2026 NPPES data Rehabilitation Practitioner NPI 1326023128 MD
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DOUGLAS FETKENHOUR, MD

Rehabilitation Practitioner in ROCHESTER, New York. 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
247
Medicare Part D claims · 45 beneficiaries · Rehabilitation Practitioner avg: 543
MIPS score
76.8466/100
▼ 6 pts below national avg 83.1 · [object Object]
What the federal data reveals: DOUGLAS FETKENHOUR, MD is a Rehabilitation Practitioner ([object Object]) practicing in ROCHESTER, New York with a Medicare Part D prescribing footprint of 247 claims across 45 beneficiaries . Their CMS MIPS Final Score of 76.8466/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities .

What stands out: DOUGLAS FETKENHOUR, MD reported a CMS MIPS final score of 76.8466 out of 100, below the 83.1 national average, and filed 247 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

DOUGLAS FETKENHOUR, MD at a glance

Below national average

NPI registry status

Active

Issued 12/14/2005

NPI 1326023128

Primary specialty

Rehabilitation Practitioner

Mid-sized

18,261 US NPIs in this specialty

Medicare Part D claims

247 55% vs specialty avg

2023 prescription claims

Specialty avg: 543

MIPS final score

76.8466/100 6.253399999999999% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in New York

How Rehabilitation Practitioner compares to other specialties among New York providers

New York providers

Rehabilitation Practitioner share within New York

1. Rehabilitation Practitioner42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Rehabilitation Practitioner share within New York

Medicare quality performance — MIPS

DOUGLAS FETKENHOUR, MD's 2023 MIPS final score plotted against the Rehabilitation Practitioner national average

Below national average
MIPS Final Score
76.8466/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Rehabilitation Practitioner) — 76.8466/100 vs national avg 83.1

0%100%National avg83%76.8%
MIPS final score (Rehabilitation Practitioner) — 76.8466/100 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 FETKENHOUR, MD is a Rehabilitation Practitioner provider practicing in ROCHESTER, New York, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1326023128. 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 FETKENHOUR, MD appears in the CMS NPPES registry as a Rehabilitation Practitioner provider holding MD credentials at 4901 LAC DE VILLE BLVD STE 250, ROCHESTER, NY, 14618, with a listed phone of (585) 275-3271. NPI 1326023128 was issued on 12/14/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what FETKENHOUR 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 247 prescription claims written by this provider, covering 45 Medicare beneficiaries and totaling roughly $13K in drug spend, with an opioid prescribing rate of 19.0%. 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 76.8466/100 for the 2023 performance year (Quality 68.2024, Cost 42.684), compared with the national average of 83.1.

Rehabilitation Practitioner is a mid-sized specialty nationwide, with 18,261 enrolled providers across 51 states and an average of 543 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

4901 LAC DE VILLE BLVD STE 250
ROCHESTER, NY 14618

Provider Details

NPI 1326023128
Specialty Rehabilitation Practitioner
Credentials MD
Gender Male
NPI Issued 12/14/2005

CMS Quality Score (MIPS)

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

76.8466
Final Score
Avg: 83.1
68.2024
Quality
42.684
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where DOUGLAS FETKENHOUR, 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.

UNIVERSITY OF ROCHESTER
ROCHESTER, NY
UNIVERSITY OF ROCHESTER PHYSICAL MEDICINE AND REHABILITATION
ROCHESTER, NY

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

License & disciplinary context — New York NYSBPMC 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 ~100K New York medical licensees in 2023 — they are NOT specific to DOUGLAS FETKENHOUR, MD. To verify DOUGLAS FETKENHOUR, MD's current license status, search the NYSBPMC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

312
Total board actions, New York 2023
Across 302 cases
3.12
Actions per 1,000 licensees
New York statewide rate
probation
Most common action type
89 cases

NYSBPMC 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 New York disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

247
Total Claims
$13K
Total Drug Cost
45
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
276
Total Day Supply
7,009
Generic Drug Cost
$6K
Opioid Claims
47 (19.0% rate)

Patient Demographics

Average Patient Age
63.4 years
Avg HCC Risk Score
2.57
Gender Split
42% female / 58% male
Age Distribution
<65: 23, 65-74: N/A, 75-84: N/A, 85+: N/A

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Gabapentin
51
Oxycodone Hcl
36
Pregabalin
35
Baclofen
29
Tizanidine Hcl
19
Trazodone Hcl
19
Methadone Hcl
11

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

Rehabilitation Practitioner Overview

How DOUGLAS FETKENHOUR, MD fits within the Rehabilitation Practitioner landscape nationally.

18,261
Rehabilitation Practitioner Providers in US
51
States with Rehabilitation Practitioner
543
Avg Claims per Provider

DOUGLAS FETKENHOUR, MD's 247 claims are below the specialty average of 543.

Nearby Rehabilitation Practitioner Providers in New York

Other clinicians with the same primary specialty enrolled in New York, drawn from the same CMS NPPES roster as FETKENHOUR.

Compare Rehabilitation Practitioner nationally: see state-by-state distribution →

Frequently Asked Questions

What is DOUGLAS FETKENHOUR, MD's specialty?
DOUGLAS FETKENHOUR, MD specializes in Rehabilitation Practitioner and practices in ROCHESTER, New York. Credentials: MD.
How much does DOUGLAS FETKENHOUR, MD prescribe under Medicare Part D?
In 2023, DOUGLAS FETKENHOUR, MD wrote 247 Medicare Part D claims totaling $13K in drug costs for 45 beneficiaries.
What is DOUGLAS FETKENHOUR, MD's Medicare quality score?
DOUGLAS FETKENHOUR, MD has a CMS MIPS Final Score of 76.8466/100 (Quality: 68.2024, Cost: 42.684). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is DOUGLAS FETKENHOUR, MD located?
DOUGLAS FETKENHOUR, MD is located at 4901 LAC DE VILLE BLVD STE 250, ROCHESTER, NY, 14618. Phone: (585) 275-3271.
What is DOUGLAS FETKENHOUR, MD's NPI number?
DOUGLAS FETKENHOUR, MD's National Provider Identifier (NPI) is 1326023128, issued on 12/14/2005.
Does DOUGLAS FETKENHOUR, MD prescribe opioids?
Yes, DOUGLAS FETKENHOUR, MD had 47 opioid claims in 2023 with an opioid prescribing rate of 19.0%.
How many Rehabilitation Practitioner providers are there in the US?
There are 18,261 Rehabilitation Practitioner providers across 51 states in the US. The average Rehabilitation Practitioner provider writes 543 Medicare Part D claims per year.
What drugs does DOUGLAS FETKENHOUR, MD prescribe most often?
Based on 2023 Medicare Part D data, DOUGLAS FETKENHOUR, MD's most frequently prescribed drugs include Gabapentin, Oxycodone Hcl, Pregabalin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does DOUGLAS FETKENHOUR, MD accept Medicare?
DOUGLAS FETKENHOUR, MD appears in CMS Medicare data with 247 Part D claims and 45 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify DOUGLAS FETKENHOUR, MD's credentials?
DOUGLAS FETKENHOUR, MD's NPI is 1326023128 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

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