NPI registry status
Active
2026 NPPES data Pediatric Urology Physician NPI 1972529295 MD
Verify on CMS → Douglas Coplen, MD
Pediatric Urology Physician in Saint Louis, Missouri.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 349 in Pediatric Urology 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
109
Medicare Part D claims · Pediatric Urology Physician avg: 654
Generic prescribing
83%
generic claims · 17% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
79.3/100
▼ 4 pts below national avg 83.5 · Above neutral
Industry payments
$431.58
5 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2023
What the federal data shows
Douglas Coplen, MD reported a CMS MIPS final score of 79.3/100 - below the 83.5 national average - and filed 109 Medicare Part D claims in 2023.
- 79.3/100
- MIPS score · -4 vs avg
- 109
- Part D claims, 2023
- 83%
- 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.
CMS NPPES provider registry desk
NPI 1972529295 · Pediatric Urology Physician
NPI-10 · ENUM-LEGACY · TAX-TRACE · MIPS-BELOW · RX-LIGHT · BOOK-THIN · PHOTO-FINISH
- NPI-10 1972529295
- ENUM-LEGACY 2006
- TAX-TRACE 349
- MIPS-BELOW 79.3/100
- RX-LIGHT 109
- BOOK-THIN 8 in Missouri
- PHOTO-FINISH Kristin Ebert · ±0.4
MIPS final-score neighbourhood
Same-specialty nationwide peers by CMS final score, not geographic proximity
- Romano Demarco ·…
Romano Demarco
78.2 MIPS pts
- Daniel Salevitz …
Daniel Salevitz
78.6 MIPS pts
- Kristin Ebert · …
Kristin Ebert
78.9 MIPS pts
- Coplen · this pr…
Coplen · this provider
79.3 MIPS pts
- Michael Bishai ·…
Michael Bishai
79.9 MIPS pts
What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).
Douglas Coplen, MD'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.
79 ≥ 26th percentile 26% of 454,083 measured providers are in lower value bands
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 Douglas Coplen, MD sits
This provider among pediatric urology physician peers
Across the 21 pediatric urology physician providers who report both Medicare Part D prescribing and a MIPS quality score, Douglas Coplen, MD writes more Part D claims than 48% of them and scores higher on MIPS quality than 19% - placing this provider in the lower-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Each dot is one pediatric urology physician peer from a representative sample of 20; the gold marker is Douglas Coplen, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Douglas Coplen, 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 Coplen, MD?
Near national averagePrimary specialty
Pediatric Urology Physician
Medicare Part D claims
109 83% vs specialty avg
MIPS final score
79.3/100 4.2 pts vs avg
Specialty distribution in Missouri
How Pediatric Urology Physician compares to other specialties among Missouri providers
Medicare quality performance, MIPS
Douglas Coplen, MD's 2023 MIPS final score plotted against the Pediatric Urology Physician national average
- MIPS Final Score
- 79.3/100
- vs 83.5 national avg · 2023 performance year
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 | 1972529295 |
|---|---|
| Specialty | Pediatric Urology Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 07/14/2006 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
79.292
Final Score
Measured-score avg: 83.5
71.46
Quality
59.5132
Cost
100
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where Douglas Coplen, 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.
Washington University
Saint Louis, MO
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 Coplen, MD. Source: openpaymentsdata.cms.gov.
Total received
$432
Largest payer
Boston Scientific Corporation
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 Coplen, MD - brand share 17.0%
Pediatric Urology Physician average
17% brand-name claims vs 83% generic, on 109 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.
109
Total Claims
$4K
Total Drug Cost
N/A
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 127
- Total Day Supply
- 2,840
- Brand vs Generic
- 17% brand / 83% generic
- Brand Drug Cost
- $128
- Generic Drug Cost
- $4K
- Antibiotic Claims
- 46
Patient Demographics
- Average Patient Age
- 22.7 years
- Avg HCC Risk Score
- 3.13
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Douglas Coplen, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Oxybutynin Chlorid…
Oxybutynin Chloride Er
43 claims
- Gentamicin Sulfate
Gentamicin Sulfate
26 claims
- Sodium Chloride
Sodium Chloride
18 claims
- Nitrofurantoin 12
Nitrofurantoin
12 claims
| Drug | Claims |
|---|---|
| Oxybutynin Chloride Er Oxybutynin Chloride | 43 |
| Gentamicin Sulfate | 26 |
| Sodium Chloride Sodium Chloride Irrig Solution | 18 |
| Nitrofurantoin Nitrofurantoin Macrocrystal | 12 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Pediatric Urology Physician Overview
How Douglas Coplen, MD fits within the Pediatric Urology Physician landscape nationally.
349
Pediatric Urology Physician Providers in US
44
States with Pediatric Urology Physician
654
Avg Claims per Provider
Douglas Coplen, MD's 109 claims are below the specialty average of 654.
Nationwide Pediatric Urology Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Coplen, both outside Missouri so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (79.3 here).
Same NPPES enumeration year (2006)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Pediatric Urology Physician Providers in Missouri
Other clinicians with the same primary specialty enrolled in Missouri, drawn from the same CMS NPPES roster as Coplen.
One of 8 Pediatric Urology Physician providers enrolled in Missouri, 5 are shown here.
Dr. Paul Austin
MD
Saint Louis, MO
Dr. Barry Duel
MD
Saint Louis, MO
Dr. John Gatti
M.D.
Kansas City, MO
Dr. Kristen Meier
M.D.
Kansas City, MO
Dr. Anand Palagiri
M.D.
Saint Louis, MO
Compare Pediatric Urology Physician nationally: see state-by-state distribution →
Frequently Asked Questions
What is Douglas Coplen, MD's specialty? ▼
Douglas Coplen, MD specializes in Pediatric Urology Physician and practices in Saint Louis, Missouri. Credentials: MD.
How much does Douglas Coplen, MD prescribe under Medicare Part D? ▼
In 2023, Douglas Coplen, MD wrote 109 Medicare Part D claims totaling $4K in drug costs for N/A beneficiaries.
What is Douglas Coplen, MD's Medicare quality score? ▼
Douglas Coplen, MD has a CMS MIPS Final Score of 79.3/100 (Quality: 71.5, Cost: 59.5). 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 Douglas Coplen, MD located? ▼
Douglas Coplen, MD is located at 1 CHILDRENS PL, Saint Louis, MO, 63110. Phone: (314) 454-6034.
What is Douglas Coplen, MD's NPI number? ▼
Douglas Coplen, MD's National Provider Identifier (NPI) is 1972529295, issued on 07/14/2006.
Does Douglas Coplen, MD prescribe more brand-name or generic drugs? ▼
Douglas Coplen, MD's prescribing is 17% brand-name and 83% generic drugs by claim count, with $128 in brand drug costs.
How many Pediatric Urology Physician providers are there in the US? ▼
There are 349 Pediatric Urology Physician providers across 44 states in the US. The average Pediatric Urology Physician provider writes 654 Medicare Part D claims per year.
What drugs does Douglas Coplen, MD prescribe most often? ▼
Based on 2023 Medicare Part D data, Douglas Coplen, MD's most frequently prescribed drugs include Oxybutynin Chloride Er, Gentamicin Sulfate, Sodium Chloride. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Douglas Coplen, MD accept Medicare? ▼
Douglas Coplen, MD appears in CMS Medicare data with 109 Part D claims and N/A Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Douglas Coplen, MD's credentials? ▼
Douglas Coplen, MD's NPI is 1972529295 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
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.