2026 NPPES data Family Medicine Physician NPI 1023091360 MD
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Kim Abell, MD

Family Medicine Physician in Rochester, New York. This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 147,640 in Family 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
5K
Medicare Part D claims · 620 beneficiaries · Family Medicine Physician avg: 3K
Generic prescribing
91%
generic claims · 9% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
76.8/100
▼ 6 pts below national avg 83.1 · Above neutral
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Kim Abell, MD reported a CMS MIPS final score of 76.8/100 - below the 83.1 national average - and filed 5,005 Medicare Part D claims in 2023.

76.8/100
MIPS score · -6 vs avg
5K
Part D claims, 2023
91%
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.

Kim Abell, MD's MIPS score vs every scored U.S. clinician

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

77 21st percentile higher than 21% 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%). This entry sits in this band. 80–90: 129,887 scored providers (27%). Above this entry. 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

Where Kim Abell, MD sits

This provider among family medicine physician peers

Across the 22,040 family medicine physician providers who report both Medicare Part D prescribing and a MIPS quality score, Kim Abell, MD writes more Part D claims than 66% of them and scores higher on MIPS quality than 23% - placing this provider in the high-volume, lower-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

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality02550751000255075100Part D claim volume, percentile in specialtyMIPS quality, percentilePart D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 82Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 47Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 68Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 60Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 77Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 37Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 80Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 90Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 38Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 92Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 63Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 58Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 42Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 23Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 15Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 98Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 22Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 13Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 35Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 43Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 10Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 12Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 72Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 18Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 2Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 8Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 73Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 87Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 3Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 92Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 40Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 27Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 97Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 50Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 78Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 5Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 62Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 28Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 32Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 25Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 50Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 18Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 48Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 33Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 7Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 30Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 45Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 82Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 98Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 68Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 73Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 50Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 55Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 85Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 63Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 87Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 57Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 67Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 92Kim Abell, MD-Part D claim volume, percentile in specialty: 66 · MIPS quality, percentile: 23
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one family medicine physician peer from a representative sample of 60; the gold marker is Kim Abell, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

Board certification likely (heuristic, not verified)

Kim Abell, 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 Kim Abell, MD?

Below national average

NPI registry status

Active

Issued 11/21/2005

NPI 1023091360

Primary specialty

Family Medicine Physician

High-volume

147,640 US NPIs in this specialty

Medicare Part D claims

5,005 46% vs specialty avg

2023 prescription claims

Specialty avg: 3,418

MIPS final score

76.8/100 6.3 pts vs avg

Above neutral band

vs 83.1 national avg

Specialty distribution in New York

How Family Medicine Physician compares to other specialties among New York providers

New York providers

Largest specialties in New York (% of in-state providers)

Student in an Organized Health Care Education/Training Program - 7.8%Student in an Organized Health Care Education/Training Program7.8%Registered Nurse - 5.2%Registered Nurse5.2%Clinical Social Worker - 4.9%Clinical Social Worker4.9%Social Worker - 4.5%Social Worker4.5%Speech-Language Pathologist - 4.5%Speech-Language Pathologist4.5%Licensed Practical Nurse - 4.3%Licensed Practical Nurse4.3%Family Medicine Physician - 1.1%Family Medicine Physician1.1%
Largest specialties in New York (% of in-state providers)

Medicare quality performance, MIPS

Kim Abell, MD's 2023 MIPS final score plotted against the Family Medicine Physician national average

Below national average
MIPS Final Score
76.8/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Family Medicine Physician) - 76.8/100 vs national avg 83.1

0%100%National avg83%76.8%
MIPS final score (Family Medicine Physician) - 76.8/100 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).

Kim Abell, MD appears in the CMS NPPES registry as a Family Medicine Physician provider holding MD credentials at 2212 PENFIELD RD, Rochester, NY, 14526, with a listed phone of (585) 598-8505. NPI 1023091360 was issued on 11/21/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Abell 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 5,005 prescription claims written by this provider, covering 620 Medicare beneficiaries and totaling roughly $435K in drug spend, split 9% brand-name and 91% generic by claim count, with an opioid prescribing rate of 6.2%. 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 76.8/100 for the 2023 performance year (Quality 68.2, Cost 42.7), compared with the national average of 83.1.

Family Medicine Physician is a high-volume specialty nationwide, with 147,640 enrolled providers across 56 states and an average of 3,418 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

2212 PENFIELD RD
Rochester, NY 14526

Provider Details

NPI 1023091360
Specialty Family Medicine Physician
Credentials MD
Gender Male
NPI Issued 11/21/2005

CMS Quality Score (MIPS)

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

76.8466
Final Score
Avg: 83.1
68.2024
Quality
42.684
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where Kim Abell, 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.

