NPI registry status
Active
2026 NPPES data Rehabilitation Practitioner NPI 1326023128 MD
Verify on CMS → Douglas Fetkenhour, MD
Rehabilitation Practitioner in Rochester, New York.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 18,406 in Rehabilitation Practitioner, 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
247
Medicare Part D claims · 45 beneficiaries · Rehabilitation Practitioner avg: 543
MIPS score
76.8/100
▼ 6 pts below national avg 83.1 · Above neutral
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Douglas Fetkenhour, MD reported a CMS MIPS final score of 76.8/100 - below the 83.1 national average - and filed 247 Medicare Part D claims in 2023.
- 76.8/100
- MIPS score · -6 vs avg
- 247
- Part D claims, 2023
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 Fetkenhour, MD's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
77 21st percentile higher than 21% 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 Fetkenhour, MD sits
This provider among rehabilitation practitioner peers
Across the 23 rehabilitation practitioner providers who report both Medicare Part D prescribing and a MIPS quality score, Douglas Fetkenhour, MD writes more Part D claims than 43% of them and scores higher on MIPS quality than 48% - placing this provider in the lower-volume, lower-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 rehabilitation practitioner peer from a representative sample of 22; the gold marker is Douglas Fetkenhour, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
What does the federal data show about Douglas Fetkenhour, MD?
Below national averagePrimary specialty
Rehabilitation Practitioner
Medicare Part D claims
247 55% vs specialty avg
MIPS final score
76.8/100 6.3 pts vs avg
Specialty distribution in New York
How Rehabilitation Practitioner compares to other specialties among New York providers
Medicare quality performance, MIPS
Douglas Fetkenhour, MD's 2023 MIPS final score plotted against the Rehabilitation Practitioner national average
- MIPS Final Score
- 76.8/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Rehabilitation Practitioner) - 76.8/100 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 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.
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%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 76.8/100 for the 2023 performance year (Quality 68.2, Cost 42.7), compared with the national average of 83.1.
Rehabilitation Practitioner is a mid-sized specialty nationwide, with 18,406 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
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.
What Douglas Fetkenhour, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Gabapentin
Gabapentin
51 claims
- Oxycodone Hcl
Oxycodone Hcl
36 claims
- Pregabalin
Pregabalin
35 claims
- Baclofen
Baclofen
29 claims
- Tizanidine Hcl 19
Tizanidine Hcl
19 claims
- Trazodone Hcl 19
Trazodone Hcl
19 claims
- Methadone Hcl 11
Methadone Hcl
11 claims
| 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.
18,406
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.
Dr. Lauren Adamkiewicz
E-RYT 200 E-RPYT
Brookhaven, NY
John Adams
Kirkwood, NY
Dr. Clifford Ameduri
M.D.
Rochester, NY
Michael Ammendola
Albany, NY
Dr. Sima Anand
M.D.
Plainview, NY
Compare Rehabilitation Practitioner 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 New York medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Rehabilitation Practitioner 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.
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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 76.8/100 (Quality: 68.2, Cost: 42.7). 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 18,406 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
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.