2026 NPPES data Pulmonary Disease Physician NPI 1306945365 MD
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DUC NGUYEN, MD

Pulmonary Disease Physician in SIMI VALLEY, California. 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
10K
Medicare Part D claims · 762 beneficiaries · Pulmonary Disease Physician avg: 1K
Generic prescribing
83%
generic claims · 17% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
57.2075/100
▼ 26 pts below national avg 83.1 · [object Object]
Industry payments
$4.8K
90 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

DUC NGUYEN, MD reported a CMS MIPS final score of 57.2075/100 — below the 83.1 national average — and filed 10,152 Medicare Part D claims in 2023.

57.2075/100
MIPS score · -26 vs avg
10K
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.

DUC NGUYEN, MD's MIPS score vs every scored U.S. clinician

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

57 5th percentile higher than 5% 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%). This entry sits in this band. 60–70: 13,906 scored providers (3%). Above this entry. 70–80: 118,074 scored providers (25%). Above this entry. 80–90: 129,887 scored providers (27%). Above this entry. 90–100: 189,403 scored providers (40%). Above this entry. 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

Board certification likely (heuristic — not verified)

DUC NGUYEN, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting — 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 DUC NGUYEN, MD?

Below national average

NPI registry status

Active

Issued 09/22/2006

NPI 1306945365

Primary specialty

Pulmonary Disease Physician

Mid-sized

9,271 US NPIs in this specialty

Medicare Part D claims

10,152 597% vs specialty avg

2023 prescription claims

Specialty avg: 1,457

MIPS final score

57.2075/100 25.89249999999999% pts

Mid-tier band

vs 83.1 national avg

Specialty distribution in California

How Pulmonary Disease Physician compares to other specialties among California providers

California providers

Pulmonary Disease Physician share within California

1. Pulmonary Disease Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Pulmonary Disease Physician share within California

Medicare quality performance — MIPS

DUC NGUYEN, MD's 2023 MIPS final score plotted against the Pulmonary Disease Physician national average

Below national average
MIPS Final Score
57.2075/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Pulmonary Disease Physician) — 57.2075/100 vs national avg 83.1

0%100%National avg83%57.2%
MIPS final score (Pulmonary Disease Physician) — 57.2075/100 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).

DUC NGUYEN, MD appears in the CMS NPPES registry as a Pulmonary Disease Physician provider holding MD credentials at 2650 JONES WAY, SIMI VALLEY, CA, 93065, with a listed phone of (805) 520-1577. NPI 1306945365 was issued on 09/22/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what NGUYEN 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 10,152 prescription claims written by this provider, covering 762 Medicare beneficiaries and totaling roughly $2.1 million in drug spend, split 17% brand-name and 83% generic by claim count, with an opioid prescribing rate of 1.9%. 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 57.2075/100 for the 2023 performance year (Quality 81.2525, Cost 39.8283), compared with the national average of 83.1.

Pulmonary Disease Physician is a mid-sized specialty nationwide, with 9,271 enrolled providers across 53 states and an average of 1,457 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

2650 JONES WAY
SIMI VALLEY, CA 93065

Provider Details

NPI 1306945365
Specialty Pulmonary Disease Physician
Credentials MD
Gender Male
NPI Issued 09/22/2006

CMS Quality Score (MIPS)

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

57.2075
Final Score
Avg: 83.1
81.2525
Quality
39.8283
Cost
0
Promoting Interoperability

Reporting: Individual

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 DUC NGUYEN, MD. Source: openpaymentsdata.cms.gov.

Total received

$4.8K

Largest payer

Actelion Pharmaceuticals US, 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 — California MBC 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 ~150K California medical licensees in 2023 — they are NOT specific to DUC NGUYEN, MD. To verify DUC NGUYEN, MD's current license status, search the MBC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

576
Total board actions, California 2023
Across 556 cases
3.84
Actions per 1,000 licensees
California statewide rate
probation
Most common action type
186 cases

MBC 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 California disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

DUC NGUYEN, MD — brand share 17.0%
Specialty average (est.)

17% brand-name claims vs 83% generic, on 10,152 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.

10,152
Total Claims
$2.1M
Total Drug Cost
762
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
19,649
Total Day Supply
561,397
Brand vs Generic
17% brand / 83% generic
Brand Drug Cost
$1.8M
Generic Drug Cost
$326K
Opioid Claims
191 (1.9% rate)
Antibiotic Claims
496

Patient Demographics

Average Patient Age
76.4 years
Avg HCC Risk Score
1.45
Gender Split
57% female / 43% male
Age Distribution
<65: 40, 65-74: 279, 75-84: 310, 85+: 133

Top Prescribed Drugs (Medicare Part D)

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

What DUC NGUYEN, 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
Atorvastatin Calcium
434
Amlodipine Besylate
396
Trelegy Ellipta
Fluticasone/Umeclidin/Vilanter
332
Levothyroxine Sodium
266
Prednisone
264
Valsartan
250
Fluticasone Propionate
215
Metformin Hcl
214
Pantoprazole Sodium
205
Lisinopril
176

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

Pulmonary Disease Physician Overview

How DUC NGUYEN, MD fits within the Pulmonary Disease Physician landscape nationally.

9,271
Pulmonary Disease Physician Providers in US
53
States with Pulmonary Disease Physician
1,457
Avg Claims per Provider

DUC NGUYEN, MD's 10,152 claims are above the specialty average of 1,457.

Nearby Pulmonary Disease Physician Providers in California

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

Compare Pulmonary Disease Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is DUC NGUYEN, MD's specialty?
DUC NGUYEN, MD specializes in Pulmonary Disease Physician and practices in SIMI VALLEY, California. Credentials: MD.
How much does DUC NGUYEN, MD prescribe under Medicare Part D?
In 2023, DUC NGUYEN, MD wrote 10,152 Medicare Part D claims totaling $2.1M in drug costs for 762 beneficiaries.
What is DUC NGUYEN, MD's Medicare quality score?
DUC NGUYEN, MD has a CMS MIPS Final Score of 57.2075/100 (Quality: 81.2525, Cost: 39.8283). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is DUC NGUYEN, MD located?
DUC NGUYEN, MD is located at 2650 JONES WAY, SIMI VALLEY, CA, 93065. Phone: (805) 520-1577.
What is DUC NGUYEN, MD's NPI number?
DUC NGUYEN, MD's National Provider Identifier (NPI) is 1306945365, issued on 09/22/2006.
Does DUC NGUYEN, MD prescribe more brand-name or generic drugs?
DUC NGUYEN, MD's prescribing is 17% brand-name and 83% generic drugs by claim count, with $1.8M in brand drug costs.
Does DUC NGUYEN, MD prescribe opioids?
Yes, DUC NGUYEN, MD had 191 opioid claims in 2023 with an opioid prescribing rate of 1.9%.
How many Pulmonary Disease Physician providers are there in the US?
There are 9,271 Pulmonary Disease Physician providers across 53 states in the US. The average Pulmonary Disease Physician provider writes 1,457 Medicare Part D claims per year.
What drugs does DUC NGUYEN, MD prescribe most often?
Based on 2023 Medicare Part D data, DUC NGUYEN, MD's most frequently prescribed drugs include Atorvastatin Calcium, Amlodipine Besylate, Trelegy Ellipta. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does DUC NGUYEN, MD accept Medicare?
DUC NGUYEN, MD appears in CMS Medicare data with 10,152 Part D claims and 762 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify DUC NGUYEN, MD's credentials?
DUC NGUYEN, MD's NPI is 1306945365 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