2026 NPPES data Nephrology Physician NPI 1194166280 M.D.
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FRANKLIN LAM, M.D.

Nephrology Physician in FARMINGTON, New Mexico. 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
549
Medicare Part D claims · 133 beneficiaries · Nephrology Physician avg: 1K
Generic prescribing
93%
generic claims · 7% 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]
Industry payments
$383.86
18 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: FRANKLIN LAM, M.D. is a Nephrology Physician ([object Object]) practicing in FARMINGTON, New Mexico with a Medicare Part D prescribing footprint of 549 claims across 133 beneficiaries — 7% brand-name prescribing . Their CMS MIPS Final Score of 84.2432/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $383.86 across 18 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: FRANKLIN LAM, M.D. reported a CMS MIPS final score of 84.2432 out of 100, above the 83.1 national average, and filed 549 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

FRANKLIN LAM, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 5 hospital affiliations — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

FRANKLIN LAM, M.D. at a glance

Near national average

NPI registry status

Active

Issued 07/17/2013

NPI 1194166280

Primary specialty

Nephrology Physician

Mid-sized

10,534 US NPIs in this specialty

Medicare Part D claims

549 62% vs specialty avg

2023 prescription claims

Specialty avg: 1,454

MIPS final score

84.2432/100 1.1432000000000073% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in New Mexico

How Nephrology Physician compares to other specialties among New Mexico providers

New Mexico providers

Nephrology Physician share within New Mexico

1. Nephrology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Nephrology Physician share within New Mexico

Medicare quality performance — MIPS

FRANKLIN LAM, M.D.'s 2023 MIPS final score plotted against the Nephrology Physician national average

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

MIPS final score (Nephrology Physician) — 84.2432/100 vs national avg 83.1

0%100%National avg83%84.2%
MIPS final score (Nephrology Physician) — 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).

FRANKLIN LAM, M.D. is a Nephrology Physician provider practicing in FARMINGTON, New Mexico, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1194166280. 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.

FRANKLIN LAM, M.D. appears in the CMS NPPES registry as a Nephrology Physician provider holding M.D. credentials at 812 W MAPLE ST, FARMINGTON, NM, 87401, with a listed phone of (053) 266-5215. NPI 1194166280 was issued on 07/17/2013. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what LAM 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 549 prescription claims written by this provider, covering 133 Medicare beneficiaries and totaling roughly $24K in drug spend, split 7% brand-name and 93% 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.

Nephrology Physician is a mid-sized specialty nationwide, with 10,534 enrolled providers across 55 states and an average of 1,454 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

812 W MAPLE ST
FARMINGTON, NM 87401

Provider Details

NPI 1194166280
Specialty Nephrology Physician
Credentials M.D.
Gender Male
NPI Issued 07/17/2013

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 FRANKLIN LAM, 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
DHHS PHS NAIHS SHIPROCK HOSPITAL
SHIPROCK, NM
FOUR CORNERS NEPHROLOGY ASSOCIATES PC
DURANGO, CO
KAYENTA ALTERNATIVE RURAL HOSPITAL
DENNEHOTSO, AZ
Acute Care Hospitals
CMS CCN: 030195
TUBA CITY REGIONAL HEALTH CARE CORPORATION
TUBA CITY, AZ
Acute Care Hospitals
CMS CCN: 030073

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 FRANKLIN LAM, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$384

Largest payer

Bayer Healthcare Pharmaceuticals 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.

Brand vs generic prescribing mix · Generic-heavy

FRANKLIN LAM, M.D. — brand share 7.0%
Specialty average (est.)

7% brand-name claims vs 93% generic, on 549 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.

549
Total Claims
$24K
Total Drug Cost
133
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
826
Total Day Supply
23,151
Brand vs Generic
7% brand / 93% generic
Brand Drug Cost
$14K
Generic Drug Cost
$9K
Antibiotic Claims
43

Patient Demographics

Average Patient Age
65.3 years
Avg HCC Risk Score
6.43
Gender Split
49% female / 51% male
Age Distribution
<65: 55, 65-74: 36, 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.

Drug Claims
Lisinopril
56
Calcitriol
38
Amlodipine Besylate
36
Furosemide
33
Losartan Potassium
26
Nifedipine Er
Nifedipine
23
Atorvastatin Calcium
22
Carvedilol
18
Calcium Acetate
15
Clopidogrel
Clopidogrel Bisulfate
15

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

Nephrology Physician Overview

How FRANKLIN LAM, M.D. fits within the Nephrology Physician landscape nationally.

10,534
Nephrology Physician Providers in US
55
States with Nephrology Physician
1,454
Avg Claims per Provider

FRANKLIN LAM, M.D.'s 549 claims are below the specialty average of 1,454.

Nearby Nephrology Physician Providers in New Mexico

Other clinicians with the same primary specialty enrolled in New Mexico, drawn from the same CMS NPPES roster as LAM.

Compare Nephrology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is FRANKLIN LAM, M.D.'s specialty?
FRANKLIN LAM, M.D. specializes in Nephrology Physician and practices in FARMINGTON, New Mexico. Credentials: M.D..
How much does FRANKLIN LAM, M.D. prescribe under Medicare Part D?
In 2023, FRANKLIN LAM, M.D. wrote 549 Medicare Part D claims totaling $24K in drug costs for 133 beneficiaries.
What is FRANKLIN LAM, M.D.'s Medicare quality score?
FRANKLIN LAM, 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 FRANKLIN LAM, M.D. located?
FRANKLIN LAM, M.D. is located at 812 W MAPLE ST, FARMINGTON, NM, 87401. Phone: (053) 266-5215.
What is FRANKLIN LAM, M.D.'s NPI number?
FRANKLIN LAM, M.D.'s National Provider Identifier (NPI) is 1194166280, issued on 07/17/2013.
Does FRANKLIN LAM, M.D. prescribe more brand-name or generic drugs?
FRANKLIN LAM, M.D.'s prescribing is 7% brand-name and 93% generic drugs by claim count, with $14K in brand drug costs.
How many Nephrology Physician providers are there in the US?
There are 10,534 Nephrology Physician providers across 55 states in the US. The average Nephrology Physician provider writes 1,454 Medicare Part D claims per year.
What drugs does FRANKLIN LAM, M.D. prescribe most often?
Based on 2023 Medicare Part D data, FRANKLIN LAM, M.D.'s most frequently prescribed drugs include Lisinopril, Calcitriol, Amlodipine Besylate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does FRANKLIN LAM, M.D. accept Medicare?
FRANKLIN LAM, M.D. appears in CMS Medicare data with 549 Part D claims and 133 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify FRANKLIN LAM, M.D.'s credentials?
FRANKLIN LAM, M.D.'s NPI is 1194166280 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