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. 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
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
92.0664/100
▲ 9 pts above national avg 83.1 · [object Object]
Industry payments
$184
5 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: DOUGLAS MARX, MD is a Ophthalmic Plastic and Reconstructive Surgery Physician ([object Object]) practicing in SALT LAKE CITY, Utah with a Medicare Part D prescribing footprint of 144 claims across 97 beneficiaries — 17% brand-name prescribing . Their CMS MIPS Final Score of 92.0664/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $184 across 5 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: DOUGLAS MARX, MD reported a CMS MIPS final score of 92.0664 out of 100, above the 83.1 national average, and filed 144 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

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).

DOUGLAS MARX, MD at a glance

High performer (top quartile)

NPI registry status

Active

Issued 06/16/2008

NPI 1013177682

Primary specialty

Ophthalmic Plastic and Reconstructive Surgery Physician

Rare

291 US NPIs in this specialty

Medicare Part D claims

144 77% vs specialty avg

2023 prescription claims

Specialty avg: 624

MIPS final score

92.0664/100 8.966400000000007% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Utah

How Ophthalmic Plastic and Reconstructive Surgery Physician compares to other specialties among Utah providers

Utah providers

Ophthalmic Plastic and Reconstructive Surgery Physician share within Utah

1. Ophthalmic Plastic and Reconstructive Surgery Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Ophthalmic Plastic and Reconstructive Surgery Physician share within Utah

Medicare quality performance — MIPS

DOUGLAS MARX, MD's 2023 MIPS final score plotted against the Ophthalmic Plastic and Reconstructive Surgery Physician national average

High performer (top quartile)
MIPS Final Score
92.0664/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Ophthalmic Plastic and Reconstructive Surgery Physician) — 92.0664/100 vs national avg 83.1

0%100%National avg83%92.1%
MIPS final score (Ophthalmic Plastic and Reconstructive Surgery Physician) — 92.0664/100 vs national avg 83.1

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 is a Ophthalmic Plastic and Reconstructive Surgery Physician provider practicing in SALT LAKE CITY, Utah, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1013177682. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

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. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what MARX 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 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%. 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. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 92.0664/100 for the 2023 performance year (Quality 85.5753), 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

4400 S 700 E STE 130
SALT LAKE CITY, UT 84107

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%
Specialty average (est.)

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.

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.

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.

Compare Ophthalmic Plastic and Reconstructive Surgery Physician nationally: see state-by-state distribution →

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 92.0664/100 (Quality: 85.5753). 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

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