2026 NPPES data Emergency Medicine Physician NPI 1275818536 MD
Verify on CMS →

LAUREN LAROCHE, MD

Emergency Medicine Physician in SHENANDOAH, Texas. 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
240
Medicare Part D claims · 151 beneficiaries · Emergency Medicine Physician avg: 352
MIPS score
89.2656/100
▲ 6 pts above national avg 83.1 · [object Object]

What the federal data shows

LAUREN LAROCHE, MD reported a CMS MIPS final score of 89.2656/100 — above the 83.1 national average — and filed 240 Medicare Part D claims in 2023.

89.2656/100
MIPS score · +6 vs avg
240
Part D claims, 2023
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.

LAUREN LAROCHE, MD's MIPS score vs every scored U.S. clinician

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

89 Top 42% higher than 58% 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%). This entry sits in this band. 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

Board certification likely (heuristic — not verified)

LAUREN LAROCHE, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting — 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 LAUREN LAROCHE, MD?

High performer (top quartile)

NPI registry status

Active

Issued 10/19/2011

NPI 1275818536

Primary specialty

Emergency Medicine Physician

High-volume

64,398 US NPIs in this specialty

Medicare Part D claims

240 32% vs specialty avg

2023 prescription claims

Specialty avg: 352

MIPS final score

89.2656/100 6.165600000000012% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Texas

How Emergency Medicine Physician compares to other specialties among Texas providers

Texas providers

Emergency Medicine Physician share within Texas

1. Emergency Medicine Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Emergency Medicine Physician share within Texas

Medicare quality performance — MIPS

LAUREN LAROCHE, MD's 2023 MIPS final score plotted against the Emergency Medicine Physician national average

High performer (top quartile)
MIPS Final Score
89.2656/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Emergency Medicine Physician) — 89.2656/100 vs national avg 83.1

0%100%National avg83%89.3%
MIPS final score (Emergency Medicine Physician) — 89.2656/100 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).

LAUREN LAROCHE, MD appears in the CMS NPPES registry as a Emergency Medicine Physician provider holding MD credentials at 17201 I 45 S, SHENANDOAH, TX, 77385, with a listed phone of (936) 270-2227. NPI 1275818536 was issued on 10/19/2011. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what LAROCHE 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 240 prescription claims written by this provider, covering 151 Medicare beneficiaries and totaling roughly $2K in drug spend, with an opioid prescribing rate of 29.6%. 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 89.2656/100 for the 2023 performance year (Quality 100, Cost 97.552), compared with the national average of 83.1.

Emergency Medicine Physician is a high-volume specialty nationwide, with 64,398 enrolled providers across 56 states and an average of 352 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

17201 I 45 S
SHENANDOAH, TX 77385

Provider Details

NPI 1275818536
Specialty Emergency Medicine Physician
Credentials MD
Gender Female
NPI Issued 10/19/2011

CMS Quality Score (MIPS)

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

89.2656
Final Score
Avg: 83.1
100
Quality
97.552
Cost

Reporting: Individual

License & disciplinary context — Texas TMB 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 ~77K Texas medical licensees in 2023 — they are NOT specific to LAUREN LAROCHE, MD. To verify LAUREN LAROCHE, MD's current license status, search the TMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

344
Total board actions, Texas 2023
Across 334 cases
4.47
Actions per 1,000 licensees
Texas statewide rate
probation
Most common action type
94 cases

TMB 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 Texas disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Medicare Part D Prescribing Data

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

240
Total Claims
$2K
Total Drug Cost
151
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
240
Total Day Supply
2,227
Generic Drug Cost
$2K
Opioid Claims
71 (29.6% rate)
Antibiotic Claims
76

Patient Demographics

Average Patient Age
73.5 years
Avg HCC Risk Score
1.80
Gender Split
63% female / 37% male
Age Distribution
<65: 15, 65-74: 64, 75-84: 56, 85+: 16

Top Prescribed Drugs (Medicare Part D)

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

What LAUREN LAROCHE, 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
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
46
Tramadol Hcl
25
Methylprednisolone
24
Cephalexin
18
Ondansetron Odt
Ondansetron
17
Ciprofloxacin Hcl
12

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

Emergency Medicine Physician Overview

How LAUREN LAROCHE, MD fits within the Emergency Medicine Physician landscape nationally.

64,398
Emergency Medicine Physician Providers in US
56
States with Emergency Medicine Physician
352
Avg Claims per Provider

LAUREN LAROCHE, MD's 240 claims are below the specialty average of 352.

Nearby Emergency Medicine Physician Providers in Texas

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

Compare Emergency Medicine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is LAUREN LAROCHE, MD's specialty?
LAUREN LAROCHE, MD specializes in Emergency Medicine Physician and practices in SHENANDOAH, Texas. Credentials: MD.
How much does LAUREN LAROCHE, MD prescribe under Medicare Part D?
In 2023, LAUREN LAROCHE, MD wrote 240 Medicare Part D claims totaling $2K in drug costs for 151 beneficiaries.
What is LAUREN LAROCHE, MD's Medicare quality score?
LAUREN LAROCHE, MD has a CMS MIPS Final Score of 89.2656/100 (Quality: 100, Cost: 97.552). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is LAUREN LAROCHE, MD located?
LAUREN LAROCHE, MD is located at 17201 I 45 S, SHENANDOAH, TX, 77385. Phone: (936) 270-2227.
What is LAUREN LAROCHE, MD's NPI number?
LAUREN LAROCHE, MD's National Provider Identifier (NPI) is 1275818536, issued on 10/19/2011.
Does LAUREN LAROCHE, MD prescribe opioids?
Yes, LAUREN LAROCHE, MD had 71 opioid claims in 2023 with an opioid prescribing rate of 29.6%.
How many Emergency Medicine Physician providers are there in the US?
There are 64,398 Emergency Medicine Physician providers across 56 states in the US. The average Emergency Medicine Physician provider writes 352 Medicare Part D claims per year.
What drugs does LAUREN LAROCHE, MD prescribe most often?
Based on 2023 Medicare Part D data, LAUREN LAROCHE, MD's most frequently prescribed drugs include Hydrocodone-Acetaminophen, Tramadol Hcl, Methylprednisolone. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does LAUREN LAROCHE, MD accept Medicare?
LAUREN LAROCHE, MD appears in CMS Medicare data with 240 Part D claims and 151 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify LAUREN LAROCHE, MD's credentials?
LAUREN LAROCHE, MD's NPI is 1275818536 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