NPI registry status
Active
2026 NPPES data Rheumatology Physician NPI 1316982218 M. D.
Verify on CMS → Fotios Koumpouras, M. D.
Rheumatology Physician in North Haven, Connecticut.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 6,200 in Rheumatology 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
1K
Medicare Part D claims · 137 beneficiaries · Rheumatology Physician avg: 2K
MIPS score
73.6/100
▼ 10 pts below national avg 83.1 · Mid-tier
Industry payments
$12.8K
17 payments · CMS Open Payments (Sunshine Act)
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Fotios Koumpouras, M. D. reported a CMS MIPS final score of 73.6/100 - below the 83.1 national average - and filed 1,359 Medicare Part D claims in 2023.
- 73.6/100
- MIPS score · -10 vs avg
- 1K
- Part D claims, 2023
- 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.
Fotios Koumpouras, 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
74 11th percentile higher than 11% 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 Fotios Koumpouras, M. D. sits
This provider among rheumatology physician peers
Across the 2,181 rheumatology physician providers who report both Medicare Part D prescribing and a MIPS quality score, Fotios Koumpouras, M. D. writes more Part D claims than 36% of them and scores higher on MIPS quality than 11% - 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 rheumatology physician peer from a representative sample of 60; the gold marker is Fotios Koumpouras, M. D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Fotios Koumpouras, M. D. 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 Fotios Koumpouras, M. D.?
Below national averagePrimary specialty
Rheumatology Physician
Medicare Part D claims
1,359 34% vs specialty avg
MIPS final score
73.6/100 9.5 pts vs avg
Specialty distribution in Connecticut
How Rheumatology Physician compares to other specialties among Connecticut providers
Medicare quality performance, MIPS
Fotios Koumpouras, M. D.'s 2023 MIPS final score plotted against the Rheumatology Physician national average
- MIPS Final Score
- 73.6/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Rheumatology Physician) - 73.6/100 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).
Fotios Koumpouras, M. D. appears in the CMS NPPES registry as a Rheumatology Physician provider holding M. D. credentials at 6 DEVINE ST, North Haven, CT, 06473, with a listed phone of (203) 737-5430. NPI 1316982218 was issued on 06/17/2006.
Medicare Part D records for calendar year 2023 show 1,359 prescription claims written by this provider, covering 137 Medicare beneficiaries and totaling roughly $1.3 million in drug spend, with an opioid prescribing rate of 4.4%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 73.6/100 for the 2023 performance year (Quality 75.8, Cost 51.4), compared with the national average of 83.1.
Rheumatology Physician is a mid-sized specialty nationwide, with 6,200 enrolled providers across 52 states and an average of 2,054 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 | 1316982218 |
|---|---|
| Specialty | Rheumatology Physician |
| Credentials | M. D. |
| Gender | Male |
| NPI Issued | 06/17/2006 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
73.5637
Final Score
Avg: 83.1
75.8435
Quality
51.4318
Cost
74
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where Fotios Koumpouras, 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.
Yale University
New Haven, CT
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 Fotios Koumpouras, M. D.. Source: openpaymentsdata.cms.gov.
