2026 NPPES data Otolaryngology Physician NPI 1144453242 MD
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JOSHUA THOM, MD

Otolaryngology Physician in FRIDLEY, Minnesota. 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
543
Medicare Part D claims · 199 beneficiaries · Otolaryngology Physician avg: 509
MIPS score
86.5167/100
▲ 3 pts above national avg 83.1 · [object Object]
Industry payments
$21.06
1 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

JOSHUA THOM, MD reported a CMS MIPS final score of 86.5167/100 — above the 83.1 national average — and filed 543 Medicare Part D claims in 2023.

86.5167/100
MIPS score · +3 vs avg
543
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.

JOSHUA THOM, MD's MIPS score vs every scored U.S. clinician

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

87 Top 48% higher than 52% 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%). This entry sits in this band. 90–100: 189,403 scored providers (40%). Above this entry. 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)

JOSHUA THOM, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 3 hospital affiliations — 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 THOM, MD?

High performer (top quartile)

NPI registry status

Active

Issued 08/24/2009

NPI 1144453242

Primary specialty

Otolaryngology Physician

Mid-sized

10,895 US NPIs in this specialty

Medicare Part D claims

543 7% vs specialty avg

2023 prescription claims

Specialty avg: 509

MIPS final score

86.5167/100 3.416700000000006% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Minnesota

How Otolaryngology Physician compares to other specialties among Minnesota providers

Minnesota providers

Otolaryngology Physician share within Minnesota

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

Medicare quality performance — MIPS

JOSHUA THOM, MD's 2023 MIPS final score plotted against the Otolaryngology Physician national average

High performer (top quartile)
MIPS Final Score
86.5167/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Otolaryngology Physician) — 86.5167/100 vs national avg 83.1

0%100%National avg83%86.5%
MIPS final score (Otolaryngology Physician) — 86.5167/100 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 THOM, MD appears in the CMS NPPES registry as a Otolaryngology Physician provider holding MD credentials at 6401 UNIVERSITY AVE NE, FRIDLEY, MN, 55432, with a listed phone of (763) 586-5923. NPI 1144453242 was issued on 08/24/2009. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what THOM 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 543 prescription claims written by this provider, covering 199 Medicare beneficiaries and totaling roughly $19K in drug spend, with an opioid prescribing rate of 2.2%. 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 86.5167/100 for the 2023 performance year (Quality 82.5912, Cost 67.965), 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

6401 UNIVERSITY AVE NE
FRIDLEY, MN 55432

Provider Details

NPI 1144453242
Specialty Otolaryngology Physician
Credentials MD
Gender Male
NPI Issued 08/24/2009

CMS Quality Score (MIPS)

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

86.5167
Final Score
Avg: 83.1
82.5912
Quality
67.965
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where JOSHUA THOM, 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.

FAIRVIEW CLINICS
BLAINE, MN
FAIRVIEW EXPRESS CARE
ANDOVER, MN
ST. CROIX REGIONAL MEDICAL CENTER
SAINT CROIX FALLS, WI

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 THOM, MD. Source: openpaymentsdata.cms.gov.

Total received

$21

Largest payer

GENZYME CORPORATION

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.

Medicare Part D Prescribing Data

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

543
Total Claims
$19K
Total Drug Cost
199
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
644
Total Day Supply
13,371
Generic Drug Cost
$18K
Opioid Claims
12 (2.2% rate)
Antibiotic Claims
58

Patient Demographics

Average Patient Age
71.4 years
Avg HCC Risk Score
1.22
Gender Split
63% female / 37% male
Age Distribution
<65: 30, 65-74: 96, 75-84: 53, 85+: 20

Top Prescribed Drugs (Medicare Part D)

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

What JOSHUA THOM, 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
Ipratropium Bromide
157
Omeprazole
46
Fluticasone Propionate
31
Montelukast Sodium
26
Prednisone
25
Fluocinolone Acetonide Oil
22
Esomeprazole Magnesium
20
Doxycycline Hyclate
18
Ofloxacin
17
Gabapentin
15

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

Otolaryngology Physician Overview

How JOSHUA THOM, MD fits within the Otolaryngology Physician landscape nationally.

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

JOSHUA THOM, MD's 543 claims are above the specialty average of 509.

Nearby Otolaryngology Physician Providers in Minnesota

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

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

Frequently Asked Questions

What is JOSHUA THOM, MD's specialty?
JOSHUA THOM, MD specializes in Otolaryngology Physician and practices in FRIDLEY, Minnesota. Credentials: MD.
How much does JOSHUA THOM, MD prescribe under Medicare Part D?
In 2023, JOSHUA THOM, MD wrote 543 Medicare Part D claims totaling $19K in drug costs for 199 beneficiaries.
What is JOSHUA THOM, MD's Medicare quality score?
JOSHUA THOM, MD has a CMS MIPS Final Score of 86.5167/100 (Quality: 82.5912, Cost: 67.965). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is JOSHUA THOM, MD located?
JOSHUA THOM, MD is located at 6401 UNIVERSITY AVE NE, FRIDLEY, MN, 55432. Phone: (763) 586-5923.
What is JOSHUA THOM, MD's NPI number?
JOSHUA THOM, MD's National Provider Identifier (NPI) is 1144453242, issued on 08/24/2009.
Does JOSHUA THOM, MD prescribe opioids?
Yes, JOSHUA THOM, MD had 12 opioid claims in 2023 with an opioid prescribing rate of 2.2%.
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 JOSHUA THOM, MD prescribe most often?
Based on 2023 Medicare Part D data, JOSHUA THOM, MD's most frequently prescribed drugs include Ipratropium Bromide, Omeprazole, Fluticasone Propionate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JOSHUA THOM, MD accept Medicare?
JOSHUA THOM, MD appears in CMS Medicare data with 543 Part D claims and 199 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JOSHUA THOM, MD's credentials?
JOSHUA THOM, MD's NPI is 1144453242 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