2026 NPPES data Otology & Neurotology Physician NPI 1295818599 M..D.
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DOUGLAS CHEN, M..D.

Otology & Neurotology Physician in PITTSBURGH, Pennsylvania. 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
636
Medicare Part D claims · 248 beneficiaries · Otology & Neurotology Physician avg: 401
Generic prescribing
91%
generic claims · 9% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
88.1928/100
▲ 5 pts above national avg 83.1 · [object Object]
Industry payments
$604.74
4 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: DOUGLAS CHEN, M..D. is a Otology & Neurotology Physician ([object Object]) practicing in PITTSBURGH, Pennsylvania with a Medicare Part D prescribing footprint of 636 claims across 248 beneficiaries — 9% brand-name prescribing . Their CMS MIPS Final Score of 88.1928/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $604.74 across 4 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: DOUGLAS CHEN, M..D. reported a CMS MIPS final score of 88.1928 out of 100, above the 83.1 national average, and filed 636 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)

DOUGLAS CHEN, M..D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

DOUGLAS CHEN, M..D. at a glance

High performer (top quartile)

NPI registry status

Active

Issued 10/23/2006

NPI 1295818599

Primary specialty

Otology & Neurotology Physician

Rare

333 US NPIs in this specialty

Medicare Part D claims

636 59% vs specialty avg

2023 prescription claims

Specialty avg: 401

MIPS final score

88.1928/100 5.092800000000011% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Pennsylvania

How Otology & Neurotology Physician compares to other specialties among Pennsylvania providers

Pennsylvania providers

Otology & Neurotology Physician share within Pennsylvania

1. Otology & Neurotology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Otology & Neurotology Physician share within Pennsylvania

Medicare quality performance — MIPS

DOUGLAS CHEN, M..D.'s 2023 MIPS final score plotted against the Otology & Neurotology Physician national average

High performer (top quartile)
MIPS Final Score
88.1928/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Otology & Neurotology Physician) — 88.1928/100 vs national avg 83.1

0%100%National avg83%88.2%
MIPS final score (Otology & Neurotology Physician) — 88.1928/100 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).

DOUGLAS CHEN, M..D. is a Otology & Neurotology Physician provider practicing in PITTSBURGH, Pennsylvania, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M..D.. NPI: 1295818599. 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.

DOUGLAS CHEN, M..D. appears in the CMS NPPES registry as a Otology & Neurotology Physician provider holding M..D. credentials at 420 E NORTH AVE, PITTSBURGH, PA, 15212, with a listed phone of (412) 321-2480. NPI 1295818599 was issued on 10/23/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what CHEN 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 636 prescription claims written by this provider, covering 248 Medicare beneficiaries and totaling roughly $18K in drug spend, split 9% brand-name and 91% generic by claim count. 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 88.1928/100 for the 2023 performance year (Quality 78.5324), compared with the national average of 83.1.

Otology & Neurotology Physician is a narrow specialty nationwide, with 333 enrolled providers across 46 states and an average of 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

420 E NORTH AVE
PITTSBURGH, PA 15212

Provider Details

NPI 1295818599
Specialty Otology & Neurotology Physician
Credentials M..D.
Gender Male
NPI Issued 10/23/2006

CMS Quality Score (MIPS)

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

88.1928
Final Score
Avg: 83.1
78.5324
Quality
100
Promoting Interoperability

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 CHEN, M..D.. Source: openpaymentsdata.cms.gov.

Total received

$605

Largest payer

Oticon Medical, LLC

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.

License & disciplinary context — Pennsylvania PA-BOM 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 ~45K Pennsylvania medical licensees in 2023 — they are NOT specific to DOUGLAS CHEN, M..D.. To verify DOUGLAS CHEN, M..D.'s current license status, search the PA-BOM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

133
Total board actions, Pennsylvania 2023
Across 129 cases
2.96
Actions per 1,000 licensees
Pennsylvania statewide rate
probation
Most common action type
48 cases

PA-BOM 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 Pennsylvania disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Generic-heavy

DOUGLAS CHEN, M..D. — brand share 9.0%
Specialty average (est.)

9% brand-name claims vs 91% generic, on 636 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.

636
Total Claims
$18K
Total Drug Cost
248
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
996
Total Day Supply
25,030
Brand vs Generic
9% brand / 91% generic
Brand Drug Cost
$6K
Generic Drug Cost
$12K
Antibiotic Claims
16

Patient Demographics

Average Patient Age
72.5 years
Avg HCC Risk Score
1.04
Gender Split
60% female / 40% male
Age Distribution
<65: 25, 65-74: 130, 75-84: 71, 85+: 22

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Ofloxacin
152
Clonazepam
149
Meclizine Hcl
80
Triamterene-Hydrochlorothiazid
Triamterene/Hydrochlorothiazid
73
Ciprofloxacin-Dexamethasone
Ciprofloxacin Hcl/Dexameth
41
Promethazine Hcl
24
Diazepam
20
Prednisone
13
Lorazepam
12
Prednisolone Acetate
11

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

Otology & Neurotology Physician Overview

How DOUGLAS CHEN, M..D. fits within the Otology & Neurotology Physician landscape nationally.

333
Otology & Neurotology Physician Providers in US
46
States with Otology & Neurotology Physician
401
Avg Claims per Provider

DOUGLAS CHEN, M..D.'s 636 claims are above the specialty average of 401.

Nearby Otology & Neurotology Physician Providers in Pennsylvania

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

Compare Otology & Neurotology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is DOUGLAS CHEN, M..D.'s specialty?
DOUGLAS CHEN, M..D. specializes in Otology & Neurotology Physician and practices in PITTSBURGH, Pennsylvania. Credentials: M..D..
How much does DOUGLAS CHEN, M..D. prescribe under Medicare Part D?
In 2023, DOUGLAS CHEN, M..D. wrote 636 Medicare Part D claims totaling $18K in drug costs for 248 beneficiaries.
What is DOUGLAS CHEN, M..D.'s Medicare quality score?
DOUGLAS CHEN, M..D. has a CMS MIPS Final Score of 88.1928/100 (Quality: 78.5324). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is DOUGLAS CHEN, M..D. located?
DOUGLAS CHEN, M..D. is located at 420 E NORTH AVE, PITTSBURGH, PA, 15212. Phone: (412) 321-2480.
What is DOUGLAS CHEN, M..D.'s NPI number?
DOUGLAS CHEN, M..D.'s National Provider Identifier (NPI) is 1295818599, issued on 10/23/2006.
Does DOUGLAS CHEN, M..D. prescribe more brand-name or generic drugs?
DOUGLAS CHEN, M..D.'s prescribing is 9% brand-name and 91% generic drugs by claim count, with $6K in brand drug costs.
How many Otology & Neurotology Physician providers are there in the US?
There are 333 Otology & Neurotology Physician providers across 46 states in the US. The average Otology & Neurotology Physician provider writes 401 Medicare Part D claims per year.
What drugs does DOUGLAS CHEN, M..D. prescribe most often?
Based on 2023 Medicare Part D data, DOUGLAS CHEN, M..D.'s most frequently prescribed drugs include Ofloxacin, Clonazepam, Meclizine Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does DOUGLAS CHEN, M..D. accept Medicare?
DOUGLAS CHEN, M..D. appears in CMS Medicare data with 636 Part D claims and 248 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify DOUGLAS CHEN, M..D.'s credentials?
DOUGLAS CHEN, M..D.'s NPI is 1295818599 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.
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