 pts below national avg 83.5 · Below average
Industry payments
$125.17
2 payments · CMS Open Payments (Sunshine Act)
Verify NPI on CMS Methodology
Compiled from official public sources by the editorial process.

What the federal data shows

Doug Clouse, M.D. reported a CMS MIPS final score of 30.6/100 - below the 83.5 national average - and filed 186 Medicare Part D claims in 2024.

30.6/100
MIPS score · -53 vs avg
186
Part D claims, 2024
Likely
board-certified (heuristic)
≥3rd
pct among measured MIPS (lower-bound band)

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.

Federal trust snapshot

What official records show about Doug Clouse, M.D.

Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.

  • Verified

    NPI registry status

    Active listing in the CMS National Provider Identifier Registry (NPI 1285781401), first enumerated 01/03/2007.

    Source: CMS NPPES

  • Reported

    Medicare Part D participation

    Filed 186 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.

    Source: CMS Part D Prescriber PUF

  • Reported

    CMS quality reporting (MIPS)

    Reported a CMS MIPS final score of 30.6/100 in the Quality Payment Program — a federal quality measure, not a patient review.

    Source: CMS Quality Payment Program

  • Reported

    Board certification signal

    Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.

    Source: NUCC taxonomy + CMS participation heuristic

  • Reported

    Hospital affiliations

    1 CMS Care Compare hospital affiliation on record — practice footprint from the Doctors and Clinicians file.

    Source: CMS Care Compare

  • Reported

    Industry payment transparency

    $125.17 in reported industry payments (2 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.

    Source: CMS Open Payments

  • Not in federal data

    Individual sanction lookup

    PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.

    Source: State medical board / FSMB

This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.

CMS NPPES provider registry desk

NPI 1285781401 · Adult Reconstructive Orthopaedic Surgery Physician

NPI-10 · ENUM-MID · TAX-NARROW · MIPS-LOW · RX-LIGHT · BOOK-THIN · PHOTO-FINISH

  • NPI-10 1285781401
  • ENUM-MID 2007
  • TAX-NARROW 1,286
  • MIPS-LOW 30.6/100
  • RX-LIGHT 186
  • BOOK-THIN 32 in Arizona
  • PHOTO-FINISH Rajan Patel · ±0.2

MIPS final-score neighbourhood

Same-specialty nationwide peers by CMS final score, not geographic proximity

MIPS pts

What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).

Source CMS Quality Payment Program (MIPS) As of 2023

Doug Clouse, M.D.'s MIPS score vs every measured U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.

31 ≥ 3rd percentile 3% of 454,083 measured providers are in lower value bands

0–10: 8,684 measured providers (2%). Below this entry. 10–20: 3,008 measured providers (1%). Below this entry. 20–30: 3,069 measured providers (1%). Below this entry. 30–40: 2,746 measured providers (1%). This entry sits in this band. 40–50: 2,928 measured providers (1%). Above this entry. 50–60: 5,882 measured providers (1%). Above this entry. 60–70: 13,906 measured providers (3%). Above this entry. 70–80: 94,570 measured providers (21%). Above this entry. 80–90: 129,887 measured providers (29%). Above this entry. 90+: 189,403 measured providers (42%). Above this entry. This provider 0 100 every measured MIPS clinician, bucketed by value

Each bar is a band; taller bars hold more measured 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.

