2026 NPPES data Student in an Organized Health Care Education/Training Program NPI 1558789933 M.D.
Verify on CMS →

ETHAN BORNSTEIN, M.D.

Student in an Organized Health Care Education/Training Program in CHINLE, Arizona. 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
108
Medicare Part D claims · 33 beneficiaries · Student in an Organized Health Care Education/Training Program avg: 459
Generic prescribing
83%
generic claims · 17% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
84.2432/100
▲ 1 pts above national avg 83.1 · [object Object]

What the federal data shows

ETHAN BORNSTEIN, M.D. reported a CMS MIPS final score of 84.2432/100 — above the 83.1 national average — and filed 108 Medicare Part D claims in 2023.

84.2432/100
MIPS score · +1 vs avg
108
Part D claims, 2023
83%
generic prescribing

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.

ETHAN BORNSTEIN, M.D.'s MIPS score vs every scored U.S. clinician

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

84 45th percentile higher than 45% 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%). This entry sits in this band. 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

What does the federal data show about ETHAN BORNSTEIN, M.D.?

Near national average

NPI registry status

Active

Issued 04/02/2014

NPI 1558789933

Primary specialty

Student in an Organized Health Care Education/Training Program

High-volume

331,761 US NPIs in this specialty

Medicare Part D claims

108 76% vs specialty avg

2023 prescription claims

Specialty avg: 459

MIPS final score

84.2432/100 1.1432000000000073% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Arizona

How Student in an Organized Health Care Education/Training Program compares to other specialties among Arizona providers

Arizona providers

Student in an Organized Health Care Education/Training Program share within Arizona

1. Student in an Organized Health Care Education/Training Program42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Student in an Organized Health Care Education/Training Program share within Arizona

Medicare quality performance — MIPS

ETHAN BORNSTEIN, M.D.'s 2023 MIPS final score plotted against the Student in an Organized Health Care Education/Training Program national average

Near national average
MIPS Final Score
84.2432/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Student in an Organized Health Care Education/Training Program) — 84.2432/100 vs national avg 83.1

0%100%National avg83%84.2%
MIPS final score (Student in an Organized Health Care Education/Training Program) — 84.2432/100 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).

ETHAN BORNSTEIN, M.D. is a Student in an Organized Health Care Education/Training Program provider practicing in CHINLE, Arizona, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1558789933. 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.

ETHAN BORNSTEIN, M.D. appears in the CMS NPPES registry as a Student in an Organized Health Care Education/Training Program provider holding M.D. credentials at PO BOX PH, CHINLE, AZ, 86503, with a listed phone of (928) 674-7001. NPI 1558789933 was issued on 04/02/2014. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BORNSTEIN 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 108 prescription claims written by this provider, covering 33 Medicare beneficiaries and totaling roughly $7K in drug spend, split 17% brand-name and 83% generic by claim count. 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 84.2432/100 for the 2023 performance year (Quality 64.91, Cost 67.5672), compared with the national average of 83.1.

Student in an Organized Health Care Education/Training Program is a high-volume specialty nationwide, with 331,761 enrolled providers across 55 states and an average of 459 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

PO BOX PH
CHINLE, AZ 86503

Provider Details

NPI 1558789933
Specialty Student in an Organized Health Care Education/Training Program
Credentials M.D.
Gender Male
NPI Issued 04/02/2014

CMS Quality Score (MIPS)

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

84.2432
Final Score
Avg: 83.1
64.91
Quality
67.5672
Cost
98
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where ETHAN BORNSTEIN, M.D. 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.

DHHS PHS NAIHS CHINLE COMPREHENSIVE HEALTH CARE FACILITY
CHINLE, AZ

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Brand vs generic prescribing mix · Typical

ETHAN BORNSTEIN, M.D. — brand share 17.0%
Specialty average (est.)

17% brand-name claims vs 83% generic, on 108 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.

108
Total Claims
$7K
Total Drug Cost
33
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
110
Total Day Supply
2,858
Brand vs Generic
17% brand / 83% generic
Brand Drug Cost
$6K
Generic Drug Cost
$627

Patient Demographics

Average Patient Age
73.8 years
Avg HCC Risk Score
1.30
Gender Split
55% female / 45% 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
Easy Touch Pen Needle
"Pen Needle
N/A

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

Student in an Organized Health Care Education/Training Program Overview

How ETHAN BORNSTEIN, M.D. fits within the Student in an Organized Health Care Education/Training Program landscape nationally.

331,761
Student in an Organized Health Care Education/Training Program Providers in US
55
States with Student in an Organized Health Care Education/Training Program
459
Avg Claims per Provider

ETHAN BORNSTEIN, M.D.'s 108 claims are below the specialty average of 459.

Nearby Student in an Organized Health Care Education/Training Program Providers in Arizona

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

Compare Student in an Organized Health Care Education/Training Program nationally: see state-by-state distribution →

Frequently Asked Questions

What is ETHAN BORNSTEIN, M.D.'s specialty?
ETHAN BORNSTEIN, M.D. specializes in Student in an Organized Health Care Education/Training Program and practices in CHINLE, Arizona. Credentials: M.D..
How much does ETHAN BORNSTEIN, M.D. prescribe under Medicare Part D?
In 2023, ETHAN BORNSTEIN, M.D. wrote 108 Medicare Part D claims totaling $7K in drug costs for 33 beneficiaries.
What is ETHAN BORNSTEIN, M.D.'s Medicare quality score?
ETHAN BORNSTEIN, M.D. has a CMS MIPS Final Score of 84.2432/100 (Quality: 64.91, Cost: 67.5672). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is ETHAN BORNSTEIN, M.D. located?
ETHAN BORNSTEIN, M.D. is located at PO BOX PH, CHINLE, AZ, 86503. Phone: (928) 674-7001.
What is ETHAN BORNSTEIN, M.D.'s NPI number?
ETHAN BORNSTEIN, M.D.'s National Provider Identifier (NPI) is 1558789933, issued on 04/02/2014.
Does ETHAN BORNSTEIN, M.D. prescribe more brand-name or generic drugs?
ETHAN BORNSTEIN, M.D.'s prescribing is 17% brand-name and 83% generic drugs by claim count, with $6K in brand drug costs.
How many Student in an Organized Health Care Education/Training Program providers are there in the US?
There are 331,761 Student in an Organized Health Care Education/Training Program providers across 55 states in the US. The average Student in an Organized Health Care Education/Training Program provider writes 459 Medicare Part D claims per year.
What drugs does ETHAN BORNSTEIN, M.D. prescribe most often?
Based on 2023 Medicare Part D data, ETHAN BORNSTEIN, M.D.'s most frequently prescribed drugs include Easy Touch Pen Needle. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does ETHAN BORNSTEIN, M.D. accept Medicare?
ETHAN BORNSTEIN, M.D. appears in CMS Medicare data with 108 Part D claims and 33 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify ETHAN BORNSTEIN, M.D.'s credentials?
ETHAN BORNSTEIN, M.D.'s NPI is 1558789933 with credentials M.D.. 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