NPI registry status
Active
2026 NPPES data Neonatal-Perinatal Medicine Physician NPI 1265571269 MD, PHD
Verify on CMS → Kenneth Richardson, MD, PHD
Neonatal-Perinatal Medicine Physician in Provo, Utah.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 5,589 in Neonatal-Perinatal Medicine 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
233
Medicare Part D claims · 191 beneficiaries · Neonatal-Perinatal Medicine Physician avg: 56
Generic prescribing
0%
generic claims · 100% brand-name · higher generic rates reduce patient out-of-pocket costs
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Kenneth Richardson, MD, PHD filed 233 Medicare Part D claims in 2023 as a Neonatal-Perinatal Medicine Physician in Provo, Utah, prescribing 0% generic.
- 233
- Part D claims, 2023
- 0%
- generic prescribing
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 Richardson, MD, PHD's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023, across all CMS prescribers nationally
233 49th percentile higher than 49% of 1,370,886 prescribers
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.
Source CMS Medicare Part D Prescriber Public Use File · 2023
◑
Board-eligible specialty (heuristic, not verified)
Kenneth Richardson, MD, PHD practices in an ABMS-board-eligible specialty but we don't have enough CMS-participation signals to confirm active board-certified status. Consult CertificationMatters.org (the official ABMS public lookup).
What does the federal data show about Kenneth Richardson, MD, PHD?
Quality data not reportedPrimary specialty
Neonatal-Perinatal Medicine Physician
Medicare Part D claims
233 316% vs specialty avg
Specialty distribution in Utah
How Neonatal-Perinatal Medicine Physician compares to other specialties among Utah providers
Board certification
Not published by CMS
CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Neonatal-Perinatal Medicine Physician. Verify directly:
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 Richardson, MD, PHD appears in the CMS NPPES registry as a Neonatal-Perinatal Medicine Physician provider holding MD, PHD credentials at 1034 N 500 W, Provo, UT, 84604, with a listed phone of (801) 357-7707. NPI 1265571269 was issued on 02/06/2007.
Medicare Part D records for calendar year 2023 show 233 prescription claims written by this provider, covering 191 Medicare beneficiaries and totaling roughly $61K in drug spend, split 100% brand-name and 0% generic by claim count.
Neonatal-Perinatal Medicine Physician is a mid-sized specialty nationwide, with 5,589 enrolled providers across 52 states and an average of 56 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 | 1265571269 |
|---|---|
| Specialty | Neonatal-Perinatal Medicine Physician |
| Credentials | MD, PHD |
| Gender | Male |
| NPI Issued | 02/06/2007 |
Brand vs generic prescribing mix · Brand-heavy
Kenneth Richardson, MD, PHD - brand share 100.0%
Neonatal-Perinatal Medicine Physician average
100% brand-name claims vs 0% generic, on 233 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.
233
Total Claims
$61K
Total Drug Cost
191
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 233
- Total Day Supply
- 233
- Brand vs Generic
- 100% brand / 0% generic
- Brand Drug Cost
- $61K
- Generic Drug Cost
- $0
Patient Demographics
- Average Patient Age
- 76.4 years
- Avg HCC Risk Score
- 1.06
- Gender Split
- 59% female / 41% 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 |
|---|---|
| Shingrix Varicella-Zoster Ge/As01b/Pf | 79 |
| Abrysvo "Rsv Vacc | N/A |
| Boostrix Tdap "Diphth | N/A |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Neonatal-Perinatal Medicine Physician Overview
How Kenneth Richardson, MD, PHD fits within the Neonatal-Perinatal Medicine Physician landscape nationally.
5,589
Neonatal-Perinatal Medicine Physician Providers in US
52
States with Neonatal-Perinatal Medicine Physician
56
Avg Claims per Provider
Kenneth Richardson, MD, PHD's 233 claims are above the specialty average of 56.
Nearby Neonatal-Perinatal Medicine Physician Providers in Utah
Other clinicians with the same primary specialty enrolled in Utah, drawn from the same CMS NPPES roster as Richardson.
Dr. Kelly Adams
MD
South Jordon, UT
Dr. Linda Adams
MD
Provo, UT
Dr. Anne Anderson
MD
Ogden, UT
Dr. Timothy Bahr
M.D.
Provo, UT
Dr. Mariana Baserga
M.D.
Salt Lake City, UT
Compare Neonatal-Perinatal Medicine 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 Utah medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Neonatal-Perinatal Medicine 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
Learn more about finding, verifying, and understanding healthcare providers.
How to Find a Doctor
Step-by-step guide to choosing a provider
Verify Credentials
Check NPI, board certification & license status
Medical Specialties Explained
Who treats what and how specialties differ
Understanding Medicare Claims Data
What prescribing data reveals about a provider
In-Network vs Out-of-Network
How insurance networks affect your costs
Telehealth Guide
Virtual care options and coverage in 2026
Explore Utah
Frequently Asked Questions
What is Kenneth Richardson, MD, PHD's specialty? ▼
Kenneth Richardson, MD, PHD specializes in Neonatal-Perinatal Medicine Physician and practices in Provo, Utah. Credentials: MD, PHD.
How much does Kenneth Richardson, MD, PHD prescribe under Medicare Part D? ▼
In 2023, Kenneth Richardson, MD, PHD wrote 233 Medicare Part D claims totaling $61K in drug costs for 191 beneficiaries.
Where is Kenneth Richardson, MD, PHD located? ▼
Kenneth Richardson, MD, PHD is located at 1034 N 500 W, Provo, UT, 84604. Phone: (801) 357-7707.
What is Kenneth Richardson, MD, PHD's NPI number? ▼
Kenneth Richardson, MD, PHD's National Provider Identifier (NPI) is 1265571269, issued on 02/06/2007.
Does Kenneth Richardson, MD, PHD prescribe more brand-name or generic drugs? ▼
Kenneth Richardson, MD, PHD's prescribing is 100% brand-name and 0% generic drugs by claim count, with $61K in brand drug costs.
How many Neonatal-Perinatal Medicine Physician providers are there in the US? ▼
There are 5,589 Neonatal-Perinatal Medicine Physician providers across 52 states in the US. The average Neonatal-Perinatal Medicine Physician provider writes 56 Medicare Part D claims per year.
What drugs does Kenneth Richardson, MD, PHD prescribe most often? ▼
Based on 2023 Medicare Part D data, Kenneth Richardson, MD, PHD's most frequently prescribed drugs include Shingrix, Abrysvo, Boostrix Tdap. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Kenneth Richardson, MD, PHD accept Medicare? ▼
Kenneth Richardson, MD, PHD appears in CMS Medicare data with 233 Part D claims and 191 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Kenneth Richardson, MD, PHD's credentials? ▼
Kenneth Richardson, MD, PHD's NPI is 1265571269 with credentials MD, PHD. 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.
- 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
Compiled from official public sources by the PlainDoctor editorial team.