NPI registry status
Active
2026 NPPES data Urology Physician NPI 1356394415 M.D.
Verify on CMS → Henry Fooks, M.D.
Urology Physician in Athens, Ohio.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 13,367 in Urology 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
338
Medicare Part D claims · 106 beneficiaries · Urology Physician avg: 1K
MIPS score
94.1/100
▲ 11 pts above national avg 83.5 · Exceptional
What the federal data shows
Henry Fooks, M.D. reported a CMS MIPS final score of 94.1/100 - above the 83.5 national average - and filed 338 Medicare Part D claims in 2023.
- 94.1/100
- MIPS score · +11 vs avg
- 338
- Part D claims, 2023
- Likely
- board-certified (heuristic)
- ≥73rd
- pct among measured MIPS (lower-bound band)
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.
Henry Fooks, M.D.'s MIPS score vs every measured U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.
94 ≥ 73rd percentile 73% of 454,083 measured providers are in lower value bands
Each bar is a band; taller bars hold more measured 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.
The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where Henry Fooks, M.D. sits
This provider among urology physician peers
Across the 4,091 urology physician providers who report both Medicare Part D prescribing and a MIPS quality score, Henry Fooks, M.D. writes more Part D claims than 18% of them and scores higher on MIPS quality than 68% - placing this provider in the lower-volume, high-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 urology physician peer from a representative sample of 60; the gold marker is Henry Fooks, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Henry Fooks, 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 Henry Fooks, M.D.?
High performer (top quartile)Primary specialty
Urology Physician
Medicare Part D claims
338 74% vs specialty avg
MIPS final score
94.1/100 10.6 pts vs avg
Specialty distribution in Ohio
How Urology Physician compares to other specialties among Ohio providers
Medicare quality performance, MIPS
Henry Fooks, M.D.'s 2023 MIPS final score plotted against the Urology Physician national average
- MIPS Final Score
- 94.1/100
- vs 83.5 national avg · 2023 performance year
MIPS final score (Urology Physician) - 94.1/100 vs national avg 83.5
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).
Henry Fooks, M.D. appears in the CMS NPPES registry as a Urology Physician provider holding M.D. credentials at 224 COLUMBUS RD, Athens, OH, 45701, with a listed phone of (740) 589-3100. NPI 1356394415 was issued on 05/18/2006.
Medicare Part D records for calendar year 2023 show 338 prescription claims written by this provider, covering 106 Medicare beneficiaries and totaling roughly $27K in drug spend. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 94.1/100 for the 2023 performance year (Quality 78.5), compared with the 83.5 average among clinicians with a measured score.
Urology Physician is a mid-sized specialty nationwide, with 13,367 enrolled providers across 54 states and an average of 1,280 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 | 1356394415 |
|---|---|
| Specialty | Urology Physician |
| Credentials | M.D. |
| Gender | Male |
| NPI Issued | 05/18/2006 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
94.1061
Final Score
Measured-score avg: 83.5
78.4655
Quality
100
Promoting Interoperability
Reporting: Alternative Payment Model
Hospital and facility affiliations
Facilities where Henry Fooks, 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.
Davis Memorial Hospital
Elkins, WV
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
License & disciplinary context - Ohio OMB 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 ~48K Ohio medical licensees in 2023 - they are NOT specific to Henry Fooks, M.D.. To verify Henry Fooks, M.D.'s current license status, search the OMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
158
Total board actions, Ohio 2023
Across 154 cases
3.29
Actions per 1,000 licensees
Ohio statewide rate
probation
Most common action type
56 cases
OMB 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 Ohio disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
338
Total Claims
$27K
Total Drug Cost
106
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 668
- Total Day Supply
- 19,410
- Generic Drug Cost
- $6K
- Antibiotic Claims
- 55
Patient Demographics
- Average Patient Age
- 72.4 years
- Avg HCC Risk Score
- 1.45
- Gender Split
- 46% female / 54% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Henry Fooks, M.D. prescribes most
Top Medicare Part D drugs by claim count, 2023
- Tamsulosin Hcl
Tamsulosin Hcl
80 claims
- Oxybutynin Chlorid…
Oxybutynin Chloride Er
50 claims
- Finasteride
Finasteride
34 claims
- Myrbetriq 20
Myrbetriq
20 claims
- Nitrofurantoin 20
Nitrofurantoin
20 claims
- Oxybutynin Chloride 20
Oxybutynin Chloride
20 claims
- Dutasteride 12
Dutasteride
12 claims
| Drug | Claims |
|---|---|
| Tamsulosin Hcl | 80 |
| Oxybutynin Chloride Er Oxybutynin Chloride | 50 |
| Finasteride | 34 |
| Myrbetriq Mirabegron | 20 |
| Nitrofurantoin Nitrofurantoin Macrocrystal | 20 |
| Oxybutynin Chloride | 20 |
| Dutasteride | 12 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Urology Physician Overview
How Henry Fooks, M.D. fits within the Urology Physician landscape nationally.
13,367
Urology Physician Providers in US
54
States with Urology Physician
1,280
Avg Claims per Provider
Henry Fooks, M.D.'s 338 claims are below the specialty average of 1,280.
Nearby Urology Physician Providers in Ohio
Other clinicians with the same primary specialty enrolled in Ohio, drawn from the same CMS NPPES roster as Fooks.
Dr. Ronney Abaza
M.D.
Worthington, OH
Dr. Ramy Abou Ghayda
M.D.
Ashland, OH
Dr. Robert Abouassaly
M.D.
Cleveland, OH
Dr. Ahmed Abouelenin
MD
Cleveland, OH
Dr. Ahmad Abouhossein
M.D.
Englewood, OH
Compare Urology 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 Ohio medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Urology 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 Henry Fooks, M.D.'s specialty? ▼
Henry Fooks, M.D. specializes in Urology Physician and practices in Athens, Ohio. Credentials: M.D..
How much does Henry Fooks, M.D. prescribe under Medicare Part D? ▼
In 2023, Henry Fooks, M.D. wrote 338 Medicare Part D claims totaling $27K in drug costs for 106 beneficiaries.
What is Henry Fooks, M.D.'s Medicare quality score? ▼
Henry Fooks, M.D. has a CMS MIPS Final Score of 94.1/100 (Quality: 78.5). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Henry Fooks, M.D. located? ▼
Henry Fooks, M.D. is located at 224 COLUMBUS RD, Athens, OH, 45701. Phone: (740) 589-3100.
What is Henry Fooks, M.D.'s NPI number? ▼
Henry Fooks, M.D.'s National Provider Identifier (NPI) is 1356394415, issued on 05/18/2006.
How many Urology Physician providers are there in the US? ▼
There are 13,367 Urology Physician providers across 54 states in the US. The average Urology Physician provider writes 1,280 Medicare Part D claims per year.
What drugs does Henry Fooks, M.D. prescribe most often? ▼
Based on 2023 Medicare Part D data, Henry Fooks, M.D.'s most frequently prescribed drugs include Tamsulosin Hcl, Oxybutynin Chloride Er, Finasteride. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Henry Fooks, M.D. accept Medicare? ▼
Henry Fooks, M.D. appears in CMS Medicare data with 338 Part D claims and 106 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Henry Fooks, M.D.'s credentials? ▼
Henry Fooks, M.D.'s NPI is 1356394415 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
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.