NPI registry status
Active
2026 NPPES data Ophthalmic Plastic and Reconstructive Surgery Physician NPI 1013177682 MD
Verify on CMS → Douglas Marx, MD
Ophthalmic Plastic and Reconstructive Surgery Physician in Salt Lake City, Utah.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 291 in Ophthalmic Plastic and Reconstructive Surgery 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.
Prescribing volume
144
Medicare Part D claims · 97 beneficiaries · Ophthalmic Plastic and Reconstructive Surgery Physician avg: 624
Generic prescribing
83%
generic claims · 17% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
92.1/100
▲ 9 pts above national avg 83.1 · Exceptional
Industry payments
$184
5 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Douglas Marx, MD reported a CMS MIPS final score of 92.1/100 - above the 83.1 national average - and filed 144 Medicare Part D claims in 2023.
- 92.1/100
- MIPS score · +9 vs avg
- 144
- Part D claims, 2023
- 83%
- generic prescribing
- Likely
- board-certified (heuristic)
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 Marx, MD's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
92 Top 32% higher than 68% 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 Marx, MD sits
This provider among ophthalmic plastic and reconstructive surgery physician peers
Across the 141 ophthalmic plastic and reconstructive surgery physician providers who report both Medicare Part D prescribing and a MIPS quality score, Douglas Marx, MD writes more Part D claims than 12% of them and scores higher on MIPS quality than 66% - placing this provider in the lower-volume, high-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 ophthalmic plastic and reconstructive surgery physician peer from a representative sample of 60; the gold marker is Douglas Marx, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Douglas Marx, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation - 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 Marx, MD?
High performer (top quartile)Primary specialty
Ophthalmic Plastic and Reconstructive Surgery Physician
Medicare Part D claims
144 77% vs specialty avg
MIPS final score
92.1/100 9 pts vs avg
Specialty distribution in Utah
How Ophthalmic Plastic and Reconstructive Surgery Physician compares to other specialties among Utah providers
Medicare quality performance, MIPS
Douglas Marx, MD's 2023 MIPS final score plotted against the Ophthalmic Plastic and Reconstructive Surgery Physician national average
- MIPS Final Score
- 92.1/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Ophthalmic Plastic and Reconstructive Surgery Physician) - 92.1/100 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 Marx, MD appears in the CMS NPPES registry as a Ophthalmic Plastic and Reconstructive Surgery Physician provider holding MD credentials at 4400 S 700 E STE 130, Salt Lake City, UT, 84107, with a listed phone of (801) 264-4420. NPI 1013177682 was issued on 06/16/2008.
Medicare Part D records for calendar year 2023 show 144 prescription claims written by this provider, covering 97 Medicare beneficiaries and totaling roughly $5K in drug spend, split 17% brand-name and 83% generic by claim count, with an opioid prescribing rate of 7.6%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 92.1/100 for the 2023 performance year (Quality 85.6), compared with the national average of 83.1.
Ophthalmic Plastic and Reconstructive Surgery Physician is a narrow specialty nationwide, with 291 enrolled providers across 46 states and an average of 624 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 | 1013177682 |
|---|---|
| Specialty | Ophthalmic Plastic and Reconstructive Surgery Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 06/16/2008 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
92.0664
Final Score
Avg: 83.1
85.5753
Quality
100
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where Douglas Marx, 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.
Utah Oculoplastic Consultants PC
Salt Lake City, UT
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
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 Marx, MD. Source: openpaymentsdata.cms.gov.
Total received
$184
Largest payer
Amgen 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.
Brand vs generic prescribing mix · Typical
Douglas Marx, MD - brand share 17.0%
Ophthalmic Plastic and Reconstructive Surgery Physician average
17% brand-name claims vs 83% generic, on 144 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.
144
Total Claims
$5K
Total Drug Cost
97
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 157
- Total Day Supply
- 2,105
- Brand vs Generic
- 17% brand / 83% generic
- Brand Drug Cost
- $3K
- Generic Drug Cost
- $2K
- Opioid Claims
- 11 (7.6% rate)
Patient Demographics
- Average Patient Age
- 74.2 years
- Avg HCC Risk Score
- 1.37
- Gender Split
- 65% female / 35% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Douglas Marx, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Erythromycin
Erythromycin
61 claims
- Neomycin-Polymyxin…
Neomycin-Polymyxin-Dexameth
29 claims
- Hydrocodone-Acetam… 11
Hydrocodone-Acetaminophen
11 claims
| Drug | Claims |
|---|---|
| Erythromycin Erythromycin Base | 61 |
| Neomycin-Polymyxin-Dexameth Neomycin/Polymyxin B/Dexametha | 29 |
| Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen | 11 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
More Ophthalmic Plastic and Reconstructive Surgery Physician in UT →
All providers in Utah →
Compare specialties →
Ophthalmic Plastic and Reconstructive Surgery Physician Overview
How Douglas Marx, MD fits within the Ophthalmic Plastic and Reconstructive Surgery Physician landscape nationally.
291
Ophthalmic Plastic and Reconstructive Surgery Physician Providers in US
46
States with Ophthalmic Plastic and Reconstructive Surgery Physician
624
Avg Claims per Provider
Douglas Marx, MD's 144 claims are below the specialty average of 624.
Nearby Ophthalmic Plastic and Reconstructive Surgery Physician Providers in Utah
Other clinicians with the same primary specialty enrolled in Utah, drawn from the same CMS NPPES roster as Marx.
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 Utah medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Ophthalmic Plastic and Reconstructive Surgery Physician 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 Marx, MD's specialty? ▼
Douglas Marx, MD specializes in Ophthalmic Plastic and Reconstructive Surgery Physician and practices in Salt Lake City, Utah. Credentials: MD.
How much does Douglas Marx, MD prescribe under Medicare Part D? ▼
In 2023, Douglas Marx, MD wrote 144 Medicare Part D claims totaling $5K in drug costs for 97 beneficiaries.
What is Douglas Marx, MD's Medicare quality score? ▼
Douglas Marx, MD has a CMS MIPS Final Score of 92.1/100 (Quality: 85.6). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Douglas Marx, MD located? ▼
Douglas Marx, MD is located at 4400 S 700 E STE 130, Salt Lake City, UT, 84107. Phone: (801) 264-4420.
What is Douglas Marx, MD's NPI number? ▼
Douglas Marx, MD's National Provider Identifier (NPI) is 1013177682, issued on 06/16/2008.
Does Douglas Marx, MD prescribe more brand-name or generic drugs? ▼
Douglas Marx, MD's prescribing is 17% brand-name and 83% generic drugs by claim count, with $3K in brand drug costs.
Does Douglas Marx, MD prescribe opioids? ▼
Yes, Douglas Marx, MD had 11 opioid claims in 2023 with an opioid prescribing rate of 7.6%.
How many Ophthalmic Plastic and Reconstructive Surgery Physician providers are there in the US? ▼
There are 291 Ophthalmic Plastic and Reconstructive Surgery Physician providers across 46 states in the US. The average Ophthalmic Plastic and Reconstructive Surgery Physician provider writes 624 Medicare Part D claims per year.
What drugs does Douglas Marx, MD prescribe most often? ▼
Based on 2023 Medicare Part D data, Douglas Marx, MD's most frequently prescribed drugs include Erythromycin, Neomycin-Polymyxin-Dexameth, Hydrocodone-Acetaminophen. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Douglas Marx, MD accept Medicare? ▼
Douglas Marx, MD appears in CMS Medicare data with 144 Part D claims and 97 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Douglas Marx, MD's credentials? ▼
Douglas Marx, MD's NPI is 1013177682 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.