2026 NPPES data Emergency Medicine Physician NPI 1841453503 M.D.
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Joshua Orrell, M.D.

Emergency Medicine Physician in Austin, Texas.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 64,463 in Emergency Medicine 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
366
Medicare Part D claims · 238 beneficiaries · Emergency Medicine Physician avg: 352
MIPS score
75/100
CMS neutral threshold · no category scores published

What the federal data shows

Joshua Orrell, M.D. carries the neutral CMS MIPS final score of 75/100, assigned where no category was scored - and filed 366 Medicare Part D claims in 2023.

75/100
CMS neutral score · not measured
366
Part D claims, 2023
Likely
board-certified (heuristic)
≥57th
pct by Part D claim volume (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.

Joshua Orrell, M.D.'s Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023, across all CMS prescribers nationally

366 ≥ 57th percentile 57% of 1,370,886 prescribers are in lower value bands

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). This entry sits in this band. 400–600: 90,619 prescribers (7%). Above this entry. 600–800: 56,224 prescribers (4%). Above this entry. 800–1,000: 40,919 prescribers (3%). Above this entry. 1,000–1,200: 31,827 prescribers (2%). Above this entry. 1,200–1,400: 26,224 prescribers (2%). Above this entry. 1,400–1,600: 21,710 prescribers (2%). Above this entry. 1,600–1,800: 19,072 prescribers (1%). Above this entry. 1,800–2,000: 16,451 prescribers (1%). Above this entry. 2K+: 213,991 prescribers (16%). Above this entry. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

Each bar is a band; taller bars hold more prescribers. 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 100-claim band: it counts only prescribers in lower claim-volume bands. Medicare Part D claim volume is activity context, not a quality measure or recommendation. See methodology § corpus placement.

Source CMS Medicare Part D Prescriber Public Use File · 2023

Board certification likely (heuristic, not verified)

Joshua Orrell, M.D. 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 Joshua Orrell, M.D.?

CMS neutral score, not measured

NPI registry status

Active

Issued 07/02/2008

NPI 1841453503

Primary specialty

Emergency Medicine Physician

High-volume

64,463 US NPIs in this specialty

Medicare Part D claims

366 4% vs specialty avg

2023 prescription claims

Specialty avg: 352

MIPS final score

75/100

CMS neutral score, not measured

No category scores published; CMS assigned the performance threshold

Specialty distribution in Texas

How Emergency Medicine Physician compares to other specialties among Texas providers

Texas providers
Behavior Technician5.6%Student in an Organized Heal…5.1%Family Nurse Practitioner4.5%Professional Counselor4.4%Pharmacist4.4%Speech-Language Pathologist3.9%Emergency Medicine Physician1%
Largest specialties in Texas (% of in-state providers)

MIPS score not measured

CMS assigned a neutral 75/100 threshold

CMS did not publish any Quality, Cost, Promoting Interoperability, or Improvement Activities category score for this clinician. This administrative threshold is not comparable with the national average of clinicians whose MIPS score was measured.

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).

Joshua Orrell, M.D. appears in the CMS NPPES registry as an Emergency Medicine Physician provider holding M.D. credentials at 5245 W HIGHWAY 290, Austin, TX, 78735, with a listed phone of (512) 654-2100. NPI 1841453503 was issued on 07/02/2008.

Medicare Part D records for calendar year 2023 show 366 prescription claims written by this provider, covering 238 Medicare beneficiaries and totaling roughly $5K in drug spend, with an opioid prescribing rate of 17.2%. On the CMS Merit-based Incentive Payment System, this provider carries a Final Score of 75/100 for the 2023 performance year, but CMS published no Quality, Promoting Interoperability, Improvement Activity or Cost score: this is the neutral performance threshold CMS assigns where nothing was scored, so it is not comparable with clinicians whose score was measured.