Highland Hospital OF Rochester
Penfield, NY

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

License & disciplinary context - New York NYSBPMC 2023 annual report

Aggregate state board data only, NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~100K New York medical licensees in 2023 - they are NOT specific to Kim Abell, MD. To verify Kim Abell, MD's current license status, search the NYSBPMC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

312
Total board actions, New York 2023
Across 302 cases
3.12
Actions per 1,000 licensees
New York statewide rate
probation
Most common action type
89 cases

NYSBPMC publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the New York disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Generic-heavy

Kim Abell, MD - brand share 9.0%
Family Medicine Physician average

9% brand-name claims vs 91% generic, on 5,005 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.

5,005
Total Claims
$435K
Total Drug Cost
620
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
10,769
Total Day Supply
313,066
Brand vs Generic
9% brand / 91% generic
Brand Drug Cost
$302K
Generic Drug Cost
$132K
Opioid Claims
309 (6.2% rate)
Antibiotic Claims
111

Patient Demographics

Average Patient Age
73.1 years
Avg HCC Risk Score
1.09
Gender Split
48% female / 52% male
Age Distribution
<65: 67, 65-74: 266, 75-84: 215, 85+: 72

Top Prescribed Drugs (Medicare Part D)

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

What Kim Abell, MD 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
Atorvastatin Calcium
312
Gabapentin
181
Levothyroxine Sodium
159
Amlodipine Besylate
152
Omeprazole
138
Lisinopril
130
Rosuvastatin Calcium
108
Hydrochlorothiazide
106
Metformin Hcl Er
Metformin Hcl
91
Tamsulosin Hcl
87

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

Family Medicine Physician Overview

How Kim Abell, MD fits within the Family Medicine Physician landscape nationally.

147,640
Family Medicine Physician Providers in US
56
States with Family Medicine Physician
3,418
Avg Claims per Provider

Kim Abell, MD's 5,005 claims are above the specialty average of 3,418.

Nearby Family Medicine Physician Providers in New York

Other clinicians with the same primary specialty enrolled in New York, drawn from the same CMS NPPES roster as Abell.

Compare Family 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 New York medical board, federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Family 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.

Frequently Asked Questions

What is Kim Abell, MD's specialty?
Kim Abell, MD specializes in Family Medicine Physician and practices in Rochester, New York. Credentials: MD.
How much does Kim Abell, MD prescribe under Medicare Part D?
In 2023, Kim Abell, MD wrote 5,005 Medicare Part D claims totaling $435K in drug costs for 620 beneficiaries.
What is Kim Abell, MD's Medicare quality score?
Kim Abell, MD has a CMS MIPS Final Score of 76.8/100 (Quality: 68.2, Cost: 42.7). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Kim Abell, MD located?
Kim Abell, MD is located at 2212 PENFIELD RD, Rochester, NY, 14526. Phone: (585) 598-8505.
What is Kim Abell, MD's NPI number?
Kim Abell, MD's National Provider Identifier (NPI) is 1023091360, issued on 11/21/2005.
Does Kim Abell, MD prescribe more brand-name or generic drugs?
Kim Abell, MD's prescribing is 9% brand-name and 91% generic drugs by claim count, with $302K in brand drug costs.
Does Kim Abell, MD prescribe opioids?
Yes, Kim Abell, MD had 309 opioid claims in 2023 with an opioid prescribing rate of 6.2%.
How many Family Medicine Physician providers are there in the US?
There are 147,640 Family Medicine Physician providers across 56 states in the US. The average Family Medicine Physician provider writes 3,418 Medicare Part D claims per year.
What drugs does Kim Abell, MD prescribe most often?
Based on 2023 Medicare Part D data, Kim Abell, MD's most frequently prescribed drugs include Atorvastatin Calcium, Gabapentin, Levothyroxine Sodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Kim Abell, MD accept Medicare?
Kim Abell, MD appears in CMS Medicare data with 5,005 Part D claims and 620 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Kim Abell, MD's credentials?
Kim Abell, MD's NPI is 1023091360 with credentials MD. 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

Compiled from official public sources by the PlainDoctor editorial team.