2026 NPPES data Legal Medicine NPI 1376540617 M.D.
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FRANCIS PIEN, M.D.

Legal Medicine in HONOLULU, Hawaii. 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
3K
Medicare Part D claims · 327 beneficiaries · Legal Medicine avg: 3K
Generic prescribing
88%
generic claims · 12% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
96.1032/100
▲ 13 pts above national avg 83.1 · [object Object]
Industry payments
$1.3K
41 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

FRANCIS PIEN, M.D. reported a CMS MIPS final score of 96.1032/100 — above the 83.1 national average — and filed 3,389 Medicare Part D claims in 2023.

96.1032/100
MIPS score · +13 vs avg
3K
Part D claims, 2023
88%
generic prescribing
$1.3K
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.

FRANCIS PIEN, 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

96 Top 17% higher than 83% 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

What does the federal data show about FRANCIS PIEN, M.D.?

High performer (top quartile)

NPI registry status

Active

Issued 07/01/2005

NPI 1376540617

Primary specialty

Legal Medicine

Niche

1,067 US NPIs in this specialty

Medicare Part D claims

3,389 20% vs specialty avg

2023 prescription claims

Specialty avg: 2,821

MIPS final score

96.1032/100 13.003200000000007% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Hawaii

How Legal Medicine compares to other specialties among Hawaii providers

Hawaii providers

Legal Medicine share within Hawaii

1. Legal Medicine42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Legal Medicine share within Hawaii

Medicare quality performance — MIPS

FRANCIS PIEN, M.D.'s 2023 MIPS final score plotted against the Legal Medicine national average

High performer (top quartile)
MIPS Final Score
96.1032/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Legal Medicine) — 96.1032/100 vs national avg 83.1

0%100%National avg83%96.1%
MIPS final score (Legal Medicine) — 96.1032/100 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).

FRANCIS PIEN, M.D. appears in the CMS NPPES registry as a Legal Medicine provider holding M.D. credentials at 1010 S KING ST, HONOLULU, HI, 96814, with a listed phone of (808) 597-8765. NPI 1376540617 was issued on 07/01/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what PIEN 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 3,389 prescription claims written by this provider, covering 327 Medicare beneficiaries and totaling roughly $861K in drug spend, split 12% brand-name and 88% generic by claim count, with an opioid prescribing rate of 1.4%. 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 96.1032/100 for the 2023 performance year (Quality 91.2402, Cost 82.0238), compared with the national average of 83.1.

Legal Medicine is a narrow specialty nationwide, with 1,067 enrolled providers across 51 states and an average of 2,821 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

1010 S KING ST
HONOLULU, HI 96814

Provider Details

NPI 1376540617
Specialty Legal Medicine
Credentials M.D.
Gender Male
NPI Issued 07/01/2005

CMS Quality Score (MIPS)

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

96.1032
Final Score
Avg: 83.1
91.2402
Quality
82.0238
Cost

Reporting: Group practice

Hospital and facility affiliations

Facilities where FRANCIS PIEN, 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.

INTERNAL MEDICINE AND INFECTIOUS DISEASE INC
HONOLULU, HI

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 FRANCIS PIEN, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$1.3K

Largest payer

ViiV Healthcare Company

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.

Brand vs generic prescribing mix · Typical

FRANCIS PIEN, M.D. — brand share 12.0%
Specialty average (est.)

12% brand-name claims vs 88% generic, on 3,389 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.

3,389
Total Claims
$861K
Total Drug Cost
327
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
6,702
Total Day Supply
195,705
Brand vs Generic
12% brand / 88% generic
Brand Drug Cost
$710K
Generic Drug Cost
$150K
Opioid Claims
49 (1.4% rate)
Antibiotic Claims
544

Patient Demographics

Average Patient Age
74.5 years
Avg HCC Risk Score
2.18
Gender Split
44% female / 56% male
Age Distribution
<65: 35, 65-74: 127, 75-84: 125, 85+: 40

Top Prescribed Drugs (Medicare Part D)

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

What FRANCIS PIEN, M.D. 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
267
Doxycycline Hyclate
144
Losartan Potassium
133
Furosemide
116
Potassium Chloride
115
Naproxen
106
Metformin Hcl
86
Diltiazem 24hr Er (Cd)
Diltiazem Hcl
80
Ciprofloxacin Hcl
77
Labetalol Hcl
73

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

Legal Medicine Overview

How FRANCIS PIEN, M.D. fits within the Legal Medicine landscape nationally.

1,067
Legal Medicine Providers in US
51
States with Legal Medicine
2,821
Avg Claims per Provider

FRANCIS PIEN, M.D.'s 3,389 claims are above the specialty average of 2,821.

Nearby Legal Medicine Providers in Hawaii

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

Compare Legal Medicine nationally: see state-by-state distribution →

Frequently Asked Questions

What is FRANCIS PIEN, M.D.'s specialty?
FRANCIS PIEN, M.D. specializes in Legal Medicine and practices in HONOLULU, Hawaii. Credentials: M.D..
How much does FRANCIS PIEN, M.D. prescribe under Medicare Part D?
In 2023, FRANCIS PIEN, M.D. wrote 3,389 Medicare Part D claims totaling $861K in drug costs for 327 beneficiaries.
What is FRANCIS PIEN, M.D.'s Medicare quality score?
FRANCIS PIEN, M.D. has a CMS MIPS Final Score of 96.1032/100 (Quality: 91.2402, Cost: 82.0238). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is FRANCIS PIEN, M.D. located?
FRANCIS PIEN, M.D. is located at 1010 S KING ST, HONOLULU, HI, 96814. Phone: (808) 597-8765.
What is FRANCIS PIEN, M.D.'s NPI number?
FRANCIS PIEN, M.D.'s National Provider Identifier (NPI) is 1376540617, issued on 07/01/2005.
Does FRANCIS PIEN, M.D. prescribe more brand-name or generic drugs?
FRANCIS PIEN, M.D.'s prescribing is 12% brand-name and 88% generic drugs by claim count, with $710K in brand drug costs.
Does FRANCIS PIEN, M.D. prescribe opioids?
Yes, FRANCIS PIEN, M.D. had 49 opioid claims in 2023 with an opioid prescribing rate of 1.4%.
How many Legal Medicine providers are there in the US?
There are 1,067 Legal Medicine providers across 51 states in the US. The average Legal Medicine provider writes 2,821 Medicare Part D claims per year.
What drugs does FRANCIS PIEN, M.D. prescribe most often?
Based on 2023 Medicare Part D data, FRANCIS PIEN, M.D.'s most frequently prescribed drugs include Atorvastatin Calcium, Doxycycline Hyclate, Losartan Potassium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does FRANCIS PIEN, M.D. accept Medicare?
FRANCIS PIEN, M.D. appears in CMS Medicare data with 3,389 Part D claims and 327 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify FRANCIS PIEN, M.D.'s credentials?
FRANCIS PIEN, M.D.'s NPI is 1376540617 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