Emergency Medicine Physician is a high-volume specialty nationwide, with 64,463 enrolled providers across 56 states and an average of 352 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

5245 W HIGHWAY 290
Austin, TX 78735

Provider Details

NPI 1841453503
Specialty Emergency Medicine Physician
Credentials M.D.
Gender Male
NPI Issued 07/02/2008

CMS Quality Score (MIPS)

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

75
Final Score
CMS neutral threshold · not measured

Reporting: Group practice

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 Orrell, M.D.. To verify Joshua Orrell, M.D.'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.

Medicare Part D Prescribing Data

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

366
Total Claims
$5K
Total Drug Cost
238
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
367
Total Day Supply
3,174
Generic Drug Cost
$3K
Opioid Claims
63 (17.2% rate)
Antibiotic Claims
110

Patient Demographics

Average Patient Age
69.9 years
Avg HCC Risk Score
1.65
Gender Split
65% female / 35% male
Age Distribution
<65: 53, 65-74: 110, 75-84: 57, 85+: 18

Top Prescribed Drugs (Medicare Part D)

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

What Joshua Orrell, 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
Ondansetron Odt
Ondansetron
40
Tramadol Hcl
37
Cephalexin
36
Dicyclomine Hcl
27
Doxycycline Hyclate
20
Albuterol Sulfate Hfa
Albuterol Sulfate
18
Prednisone
17
Acetaminophen-Codeine
Acetaminophen With Codeine
15
Cefdinir
15
Hydralazine Hcl
12

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

Emergency Medicine Physician Overview

How Joshua Orrell, M.D. fits within the Emergency Medicine Physician landscape nationally.

64,463
Emergency Medicine Physician Providers in US
56
States with Emergency Medicine Physician
352
Avg Claims per Provider

Joshua Orrell, M.D.'s 366 claims are above the specialty average of 352.

Nearby Emergency Medicine Physician Providers in Texas

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

Compare Emergency Medicine 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 Texas medical board, federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Emergency Medicine 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.

Frequently Asked Questions

What is Joshua Orrell, M.D.'s specialty?
Joshua Orrell, M.D. specializes in Emergency Medicine Physician and practices in Austin, Texas. Credentials: M.D..
How much does Joshua Orrell, M.D. prescribe under Medicare Part D?
In 2023, Joshua Orrell, M.D. wrote 366 Medicare Part D claims totaling $5K in drug costs for 238 beneficiaries.
What is Joshua Orrell, M.D.'s Medicare quality score?
Joshua Orrell, M.D. has a CMS MIPS Final Score of 75/100. CMS published no Quality, Promoting Interoperability, Improvement Activity or Cost score for this clinician, so the final score is the neutral performance threshold CMS assigns rather than a measured result. 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 Joshua Orrell, M.D. located?
Joshua Orrell, M.D. is located at 5245 W HIGHWAY 290, Austin, TX, 78735. Phone: (512) 654-2100.
What is Joshua Orrell, M.D.'s NPI number?
Joshua Orrell, M.D.'s National Provider Identifier (NPI) is 1841453503, issued on 07/02/2008.
Does Joshua Orrell, M.D. prescribe opioids?
Yes, Joshua Orrell, M.D. had 63 opioid claims in 2023 with an opioid prescribing rate of 17.2%.
How many Emergency Medicine Physician providers are there in the US?
There are 64,463 Emergency Medicine Physician providers across 56 states in the US. The average Emergency Medicine Physician provider writes 352 Medicare Part D claims per year.
What drugs does Joshua Orrell, M.D. prescribe most often?
Based on 2023 Medicare Part D data, Joshua Orrell, M.D.'s most frequently prescribed drugs include Ondansetron Odt, Tramadol Hcl, Cephalexin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Joshua Orrell, M.D. accept Medicare?
Joshua Orrell, M.D. appears in CMS Medicare data with 366 Part D claims and 238 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Joshua Orrell, M.D.'s credentials?
Joshua Orrell, M.D.'s NPI is 1841453503 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

Compiled from official public sources by the editorial process.

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.