The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Where Doug Clouse, M.D. sits

This provider among adult reconstructive orthopaedic surgery physician peers

Across the 422 adult reconstructive orthopaedic surgery physician providers who report both Medicare Part D prescribing and a MIPS quality score, Doug Clouse, M.D. writes more Part D claims than 25% of them and scores higher on MIPS quality than 4% - placing this provider in the lower-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality0255075100024.949.974.899.8Part D claim volume, percentile in specialtyMIPS quality, percentilePoint, Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 80Point, Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 73Point, Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 75Point, Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 42Point, Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 67Point, Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 45Point, Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 53Point, Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 82Point, Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 65Point, Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 5Point, Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 78Point, Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 27Point, Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 90Point, Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 17Point, Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 68Point, Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 33Point, Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 13Point, Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 93Point, Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 95Point, Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 40Point, Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 22Point, Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 70Point, Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 57Point, Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 15Point, Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 10Point, Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 35Point, Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 2Point, Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 32Point, Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 88Point, Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 62Point, Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 52Point, Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 12Point, Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 43Point, Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 95Point, Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 55Point, Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 58Point, Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 22Point, Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 77Point, Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 60Point, Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 95Point, Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 38Point, Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 20Point, Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 8Point, Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 48Point, Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 95Point, Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 37Point, Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 50Point, Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 18Point, Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 63Point, Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 28Point, Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 30Point, Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 83Point, Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 47Point, Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 72Point, Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 7Point, Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 22Point, Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 87Doug Clouse, M.D., Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 4
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one adult reconstructive orthopaedic surgery physician peer from a representative sample of 60; the gold marker is Doug Clouse, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

✓
Board certification likely (heuristic, not verified)

Doug Clouse, 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 Doug Clouse, M.D.?

Below national average

NPI registry status

Active

Issued 01/03/2007

NPI 1285781401

Primary specialty

Adult Reconstructive Orthopaedic Surgery Physician

Niche

1,286 US NPIs in this specialty

Medicare Part D claims

186 65% vs specialty avg

2024 prescription claims

Specialty avg: 537

MIPS final score

30.6/100 52.9 pts vs avg

Below average band

vs 83.5 national avg

Specialty distribution in Arizona

How Adult Reconstructive Orthopaedic Surgery Physician compares to other specialties among Arizona providers

Arizona providers
Behavior Technician6%Pharmacist5.4%Family Nurse Practitioner4.3%Physical Therapist4.1%Student in an Organized Heal…3.6%Speech-Language Pathologist3.5%Adult Reconstructive Orthopa…0%
Largest specialties in Arizona (% of in-state providers)

Medicare quality performance, MIPS

Doug Clouse, M.D.'s 2023 MIPS final score plotted against the Adult Reconstructive Orthopaedic Surgery Physician national average

Below national average
MIPS Final Score
30.6/100
vs 83.5 national avg · 2023 performance year
0%100%National avg84%30.6%
MIPS final score (Adult Reconstructive Orthopaedic Surgery Physician) - 30.6/100 vs national avg 83.5
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).

Practice Address

2450 S GILBERT RD STE 109
Chandler, AZ 85286
(480) 899-4333

Provider Details

NPI 1285781401
Specialty Adult Reconstructive Orthopaedic Surgery Physician
Credentials M.D.
Gender Male
NPI Issued 01/03/2007

CMS Quality Score (MIPS)

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

30.5714
Final Score
Measured-score avg: 83.5
1.4286
Quality
100
Cost

Reporting: Individual

Hospital and facility affiliations

Facilities where Doug Clouse, 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.

Doug S Clouse MD PLC
Chandler, AZ

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 Doug Clouse, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$125

Largest payer

Smith+Nephew, 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.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2024.

186
Total Claims
$2K
Total Drug Cost
84
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
191
Total Day Supply
3,899
Brand Drug Cost
$0
Generic Drug Cost
$2K
Opioid Claims
30 (16.1% rate)

Patient Demographics

Average Patient Age
73.0 years
Avg HCC Risk Score
0.88
Gender Split
69% female / 31% male

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.

What Doug Clouse, M.D. prescribes most

Top Medicare Part D drugs by claim count, 2024

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2024
Drug Claims
Celecoxib
 75
Meloxicam
 23
Gabapentin
 22
Prednisone
 17
Tramadol Hcl
 14

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

More Adult Reconstructive Orthopaedic Surgery Physician in AZ → All providers in Arizona → Compare specialties →

Adult Reconstructive Orthopaedic Surgery Physician Overview

How Doug Clouse, M.D. fits within the Adult Reconstructive Orthopaedic Surgery Physician landscape nationally.

