NPI registry status
Active
2026 NPPES data Family Medicine Physician NPI 1306860580 MD
Verify on CMS → Douglas Chen, MD
Family Medicine Physician in Indian Trail, North Carolina.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 147,760 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
9K
Medicare Part D claims · 538 beneficiaries · Family Medicine Physician avg: 3K
Generic prescribing
89%
generic claims · 11% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
95.4/100
▲ 12 pts above national avg 83.1 · Exceptional
Industry payments
$13.94
1 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Douglas Chen, MD reported a CMS MIPS final score of 95.4/100 - above the 83.1 national average - and filed 9,048 Medicare Part D claims in 2023.
- 95.4/100
- MIPS score · +12 vs avg
- 9K
- Part D claims, 2023
- 89%
- 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.
Douglas Chen, MD's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
95 Top 21% higher than 79% of 477,587 scored providers
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
Where Douglas Chen, MD sits
This provider among family medicine physician peers
Across the 22,040 family medicine physician providers who report both Medicare Part D prescribing and a MIPS quality score, Douglas Chen, MD writes more Part D claims than 85% of them and scores higher on MIPS quality than 80% - placing this provider in the high-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Part D claim volume vs MIPS quality, by specialty percentile
Each dot is one family medicine physician peer from a representative sample of 60; the gold marker is Douglas Chen, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Douglas Chen, MD 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 Douglas Chen, MD?
High performer (top quartile)Primary specialty
Family Medicine Physician
Medicare Part D claims
9,048 165% vs specialty avg
MIPS final score
95.4/100 12.3 pts vs avg
Specialty distribution in North Carolina
How Family Medicine Physician compares to other specialties among North Carolina providers
Medicare quality performance, MIPS
Douglas Chen, MD's 2023 MIPS final score plotted against the Family Medicine Physician national average
- MIPS Final Score
- 95.4/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Family Medicine Physician) - 95.4/100 vs national avg 83.1
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).
Douglas Chen, MD appears in the CMS NPPES registry as a Family Medicine Physician provider holding MD credentials at 6066 W HIGHWAY 74, Indian Trail, NC, 28079, with a listed phone of (980) 993-7150. NPI 1306860580 was issued on 07/27/2006.
Medicare Part D records for calendar year 2023 show 9,048 prescription claims written by this provider, covering 538 Medicare beneficiaries and totaling roughly $857K in drug spend, split 11% brand-name and 89% generic by claim count, with an opioid prescribing rate of 1.3%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 95.4/100 for the 2023 performance year (Quality 84.2), compared with the national average of 83.1.
Family Medicine Physician is a high-volume specialty nationwide, with 147,760 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
Provider Details
| NPI | 1306860580 |
|---|---|
| Specialty | Family Medicine Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 07/27/2006 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
95.3578
Final Score
Avg: 83.1
84.2235
Quality
100
Promoting Interoperability
Reporting: Alternative Payment Model
Hospital and facility affiliations
Facilities where Douglas Chen, 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.
Carolinas Physicians Network Inc
Charlotte, NC
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 Douglas Chen, MD. Source: openpaymentsdata.cms.gov.
Total received
$14
Largest payer
VERTEX PHARMACEUTICALS INCORPORATED
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.
Brand vs generic prescribing mix · Typical
Douglas Chen, MD - brand share 11.0%
Family Medicine Physician average
11% brand-name claims vs 89% generic, on 9,048 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.
