2026 NPPES data Registered Nurse NPI 1376085191
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Douglas Rau

Registered Nurse in Grand Rapids, Michigan. 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
2K
Medicare Part D claims · 343 beneficiaries · Registered Nurse avg: 1K
Generic prescribing
>99%
generic claims · <1% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
97.4/100
▲ 14 pts above national avg 83.1 · Exceptional
Industry payments
$210.34
7 payments · CMS Open Payments (Sunshine Act)
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Douglas Rau reported a CMS MIPS final score of 97.4/100 — above the 83.1 national average — and filed 1,631 Medicare Part D claims in 2023.

97.4/100
MIPS score · +14 vs avg
2K
Part D claims, 2023
>99%
generic prescribing
$210.34
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 Rau's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

97 Top 15% higher than 85% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). Below this entry. 90–100: 189,403 scored providers (40%). This entry sits in this band. This provider 0 100 every MIPS-scored clinician, bucketed by value

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 Rau sits

This provider among registered nurse peers

Across the 3,327 registered nurse providers who report both Medicare Part D prescribing and a MIPS quality score, Douglas Rau writes more Part D claims than 81% of them and scores higher on MIPS quality than 86% — placing this provider in the high-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

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality02550751000255075100Part D claim volume — percentile in specialtyMIPS quality — percentilePart D claim volume — percentile in specialty: 13 · MIPS quality — percentile: 98Part D claim volume — percentile in specialty: 97 · MIPS quality — percentile: 98Part D claim volume — percentile in specialty: 43 · MIPS quality — percentile: 58Part D claim volume — percentile in specialty: 23 · MIPS quality — percentile: 90Part D claim volume — percentile in specialty: 2 · MIPS quality — percentile: 13Part D claim volume — percentile in specialty: 47 · MIPS quality — percentile: 57Part D claim volume — percentile in specialty: 10 · MIPS quality — percentile: 65Part D claim volume — percentile in specialty: 100 · MIPS quality — percentile: 70Part D claim volume — percentile in specialty: 95 · MIPS quality — percentile: 72Part D claim volume — percentile in specialty: 38 · MIPS quality — percentile: 62Part D claim volume — percentile in specialty: 22 · MIPS quality — percentile: 73Part D claim volume — percentile in specialty: 63 · MIPS quality — percentile: 12Part D claim volume — percentile in specialty: 3 · MIPS quality — percentile: 3Part D claim volume — percentile in specialty: 75 · MIPS quality — percentile: 93Part D claim volume — percentile in specialty: 50 · MIPS quality — percentile: 87Part D claim volume — percentile in specialty: 67 · MIPS quality — percentile: 68Part D claim volume — percentile in specialty: 48 · MIPS quality — percentile: 77Part D claim volume — percentile in specialty: 78 · MIPS quality — percentile: 78Part D claim volume — percentile in specialty: 92 · MIPS quality — percentile: 15Part D claim volume — percentile in specialty: 77 · MIPS quality — percentile: 32Part D claim volume — percentile in specialty: 5 · MIPS quality — percentile: 27Part D claim volume — percentile in specialty: 98 · MIPS quality — percentile: 95Part D claim volume — percentile in specialty: 40 · MIPS quality — percentile: 67Part D claim volume — percentile in specialty: 18 · MIPS quality — percentile: 42Part D claim volume — percentile in specialty: 37 · MIPS quality — percentile: 17Part D claim volume — percentile in specialty: 73 · MIPS quality — percentile: 32Part D claim volume — percentile in specialty: 28 · MIPS quality — percentile: 83Part D claim volume — percentile in specialty: 35 · MIPS quality — percentile: 5Part D claim volume — percentile in specialty: 65 · MIPS quality — percentile: 75Part D claim volume — percentile in specialty: 25 · MIPS quality — percentile: 47Part D claim volume — percentile in specialty: 7 · MIPS quality — percentile: 60Part D claim volume — percentile in specialty: 8 · MIPS quality — percentile: 8Part D claim volume — percentile in specialty: 72 · MIPS quality — percentile: 53Part D claim volume — percentile in specialty: 93 · MIPS quality — percentile: 43Part D claim volume — percentile in specialty: 70 · MIPS quality — percentile: 22Part D claim volume — percentile in specialty: 90 · MIPS quality — percentile: 32Part D claim volume — percentile in specialty: 57 · MIPS quality — percentile: 43Part D claim volume — percentile in specialty: 85 · MIPS quality — percentile: 32Part D claim volume — percentile in specialty: 52 · MIPS quality — percentile: 28Part D claim volume — percentile in specialty: 62 · MIPS quality — percentile: 32Part D claim volume — percentile in specialty: 27 · MIPS quality — percentile: 97Part D claim volume — percentile in specialty: 83 · MIPS quality — percentile: 2Part D claim volume — percentile in specialty: 68 · MIPS quality — percentile: 10Part D claim volume — percentile in specialty: 33 · MIPS quality — percentile: 25Part D claim volume — percentile in specialty: 55 · MIPS quality — percentile: 30Part D claim volume — percentile in specialty: 53 · MIPS quality — percentile: 52Part D claim volume — percentile in specialty: 88 · MIPS quality — percentile: 78Part D claim volume — percentile in specialty: 30 · MIPS quality — percentile: 7Part D claim volume — percentile in specialty: 20 · MIPS quality — percentile: 85Part D claim volume — percentile in specialty: 82 · MIPS quality — percentile: 50Part D claim volume — percentile in specialty: 87 · MIPS quality — percentile: 55Part D claim volume — percentile in specialty: 0 · MIPS quality — percentile: 48Part D claim volume — percentile in specialty: 60 · MIPS quality — percentile: 63Part D claim volume — percentile in specialty: 45 · MIPS quality — percentile: 32Part D claim volume — percentile in specialty: 12 · MIPS quality — percentile: 18Part D claim volume — percentile in specialty: 42 · MIPS quality — percentile: 23Part D claim volume — percentile in specialty: 58 · MIPS quality — percentile: 0Part D claim volume — percentile in specialty: 15 · MIPS quality — percentile: 82Part D claim volume — percentile in specialty: 17 · MIPS quality — percentile: 92Part D claim volume — percentile in specialty: 32 · MIPS quality — percentile: 20Douglas Rau — Part D claim volume — percentile in specialty: 81 · MIPS quality — percentile: 86
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one registered nurse peer from a representative sample of 60; the gold marker is Douglas Rau. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

