Lauren Paul, D.O.
General Practice Physician in Virginia Beach, Virginia. This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers — including 16,677 in General Practice 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.
Source: CMS Medicare Part D Prescriber Public Use File, 2023
What the federal data shows
Lauren Paul, D.O. reported a CMS MIPS final score of 62.1/100 — below the 83.1 national average — and filed 975 Medicare Part D claims in 2023.
- 62.1/100
- MIPS score · -21 vs avg
- 975
- Part D claims, 2023
- 84%
- 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.
Lauren Paul, D.O.'s MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure
62 6th percentile higher than 6% 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 Lauren Paul, D.O. sits
This provider among general practice physician peers
Across the 783 general practice physician providers who report both Medicare Part D prescribing and a MIPS quality score, Lauren Paul, D.O. writes more Part D claims than 59% of them and scores higher on MIPS quality than 14% — 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
Each dot is one general practice physician peer from a representative sample of 60; the gold marker is Lauren Paul, D.O.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
Lauren Paul, D.O. 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 Lauren Paul, D.O.?
Below national averagePrimary specialty
Medicare Part D claims
MIPS final score
Specialty distribution in Virginia
How General Practice Physician compares to other specialties among Virginia providers
Largest specialties in Virginia (% of in-state providers)
General Practice Physician ranks #63 among Virginia's specialties (0.3% of in-state providers)
Each bar is a specialty's share of the Virginia provider total, by primary NUCC taxonomy. The highlighted bar is General Practice Physician; the long tail of smaller specialties is omitted for legibility.
Medicare quality performance — MIPS
Lauren Paul, D.O.'s 2023 MIPS final score plotted against the General Practice Physician national average
- MIPS Final Score
- 62.1/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (General Practice Physician) — 62.1/100 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 General Practice Physician US NPIs
62.1/100 MIPS final score — 21.0 pts below the 83.1 national average
Quality, Cost, Promoting Interoperability, and Improvement Activities composite score for the 2023 performance year. Specialty: General Practice Physician. Quality dim: 72.4. Cost dim: 84.7.
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 Paul, D.O. appears in the CMS NPPES registry as a General Practice Physician provider holding D.O. credentials at 3432 HOLLAND RD, Virginia Beach, VA, 23452, with a listed phone of (757) 468-1855. NPI 1235517483 was issued on 05/08/2015. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Paul 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 975 prescription claims written by this provider, covering 288 Medicare beneficiaries and totaling roughly $95K in drug spend, split 14% brand-name and 84% 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 62.1/100 for the 2023 performance year (Quality 72.4, Cost 84.7), compared with the national average of 83.1.
General Practice Physician is a mid-sized specialty nationwide, with 16,677 enrolled providers across 56 states and an average of 2,872 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 | 1235517483 |
|---|---|
| Specialty | General Practice Physician |
| Credentials | D.O. |
| Gender | Female |
| NPI Issued | 05/08/2015 |
Verify this provider's license
PlainDoctor pulls this profile from the CMS NPPES public registry. Confirm Lauren Paul, D.O.'s current license status, disciplinary history, and board certifications with the Virginia Board of Medicine in Virginia 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 Lauren Paul, D.O. 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).
Brand vs generic prescribing mix · Typical
14% brand-name claims vs 84% generic, on 975 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
- 1,779
- Total Day Supply
- 47,501
- Brand vs Generic
- 14% brand / 84% generic
- Brand Drug Cost
- $81K
- Generic Drug Cost
- $14K
- Antibiotic Claims
- 127
Patient Demographics
- Average Patient Age
- 68.6 years
- Avg HCC Risk Score
- 1.49
- Gender Split
- 70% female / 30% male
- Age Distribution
- <65: 59, 65-74: 158, 75-84: 57, 85+: 14
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Lauren Paul, D.O. prescribes most
Top Medicare Part D drugs by claim count, 2023
- Amlodipine Besylate
Amlodipine Besylate
53 claims
- Atorvastatin Calcium
Atorvastatin Calcium
50 claims
- Fluticasone Propio…
Fluticasone Propionate
41 claims
- Amoxicillin-Clavul…
Amoxicillin-Clavulanate Potass
36 claims
- Losartan Potassium
Losartan Potassium
32 claims
- Chlorthalidone
Chlorthalidone
29 claims
- Doxycycline Hyclate
Doxycycline Hyclate
29 claims
- Omeprazole
Omeprazole
27 claims
| Drug | Claims |
|---|---|
| Amlodipine Besylate | 53 |
| Atorvastatin Calcium | 50 |
| Fluticasone Propionate | 41 |
| Amoxicillin-Clavulanate Potass Amoxicillin/Potassium Clav | 36 |
| Losartan Potassium | 32 |
| Chlorthalidone | 29 |
| Doxycycline Hyclate | 29 |
| Omeprazole | 27 |
| Diclofenac Sodium | 23 |
| Levothyroxine Sodium | 22 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
General Practice Physician Overview
How Lauren Paul, D.O. fits within the General Practice Physician landscape nationally.
Lauren Paul, D.O.'s 975 claims are below the specialty average of 2,872.
Nearby General Practice Physician Providers in Virginia
Other clinicians with the same primary specialty enrolled in Virginia, drawn from the same CMS NPPES roster as Paul.
Compare General Practice 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 Virginia medical board — federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby General Practice 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.
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Frequently Asked Questions
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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