2026 NPPES data Pediatric Dermatology Physician NPI 1396748950 MD
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DOUGLAS KRESS, MD

Pediatric Dermatology Physician in WEXFORD, 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
167
Medicare Part D claims · 37 beneficiaries · Pediatric Dermatology Physician avg: 497
Generic prescribing
77%
generic claims · 23% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$469.5K
443 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

DOUGLAS KRESS, MD filed 167 Medicare Part D claims in 2023 as a Pediatric Dermatology Physician in WEXFORD, Pennsylvania, prescribing 77% generic.

167
Part D claims, 2023
77%
generic prescribing
$469.5K
industry payments (Sunshine Act)

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 KRESS, MD's Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

167 35th percentile higher than 35% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). This entry sits in this band. 200–400: 182,923 prescribers (13%). Above this entry. 400–600: 90,619 prescribers (7%). Above this entry. 600–800: 56,224 prescribers (4%). Above this entry. 800–1,000: 40,919 prescribers (3%). Above this entry. 1,000–1,200: 31,827 prescribers (2%). Above this entry. 1,200–1,400: 26,224 prescribers (2%). Above this entry. 1,400–1,600: 21,710 prescribers (2%). Above this entry. 1,600–1,800: 19,072 prescribers (1%). Above this entry. 1,800–2,000: 16,451 prescribers (1%). Above this entry. 2,000–2,200: 213,991 prescribers (16%). Above this entry. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

Each bar is a band; taller bars hold more prescribers. 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 Medicare Part D Prescriber Public Use File · 2023

Board-eligible specialty (heuristic — not verified)

DOUGLAS KRESS, MD practices in an ABMS-board-eligible specialty but we don't have enough CMS-participation signals to confirm active board-certified status. Consult CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about DOUGLAS KRESS, MD?

Quality data not reported

NPI registry status

Active

Issued 05/27/2005

NPI 1396748950

Primary specialty

Pediatric Dermatology Physician

Rare

222 US NPIs in this specialty

Medicare Part D claims

167 66% vs specialty avg

2023 prescription claims

Specialty avg: 497

Specialty distribution in Pennsylvania

How Pediatric Dermatology Physician compares to other specialties among Pennsylvania providers

Pennsylvania providers

Pediatric Dermatology Physician share within Pennsylvania

1. Pediatric Dermatology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Pediatric Dermatology Physician share within Pennsylvania

Specialty board-certification context

Estimated specialty board-certified rate — Pediatric Dermatology Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Pediatric Dermatology Physician ABMS/AOA estimate

Est. board-certified rate (Pediatric Dermatology Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Pediatric Dermatology Physician) — ABMS / AOA estimate

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 KRESS, MD appears in the CMS NPPES registry as a Pediatric Dermatology Physician provider holding MD credentials at 11279 PERRY HWY, WEXFORD, PA, 15090, with a listed phone of (724) 933-9190. NPI 1396748950 was issued on 05/27/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what KRESS 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 167 prescription claims written by this provider, covering 37 Medicare beneficiaries and totaling roughly $227K in drug spend, split 23% brand-name and 77% 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.

Pediatric Dermatology Physician is a narrow specialty nationwide, with 222 enrolled providers across 39 states and an average of 497 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

11279 PERRY HWY
WEXFORD, PA 15090

Provider Details

NPI 1396748950
Specialty Pediatric Dermatology Physician
Credentials MD
Gender Male
NPI Issued 05/27/2005

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 KRESS, MD. Source: openpaymentsdata.cms.gov.

Total received

$469.5K

Largest payer

Regeneron Healthcare Solutions, Inc.

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 KRESS, MD. To verify DOUGLAS KRESS, MD'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 · Typical

DOUGLAS KRESS, MD — brand share 23.0%
Specialty average (est.)

23% brand-name claims vs 77% generic, on 167 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.

167
Total Claims
$227K
Total Drug Cost
37
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
181
Total Day Supply
4,991
Brand vs Generic
23% brand / 77% generic
Brand Drug Cost
$220K
Generic Drug Cost
$7K
Antibiotic Claims
14

Patient Demographics

Average Patient Age
48.3 years
Avg HCC Risk Score
1.24
Gender Split
51% female / 49% 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 KRESS, MD prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Ketoconazole
33
Clindamycin Phosphate
22
Doxycycline Hyclate
11
Mupirocin
11

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

Pediatric Dermatology Physician Overview

How DOUGLAS KRESS, MD fits within the Pediatric Dermatology Physician landscape nationally.

222
Pediatric Dermatology Physician Providers in US
39
States with Pediatric Dermatology Physician
497
Avg Claims per Provider

DOUGLAS KRESS, MD's 167 claims are below the specialty average of 497.

Nearby Pediatric Dermatology Physician Providers in Pennsylvania

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

Compare Pediatric Dermatology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is DOUGLAS KRESS, MD's specialty?
DOUGLAS KRESS, MD specializes in Pediatric Dermatology Physician and practices in WEXFORD, Pennsylvania. Credentials: MD.
How much does DOUGLAS KRESS, MD prescribe under Medicare Part D?
In 2023, DOUGLAS KRESS, MD wrote 167 Medicare Part D claims totaling $227K in drug costs for 37 beneficiaries.
Where is DOUGLAS KRESS, MD located?
DOUGLAS KRESS, MD is located at 11279 PERRY HWY, WEXFORD, PA, 15090. Phone: (724) 933-9190.
What is DOUGLAS KRESS, MD's NPI number?
DOUGLAS KRESS, MD's National Provider Identifier (NPI) is 1396748950, issued on 05/27/2005.
Does DOUGLAS KRESS, MD prescribe more brand-name or generic drugs?
DOUGLAS KRESS, MD's prescribing is 23% brand-name and 77% generic drugs by claim count, with $220K in brand drug costs.
How many Pediatric Dermatology Physician providers are there in the US?
There are 222 Pediatric Dermatology Physician providers across 39 states in the US. The average Pediatric Dermatology Physician provider writes 497 Medicare Part D claims per year.
What drugs does DOUGLAS KRESS, MD prescribe most often?
Based on 2023 Medicare Part D data, DOUGLAS KRESS, MD's most frequently prescribed drugs include Ketoconazole, Clindamycin Phosphate, Doxycycline Hyclate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does DOUGLAS KRESS, MD accept Medicare?
DOUGLAS KRESS, MD appears in CMS Medicare data with 167 Part D claims and 37 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify DOUGLAS KRESS, MD's credentials?
DOUGLAS KRESS, MD's NPI is 1396748950 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.
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