What does the federal data show about Douglas Rau?

High performer (top quartile)

NPI registry status

Active

Issued 11/10/2016

NPI 1376085191

Primary specialty

Registered Nurse

High-volume

175,652 US NPIs in this specialty

Medicare Part D claims

1,631 63% vs specialty avg

2023 prescription claims

Specialty avg: 1,000

MIPS final score

97.4/100 14.3 pts vs avg

Exceptional band

vs 83.1 national avg

Specialty distribution in Michigan

How Registered Nurse compares to other specialties among Michigan providers

Michigan providers

Largest specialties in Michigan (% of in-state providers)

Behavior Technician — 21.4%Behavior Technician21.4%Clinical Social Worker — 5.8%Clinical Social Worker5.8%Student in an Organized Health Care Education/Training Program — 3.6%Student in an Organized Health Care Education/Training Program3.6%Physical Therapist — 3.4%Physical Therapist3.4%Social Worker — 3.4%Social Worker3.4%Pharmacist — 3%Pharmacist3%Registered Nurse — 2.2%Registered Nurse2.2%
Largest specialties in Michigan (% of in-state providers)

Medicare quality performance — MIPS

Douglas Rau's 2023 MIPS final score plotted against the Registered Nurse national average

High performer (top quartile)
MIPS Final Score
97.4/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Registered Nurse) — 97.4/100 vs national avg 83.1

0%100%National avg83%97.4%
MIPS final score (Registered Nurse) — 97.4/100 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 Rau appears in the CMS NPPES registry as a Registered Nurse provider at 1900 WEALTHY ST SE STE 300, Grand Rapids, MI, 49506, with a listed phone of (616) 774-8345. NPI 1376085191 was issued on 11/10/2016. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Rau 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 1,631 prescription claims written by this provider, covering 343 Medicare beneficiaries and totaling roughly $66K in drug spend, split <1% brand-name and >99% generic by claim count, with an opioid prescribing rate of 31.4%. 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 97.4/100 for the 2023 performance year (Quality 94.6), compared with the national average of 83.1.

