2026 NPPES data Family Medicine Physician NPI 1013220060 DO
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LAUREN TOMES, DO

Family Medicine Physician in BRIDGEPORT, West Virginia. 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
6K
Medicare Part D claims · 273 beneficiaries · Family Medicine Physician avg: 3K
Generic prescribing
84%
generic claims · 16% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
58.5954/100
▼ 25 pts below national avg 83.1 · [object Object]
Industry payments
$611.56
33 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

LAUREN TOMES, DO reported a CMS MIPS final score of 58.5954/100 — below the 83.1 national average — and filed 5,735 Medicare Part D claims in 2023.

58.5954/100
MIPS score · -25 vs avg
6K
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 TOMES, DO's MIPS score vs every scored U.S. clinician

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

59 5th percentile higher than 5% 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%). This entry sits in this band. 60–70: 13,906 scored providers (3%). Above this entry. 70–80: 118,074 scored providers (25%). Above this entry. 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

Board certification likely (heuristic — not verified)

LAUREN TOMES, DO 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 TOMES, DO?

Below national average

NPI registry status

Active

Issued 07/20/2010

NPI 1013220060

Primary specialty

Family Medicine Physician

High-volume

147,640 US NPIs in this specialty

Medicare Part D claims

5,735 68% vs specialty avg

2023 prescription claims

Specialty avg: 3,418

MIPS final score

58.5954/100 24.504599999999996% pts

Mid-tier band

vs 83.1 national avg

Specialty distribution in West Virginia

How Family Medicine Physician compares to other specialties among West Virginia providers

West Virginia providers

Family Medicine Physician share within West Virginia

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

Medicare quality performance — MIPS

LAUREN TOMES, DO's 2023 MIPS final score plotted against the Family Medicine Physician national average

Below national average
MIPS Final Score
58.5954/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Family Medicine Physician) — 58.5954/100 vs national avg 83.1

0%100%National avg83%58.6%
MIPS final score (Family Medicine Physician) — 58.5954/100 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 TOMES, DO appears in the CMS NPPES registry as a Family Medicine Physician provider holding DO credentials at 1511 JOHNSON AVE, BRIDGEPORT, WV, 26330, with a listed phone of (304) 848-0702. NPI 1013220060 was issued on 07/20/2010. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what TOMES 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 5,735 prescription claims written by this provider, covering 273 Medicare beneficiaries and totaling roughly $790K in drug spend, split 16% brand-name and 84% generic by claim count, with an opioid prescribing rate of 3.3%. 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 58.5954/100 for the 2023 performance year (Quality 7.3772, Cost 74.2827), 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

1511 JOHNSON AVE
BRIDGEPORT, WV 26330

Provider Details

NPI 1013220060
Specialty Family Medicine Physician
Credentials DO
Gender Female
NPI Issued 07/20/2010

CMS Quality Score (MIPS)

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

58.5954
Final Score
Avg: 83.1
7.3772
Quality
74.2827
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where LAUREN TOMES, DO 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.

UNITED PHYSICIANS CARE INC
BRIDGEPORT, WV

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 LAUREN TOMES, DO. Source: openpaymentsdata.cms.gov.

Total received

$612

Largest payer

Novo Nordisk Inc

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 · Typical

LAUREN TOMES, DO — brand share 16.0%
Specialty average (est.)

16% brand-name claims vs 84% generic, on 5,735 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.

5,735
Total Claims
$790K
Total Drug Cost
273
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
12,327
Total Day Supply
360,656
Brand vs Generic
16% brand / 84% generic
Brand Drug Cost
$705K
Generic Drug Cost
$81K
Opioid Claims
189 (3.3% rate)
Antibiotic Claims
137

Patient Demographics

Average Patient Age
73.4 years
Avg HCC Risk Score
1.42
Gender Split
71% female / 29% male
Age Distribution
<65: 29, 65-74: 112, 75-84: 98, 85+: 34

Top Prescribed Drugs (Medicare Part D)

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

What LAUREN TOMES, DO 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
266
Rosuvastatin Calcium
192
Ozempic
Semaglutide
167
Lisinopril
161
Pantoprazole Sodium
147
Losartan Potassium
146
Hydrochlorothiazide
142
Gabapentin
113
Metoprolol Succinate
112
Amlodipine Besylate
107

* 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 LAUREN TOMES, DO 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

LAUREN TOMES, DO's 5,735 claims are above the specialty average of 3,418.

Nearby Family Medicine Physician Providers in West Virginia

Other clinicians with the same primary specialty enrolled in West Virginia, drawn from the same CMS NPPES roster as TOMES.

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

Frequently Asked Questions

What is LAUREN TOMES, DO's specialty?
LAUREN TOMES, DO specializes in Family Medicine Physician and practices in BRIDGEPORT, West Virginia. Credentials: DO.
How much does LAUREN TOMES, DO prescribe under Medicare Part D?
In 2023, LAUREN TOMES, DO wrote 5,735 Medicare Part D claims totaling $790K in drug costs for 273 beneficiaries.
What is LAUREN TOMES, DO's Medicare quality score?
LAUREN TOMES, DO has a CMS MIPS Final Score of 58.5954/100 (Quality: 7.3772, Cost: 74.2827). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is LAUREN TOMES, DO located?
LAUREN TOMES, DO is located at 1511 JOHNSON AVE, BRIDGEPORT, WV, 26330. Phone: (304) 848-0702.
What is LAUREN TOMES, DO's NPI number?
LAUREN TOMES, DO's National Provider Identifier (NPI) is 1013220060, issued on 07/20/2010.
Does LAUREN TOMES, DO prescribe more brand-name or generic drugs?
LAUREN TOMES, DO's prescribing is 16% brand-name and 84% generic drugs by claim count, with $705K in brand drug costs.
Does LAUREN TOMES, DO prescribe opioids?
Yes, LAUREN TOMES, DO had 189 opioid claims in 2023 with an opioid prescribing rate of 3.3%.
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 LAUREN TOMES, DO prescribe most often?
Based on 2023 Medicare Part D data, LAUREN TOMES, DO's most frequently prescribed drugs include Atorvastatin Calcium, Rosuvastatin Calcium, Ozempic. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does LAUREN TOMES, DO accept Medicare?
LAUREN TOMES, DO appears in CMS Medicare data with 5,735 Part D claims and 273 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify LAUREN TOMES, DO's credentials?
LAUREN TOMES, DO's NPI is 1013220060 with credentials DO. 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