Douglas Birch, D.P.M.
Podiatrist in Kahului, Hawaii.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 10,602 in Podiatrist, 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.
What the federal data shows
Douglas Birch, D.P.M. carries the neutral CMS MIPS final score of 75/100, assigned where no category was scored - and filed 429 Medicare Part D claims in 2024.
- 75/100
- CMS neutral score · not measured
- 429
- Part D claims, 2024
- $251.72
- industry payments (Sunshine Act)
- ≥61st
- pct by Part D claim volume (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 Douglas Birch, D.P.M.
Federal records show an active NPI with Medicare Part D prescribing activity — verifiable registry data, not a proprietary rating.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1033113071), first enumerated 06/08/2005.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 429 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)
CMS assigned a neutral MIPS final score of 75/100 where no performance category was scored — not a measured quality rank.
Source: CMS Quality Payment Program
- Reported
Industry payment transparency
$251.72 in reported industry payments (8 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 1033113071 · Podiatrist
NPI-10 · ENUM-LEGACY · TAX-MID · MIPS-NEUTRAL · RX-LIGHT · BOOK-THIN · PHOTO-ENUM
- NPI-10 1033113071
- ENUM-LEGACY 2005
- TAX-MID 11K Podiatrist
- MIPS-NEUTRAL 75/100
- RX-LIGHT 429
- BOOK-THIN 25 in Hawaii
- PHOTO-ENUM Ronald Pieroni · 2005
Douglas Birch, D.P.M.'s Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2024, across all CMS prescribers nationally
429 ≥ 61st percentile 61% of 1,416,883 prescribers are in lower value bands
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.
The percentile is a conservative 100-claim band: it counts only prescribers in lower claim-volume bands. Medicare Part D claim volume is activity context, not a quality measure or recommendation. See methodology § corpus placement.
Source CMS Medicare Part D Prescriber Public Use File · 2024
What does the federal data show about Douglas Birch, D.P.M.?
CMS neutral score, not measuredPrimary specialty
Medicare Part D claims
MIPS final score
Specialty distribution in Hawaii
How Podiatrist compares to other specialties among Hawaii providers
Podiatrist ranks #114 among Hawaii's specialties (0.1% of in-state providers)
Each bar is a specialty's share of the Hawaii provider total, by primary NUCC taxonomy. The highlighted bar is Podiatrist; the long tail of smaller specialties is omitted for legibility.
MIPS score not measured
CMS assigned a neutral 75/100 threshold
CMS did not publish any Quality, Cost, Promoting Interoperability, or Improvement Activities category score for this clinician. This administrative threshold is not comparable with the national average of clinicians whose MIPS score was measured.
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
Provider Details
| NPI | 1033113071 |
|---|---|
| Specialty | Podiatrist |
| Credentials | D.P.M. |
| Gender | Male |
| NPI Issued | 06/08/2005 |
Verify this provider's license
PlainDoctor pulls this profile from the CMS NPPES public registry. Confirm Douglas Birch, D.P.M.'s current license status, disciplinary history, and board certifications with the Hawaii Medical Board in Hawaii before relying on this page for a clinical or care decision.
How we sourced this profile
Profile fields combine the CMS NPPES monthly snapshot (provider directory, taxonomy, and address) with calendar-year 2023 Medicare Part D and MIPS public-use files when records are present. NPI 1033113071 is the unique 10-digit identifier CMS uses to link Birch across every Medicare, Medicaid, and HIPAA-covered transaction. Read full methodology →
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
Reporting: Individual
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 Douglas Birch, D.P.M.. Source: openpaymentsdata.cms.gov.
Total received
$252
Largest payer
Anika Therapeutics, 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.
Prescribing Breakdown
- 30-Day Fills
- 477.933
- Total Day Supply
- 11,361
- Generic Drug Cost
- $5K
- Opioid Claims
- 18 (4.2% rate)
- Antibiotic Claims
- 71
Patient Demographics
- Average Patient Age
- 72.8 years
- Avg HCC Risk Score
- 1.24
- Gender Split
- 60% female / 40% male
- Age Distribution
- <65: 18, 65-74: 119, 75-84: 61, 85+: 22
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
What Douglas Birch, D.P.M. prescribes most
Top Medicare Part D drugs by claim count, 2024
- Meloxicam
Meloxicam
161 claims
- Doxycycline Hyclate 29
Doxycycline Hyclate
29 claims
- Methylprednisolone 29
Methylprednisolone
29 claims
- Celecoxib 25
Celecoxib
25 claims
- Gabapentin 25
Gabapentin
25 claims
- Terbinafine Hcl 23
Terbinafine Hcl
23 claims
- Cephalexin 20
Cephalexin
20 claims
- Mupirocin 15
Mupirocin
15 claims
| Drug | Claims |
|---|---|
| Meloxicam | 161 |
| Doxycycline Hyclate | 29 |
| Methylprednisolone | 29 |
| Celecoxib | 25 |
| Gabapentin | 25 |
| Terbinafine Hcl | 23 |
| Cephalexin | 20 |
| Mupirocin | 15 |
| Ciprofloxacin Hcl | 13 |
| Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen | 12 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Podiatrist Overview
How Douglas Birch, D.P.M. fits within the Podiatrist landscape nationally.
Douglas Birch, D.P.M.'s 429 claims are above the specialty average of 320.
Nationwide Podiatrist peers with similar MIPS or enrollment year
Two federal-record peer sets for Birch, both outside Hawaii so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (75 here).
Same NPPES enumeration year (2005)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Podiatrist Providers in Hawaii
Other clinicians with the same primary specialty enrolled in Hawaii, drawn from the same CMS NPPES roster as Birch.
One of 25 Podiatrist providers enrolled in Hawaii, 5 are shown here.
Compare Podiatrist nationally: see state-by-state distribution →
Frequently Asked Questions
What is Douglas Birch, D.P.M.'s specialty? ▼
How much does Douglas Birch, D.P.M. prescribe under Medicare Part D? ▼
What is Douglas Birch, D.P.M.'s Medicare quality score? ▼
Where is Douglas Birch, D.P.M. located? ▼
What is Douglas Birch, D.P.M.'s NPI number? ▼
Does Douglas Birch, D.P.M. prescribe opioids? ▼
How many Podiatrist providers are there in the US? ▼
What drugs does Douglas Birch, D.P.M. prescribe most often? ▼
Does Douglas Birch, D.P.M. accept Medicare? ▼
How can I verify Douglas Birch, D.P.M.'s credentials? ▼
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
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.
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