NPI registry status
Active
2026 NPPES data Plastic Surgery within the Head & Neck (Otolaryngology) Physician NPI 1194769943 MD
Verify on CMS → Douglas Girod, MD
Plastic Surgery within the Head & Neck (Otolaryngology) Physician in Kansas City, Kansas.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 632 in Plastic Surgery within the Head & Neck (Otolaryngology) 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.
MIPS score
91.9/100
▲ 8 pts above national avg 83.5 · Exceptional
What the federal data shows
Douglas Girod, MD reported a CMS MIPS final score of 91.9/100 - above the 83.5 national average.
- 91.9/100
- MIPS score · +8 vs avg
- Likely
- board-certified (heuristic)
- ≥61st
- pct among measured MIPS (lower-bound band)
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.
Federal trust snapshot
What official records show about Douglas Girod, MD
Federal records show an active NPI with a CMS quality score on file — objective federal reporting, not patient reviews.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1194769943), first enumerated 06/15/2006.
Source: CMS NPPES
- Not in federal data
Medicare Part D participation
No 2023 Medicare Part D prescribing volume appears in the CMS public file for this NPI (may reflect specialty, new enrollment, or non-prescribing role).
Source: CMS Part D Prescriber PUF
- Reported
CMS quality reporting (MIPS)
Reported a CMS MIPS final score of 91.9/100 in the Quality Payment Program — a federal quality measure, not a patient review.
Source: CMS Quality Payment Program
- Reported
Board certification signal
Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.
- Not in federal data
Individual sanction lookup
PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.
Source: State medical board / FSMB
This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.
CMS NPPES provider registry desk
NPI 1194769943 · Plastic Surgery within the Head & Neck (Otolaryngology) Physician
NPI-10 · ENUM-LEGACY · TAX-NARROW · MIPS-ABOVE · BOOK-THIN · PHOTO-FINISH
- NPI-10 1194769943
- ENUM-LEGACY 2006
- TAX-NARROW 632
- MIPS-ABOVE 91.9/100
- BOOK-THIN 7 in Kansas
- PHOTO-FINISH Alexander Chiu · ±0.0
MIPS final-score neighbourhood
Same-specialty nationwide peers by CMS final score, not geographic proximity
- William Belles ·…
William Belles
91.8 MIPS pts
- Girod · this pro…
Girod · this provider
91.9 MIPS pts
- Alexander Chiu ·…
Alexander Chiu
91.9 MIPS pts
- Adrian House · n…
Adrian House
91.9 MIPS pts
- Richard Cannon ·…
Richard Cannon
92.1 MIPS pts
What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).
Douglas Girod, 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.
92 ≥ 61st percentile 61% 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
✓
Board certification likely (heuristic, not verified)
Douglas Girod, MD 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).
What does the federal data show about Douglas Girod, MD?
High performer (top quartile)Primary specialty
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
MIPS final score
91.9/100 8.4 pts vs avg
Specialty distribution in Kansas
How Plastic Surgery within the Head & Neck (Otolaryngology) Physician compares to other specialties among Kansas providers
Medicare quality performance, MIPS
Douglas Girod, MD's 2023 MIPS final score plotted against the Plastic Surgery within the Head & Neck (Otolaryngology) Physician national average
- MIPS Final Score
- 91.9/100
- 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 | 1194769943 |
|---|---|
| Specialty | Plastic Surgery within the Head & Neck (Otolaryngology) Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 06/15/2006 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
91.8902
Final Score
Measured-score avg: 83.5
75.1734
Quality
100
Promoting Interoperability
Reporting: Alternative Payment Model
More Plastic Surgery within the Head & Neck (Otolaryngology) Physician in KS →
All providers in Kansas →
Compare specialties →
Plastic Surgery within the Head & Neck (Otolaryngology) Physician Overview
How Douglas Girod, MD fits within the Plastic Surgery within the Head & Neck (Otolaryngology) Physician landscape nationally.
632
Plastic Surgery within the Head & Neck (Otolaryngology) Physician Providers in US
48
States with Plastic Surgery within the Head & Neck (Otolaryngology) Physician
403
Avg Claims per Provider
Nationwide Plastic Surgery within the Head & Neck (Otolaryngology) Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Girod, both outside Kansas so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (91.9 here).
Same NPPES enumeration year (2006)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Plastic Surgery within the Head & Neck (Otolaryngology) Physician Providers in Kansas
Other clinicians with the same primary specialty enrolled in Kansas, drawn from the same CMS NPPES roster as Girod.
One of 7 Plastic Surgery within the Head & Neck (Otolaryngology) Physician providers enrolled in Kansas, 5 are shown here.
Frequently Asked Questions
What is Douglas Girod, MD's specialty? ▼
Douglas Girod, MD specializes in Plastic Surgery within the Head & Neck (Otolaryngology) Physician and practices in Kansas City, Kansas. Credentials: MD.
What is Douglas Girod, MD's Medicare quality score? ▼
Douglas Girod, MD has a CMS MIPS Final Score of 91.9/100 (Quality: 75.2). 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 Girod, MD located? ▼
Douglas Girod, MD is located at 3901 RAINBOW BLVD, Kansas City, KS, 66160. Phone: (913) 588-6701.
What is Douglas Girod, MD's NPI number? ▼
Douglas Girod, MD's National Provider Identifier (NPI) is 1194769943, issued on 06/15/2006.
How many Plastic Surgery within the Head & Neck (Otolaryngology) Physician providers are there in the US? ▼
There are 632 Plastic Surgery within the Head & Neck (Otolaryngology) Physician providers across 48 states in the US. The average Plastic Surgery within the Head & Neck (Otolaryngology) Physician provider writes 403 Medicare Part D claims per year.
Does Douglas Girod, MD accept Medicare? ▼
Douglas Girod, MD appears in CMS Medicare data. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Douglas Girod, MD's credentials? ▼
Douglas Girod, MD's NPI is 1194769943 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.
- 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 August 2026 (NPPES) / 2024 (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 August 2026.