NPI registry status
Active
2026 NPPES data Clinical Genetics (M.D.) Physician NPI 1679831093 MD
Verify on CMS → Erin Cooney, MD
Clinical Genetics (M.D.) Physician in League City, Texas.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 825 in Clinical Genetics (M.D.) 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
19
Medicare Part D claims · Clinical Genetics (M.D.) Physician avg: 261
Generic prescribing
0%
generic claims · 68% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
75/100
▼ 8 pts below national avg 83.1 · Mid-tier
Industry payments
$8.9K
7 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
Erin Cooney, MD reported a CMS MIPS final score of 75/100 - below the 83.1 national average - and filed 19 Medicare Part D claims in 2023.
- 75/100
- MIPS score · -8 vs avg
- 19
- Part D claims, 2023
- 0%
- 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.
Erin Cooney, MD's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
75 12th percentile higher than 12% 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 Erin Cooney, MD sits
This provider among clinical genetics (m.d.) physician peers
Across the 47 clinical genetics (m.d.) physician providers who report both Medicare Part D prescribing and a MIPS quality score, Erin Cooney, MD writes more Part D claims than 15% of them and scores higher on MIPS quality than 13% - placing this provider in the lower-volume, lower-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 clinical genetics (m.d.) physician peer from a representative sample of 46; the gold marker is Erin Cooney, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Erin Cooney, 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 Erin Cooney, MD?
Below national averagePrimary specialty
Clinical Genetics (M.D.) Physician
Medicare Part D claims
19 93% vs specialty avg
MIPS final score
75/100 8.1 pts vs avg
Specialty distribution in Texas
How Clinical Genetics (M.D.) Physician compares to other specialties among Texas providers
Medicare quality performance, MIPS
Erin Cooney, MD's 2023 MIPS final score plotted against the Clinical Genetics (M.D.) Physician national average
- MIPS Final Score
- 75/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Clinical Genetics (M.D.) Physician) - 75/100 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).
Erin Cooney, MD appears in the CMS NPPES registry as a Clinical Genetics (M.D.) Physician provider holding MD credentials at 2785 GULF FWY S STE 2.200, League City, TX, 77573, with a listed phone of (888) 886-2543. NPI 1679831093 was issued on 04/24/2012.
Medicare Part D records for calendar year 2023 show 19 prescription claims written by this provider, covering N/A Medicare beneficiaries and totaling roughly $107K in drug spend, split 68% brand-name and 0% generic by claim count. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 75/100 for the 2023 performance year (Quality 73.8, Cost 47.8), compared with the national average of 83.1.
Clinical Genetics (M.D.) Physician is a narrow specialty nationwide, with 825 enrolled providers across 50 states and an average of 261 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 | 1679831093 |
|---|---|
| Specialty | Clinical Genetics (M.D.) Physician |
| Credentials | MD |
| Gender | Female |
| NPI Issued | 04/24/2012 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
74.9614
Final Score
Avg: 83.1
73.7789
Quality
47.7591
Cost
94
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where Erin Cooney, 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.
Utmb Faculty Group Practice
Galveston, TX
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 Erin Cooney, MD. Source: openpaymentsdata.cms.gov.
Total received
$8.9K
Largest payer
BioMarin Pharmaceutical 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 - Texas TMB 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 ~77K Texas medical licensees in 2023 - they are NOT specific to Erin Cooney, MD. To verify Erin Cooney, MD's current license status, search the TMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
344
Total board actions, Texas 2023
Across 334 cases
4.47
Actions per 1,000 licensees
Texas statewide rate
probation
Most common action type
94 cases
TMB 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 Texas disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Brand vs generic prescribing mix · Brand-heavy
Erin Cooney, MD - brand share 68.0%
Clinical Genetics (M.D.) Physician average
68% brand-name claims vs 0% generic, on 19 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.
19
Total Claims
$107K
Total Drug Cost
N/A
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 21
- Total Day Supply
- 551
- Brand vs Generic
- 68% brand / 0% generic
- Brand Drug Cost
- $106K
Patient Demographics
- Average Patient Age
- 47.5 years
- Avg HCC Risk Score
- 1.22
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
| Drug | Claims |
|---|---|
| Palynziq Pegvaliase-Pqpz | 11 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Clinical Genetics (M.D.) Physician Overview
How Erin Cooney, MD fits within the Clinical Genetics (M.D.) Physician landscape nationally.
825
Clinical Genetics (M.D.) Physician Providers in US
50
States with Clinical Genetics (M.D.) Physician
261
Avg Claims per Provider
Erin Cooney, MD's 19 claims are below the specialty average of 261.
Nearby Clinical Genetics (M.D.) Physician Providers in Texas
Other clinicians with the same primary specialty enrolled in Texas, drawn from the same CMS NPPES roster as Cooney.
Dr. April Adams
MD
Houston, TX
Dr. Carlos Bacino
MD
Houston, TX
Dr. Tina Barbaro Dieber
MD
Fort Worth, TX
Dr. Arthur Beaudet
MD
Houston, TX
Dr. Mir Reza Bekheirnia
M.D.
Houston, TX
Compare Clinical Genetics (M.D.) Physician 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 Texas medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Clinical Genetics (M.D.) 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 Erin Cooney, MD's specialty? ▼
Erin Cooney, MD specializes in Clinical Genetics (M.D.) Physician and practices in League City, Texas. Credentials: MD.
How much does Erin Cooney, MD prescribe under Medicare Part D? ▼
In 2023, Erin Cooney, MD wrote 19 Medicare Part D claims totaling $107K in drug costs for N/A beneficiaries.
What is Erin Cooney, MD's Medicare quality score? ▼
Erin Cooney, MD has a CMS MIPS Final Score of 75/100 (Quality: 73.8, Cost: 47.8). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Erin Cooney, MD located? ▼
Erin Cooney, MD is located at 2785 GULF FWY S STE 2.200, League City, TX, 77573. Phone: (888) 886-2543.
What is Erin Cooney, MD's NPI number? ▼
Erin Cooney, MD's National Provider Identifier (NPI) is 1679831093, issued on 04/24/2012.
Does Erin Cooney, MD prescribe more brand-name or generic drugs? ▼
Erin Cooney, MD's prescribing is 68% brand-name and 0% generic drugs by claim count, with $106K in brand drug costs.
How many Clinical Genetics (M.D.) Physician providers are there in the US? ▼
There are 825 Clinical Genetics (M.D.) Physician providers across 50 states in the US. The average Clinical Genetics (M.D.) Physician provider writes 261 Medicare Part D claims per year.
What drugs does Erin Cooney, MD prescribe most often? ▼
Based on 2023 Medicare Part D data, Erin Cooney, MD's most frequently prescribed drugs include Palynziq. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Erin Cooney, MD accept Medicare? ▼
Erin Cooney, MD appears in CMS Medicare data with 19 Part D claims and N/A Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Erin Cooney, MD's credentials? ▼
Erin Cooney, MD's NPI is 1679831093 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.