2026 NPPES data Family Medicine Physician NPI 1235226176 MD
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Francis West, MD

Family Medicine Physician in Gloucester, Virginia. 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
8K
Medicare Part D claims · 451 beneficiaries · Family Medicine Physician avg: 3K
Generic prescribing
92%
generic claims · 8% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
84.2/100
▲ 1 pts above national avg 83.1 · [object Object]

What the federal data shows

Francis West, MD reported a CMS MIPS final score of 84.2/100 — above the 83.1 national average — and filed 8,214 Medicare Part D claims in 2023.

84.2/100
MIPS score · +1 vs avg
8K
Part D claims, 2023
92%
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.

Francis West, MD'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

Board certification likely (heuristic — not verified)

Francis West, 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 Francis West, MD?

Near national average

NPI registry status

Active

Issued 10/10/2006

NPI 1235226176

Primary specialty

Family Medicine Physician

High-volume

147,640 US NPIs in this specialty

Medicare Part D claims

8,214 140% vs specialty avg

2023 prescription claims

Specialty avg: 3,418

MIPS final score

84.2/100 1.1 pts vs avg

Above neutral band

vs 83.1 national avg

Specialty distribution in Virginia

How Family Medicine Physician compares to other specialties among Virginia providers

Virginia providers

Family Medicine Physician share within Virginia

1. Family Medicine Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Family Medicine Physician share within Virginia

Medicare quality performance — MIPS

Francis West, MD's 2023 MIPS final score plotted against the Family Medicine Physician national average

Near national average
MIPS Final Score
84.2/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Family Medicine Physician) — 84.2/100 vs national avg 83.1

0%100%National avg83%84.2%
MIPS final score (Family Medicine Physician) — 84.2/100 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 West, MD appears in the CMS NPPES registry as a Family Medicine Physician provider holding MD credentials at 6506 MAIN STREET, Gloucester, VA, 23061, with a listed phone of (804) 684-5043. NPI 1235226176 was issued on 10/10/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what West 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 8,214 prescription claims written by this provider, covering 451 Medicare beneficiaries and totaling roughly $502K in drug spend, split 8% brand-name and 92% generic by claim count, with an opioid prescribing rate of 2.1%. 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 84.2/100 for the 2023 performance year (Quality 95.2, Cost 53.9), compared with the national average of 83.1.

Family Medicine Physician is a high-volume specialty nationwide, with 147,640 enrolled providers across 56 states and an average of 3,418 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

6506 MAIN STREET
Gloucester, VA 23061

Provider Details

NPI 1235226176
Specialty Family Medicine Physician
Credentials MD
Gender Male
NPI Issued 10/10/2006

CMS Quality Score (MIPS)

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

84.2384
Final Score
Avg: 83.1
95.1958
Quality
53.867
Cost

Reporting: Individual

Brand vs generic prescribing mix · Generic-heavy

Francis West, MD — brand share 8.0%
Specialty average (est.)

8% brand-name claims vs 92% generic, on 8,214 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.

8,214
Total Claims
$502K
Total Drug Cost
451
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
17,131
Total Day Supply
492,273
Brand vs Generic
8% brand / 92% generic
Brand Drug Cost
$317K
Generic Drug Cost
$182K
Opioid Claims
175 (2.1% rate)
Antibiotic Claims
215

Patient Demographics

Average Patient Age
73.8 years
Avg HCC Risk Score
1.01
Gender Split
54% female / 46% male
Age Distribution
<65: 33, 65-74: 206, 75-84: 156, 85+: 56

Top Prescribed Drugs (Medicare Part D)

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

What Francis West, 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
520
Amlodipine Besylate
309
Losartan Potassium
267
Lisinopril
254
Levothyroxine Sodium
241
Simvastatin
220
Furosemide
205
Metoprolol Succinate
200
Omeprazole
195
Hydrochlorothiazide
183

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

Family Medicine Physician Overview

How Francis West, MD fits within the Family Medicine Physician landscape nationally.

147,640
Family Medicine Physician Providers in US
56
States with Family Medicine Physician
3,418
Avg Claims per Provider

Francis West, MD's 8,214 claims are above the specialty average of 3,418.

Nearby Family Medicine Physician Providers in Virginia

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

Compare Family Medicine 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 Virginia medical board — federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Family Medicine 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.

Frequently Asked Questions

What is Francis West, MD's specialty?
Francis West, MD specializes in Family Medicine Physician and practices in Gloucester, Virginia. Credentials: MD.
How much does Francis West, MD prescribe under Medicare Part D?
In 2023, Francis West, MD wrote 8,214 Medicare Part D claims totaling $502K in drug costs for 451 beneficiaries.
What is Francis West, MD's Medicare quality score?
Francis West, MD has a CMS MIPS Final Score of 84.2/100 (Quality: 95.2, Cost: 53.9). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Francis West, MD located?
Francis West, MD is located at 6506 MAIN STREET, Gloucester, VA, 23061. Phone: (804) 684-5043.
What is Francis West, MD's NPI number?
Francis West, MD's National Provider Identifier (NPI) is 1235226176, issued on 10/10/2006.
Does Francis West, MD prescribe more brand-name or generic drugs?
Francis West, MD's prescribing is 8% brand-name and 92% generic drugs by claim count, with $317K in brand drug costs.
Does Francis West, MD prescribe opioids?
Yes, Francis West, MD had 175 opioid claims in 2023 with an opioid prescribing rate of 2.1%.
How many Family Medicine Physician providers are there in the US?
There are 147,640 Family Medicine Physician providers across 56 states in the US. The average Family Medicine Physician provider writes 3,418 Medicare Part D claims per year.
What drugs does Francis West, MD prescribe most often?
Based on 2023 Medicare Part D data, Francis West, MD's most frequently prescribed drugs include Atorvastatin Calcium, Amlodipine Besylate, Losartan Potassium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Francis West, MD accept Medicare?
Francis West, MD appears in CMS Medicare data with 8,214 Part D claims and 451 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Francis West, MD's credentials?
Francis West, MD's NPI is 1235226176 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