2026 NPPES data Specialist NPI 1508821737 M.D.
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KEVIN GOETZ, M.D.

Specialist in EDGEWOOD, 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
356
Medicare Part D claims · 183 beneficiaries · Specialist avg: 1K
MIPS score
90.3837/100
▲ 7 pts above national avg 83.1 · [object Object]

What the federal data shows

KEVIN GOETZ, M.D. reported a CMS MIPS final score of 90.3837/100 — above the 83.1 national average — and filed 356 Medicare Part D claims in 2023.

90.3837/100
MIPS score · +7 vs avg
356
Part D claims, 2023

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.

KEVIN GOETZ, 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 40% higher than 60% 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%). Below this entry. 90–100: 189,403 scored providers (40%). This entry sits in this band. 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

What does the federal data show about KEVIN GOETZ, M.D.?

High performer (top quartile)

NPI registry status

Active

Issued 04/19/2006

NPI 1508821737

Primary specialty

Specialist

High-volume

69,658 US NPIs in this specialty

Medicare Part D claims

356 76% vs specialty avg

2023 prescription claims

Specialty avg: 1,474

MIPS final score

90.3837/100 7.28370000000001% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Kentucky

How Specialist compares to other specialties among Kentucky providers

Kentucky providers

Specialist share within Kentucky

1. Specialist42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Specialist share within Kentucky

Medicare quality performance — MIPS

KEVIN GOETZ, M.D.'s 2023 MIPS final score plotted against the Specialist national average

High performer (top quartile)
MIPS Final Score
90.3837/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Specialist) — 90.3837/100 vs national avg 83.1

0%100%National avg83%90.4%
MIPS final score (Specialist) — 90.3837/100 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).

KEVIN GOETZ, M.D. is a Specialist provider practicing in EDGEWOOD, Kentucky, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1508821737. 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.

KEVIN GOETZ, M.D. appears in the CMS NPPES registry as a Specialist provider holding M.D. credentials at 1 MEDICAL VILLAGE DR, EDGEWOOD, KY, 41017, with a listed phone of (859) 301-8074. NPI 1508821737 was issued on 04/19/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what GOETZ 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 356 prescription claims written by this provider, covering 183 Medicare beneficiaries and totaling roughly $21K in drug spend, with an opioid prescribing rate of 9.8%. 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 90.3837/100 for the 2023 performance year (Quality 80.7674), compared with the national average of 83.1.

Specialist is a high-volume specialty nationwide, with 69,658 enrolled providers across 55 states and an average of 1,474 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

1 MEDICAL VILLAGE DR
EDGEWOOD, KY 41017

Provider Details

NPI 1508821737
Specialty Specialist
Credentials M.D.
Gender Male
NPI Issued 04/19/2006

CMS Quality Score (MIPS)

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

90.3837
Final Score
Avg: 83.1
80.7674
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where KEVIN GOETZ, 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.

SUMMIT MEDICAL GROUP INC
EDGEWOOD, KY

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

Medicare Part D Prescribing Data

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

356
Total Claims
$21K
Total Drug Cost
183
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
371
Total Day Supply
6,506
Generic Drug Cost
$4K
Opioid Claims
35 (9.8% rate)
Antibiotic Claims
74

Patient Demographics

Average Patient Age
73.5 years
Avg HCC Risk Score
2.42
Gender Split
60% female / 40% male
Age Distribution
<65: 29, 65-74: 70, 75-84: 55, 85+: 29

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Cefdinir
25
Oxycodone Hcl
21
Prednisone
21
Metoprolol Succinate
13

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

Specialist Overview

How KEVIN GOETZ, M.D. fits within the Specialist landscape nationally.

69,658
Specialist Providers in US
55
States with Specialist
1,474
Avg Claims per Provider

KEVIN GOETZ, M.D.'s 356 claims are below the specialty average of 1,474.

Nearby Specialist Providers in Kentucky

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

Compare Specialist nationally: see state-by-state distribution →

Frequently Asked Questions

What is KEVIN GOETZ, M.D.'s specialty?
KEVIN GOETZ, M.D. specializes in Specialist and practices in EDGEWOOD, Kentucky. Credentials: M.D..
How much does KEVIN GOETZ, M.D. prescribe under Medicare Part D?
In 2023, KEVIN GOETZ, M.D. wrote 356 Medicare Part D claims totaling $21K in drug costs for 183 beneficiaries.
What is KEVIN GOETZ, M.D.'s Medicare quality score?
KEVIN GOETZ, M.D. has a CMS MIPS Final Score of 90.3837/100 (Quality: 80.7674). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is KEVIN GOETZ, M.D. located?
KEVIN GOETZ, M.D. is located at 1 MEDICAL VILLAGE DR, EDGEWOOD, KY, 41017. Phone: (859) 301-8074.
What is KEVIN GOETZ, M.D.'s NPI number?
KEVIN GOETZ, M.D.'s National Provider Identifier (NPI) is 1508821737, issued on 04/19/2006.
Does KEVIN GOETZ, M.D. prescribe opioids?
Yes, KEVIN GOETZ, M.D. had 35 opioid claims in 2023 with an opioid prescribing rate of 9.8%.
How many Specialist providers are there in the US?
There are 69,658 Specialist providers across 55 states in the US. The average Specialist provider writes 1,474 Medicare Part D claims per year.
What drugs does KEVIN GOETZ, M.D. prescribe most often?
Based on 2023 Medicare Part D data, KEVIN GOETZ, M.D.'s most frequently prescribed drugs include Cefdinir, Oxycodone Hcl, Prednisone. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does KEVIN GOETZ, M.D. accept Medicare?
KEVIN GOETZ, M.D. appears in CMS Medicare data with 356 Part D claims and 183 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify KEVIN GOETZ, M.D.'s credentials?
KEVIN GOETZ, M.D.'s NPI is 1508821737 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