2026 NPPES data Pain Medicine (Physical Medicine & Rehabilitation) Physician NPI 1104007178 MD
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JOSHUA HAY, MD

Pain Medicine (Physical Medicine & Rehabilitation) Physician in NORTH RICHLAND HILLS, Texas. 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
3K
Medicare Part D claims · 292 beneficiaries · Pain Medicine (Physical Medicine & Rehabilitation) Physician avg: 1K
Generic prescribing
96%
generic claims · 4% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
0/100
▼ 83 pts below national avg 83.1 · [object Object]
Industry payments
$308.76
15 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: JOSHUA HAY, MD is a Pain Medicine (Physical Medicine & Rehabilitation) Physician ([object Object]) practicing in NORTH RICHLAND HILLS, Texas with a Medicare Part D prescribing footprint of 3K claims across 292 beneficiaries — 4% brand-name prescribing . Their CMS MIPS Final Score of 0/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $308.76 across 15 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: JOSHUA HAY, MD reported a CMS MIPS final score of 0 out of 100, below the 83.1 national average, and filed 2,908 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)

JOSHUA HAY, MD 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).

JOSHUA HAY, MD at a glance

Below national average

NPI registry status

Active

Issued 11/19/2007

NPI 1104007178

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) Physician

Niche

1,626 US NPIs in this specialty

Medicare Part D claims

2,908 108% vs specialty avg

2023 prescription claims

Specialty avg: 1,401

MIPS final score

0/100 83.1% pts

Penalty band band

vs 83.1 national avg

Specialty distribution in Texas

How Pain Medicine (Physical Medicine & Rehabilitation) Physician compares to other specialties among Texas providers

Texas providers

Pain Medicine (Physical Medicine & Rehabilitation) Physician share within Texas

1. Pain Medicine (Physical Medicine & Rehabilitation) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Pain Medicine (Physical Medicine & Rehabilitation) Physician share within Texas

Medicare quality performance — MIPS

JOSHUA HAY, MD's 2023 MIPS final score plotted against the Pain Medicine (Physical Medicine & Rehabilitation) Physician national average

Below national average
MIPS Final Score
0/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Pain Medicine (Physical Medicine & Rehabilitation) Physician) — 0/100 vs national avg 83.1

0%100%National avg83%0%
MIPS final score (Pain Medicine (Physical Medicine & Rehabilitation) Physician) — 0/100 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).

JOSHUA HAY, MD is a Pain Medicine (Physical Medicine & Rehabilitation) Physician provider practicing in NORTH RICHLAND HILLS, Texas, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1104007178. 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.

JOSHUA HAY, MD appears in the CMS NPPES registry as a Pain Medicine (Physical Medicine & Rehabilitation) Physician provider holding MD credentials at 8801 N TARRANT PKWY, NORTH RICHLAND HILLS, TX, 76182, with a listed phone of (817) 616-0700. NPI 1104007178 was issued on 11/19/2007. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what HAY 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 2,908 prescription claims written by this provider, covering 292 Medicare beneficiaries and totaling roughly $176K in drug spend, split 4% brand-name and 96% generic by claim count, with an opioid prescribing rate of 75.1%. 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 0/100 for the 2023 performance year (Quality 0), compared with the national average of 83.1.

Pain Medicine (Physical Medicine & Rehabilitation) Physician is a narrow specialty nationwide, with 1,626 enrolled providers across 50 states and an average of 1,401 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

8801 N TARRANT PKWY
NORTH RICHLAND HILLS, TX 76182

Provider Details

NPI 1104007178
Specialty Pain Medicine (Physical Medicine & Rehabilitation) Physician
Credentials MD
Gender Male
NPI Issued 11/19/2007

CMS Quality Score (MIPS)

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

0
Final Score
Avg: 83.1
0
Quality

Reporting: Individual

Hospital and facility affiliations

Facilities where JOSHUA HAY, MD 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.

ORTHO SPINE SURGERY INSTITUTE PA
NORTH RICHLAND HILLS, TX

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 JOSHUA HAY, MD. Source: openpaymentsdata.cms.gov.

