2026 NPPES data Urology Physician NPI 1174502173 M.D.
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KARL WESTENFELDER, M.D.

Urology Physician in MISSOULA, Montana. 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
634
Medicare Part D claims · 199 beneficiaries · Urology Physician avg: 1K
MIPS score
100/100
▲ 17 pts above national avg 83.1 · [object Object]
Industry payments
$653.83
25 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: KARL WESTENFELDER, M.D. is a Urology Physician ([object Object]) practicing in MISSOULA, Montana with a Medicare Part D prescribing footprint of 634 claims across 199 beneficiaries . Their CMS MIPS Final Score of 100/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $653.83 across 25 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: KARL WESTENFELDER, M.D. reported a CMS MIPS final score of 100 out of 100, above the 83.1 national average, and filed 634 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)

KARL WESTENFELDER, 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).

KARL WESTENFELDER, M.D. at a glance

High performer (top quartile)

NPI registry status

Active

Issued 01/10/2006

NPI 1174502173

Primary specialty

Urology Physician

Mid-sized

13,350 US NPIs in this specialty

Medicare Part D claims

634 50% vs specialty avg

2023 prescription claims

Specialty avg: 1,280

MIPS final score

100/100 16.900000000000006% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Montana

How Urology Physician compares to other specialties among Montana providers

Montana providers

Urology Physician share within Montana

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

Medicare quality performance — MIPS

KARL WESTENFELDER, M.D.'s 2023 MIPS final score plotted against the Urology Physician national average

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

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

0%100%National avg83%99%
MIPS final score (Urology 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).

KARL WESTENFELDER, M.D. is a Urology Physician provider practicing in MISSOULA, Montana, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1174502173. 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.

KARL WESTENFELDER, M.D. appears in the CMS NPPES registry as a Urology Physician provider holding M.D. credentials at 2875 TINA AVE, MISSOULA, MT, 59808, with a listed phone of (406) 728-3366. NPI 1174502173 was issued on 01/10/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what WESTENFELDER 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 634 prescription claims written by this provider, covering 199 Medicare beneficiaries and totaling roughly $764K in drug spend, with an opioid prescribing rate of 6.8%. 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 100), compared with the national average of 83.1.

Urology Physician is a mid-sized specialty nationwide, with 13,350 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

2875 TINA AVE
MISSOULA, MT 59808

Provider Details

NPI 1174502173
Specialty Urology Physician
Credentials M.D.
Gender Male
NPI Issued 01/10/2006

CMS Quality Score (MIPS)

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

100
Final Score
Avg: 83.1
100
Quality

Reporting: Group practice

Hospital and facility affiliations

Facilities where KARL WESTENFELDER, 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.

FIVE VALLEYS UROLOGY
MISSOULA, MT

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 KARL WESTENFELDER, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$654

Largest payer

Dornier MedTech America, 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.

Medicare Part D Prescribing Data

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

634
Total Claims
$764K
Total Drug Cost
199
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,225
Total Day Supply
33,453
Generic Drug Cost
$135K
Opioid Claims
43 (6.8% rate)
Antibiotic Claims
74

Patient Demographics

Average Patient Age
74.9 years
Avg HCC Risk Score
1.07
Gender Split
9% female / 91% male

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Finasteride
179
Tamsulosin Hcl
100
Orgovyx
Relugolix
43
Abiraterone Acetate
38
Xtandi
Enzalutamide
33
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
31
Sulfamethoxazole-Trimethoprim
Sulfamethoxazole/Trimethoprim
30
Myrbetriq
Mirabegron
19
Prednisone
18
Cephalexin
13

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

Urology Physician Overview

How KARL WESTENFELDER, M.D. fits within the Urology Physician landscape nationally.

13,350
Urology Physician Providers in US
54
States with Urology Physician
1,280
Avg Claims per Provider

KARL WESTENFELDER, M.D.'s 634 claims are below the specialty average of 1,280.

Nearby Urology Physician Providers in Montana

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

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

Frequently Asked Questions

What is KARL WESTENFELDER, M.D.'s specialty?
KARL WESTENFELDER, M.D. specializes in Urology Physician and practices in MISSOULA, Montana. Credentials: M.D..
How much does KARL WESTENFELDER, M.D. prescribe under Medicare Part D?
In 2023, KARL WESTENFELDER, M.D. wrote 634 Medicare Part D claims totaling $764K in drug costs for 199 beneficiaries.
What is KARL WESTENFELDER, M.D.'s Medicare quality score?
KARL WESTENFELDER, M.D. has a CMS MIPS Final Score of 100/100 (Quality: 100). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is KARL WESTENFELDER, M.D. located?
KARL WESTENFELDER, M.D. is located at 2875 TINA AVE, MISSOULA, MT, 59808. Phone: (406) 728-3366.
What is KARL WESTENFELDER, M.D.'s NPI number?
KARL WESTENFELDER, M.D.'s National Provider Identifier (NPI) is 1174502173, issued on 01/10/2006.
Does KARL WESTENFELDER, M.D. prescribe opioids?
Yes, KARL WESTENFELDER, M.D. had 43 opioid claims in 2023 with an opioid prescribing rate of 6.8%.
How many Urology Physician providers are there in the US?
There are 13,350 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 KARL WESTENFELDER, M.D. prescribe most often?
Based on 2023 Medicare Part D data, KARL WESTENFELDER, M.D.'s most frequently prescribed drugs include Finasteride, Tamsulosin Hcl, Orgovyx. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does KARL WESTENFELDER, M.D. accept Medicare?
KARL WESTENFELDER, M.D. appears in CMS Medicare data with 634 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 KARL WESTENFELDER, M.D.'s credentials?
KARL WESTENFELDER, M.D.'s NPI is 1174502173 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

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