2026 NPPES data Otolaryngology Physician NPI 1346246535 M.D
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GEOFFREY JULIAN, M.D

Otolaryngology Physician in SPOKANE VALLEY, Washington. 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
616
Medicare Part D claims · 227 beneficiaries · Otolaryngology Physician avg: 509
Generic prescribing
97%
generic claims · 3% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
90.4829/100
▲ 7 pts above national avg 83.1 · [object Object]
Industry payments
$19.37
1 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

GEOFFREY JULIAN, M.D reported a CMS MIPS final score of 90.4829/100 — above the 83.1 national average — and filed 616 Medicare Part D claims in 2023.

90.4829/100
MIPS score · +7 vs avg
616
Part D claims, 2023
97%
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.

GEOFFREY JULIAN, 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

90 Top 40% higher than 60% 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

Board certification likely (heuristic — not verified)

GEOFFREY JULIAN, 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 GEOFFREY JULIAN, M.D?

High performer (top quartile)

NPI registry status

Active

Issued 06/22/2005

NPI 1346246535

Primary specialty

Otolaryngology Physician

Mid-sized

10,895 US NPIs in this specialty

Medicare Part D claims

616 21% vs specialty avg

2023 prescription claims

Specialty avg: 509

MIPS final score

90.4829/100 7.3829000000000065% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Washington

How Otolaryngology Physician compares to other specialties among Washington providers

Washington providers

Otolaryngology Physician share within Washington

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

Medicare quality performance — MIPS

GEOFFREY JULIAN, M.D's 2023 MIPS final score plotted against the Otolaryngology Physician national average

High performer (top quartile)
MIPS Final Score
90.4829/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Otolaryngology Physician) — 90.4829/100 vs national avg 83.1

0%100%National avg83%90.5%
MIPS final score (Otolaryngology Physician) — 90.4829/100 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).

GEOFFREY JULIAN, M.D appears in the CMS NPPES registry as a Otolaryngology Physician provider holding M.D credentials at 1424 N. MCDONALD ROAD, SPOKANE VALLEY, WA, 99216, with a listed phone of (509) 928-1287. NPI 1346246535 was issued on 06/22/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what JULIAN 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 616 prescription claims written by this provider, covering 227 Medicare beneficiaries and totaling roughly $19K in drug spend, split 3% brand-name and 97% 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 90.4829/100 for the 2023 performance year (Quality 95, Cost 74.943), compared with the national average of 83.1.

Otolaryngology Physician is a mid-sized specialty nationwide, with 10,895 enrolled providers across 54 states and an average of 509 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

1424 N. MCDONALD ROAD
SPOKANE VALLEY, WA 99216

Provider Details

NPI 1346246535
Specialty Otolaryngology Physician
Credentials M.D
Gender Male
NPI Issued 06/22/2005

CMS Quality Score (MIPS)

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

90.4829
Final Score
Avg: 83.1
95
Quality
74.943
Cost

Reporting: Group practice

Hospital and facility affiliations

Facilities where GEOFFREY JULIAN, 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.

SPOKANE VALLEY EAR NOSE AND THROAT PS
SPOKANE VALLEY, WA

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 GEOFFREY JULIAN, M.D. Source: openpaymentsdata.cms.gov.

Total received

$19

Largest payer

DePuy Synthes Sales 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.

License & disciplinary context — Washington WMC 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~34K Washington medical licensees in 2023 — they are NOT specific to GEOFFREY JULIAN, M.D. To verify GEOFFREY JULIAN, M.D's current license status, search the WMC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

88
Total board actions, Washington 2023
Across 85 cases
2.59
Actions per 1,000 licensees
Washington statewide rate
probation
Most common action type
31 cases

WMC publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Washington disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Generic-heavy

GEOFFREY JULIAN, M.D — brand share 3.0%
Specialty average (est.)

3% brand-name claims vs 97% generic, on 616 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.

616
Total Claims
$19K
Total Drug Cost
227
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
740
Total Day Supply
14,981
Brand vs Generic
3% brand / 97% generic
Brand Drug Cost
$4K
Generic Drug Cost
$15K
Antibiotic Claims
172

Patient Demographics

Average Patient Age
74.1 years
Avg HCC Risk Score
1.18
Gender Split
63% female / 37% male
Age Distribution
<65: 19, 65-74: 100, 75-84: 85, 85+: 23

Top Prescribed Drugs (Medicare Part D)

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

What GEOFFREY JULIAN, 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
Ipratropium Bromide
77
Ofloxacin
48
Amoxicillin-Clavulanate Potass
Amoxicillin/Potassium Clav
43
Prednisone
37
Omeprazole
32
Famotidine
29
Mometasone Furoate
28
Azithromycin
26
Cefuroxime
Cefuroxime Axetil
25
Cephalexin
21

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

Otolaryngology Physician Overview

How GEOFFREY JULIAN, M.D fits within the Otolaryngology Physician landscape nationally.

10,895
Otolaryngology Physician Providers in US
54
States with Otolaryngology Physician
509
Avg Claims per Provider

GEOFFREY JULIAN, M.D's 616 claims are above the specialty average of 509.

Nearby Otolaryngology Physician Providers in Washington

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

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

Frequently Asked Questions

What is GEOFFREY JULIAN, M.D's specialty?
GEOFFREY JULIAN, M.D specializes in Otolaryngology Physician and practices in SPOKANE VALLEY, Washington. Credentials: M.D.
How much does GEOFFREY JULIAN, M.D prescribe under Medicare Part D?
In 2023, GEOFFREY JULIAN, M.D wrote 616 Medicare Part D claims totaling $19K in drug costs for 227 beneficiaries.
What is GEOFFREY JULIAN, M.D's Medicare quality score?
GEOFFREY JULIAN, M.D has a CMS MIPS Final Score of 90.4829/100 (Quality: 95, Cost: 74.943). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is GEOFFREY JULIAN, M.D located?
GEOFFREY JULIAN, M.D is located at 1424 N. MCDONALD ROAD, SPOKANE VALLEY, WA, 99216. Phone: (509) 928-1287.
What is GEOFFREY JULIAN, M.D's NPI number?
GEOFFREY JULIAN, M.D's National Provider Identifier (NPI) is 1346246535, issued on 06/22/2005.
Does GEOFFREY JULIAN, M.D prescribe more brand-name or generic drugs?
GEOFFREY JULIAN, M.D's prescribing is 3% brand-name and 97% generic drugs by claim count, with $4K in brand drug costs.
How many Otolaryngology Physician providers are there in the US?
There are 10,895 Otolaryngology Physician providers across 54 states in the US. The average Otolaryngology Physician provider writes 509 Medicare Part D claims per year.
What drugs does GEOFFREY JULIAN, M.D prescribe most often?
Based on 2023 Medicare Part D data, GEOFFREY JULIAN, M.D's most frequently prescribed drugs include Ipratropium Bromide, Ofloxacin, Amoxicillin-Clavulanate Potass. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does GEOFFREY JULIAN, M.D accept Medicare?
GEOFFREY JULIAN, M.D appears in CMS Medicare data with 616 Part D claims and 227 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify GEOFFREY JULIAN, M.D's credentials?
GEOFFREY JULIAN, M.D's NPI is 1346246535 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