9,048
Total Claims
$857K
Total Drug Cost
538
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 19,880
- Total Day Supply
- 581,989
- Brand vs Generic
- 11% brand / 89% generic
- Brand Drug Cost
- $709K
- Generic Drug Cost
- $146K
- Opioid Claims
- 120 (1.3% rate)
- Antibiotic Claims
- 183
Patient Demographics
- Average Patient Age
- 72.7 years
- Avg HCC Risk Score
- 1.42
- Gender Split
- 54% female / 46% male
- Age Distribution
- <65: 56, 65-74: 255, 75-84: 185, 85+: 42
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Douglas Chen, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Atorvastatin Calcium
Atorvastatin Calcium
624 claims
- Amlodipine Besylate
Amlodipine Besylate
319 claims
- Levothyroxine Sodium
Levothyroxine Sodium
256 claims
- Omeprazole
Omeprazole
253 claims
- Losartan Potassium 245
Losartan Potassium
245 claims
- Metformin Hcl 224
Metformin Hcl
224 claims
- Trazodone Hcl 221
Trazodone Hcl
221 claims
- Furosemide 215
Furosemide
215 claims
| Drug | Claims |
|---|---|
| Atorvastatin Calcium | 624 |
| Amlodipine Besylate | 319 |
| Levothyroxine Sodium | 256 |
| Omeprazole | 253 |
| Losartan Potassium | 245 |
| Metformin Hcl | 224 |
| Trazodone Hcl | 221 |
| Furosemide | 215 |
| Lisinopril | 209 |
| Gabapentin | 193 |
* 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 Douglas Chen, MD fits within the Family Medicine Physician landscape nationally.
147,760
Family Medicine Physician Providers in US
56
States with Family Medicine Physician
3,418
Avg Claims per Provider
Douglas Chen, MD's 9,048 claims are above the specialty average of 3,418.
Nearby Family Medicine Physician Providers in North Carolina
Other clinicians with the same primary specialty enrolled in North Carolina, drawn from the same CMS NPPES roster as Chen.
Dr. Alvin Abaqueta
M.D.
Charlotte, NC
Dr. Atif Abbasi
M.D
Greenville, NC
Dr. Jennifer Abbott
MD
Asheville, NC
Dr. Linda Abbott
FNP
Edenton, NC
Dr. Thomas Abbott
MD
Winston-Salem, NC
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 North Carolina 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.
Healthcare Guides
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Medical Specialties Explained
Who treats what and how specialties differ
Understanding Medicare Claims Data
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In-Network vs Out-of-Network
How insurance networks affect your costs
Telehealth Guide
Virtual care options and coverage in 2026
Explore North Carolina
Frequently Asked Questions
What is Douglas Chen, MD's specialty? ▼
Douglas Chen, MD specializes in Family Medicine Physician and practices in Indian Trail, North Carolina. Credentials: MD.
How much does Douglas Chen, MD prescribe under Medicare Part D? ▼
In 2023, Douglas Chen, MD wrote 9,048 Medicare Part D claims totaling $857K in drug costs for 538 beneficiaries.
What is Douglas Chen, MD's Medicare quality score? ▼
Douglas Chen, MD has a CMS MIPS Final Score of 95.4/100 (Quality: 84.2). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Douglas Chen, MD located? ▼
Douglas Chen, MD is located at 6066 W HIGHWAY 74, Indian Trail, NC, 28079. Phone: (980) 993-7150.
What is Douglas Chen, MD's NPI number? ▼
Douglas Chen, MD's National Provider Identifier (NPI) is 1306860580, issued on 07/27/2006.
Does Douglas Chen, MD prescribe more brand-name or generic drugs? ▼
Douglas Chen, MD's prescribing is 11% brand-name and 89% generic drugs by claim count, with $709K in brand drug costs.
Does Douglas Chen, MD prescribe opioids? ▼
Yes, Douglas Chen, MD had 120 opioid claims in 2023 with an opioid prescribing rate of 1.3%.
How many Family Medicine Physician providers are there in the US? ▼
There are 147,760 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 Douglas Chen, MD prescribe most often? ▼
Based on 2023 Medicare Part D data, Douglas Chen, MD's most frequently prescribed drugs include Atorvastatin Calcium, Amlodipine Besylate, Levothyroxine Sodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Douglas Chen, MD accept Medicare? ▼
Douglas Chen, MD appears in CMS Medicare data with 9,048 Part D claims and 538 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Douglas Chen, MD's credentials? ▼
Douglas Chen, MD's NPI is 1306860580 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
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 (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
Compiled from official public sources by the PlainDoctor editorial team.
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 May 2026.