Registered Nurse is a high-volume specialty nationwide, with 175,652 enrolled providers across 56 states and an average of 1,000 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

1900 WEALTHY ST SE STE 300
Grand Rapids, MI 49506

Provider Details

NPI 1376085191
Specialty Registered Nurse
Gender Male
NPI Issued 11/10/2016

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

97.3644
Final Score
Avg: 83.1
94.5749
Quality

Reporting: Group practice

Hospital and facility affiliations

Facilities where Douglas Rau 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.

Spectrum Health Primary Care Partners
Grand Rapids, MI

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 Rau. Source: openpaymentsdata.cms.gov.

Total received

$210

Largest payer

Abbott Laboratories

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 — Michigan MI-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 ~41K Michigan medical licensees in 2023 — they are NOT specific to Douglas Rau. To verify Douglas Rau's current license status, search the MI-BOM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

123
Total board actions, Michigan 2023
Across 120 cases
3.00
Actions per 1,000 licensees
Michigan statewide rate
probation
Most common action type
44 cases

MI-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 Michigan disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Generic-heavy

Douglas Rau — brand share 1.0%
Registered Nurse average

<1% brand-name claims vs >99% generic, on 1,631 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.

1,631
Total Claims
$66K
Total Drug Cost
343
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
2,209
Total Day Supply
64,139
Brand vs Generic
<1% brand / >99% generic
Brand Drug Cost
$7K
Generic Drug Cost
$58K
Opioid Claims
512 (31.4% rate)

Patient Demographics

Average Patient Age
68.3 years
Avg HCC Risk Score
1.39
Gender Split
65% female / 35% male
Age Distribution
<65: 108, 65-74: 133, 75-84: 76, 85+: 26

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

What Douglas Rau 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
Gabapentin
328
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
182
Pregabalin
172
Cyclobenzaprine Hcl
89
Oxycodone-Acetaminophen
Oxycodone Hcl/Acetaminophen
88
Tizanidine Hcl
81
Tramadol Hcl
80
Meloxicam
59
Methocarbamol
57
Lidocaine-Prilocaine
Lidocaine/Prilocaine
53

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

Registered Nurse Overview

How Douglas Rau fits within the Registered Nurse landscape nationally.

175,652
Registered Nurse Providers in US
56
States with Registered Nurse
1,000
Avg Claims per Provider

Douglas Rau's 1,631 claims are above the specialty average of 1,000.

Nearby Registered Nurse Providers in Michigan

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

Compare Registered Nurse nationally: see state-by-state distribution →

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 Michigan medical board — federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Registered Nurse 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.

Frequently Asked Questions

What is Douglas Rau's specialty?
Douglas Rau specializes in Registered Nurse and practices in Grand Rapids, Michigan.
How much does Douglas Rau prescribe under Medicare Part D?
In 2023, Douglas Rau wrote 1,631 Medicare Part D claims totaling $66K in drug costs for 343 beneficiaries.
What is Douglas Rau's Medicare quality score?
Douglas Rau has a CMS MIPS Final Score of 97.4/100 (Quality: 94.6). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Douglas Rau located?
Douglas Rau is located at 1900 WEALTHY ST SE STE 300, Grand Rapids, MI, 49506. Phone: (616) 774-8345.
What is Douglas Rau's NPI number?
Douglas Rau's National Provider Identifier (NPI) is 1376085191, issued on 11/10/2016.
Does Douglas Rau prescribe more brand-name or generic drugs?
Douglas Rau's prescribing is <1% brand-name and >99% generic drugs by claim count, with $7K in brand drug costs.
Does Douglas Rau prescribe opioids?
Yes, Douglas Rau had 512 opioid claims in 2023 with an opioid prescribing rate of 31.4%.
How many Registered Nurse providers are there in the US?
There are 175,652 Registered Nurse providers across 56 states in the US. The average Registered Nurse provider writes 1,000 Medicare Part D claims per year.
What drugs does Douglas Rau prescribe most often?
Based on 2023 Medicare Part D data, Douglas Rau's most frequently prescribed drugs include Gabapentin, Hydrocodone-Acetaminophen, Pregabalin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Douglas Rau accept Medicare?
Douglas Rau appears in CMS Medicare data with 1,631 Part D claims and 343 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Douglas Rau's credentials?
Douglas Rau's NPI is 1376085191. 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

Compiled from official public sources by the PlainDoctor editorial team.