KEVIN ROELOFS, MD
Pediatric Allergy/Immunology Physician in PORTSMOUTH, New Hampshire. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.
What the federal data shows
KEVIN ROELOFS, MD reported a CMS MIPS final score of 79.9117/100 — below the 83.1 national average — and filed 972 Medicare Part D claims in 2023.
- 79.9117/100
- MIPS score · -3 vs avg
- 972
- Part D claims, 2023
- 53%
- 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.
KEVIN ROELOFS, MD's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure
80 30th percentile higher than 30% 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
KEVIN ROELOFS, MD 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 KEVIN ROELOFS, MD?
Near national averagePrimary specialty
Medicare Part D claims
MIPS final score
Specialty distribution in New Hampshire
How Pediatric Allergy/Immunology Physician compares to other specialties among New Hampshire providers
Pediatric Allergy/Immunology Physician share within New Hampshire
Pediatric Allergy/Immunology Physician is one of the more visible NUCC categories in New Hampshire
Each bar reflects the share of in-state providers whose primary NUCC taxonomy matches the specialty. Long tail of ~690 NUCC codes folded into "Other" to keep the comparison legible.
Medicare quality performance — MIPS
KEVIN ROELOFS, MD's 2023 MIPS final score plotted against the Pediatric Allergy/Immunology Physician national average
- MIPS Final Score
- 79.9117/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Pediatric Allergy/Immunology Physician) — 79.9117/100 vs national avg 83.1
Quality benchmarks
- National MIPS avg 2023 reporting year
- Quality dim CMS Quality category
- Cost dim CMS Cost category
- Specialty volume Pediatric Allergy/Immunology Physician US NPIs
79.9117/100 MIPS final score — 3.2 pts below the 83.1 national average
Quality, Cost, Promoting Interoperability, and Improvement Activities composite score for the 2023 performance year. Specialty: Pediatric Allergy/Immunology Physician. Quality dim: 72.8032. Cost dim: 69.3015.
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 ROELOFS, MD appears in the CMS NPPES registry as a Pediatric Allergy/Immunology Physician provider holding MD credentials at 100 GRIFFIN RD, PORTSMOUTH, NH, 03801, with a listed phone of (603) 436-7897. NPI 1982601084 was issued on 07/05/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what ROELOFS 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 972 prescription claims written by this provider, covering 147 Medicare beneficiaries and totaling roughly $550K in drug spend, split 47% brand-name and 53% generic by claim count. 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 79.9117/100 for the 2023 performance year (Quality 72.8032, Cost 69.3015), compared with the national average of 83.1.
Pediatric Allergy/Immunology Physician is a narrow specialty nationwide, with 419 enrolled providers across 43 states and an average of 345 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 | 1982601084 |
|---|---|
| Specialty | Pediatric Allergy/Immunology Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 07/05/2005 |
Verify this provider's license
PlainDoctor pulls this profile from the CMS NPPES public registry. Confirm KEVIN ROELOFS, MD's current license status, disciplinary history, and board certifications with the New Hampshire Board of Medicine in New Hampshire before relying on this page for a clinical or care decision.
How we sourced this profile
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
Reporting: Group practice
Hospital and facility affiliations
Facilities where KEVIN ROELOFS, MD 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.
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 KEVIN ROELOFS, MD. Source: openpaymentsdata.cms.gov.
Total received
$249
Largest payer
GENZYME CORPORATION
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.
Brand vs generic prescribing mix · Above average
47% brand-name claims vs 53% generic, on 972 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.
Prescribing Breakdown
- 30-Day Fills
- 1,562
- Total Day Supply
- 44,747
- Brand vs Generic
- 47% brand / 53% generic
- Brand Drug Cost
- $506K
- Generic Drug Cost
- $45K
Patient Demographics
- Average Patient Age
- 70.6 years
- Avg HCC Risk Score
- 0.71
- Gender Split
- 68% female / 32% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What KEVIN ROELOFS, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Montelukast Sodium
Montelukast Sodium
151 claims
- Symbicort
Symbicort
148 claims
- Fluticasone Propio…
Fluticasone Propionate
108 claims
- Albuterol Sulfate …
Albuterol Sulfate Hfa
69 claims
- Azelastine Hcl
Azelastine Hcl
64 claims
- Olopatadine Hcl 41
Olopatadine Hcl
41 claims
- Ventolin Hfa 30
Ventolin Hfa
30 claims
- Gamunex-C 26
Gamunex-C
26 claims
| Drug | Claims |
|---|---|
| Montelukast Sodium | 151 |
| Symbicort Budesonide/Formoterol Fumarate | 148 |
| Fluticasone Propionate | 108 |
| Albuterol Sulfate Hfa Albuterol Sulfate | 69 |
| Azelastine Hcl | 64 |
| Olopatadine Hcl | 41 |
| Ventolin Hfa Albuterol Sulfate | 30 |
| Gamunex-C Immune Globul G/Gly/Iga Avg 46 | 26 |
| Advair Diskus Fluticasone Propion/Salmeterol | 23 |
| Advair Hfa Fluticasone Propion/Salmeterol | 23 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Pediatric Allergy/Immunology Physician Overview
How KEVIN ROELOFS, MD fits within the Pediatric Allergy/Immunology Physician landscape nationally.
KEVIN ROELOFS, MD's 972 claims are above the specialty average of 345.
Nearby Pediatric Allergy/Immunology Physician Providers in New Hampshire
Other clinicians with the same primary specialty enrolled in New Hampshire, drawn from the same CMS NPPES roster as ROELOFS.
Compare Pediatric Allergy/Immunology Physician nationally: see state-by-state distribution →
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Frequently Asked Questions
What is KEVIN ROELOFS, MD's specialty? ▼
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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