2026 NPPES data Otolaryngology Physician NPI 1427152800 MD
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KEITH ALEXANDER, MD

Otolaryngology Physician in LEXINGTON, Kentucky. 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
1K
Medicare Part D claims · 451 beneficiaries · Otolaryngology Physician avg: 509
Generic prescribing
87%
generic claims · 13% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
80.8913/100
▼ 2 pts below national avg 83.1 · [object Object]
Industry payments
$304.19
4 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: KEITH ALEXANDER, MD is a Otolaryngology Physician ([object Object]) practicing in LEXINGTON, Kentucky with a Medicare Part D prescribing footprint of 1K claims across 451 beneficiaries — 13% brand-name prescribing . Their CMS MIPS Final Score of 80.8913/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $304.19 across 4 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: KEITH ALEXANDER, MD reported a CMS MIPS final score of 80.8913 out of 100, below the 83.1 national average, and filed 1,344 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)

KEITH ALEXANDER, 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).

KEITH ALEXANDER, MD at a glance

Near national average

NPI registry status

Active

Issued 09/07/2006

NPI 1427152800

Primary specialty

Otolaryngology Physician

Mid-sized

10,895 US NPIs in this specialty

Medicare Part D claims

1,344 164% vs specialty avg

2023 prescription claims

Specialty avg: 509

MIPS final score

80.8913/100 2.2086999999999932% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Kentucky

How Otolaryngology Physician compares to other specialties among Kentucky providers

Kentucky providers

Otolaryngology Physician share within Kentucky

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

Medicare quality performance — MIPS

KEITH ALEXANDER, MD's 2023 MIPS final score plotted against the Otolaryngology Physician national average

Near national average
MIPS Final Score
80.8913/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Otolaryngology Physician) — 80.8913/100 vs national avg 83.1

0%100%National avg83%80.9%
MIPS final score (Otolaryngology Physician) — 80.8913/100 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).

KEITH ALEXANDER, MD is a Otolaryngology Physician provider practicing in LEXINGTON, Kentucky, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1427152800. 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.

KEITH ALEXANDER, MD appears in the CMS NPPES registry as a Otolaryngology Physician provider holding MD credentials at 1720 NICHOLASVILLE ROAD, LEXINGTON, KY, 40503, with a listed phone of (859) 278-1114. NPI 1427152800 was issued on 09/07/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what ALEXANDER 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 1,344 prescription claims written by this provider, covering 451 Medicare beneficiaries and totaling roughly $118K in drug spend, split 13% brand-name and 87% generic by claim count, with an opioid prescribing rate of 3.1%. 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 80.8913/100 for the 2023 performance year (Quality 62.297, Cost 74.0075), 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

1720 NICHOLASVILLE ROAD
LEXINGTON, KY 40503

Provider Details

NPI 1427152800
Specialty Otolaryngology Physician
Credentials MD
Gender Male
NPI Issued 09/07/2006

CMS Quality Score (MIPS)

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

80.8913
Final Score
Avg: 83.1
62.297
Quality
74.0075
Cost
100
Promoting Interoperability

Reporting: Group practice

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 KEITH ALEXANDER, MD. Source: openpaymentsdata.cms.gov.

Total received

$304

Largest payer

Inspire Medical Systems, 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.

Brand vs generic prescribing mix · Typical

KEITH ALEXANDER, MD — brand share 13.0%
Specialty average (est.)

13% brand-name claims vs 87% generic, on 1,344 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.

1,344
Total Claims
$118K
Total Drug Cost
451
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
2,073
Total Day Supply
53,940
Brand vs Generic
13% brand / 87% generic
Brand Drug Cost
$87K
Generic Drug Cost
$31K
Opioid Claims
42 (3.1% rate)
Antibiotic Claims
184

Patient Demographics

Average Patient Age
73.4 years
Avg HCC Risk Score
1.09
Gender Split
63% female / 37% male
Age Distribution
<65: 38, 65-74: 215, 75-84: 162, 85+: 36

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Azelastine Hcl
319
Pantoprazole Sodium
205
Ipratropium Bromide
71
Levocetirizine Dihydrochloride
58
Amoxicillin-Clavulanate Potass
Amoxicillin/Potassium Clav
51
Betamethasone Valerate
51
Ondansetron Odt
Ondansetron
41
Acetaminophen-Codeine
Acetaminophen With Codeine
39
Fluticasone Propionate
39
Cephalexin
34

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

Otolaryngology Physician Overview

How KEITH ALEXANDER, 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

KEITH ALEXANDER, MD's 1,344 claims are above the specialty average of 509.

Nearby Otolaryngology Physician Providers in Kentucky

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

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

Frequently Asked Questions

What is KEITH ALEXANDER, MD's specialty?
KEITH ALEXANDER, MD specializes in Otolaryngology Physician and practices in LEXINGTON, Kentucky. Credentials: MD.
How much does KEITH ALEXANDER, MD prescribe under Medicare Part D?
In 2023, KEITH ALEXANDER, MD wrote 1,344 Medicare Part D claims totaling $118K in drug costs for 451 beneficiaries.
What is KEITH ALEXANDER, MD's Medicare quality score?
KEITH ALEXANDER, MD has a CMS MIPS Final Score of 80.8913/100 (Quality: 62.297, Cost: 74.0075). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is KEITH ALEXANDER, MD located?
KEITH ALEXANDER, MD is located at 1720 NICHOLASVILLE ROAD, LEXINGTON, KY, 40503. Phone: (859) 278-1114.
What is KEITH ALEXANDER, MD's NPI number?
KEITH ALEXANDER, MD's National Provider Identifier (NPI) is 1427152800, issued on 09/07/2006.
Does KEITH ALEXANDER, MD prescribe more brand-name or generic drugs?
KEITH ALEXANDER, MD's prescribing is 13% brand-name and 87% generic drugs by claim count, with $87K in brand drug costs.
Does KEITH ALEXANDER, MD prescribe opioids?
Yes, KEITH ALEXANDER, MD had 42 opioid claims in 2023 with an opioid prescribing rate of 3.1%.
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 KEITH ALEXANDER, MD prescribe most often?
Based on 2023 Medicare Part D data, KEITH ALEXANDER, MD's most frequently prescribed drugs include Azelastine Hcl, Pantoprazole Sodium, Ipratropium Bromide. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does KEITH ALEXANDER, MD accept Medicare?
KEITH ALEXANDER, MD appears in CMS Medicare data with 1,344 Part D claims and 451 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify KEITH ALEXANDER, MD's credentials?
KEITH ALEXANDER, MD's NPI is 1427152800 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