NPI registry status
Active
2026 NPPES data Rheumatology Physician NPI 1902917289 DO
Verify on CMS → Kenneth Lawlor, DO
Rheumatology Physician in Prescott, Arizona.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 6,200 in Rheumatology 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
2K
Medicare Part D claims · 439 beneficiaries · Rheumatology Physician avg: 2K
MIPS score
75/100
CMS neutral threshold · no category scores published
Industry payments
$463.09
22 payments · CMS Open Payments (Sunshine Act)
What the federal data shows
Kenneth Lawlor, DO carries the neutral CMS MIPS final score of 75/100, assigned where no category was scored - and filed 2,001 Medicare Part D claims in 2023.
- 75/100
- CMS neutral score · not measured
- 2K
- Part D claims, 2023
- Likely
- board-certified (heuristic)
- ≥84th
- 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.
Kenneth Lawlor, DO's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023, across all CMS prescribers nationally
2,001 ≥ 84th percentile 84% of 1,370,886 prescribers are in lower value bands
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)
Kenneth Lawlor, DO 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).
What does the federal data show about Kenneth Lawlor, DO?
CMS neutral score, not measuredPrimary specialty
Rheumatology Physician
Medicare Part D claims
2,001 3% vs specialty avg
MIPS final score
75/100
Specialty distribution in Arizona
How Rheumatology Physician compares to other specialties among Arizona 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).
Kenneth Lawlor, DO appears in the CMS NPPES registry as a Rheumatology Physician provider holding DO credentials at 3111 CLEARWATER DR STE A, Prescott, AZ, 86305, with a listed phone of (480) 443-8400. NPI 1902917289 was issued on 08/31/2006.
Medicare Part D records for calendar year 2023 show 2,001 prescription claims written by this provider, covering 439 Medicare beneficiaries and totaling roughly $1.5 million in drug spend, with an opioid prescribing rate of 0.6%. 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.
Rheumatology Physician is a mid-sized specialty nationwide, with 6,200 enrolled providers across 52 states and an average of 2,054 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
Provider Details
| NPI | 1902917289 |
|---|---|
| Specialty | Rheumatology Physician |
| Credentials | DO |
| Gender | Male |
| NPI Issued | 08/31/2006 |
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: Individual
Hospital and facility affiliations
Facilities where Kenneth Lawlor, DO 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.
Kenneth G. Lawlor, DO, PLLC
Phoenix, AZ
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 Kenneth Lawlor, DO. Source: openpaymentsdata.cms.gov.
Total received
$463
Largest payer
ABBVIE 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.
2,001
Total Claims
$1.5M
Total Drug Cost
439
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 4,402
- Total Day Supply
- 130,568
- Generic Drug Cost
- $84K
- Opioid Claims
- 12 (0.6% rate)
Patient Demographics
- Average Patient Age
- 72.8 years
- Avg HCC Risk Score
- 1.42
- Gender Split
- 76% female / 24% male
- Age Distribution
- <65: 53, 65-74: 195, 75-84: 162, 85+: 29
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Kenneth Lawlor, DO prescribes most
Top Medicare Part D drugs by claim count, 2023
- Methotrexate
Methotrexate
398 claims
- Hydroxychloroquine…
Hydroxychloroquine Sulfate
374 claims
- Prednisone
Prednisone
319 claims
- Leflunomide 132
Leflunomide
132 claims
- Folic Acid 92
Folic Acid
92 claims
- Sulfasalazine 68
Sulfasalazine
68 claims
- Allopurinol 60
Allopurinol
60 claims
- Meloxicam 49
Meloxicam
49 claims
| Drug | Claims |
|---|---|
| Methotrexate Methotrexate Sodium | 398 |
| Hydroxychloroquine Sulfate | 374 |
| Prednisone | 319 |
| Leflunomide | 132 |
| Folic Acid | 92 |
| Sulfasalazine | 68 |
| Allopurinol | 60 |
| Meloxicam | 49 |
| Gabapentin | 47 |
| Humira(Cf) Pen Adalimumab | 46 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Rheumatology Physician Overview
How Kenneth Lawlor, DO fits within the Rheumatology Physician landscape nationally.
6,200
Rheumatology Physician Providers in US
52
States with Rheumatology Physician
2,054
Avg Claims per Provider
Kenneth Lawlor, DO's 2,001 claims are below the specialty average of 2,054.
Nearby Rheumatology Physician Providers in Arizona
Other clinicians with the same primary specialty enrolled in Arizona, drawn from the same CMS NPPES roster as Lawlor.
Dr. Orwah Al-Khalili
MD
Peoria, AZ
Dr. Amer Al-Khoudari
M.D.
Chandler, AZ
Dr. Mona Amin
D.O.
Glendale, AZ
Dr. Madhu Arora
MD
Yuma, AZ
Dr. Jeanne Attrep
M.D.
Phoenix, AZ
Compare Rheumatology 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 Arizona medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Rheumatology 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.
Healthcare Guides
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Medical Specialties Explained
Who treats what and how specialties differ
Understanding Medicare Claims Data
What prescribing data reveals about a provider
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How insurance networks affect your costs
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Explore Arizona
Frequently Asked Questions
What is Kenneth Lawlor, DO's specialty? ▼
Kenneth Lawlor, DO specializes in Rheumatology Physician and practices in Prescott, Arizona. Credentials: DO.
How much does Kenneth Lawlor, DO prescribe under Medicare Part D? ▼
In 2023, Kenneth Lawlor, DO wrote 2,001 Medicare Part D claims totaling $1.5M in drug costs for 439 beneficiaries.
What is Kenneth Lawlor, DO's Medicare quality score? ▼
Kenneth Lawlor, DO 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 Kenneth Lawlor, DO located? ▼
Kenneth Lawlor, DO is located at 3111 CLEARWATER DR STE A, Prescott, AZ, 86305. Phone: (480) 443-8400.
What is Kenneth Lawlor, DO's NPI number? ▼
Kenneth Lawlor, DO's National Provider Identifier (NPI) is 1902917289, issued on 08/31/2006.
Does Kenneth Lawlor, DO prescribe opioids? ▼
Yes, Kenneth Lawlor, DO had 12 opioid claims in 2023 with an opioid prescribing rate of 0.6%.
How many Rheumatology Physician providers are there in the US? ▼
There are 6,200 Rheumatology Physician providers across 52 states in the US. The average Rheumatology Physician provider writes 2,054 Medicare Part D claims per year.
What drugs does Kenneth Lawlor, DO prescribe most often? ▼
Based on 2023 Medicare Part D data, Kenneth Lawlor, DO's most frequently prescribed drugs include Methotrexate, Hydroxychloroquine Sulfate, Prednisone. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Kenneth Lawlor, DO accept Medicare? ▼
Kenneth Lawlor, DO appears in CMS Medicare data with 2,001 Part D claims and 439 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Kenneth Lawlor, DO's credentials? ▼
Kenneth Lawlor, DO's NPI is 1902917289 with credentials DO. 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
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.