Total received
$12.8K
Largest payer
AstraZeneca Pharmaceuticals LP
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.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
1,359
Total Claims
$1.3M
Total Drug Cost
137
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 2,285
- Total Day Supply
- 65,266
- Generic Drug Cost
- $61K
- Opioid Claims
- 60 (4.4% rate)
- Antibiotic Claims
- 22
Patient Demographics
- Average Patient Age
- 62.9 years
- Avg HCC Risk Score
- 2.04
- Gender Split
- 87% female / 13% male
- Age Distribution
- <65: 57, 65-74: 47, 75-84: N/A, 85+: N/A
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Fotios Koumpouras, M. D. prescribes most
Top Medicare Part D drugs by claim count, 2023
- Hydroxychloroquine…
Hydroxychloroquine Sulfate
133 claims
- Prednisone
Prednisone
127 claims
- Methotrexate
Methotrexate
82 claims
- Duloxetine Hcl
Duloxetine Hcl
63 claims
- Tramadol Hcl
Tramadol Hcl
59 claims
- Famotidine 44
Famotidine
44 claims
- Mycophenolate Mofe… 41
Mycophenolate Mofetil
41 claims
- Celecoxib 36
Celecoxib
36 claims
| Drug | Claims |
|---|---|
| Hydroxychloroquine Sulfate | 133 |
| Prednisone | 127 |
| Methotrexate Methotrexate Sodium | 82 |
| Duloxetine Hcl | 63 |
| Tramadol Hcl | 59 |
| Famotidine | 44 |
| Mycophenolate Mofetil | 41 |
| Celecoxib | 36 |
| Gabapentin | 32 |
| Diclofenac Sodium | 29 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Rheumatology Physician Overview
How Fotios Koumpouras, M. D. fits within the Rheumatology Physician landscape nationally.
6,200
Rheumatology Physician Providers in US
52
States with Rheumatology Physician
2,054
Avg Claims per Provider
Fotios Koumpouras, M. D.'s 1,359 claims are below the specialty average of 2,054.
Nearby Rheumatology Physician Providers in Connecticut
Other clinicians with the same primary specialty enrolled in Connecticut, drawn from the same CMS NPPES roster as Koumpouras.
Dr. Crispin Abarientos
M.D.
Middletown, CT
Dr. Aryeh Abeles
M.D.
Meriden, CT
Dr. Micha Abeles
M.D.
Meriden, CT
Dr. Jackilyn Annelli
PA
Norwich, CT
Dr. Sandra Apenteng
MD
Glastonbury, CT
Compare Rheumatology 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 Connecticut medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Rheumatology 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 Fotios Koumpouras, M. D.'s specialty? ▼
Fotios Koumpouras, M. D. specializes in Rheumatology Physician and practices in North Haven, Connecticut. Credentials: M. D..
How much does Fotios Koumpouras, M. D. prescribe under Medicare Part D? ▼
In 2023, Fotios Koumpouras, M. D. wrote 1,359 Medicare Part D claims totaling $1.3M in drug costs for 137 beneficiaries.
What is Fotios Koumpouras, M. D.'s Medicare quality score? ▼
Fotios Koumpouras, M. D. has a CMS MIPS Final Score of 73.6/100 (Quality: 75.8, Cost: 51.4). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Fotios Koumpouras, M. D. located? ▼
Fotios Koumpouras, M. D. is located at 6 DEVINE ST, North Haven, CT, 06473. Phone: (203) 737-5430.
What is Fotios Koumpouras, M. D.'s NPI number? ▼
Fotios Koumpouras, M. D.'s National Provider Identifier (NPI) is 1316982218, issued on 06/17/2006.
Does Fotios Koumpouras, M. D. prescribe opioids? ▼
Yes, Fotios Koumpouras, M. D. had 60 opioid claims in 2023 with an opioid prescribing rate of 4.4%.
How many Rheumatology Physician providers are there in the US? ▼
There are 6,200 Rheumatology Physician providers across 52 states in the US. The average Rheumatology Physician provider writes 2,054 Medicare Part D claims per year.
What drugs does Fotios Koumpouras, M. D. prescribe most often? ▼
Based on 2023 Medicare Part D data, Fotios Koumpouras, M. D.'s most frequently prescribed drugs include Hydroxychloroquine Sulfate, Prednisone, Methotrexate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Fotios Koumpouras, M. D. accept Medicare? ▼
Fotios Koumpouras, M. D. appears in CMS Medicare data with 1,359 Part D claims and 137 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Fotios Koumpouras, M. D.'s credentials? ▼
Fotios Koumpouras, M. D.'s NPI is 1316982218 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
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.
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of May 2026.