NPI registry status
Active
2026 NPPES data Specialist NPI 1508821737 M.D.
Verify on CMS → Kevin Goetz, M.D.
Specialist in Edgewood, Kentucky.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 69,608 in Specialist, 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
356
Medicare Part D claims · 183 beneficiaries · Specialist avg: 1K
MIPS score
90.4/100
▲ 7 pts above national avg 83.1 · Exceptional
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Kevin Goetz, M.D. reported a CMS MIPS final score of 90.4/100 - above the 83.1 national average - and filed 356 Medicare Part D claims in 2023.
- 90.4/100
- 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
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
Where Kevin Goetz, M.D. sits
This provider among specialist peers
Across the 4,869 specialist providers who report both Medicare Part D prescribing and a MIPS quality score, Kevin Goetz, M.D. writes more Part D claims than 31% of them and scores higher on MIPS quality than 68% - placing this provider in the lower-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Part D claim volume vs MIPS quality, by specialty percentile
Each dot is one specialist peer from a representative sample of 60; the gold marker is Kevin Goetz, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
What does the federal data show about Kevin Goetz, M.D.?
High performer (top quartile)Primary specialty
Specialist
Medicare Part D claims
356 76% vs specialty avg
MIPS final score
90.4/100 7.3 pts vs avg
Specialty distribution in Kentucky
How Specialist compares to other specialties among Kentucky providers
Medicare quality performance, MIPS
Kevin Goetz, M.D.'s 2023 MIPS final score plotted against the Specialist national average
- MIPS Final Score
- 90.4/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Specialist) - 90.4/100 vs national avg 83.1
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).
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.
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%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 90.4/100 for the 2023 performance year (Quality 80.8), compared with the national average of 83.1.
Specialist is a high-volume specialty nationwide, with 69,608 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
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.
What Kevin Goetz, M.D. prescribes most
Top Medicare Part D drugs by claim count, 2023
- Cefdinir
Cefdinir
25 claims
- Oxycodone Hcl
Oxycodone Hcl
21 claims
- Prednisone
Prednisone
21 claims
- Metoprolol Succinate
Metoprolol Succinate
13 claims
| 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.
69,608
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.
Dr. Augusto Abad
M.D.
South Williamson, KY
Dr. Gregory Abbas
M.D.
Louisville, KY
Dr. Elizabeth Abbott
AUDIOLOGIST
Louisville, KY
Joetta Abston
Louisville, KY
Dr. Bassam Abu-Khalil
MD
Lexington, KY
Compare Specialist 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 Kentucky medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Specialist 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 Kentucky
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 90.4/100 (Quality: 80.8). 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 69,608 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
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
Compiled from official public sources by the PlainDoctor editorial team.
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.