2026 NPPES data Emergency Medicine Physician NPI 1831148063 M.D.
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KENNETH RICE, M.D.

Emergency Medicine Physician in CUMMING, Georgia. 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
435
Medicare Part D claims · 215 beneficiaries · Emergency Medicine Physician avg: 352
Generic prescribing
89%
generic claims · 11% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
89.8928/100
▲ 7 pts above national avg 83.1 · [object Object]

What the federal data shows

KENNETH RICE, M.D. reported a CMS MIPS final score of 89.8928/100 — above the 83.1 national average — and filed 435 Medicare Part D claims in 2023.

89.8928/100
MIPS score · +7 vs avg
435
Part D claims, 2023
89%
generic prescribing
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.

KENNETH RICE, M.D.'s MIPS score vs every scored U.S. clinician

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

90 Top 42% higher than 58% 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)

KENNETH RICE, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 5 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 KENNETH RICE, M.D.?

High performer (top quartile)

NPI registry status

Active

Issued 05/06/2006

NPI 1831148063

Primary specialty

Emergency Medicine Physician

High-volume

64,398 US NPIs in this specialty

Medicare Part D claims

435 24% vs specialty avg

2023 prescription claims

Specialty avg: 352

MIPS final score

89.8928/100 6.7928% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Georgia

How Emergency Medicine Physician compares to other specialties among Georgia providers

Georgia providers

Emergency Medicine Physician share within Georgia

1. Emergency Medicine Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Emergency Medicine Physician share within Georgia

Medicare quality performance — MIPS

KENNETH RICE, M.D.'s 2023 MIPS final score plotted against the Emergency Medicine Physician national average

High performer (top quartile)
MIPS Final Score
89.8928/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Emergency Medicine Physician) — 89.8928/100 vs national avg 83.1

0%100%National avg83%89.9%
MIPS final score (Emergency Medicine Physician) — 89.8928/100 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).

KENNETH RICE, M.D. appears in the CMS NPPES registry as a Emergency Medicine Physician provider holding M.D. credentials at 2021 MARKET PLACE BLVD, CUMMING, GA, 30041, with a listed phone of (770) 292-9982. NPI 1831148063 was issued on 05/06/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what RICE 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 435 prescription claims written by this provider, covering 215 Medicare beneficiaries and totaling roughly $13K in drug spend, split 11% brand-name and 89% generic by claim count, with an opioid prescribing rate of 3.4%. 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 89.8928/100 for the 2023 performance year (Quality 79.7855), compared with the national average of 83.1.

Emergency Medicine Physician is a high-volume specialty nationwide, with 64,398 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

2021 MARKET PLACE BLVD
CUMMING, GA 30041

Provider Details

NPI 1831148063
Specialty Emergency Medicine Physician
Credentials M.D.
Gender Male
NPI Issued 05/06/2006

CMS Quality Score (MIPS)

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

89.8928
Final Score
Avg: 83.1
79.7855
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where KENNETH RICE, 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.

CARE TALK HEALTH FL PA
SUWANEE, GA
HEALTHARC CARE P.C.
SUWANEE, GA
PAIRTU HEALTH MEDICAL GROUP OF CALIFORNIA PC
SAN FRANCISCO, CA
PAIRTU HEALTH MEDICAL GROUP PA
AUSTIN, TX
WELLSTREET OF GEORGIA PC
ALPHARETTA, GA

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Brand vs generic prescribing mix · Typical

KENNETH RICE, M.D. — brand share 11.0%
Specialty average (est.)

11% brand-name claims vs 89% generic, on 435 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.

435
Total Claims
$13K
Total Drug Cost
215
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
439
Total Day Supply
5,208
Brand vs Generic
11% brand / 89% generic
Brand Drug Cost
$9K
Generic Drug Cost
$4K
Opioid Claims
15 (3.4% rate)
Antibiotic Claims
148

Patient Demographics

Average Patient Age
72.9 years
Avg HCC Risk Score
1.08
Gender Split
68% female / 32% male
Age Distribution
<65: 13, 65-74: 106, 75-84: 78, 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 KENNETH RICE, 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
Doxycycline Hyclate
62
Dexamethasone
43
Albuterol Sulfate Hfa
Albuterol Sulfate
38
Mupirocin
24
Fluticasone Propionate
20
Sulfamethoxazole-Trimethoprim
Sulfamethoxazole/Trimethoprim
18
Amoxicillin-Clavulanate Potass
Amoxicillin/Potassium Clav
17
Azithromycin
16
Ibuprofen
15
Prednisone
15

* 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 KENNETH RICE, M.D. fits within the Emergency Medicine Physician landscape nationally.

64,398
Emergency Medicine Physician Providers in US
56
States with Emergency Medicine Physician
352
Avg Claims per Provider

KENNETH RICE, M.D.'s 435 claims are above the specialty average of 352.

Nearby Emergency Medicine Physician Providers in Georgia

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

Compare Emergency Medicine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is KENNETH RICE, M.D.'s specialty?
KENNETH RICE, M.D. specializes in Emergency Medicine Physician and practices in CUMMING, Georgia. Credentials: M.D..
How much does KENNETH RICE, M.D. prescribe under Medicare Part D?
In 2023, KENNETH RICE, M.D. wrote 435 Medicare Part D claims totaling $13K in drug costs for 215 beneficiaries.
What is KENNETH RICE, M.D.'s Medicare quality score?
KENNETH RICE, M.D. has a CMS MIPS Final Score of 89.8928/100 (Quality: 79.7855). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is KENNETH RICE, M.D. located?
KENNETH RICE, M.D. is located at 2021 MARKET PLACE BLVD, CUMMING, GA, 30041. Phone: (770) 292-9982.
What is KENNETH RICE, M.D.'s NPI number?
KENNETH RICE, M.D.'s National Provider Identifier (NPI) is 1831148063, issued on 05/06/2006.
Does KENNETH RICE, M.D. prescribe more brand-name or generic drugs?
KENNETH RICE, M.D.'s prescribing is 11% brand-name and 89% generic drugs by claim count, with $9K in brand drug costs.
Does KENNETH RICE, M.D. prescribe opioids?
Yes, KENNETH RICE, M.D. had 15 opioid claims in 2023 with an opioid prescribing rate of 3.4%.
How many Emergency Medicine Physician providers are there in the US?
There are 64,398 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 KENNETH RICE, M.D. prescribe most often?
Based on 2023 Medicare Part D data, KENNETH RICE, M.D.'s most frequently prescribed drugs include Doxycycline Hyclate, Dexamethasone, Albuterol Sulfate Hfa. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does KENNETH RICE, M.D. accept Medicare?
KENNETH RICE, M.D. appears in CMS Medicare data with 435 Part D claims and 215 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify KENNETH RICE, M.D.'s credentials?
KENNETH RICE, M.D.'s NPI is 1831148063 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