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.
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
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
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 reportedPrimary specialty
Medicare Part D claims
Specialty distribution in Pennsylvania
How Pediatric Dermatology Physician compares to other specialties among Pennsylvania providers
Pediatric Dermatology Physician share within Pennsylvania
Pediatric Dermatology Physician is one of the more visible NUCC categories in Pennsylvania
Each bar reflects the share of in-state providers whose primary NUCC taxonomy matches the specialty. Long tail of ~690 NUCC codes folded into "Other" to keep the comparison legible.
Specialty board-certification context
Estimated specialty board-certified rate — Pediatric Dermatology Physician (ABMS / AOA reference)
- Est. board-certified rate
- 78%
- Pediatric Dermatology Physician ABMS/AOA estimate
Est. board-certified rate (Pediatric Dermatology Physician) — ABMS / AOA estimate
Verify credentials
- Verify via ABMS free public lookup
- Verify via AOA osteopathic boards
- Specialty volume Pediatric Dermatology Physician US NPIs
Specialty board-certified rate — Pediatric Dermatology Physician estimate
Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus Maintenance of Certification cycles. CMS does not publish a per-provider board-certification field; the figure shown is the specialty-level estimated rate from ABMS / AOA reference data.
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
Provider Details
| NPI | 1396748950 |
|---|---|
| Specialty | Pediatric Dermatology Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 05/27/2005 |
Verify this provider's license
PlainDoctor pulls this profile from the CMS NPPES public registry. Confirm DOUGLAS KRESS, MD's current license status, disciplinary history, and board certifications with the Pennsylvania State Board of Medicine in Pennsylvania before relying on this page for a clinical or care decision.
How we sourced this profile
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.
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
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.
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
- Ketoconazole
Ketoconazole
33 claims
- Clindamycin Phosph…
Clindamycin Phosphate
22 claims
- Doxycycline Hyclate 11
Doxycycline Hyclate
11 claims
- Mupirocin 11
Mupirocin
11 claims
| 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.
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 →
Healthcare Guides
Learn more about finding, verifying, and understanding healthcare providers.
Explore Pennsylvania
Frequently Asked Questions
What is DOUGLAS KRESS, MD's specialty? ▼
How much does DOUGLAS KRESS, MD prescribe under Medicare Part D? ▼
Where is DOUGLAS KRESS, MD located? ▼
What is DOUGLAS KRESS, MD's NPI number? ▼
Does DOUGLAS KRESS, MD prescribe more brand-name or generic drugs? ▼
How many Pediatric Dermatology Physician providers are there in the US? ▼
What drugs does DOUGLAS KRESS, MD prescribe most often? ▼
Does DOUGLAS KRESS, MD accept Medicare? ▼
How can I verify DOUGLAS KRESS, MD's credentials? ▼
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