Total received

$309

Largest payer

Collegium Pharmaceutical, 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 — Texas TMB 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 ~77K Texas medical licensees in 2023 — they are NOT specific to JOSHUA HAY, MD. To verify JOSHUA HAY, MD's current license status, search the TMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

344
Total board actions, Texas 2023
Across 334 cases
4.47
Actions per 1,000 licensees
Texas statewide rate
probation
Most common action type
94 cases

TMB 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 Texas disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Generic-heavy

JOSHUA HAY, MD — brand share 4.0%
Specialty average (est.)

4% brand-name claims vs 96% generic, on 2,908 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.

2,908
Total Claims
$176K
Total Drug Cost
292
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
3,139
Total Day Supply
85,718
Brand vs Generic
4% brand / 96% generic
Brand Drug Cost
$86K
Generic Drug Cost
$90K
Opioid Claims
2,184 (75.1% rate)

Patient Demographics

Average Patient Age
70.5 years
Avg HCC Risk Score
2.14
Gender Split
66% female / 34% male
Age Distribution
<65: 63, 65-74: 117, 75-84: 88, 85+: 24

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
1,033
Oxycodone-Acetaminophen
Oxycodone Hcl/Acetaminophen
237
Morphine Sulfate Er
Morphine Sulfate
234
Oxycodone Hcl
230
Gabapentin
126
Tizanidine Hcl
116
Pregabalin
93
Fentanyl
91
Tramadol Hcl
91
Cyclobenzaprine Hcl
61

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

Pain Medicine (Physical Medicine & Rehabilitation) Physician Overview

How JOSHUA HAY, MD fits within the Pain Medicine (Physical Medicine & Rehabilitation) Physician landscape nationally.

1,626
Pain Medicine (Physical Medicine & Rehabilitation) Physician Providers in US
50
States with Pain Medicine (Physical Medicine & Rehabilitation) Physician
1,401
Avg Claims per Provider

JOSHUA HAY, MD's 2,908 claims are above the specialty average of 1,401.

Nearby Pain Medicine (Physical Medicine & Rehabilitation) Physician Providers in Texas

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

Compare Pain Medicine (Physical Medicine & Rehabilitation) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is JOSHUA HAY, MD's specialty?
JOSHUA HAY, MD specializes in Pain Medicine (Physical Medicine & Rehabilitation) Physician and practices in NORTH RICHLAND HILLS, Texas. Credentials: MD.
How much does JOSHUA HAY, MD prescribe under Medicare Part D?
In 2023, JOSHUA HAY, MD wrote 2,908 Medicare Part D claims totaling $176K in drug costs for 292 beneficiaries.
What is JOSHUA HAY, MD's Medicare quality score?
JOSHUA HAY, MD has a CMS MIPS Final Score of 0/100 (Quality: 0). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is JOSHUA HAY, MD located?
JOSHUA HAY, MD is located at 8801 N TARRANT PKWY, NORTH RICHLAND HILLS, TX, 76182. Phone: (817) 616-0700.
What is JOSHUA HAY, MD's NPI number?
JOSHUA HAY, MD's National Provider Identifier (NPI) is 1104007178, issued on 11/19/2007.
Does JOSHUA HAY, MD prescribe more brand-name or generic drugs?
JOSHUA HAY, MD's prescribing is 4% brand-name and 96% generic drugs by claim count, with $86K in brand drug costs.
Does JOSHUA HAY, MD prescribe opioids?
Yes, JOSHUA HAY, MD had 2,184 opioid claims in 2023 with an opioid prescribing rate of 75.1%.
How many Pain Medicine (Physical Medicine & Rehabilitation) Physician providers are there in the US?
There are 1,626 Pain Medicine (Physical Medicine & Rehabilitation) Physician providers across 50 states in the US. The average Pain Medicine (Physical Medicine & Rehabilitation) Physician provider writes 1,401 Medicare Part D claims per year.
What drugs does JOSHUA HAY, MD prescribe most often?
Based on 2023 Medicare Part D data, JOSHUA HAY, MD's most frequently prescribed drugs include Hydrocodone-Acetaminophen, Oxycodone-Acetaminophen, Morphine Sulfate Er. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JOSHUA HAY, MD accept Medicare?
JOSHUA HAY, MD appears in CMS Medicare data with 2,908 Part D claims and 292 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JOSHUA HAY, MD's credentials?
JOSHUA HAY, MD's NPI is 1104007178 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