2026 NPPES data Family Medicine Physician NPI 1043732860 MD
Verify on CMS →

JOSEE PROULX, MD

Family Medicine Physician in AUGUSTA, Maine. 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
493
Medicare Part D claims · 310 beneficiaries · Family Medicine Physician avg: 3K
MIPS score
100/100
▲ 17 pts above national avg 83.1 · [object Object]

What the federal data shows

JOSEE PROULX, MD reported a CMS MIPS final score of 100/100 — above the 83.1 national average — and filed 493 Medicare Part D claims in 2023.

100/100
MIPS score · +17 vs avg
493
Part D claims, 2023
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.

JOSEE PROULX, MD's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

100 Top 7% higher than 93% 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)

JOSEE PROULX, 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 JOSEE PROULX, MD?

High performer (top quartile)

NPI registry status

Active

Issued 07/13/2017

NPI 1043732860

Primary specialty

Family Medicine Physician

High-volume

147,640 US NPIs in this specialty

Medicare Part D claims

493 86% vs specialty avg

2023 prescription claims

Specialty avg: 3,418

MIPS final score

100/100 16.900000000000006% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Maine

How Family Medicine Physician compares to other specialties among Maine providers

Maine providers

Family Medicine Physician share within Maine

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

Medicare quality performance — MIPS

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

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

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

0%100%National avg83%99%
MIPS final score (Family Medicine Physician) — 100/100 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).

JOSEE PROULX, MD appears in the CMS NPPES registry as a Family Medicine Physician provider holding MD credentials at 15 E CHESTNUT ST, AUGUSTA, ME, 04330, with a listed phone of (207) 626-1561. NPI 1043732860 was issued on 07/13/2017. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what PROULX 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 493 prescription claims written by this provider, covering 310 Medicare beneficiaries and totaling roughly $22K in drug spend, with an opioid prescribing rate of 5.7%. 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 100/100 for the 2023 performance year (Quality 93.2112), 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

15 E CHESTNUT ST
AUGUSTA, ME 04330

Provider Details

NPI 1043732860
Specialty Family Medicine Physician
Credentials MD
Gender Female
NPI Issued 07/13/2017

CMS Quality Score (MIPS)

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

100
Final Score
Avg: 83.1
93.2112
Quality
96
Promoting Interoperability

Reporting: Group practice

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

493
Total Claims
$22K
Total Drug Cost
310
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
577
Total Day Supply
8,605
Generic Drug Cost
$9K
Opioid Claims
28 (5.7% rate)
Antibiotic Claims
153

Patient Demographics

Average Patient Age
69.0 years
Avg HCC Risk Score
1.49
Gender Split
55% female / 45% male
Age Distribution
<65: 89, 65-74: 115, 75-84: 74, 85+: 32

Top Prescribed Drugs (Medicare Part D)

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

What JOSEE PROULX, 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
Prednisone
49
Doxycycline Monohydrate
33
Cefuroxime
Cefuroxime Axetil
29
Amoxicillin-Clavulanate Potass
Amoxicillin/Potassium Clav
22
Methylprednisolone
18
Ondansetron Odt
Ondansetron
17
Albuterol Sulfate Hfa
Albuterol Sulfate
16
Azithromycin
15
Cyclobenzaprine Hcl
14
Fluticasone Propionate
14

* 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 JOSEE PROULX, 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

JOSEE PROULX, MD's 493 claims are below the specialty average of 3,418.

Nearby Family Medicine Physician Providers in Maine

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

Compare Family Medicine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is JOSEE PROULX, MD's specialty?
JOSEE PROULX, MD specializes in Family Medicine Physician and practices in AUGUSTA, Maine. Credentials: MD.
How much does JOSEE PROULX, MD prescribe under Medicare Part D?
In 2023, JOSEE PROULX, MD wrote 493 Medicare Part D claims totaling $22K in drug costs for 310 beneficiaries.
What is JOSEE PROULX, MD's Medicare quality score?
JOSEE PROULX, MD has a CMS MIPS Final Score of 100/100 (Quality: 93.2112). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is JOSEE PROULX, MD located?
JOSEE PROULX, MD is located at 15 E CHESTNUT ST, AUGUSTA, ME, 04330. Phone: (207) 626-1561.
What is JOSEE PROULX, MD's NPI number?
JOSEE PROULX, MD's National Provider Identifier (NPI) is 1043732860, issued on 07/13/2017.
Does JOSEE PROULX, MD prescribe opioids?
Yes, JOSEE PROULX, MD had 28 opioid claims in 2023 with an opioid prescribing rate of 5.7%.
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 JOSEE PROULX, MD prescribe most often?
Based on 2023 Medicare Part D data, JOSEE PROULX, MD's most frequently prescribed drugs include Prednisone, Doxycycline Monohydrate, Cefuroxime. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JOSEE PROULX, MD accept Medicare?
JOSEE PROULX, MD appears in CMS Medicare data with 493 Part D claims and 310 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JOSEE PROULX, MD's credentials?
JOSEE PROULX, MD's NPI is 1043732860 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