1,286
Adult Reconstructive Orthopaedic Surgery Physician Providers in US
51
States with Adult Reconstructive Orthopaedic Surgery Physician
537
Avg Claims per Provider

Doug Clouse, M.D.'s 186 claims are below the specialty average of 537.

Nationwide Adult Reconstructive Orthopaedic Surgery Physician peers with similar MIPS or enrollment year

Two federal-record peer sets for Clouse, both outside Arizona so the neighborhoods are not geographic containment.

Similar MIPS final score

Nearest same-specialty clinicians by CMS MIPS final score (30.6 here).

Rajan Patel 30.8 CA Rodney Plaster 32.8 OK Samir Nayyar 27.3 CA John Barrington 27 TX

Same NPPES enumeration year (2007)

Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.

Ruben Hernandez-Santiago Ponce, PR David Allmacher Missoula, MT John Tiberi Los Angeles, CA Brian Krenzel Hickory, NC

Nearby Adult Reconstructive Orthopaedic Surgery Physician Providers in Arizona

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

One of 32 Adult Reconstructive Orthopaedic Surgery Physician providers enrolled in Arizona, 5 are shown here.

Dr. Mark Allen
D.O.
Gilbert, AZ
Dr. Vibhatsu Amin
MD
Goodyear, AZ
Dr. Dennis Armstrong
M.D.
Mesa, AZ
Dr. James Benjamin
M.D.
Tucson, AZ
Dr. Allen Boyd
MD
Cottonwood, AZ

Compare Adult Reconstructive Orthopaedic Surgery Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is Doug Clouse, M.D.'s specialty? ▼
Doug Clouse, M.D. specializes in Adult Reconstructive Orthopaedic Surgery Physician and practices in Chandler, Arizona. Credentials: M.D..
How much does Doug Clouse, M.D. prescribe under Medicare Part D? ▼
In 2024, Doug Clouse, M.D. wrote 186 Medicare Part D claims totaling $2K in drug costs for 84 beneficiaries.
What is Doug Clouse, M.D.'s Medicare quality score? ▼
Doug Clouse, M.D. has a CMS MIPS Final Score of 30.6/100 (Quality: 1.4, Cost: 100). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Doug Clouse, M.D. located? ▼
Doug Clouse, M.D. is located at 2450 S GILBERT RD STE 109, Chandler, AZ, 85286. Phone: (480) 899-4333.
What is Doug Clouse, M.D.'s NPI number? ▼
Doug Clouse, M.D.'s National Provider Identifier (NPI) is 1285781401, issued on 01/03/2007.
Does Doug Clouse, M.D. prescribe opioids? ▼
Yes, Doug Clouse, M.D. had 30 opioid claims in 2024 with an opioid prescribing rate of 16.1%.
How many Adult Reconstructive Orthopaedic Surgery Physician providers are there in the US? ▼
There are 1,286 Adult Reconstructive Orthopaedic Surgery Physician providers across 51 states in the US. The average Adult Reconstructive Orthopaedic Surgery Physician provider writes 537 Medicare Part D claims per year.
What drugs does Doug Clouse, M.D. prescribe most often? ▼
Based on 2024 Medicare Part D data, Doug Clouse, M.D.'s most frequently prescribed drugs include Celecoxib, Meloxicam, Gabapentin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Doug Clouse, M.D. accept Medicare? ▼
Doug Clouse, M.D. appears in CMS Medicare data with 186 Part D claims and 84 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Doug Clouse, M.D.'s credentials? ▼
Doug Clouse, M.D.'s NPI is 1285781401 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

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 (2024). 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 August 2026 (NPPES) / 2024 (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 editorial process.

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 August 2026.