NPI registry status
Active
2026 NPPES data Hospitalist Physician NPI 1659478303 MD
Verify on CMS → Laurence Bower, MD
Hospitalist Physician in Boerne, Texas.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 17,950 in Hospitalist 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
1K
Medicare Part D claims · 440 beneficiaries · Hospitalist Physician avg: 940
Generic prescribing
97%
generic claims · 3% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
0/100
▼ 84 pts below national avg 83.5 · Penalty band
Industry payments
$2.1K
113 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2024
What the federal data shows
Laurence Bower, MD reported a CMS MIPS final score of 0/100 - below the 83.5 national average - and filed 1,349 Medicare Part D claims in 2024.
- 0/100
- MIPS score · -83 vs avg
- 1K
- Part D claims, 2024
- 97%
- 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.
Federal trust snapshot
What official records show about Laurence Bower, MD
Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1659478303), first enumerated 09/17/2006.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 1,349 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- Reported
CMS quality reporting (MIPS)
Reported a CMS MIPS final score of 0/100 in the Quality Payment Program — a federal quality measure, not a patient review.
Source: CMS Quality Payment Program
- Reported
Board certification signal
Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.
- Reported
Hospital affiliations
1 CMS Care Compare hospital affiliation on record — practice footprint from the Doctors and Clinicians file.
Source: CMS Care Compare
- Reported
Industry payment transparency
$2.1K in reported industry payments (113 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.
Source: CMS Open Payments
- State context
State board disciplinary context
Texas statewide board action statistics are published annually — these figures describe aggregate state activity, not Laurence Bower, MD's individual license status. Verify directly with the state medical board.
Source: TMB annual report 2023
- Not in federal data
Individual sanction lookup
PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.
Source: State medical board / FSMB
This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.
CMS NPPES provider registry desk
NPI 1659478303 · Hospitalist Physician
NPI-10 · ENUM-LEGACY · TAX-MID · MIPS-LOW · RX-MID · BOOK-LIGHT · PHOTO-FINISH
- NPI-10 1659478303
- ENUM-LEGACY 2006
- TAX-MID 18K Hospitalist Physician
- MIPS-LOW 0/100
- RX-MID 1,349
- BOOK-LIGHT 1,150 in Texas
- PHOTO-FINISH Meghann Derosier, DO · ±0.0
MIPS final-score neighbourhood
Same-specialty nationwide peers by CMS final score, not geographic proximity
- Bower · this pro… 0
Bower · this provider
0 MIPS pts
- Sotiraq Terova, … 0
Sotiraq Terova, M.D.
0 MIPS pts
- Meghann Derosier… 0
Meghann Derosier, DO
0 MIPS pts
- Victor Lopez De … 0
Victor Lopez De Mendoza, M.D.
0 MIPS pts
- Latha Nachimuthu… 0
Latha Nachimuthu, M.D.
0 MIPS pts
What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).
Laurence Bower, MD's MIPS score vs every measured U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.
0 ≥ 0th percentile 0% of 454,083 measured providers are in lower value bands
Each bar is a band; taller bars hold more measured 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.
The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where Laurence Bower, MD sits
This provider among hospitalist physician peers
Across the 4,317 hospitalist physician providers who report both Medicare Part D prescribing and a MIPS quality score, Laurence Bower, MD writes more Part D claims than 92% of them and scores higher on MIPS quality than 0% - placing this provider in the high-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Each dot is one hospitalist physician peer from a representative sample of 60; the gold marker is Laurence Bower, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Laurence Bower, 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 Laurence Bower, MD?
Below national averagePrimary specialty
Hospitalist Physician
Medicare Part D claims
1,349 44% vs specialty avg
MIPS final score
0/100 83.5 pts vs avg
Specialty distribution in Texas
How Hospitalist Physician compares to other specialties among Texas providers
Medicare quality performance, MIPS
Laurence Bower, MD's 2023 MIPS final score plotted against the Hospitalist Physician national average
- MIPS Final Score
- 0/100
- vs 83.5 national avg · 2023 performance year
How MIPS and board certification work
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).
Practice Address
Provider Details
| NPI | 1659478303 |
|---|---|
| Specialty | Hospitalist Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 09/17/2006 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
0
Final Score
Measured-score avg: 83.5
0
Quality
Reporting: Individual
Hospital and facility affiliations
Facilities where Laurence Bower, 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.
Renaissance Medical Foundation
Edinburg, TX
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 Laurence Bower, MD. Source: openpaymentsdata.cms.gov.
Total received
$2.1K
Largest payer
Novartis Pharmaceuticals 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.
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 Laurence Bower, MD. To verify Laurence Bower, 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.
Brand vs generic prescribing mix · Generic-heavy
Laurence Bower, MD - brand share 3.0%
Hospitalist Physician average
3% brand-name claims vs 97% generic, on 1,349 2024 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 2024.
1,349
Total Claims
$231K
Total Drug Cost
440
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 3,142.767
- Total Day Supply
- 93,039
- Brand vs Generic
- 3% brand / 97% generic
- Brand Drug Cost
- $169K
- Generic Drug Cost
- $62K
Patient Demographics
- Average Patient Age
- 76.4 years
- Avg HCC Risk Score
- 1.52
- Gender Split
- 46% female / 54% male
- Age Distribution
- <65: 16, 65-74: 151, 75-84: 203, 85+: 70
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
What Laurence Bower, MD prescribes most
Top Medicare Part D drugs by claim count, 2024
- Memantine Hcl
Memantine Hcl
184 claims
- Carbidopa-Levodopa
Carbidopa-Levodopa
150 claims
- Donepezil Hcl
Donepezil Hcl
117 claims
- Escitalopram Oxalate 71
Escitalopram Oxalate
71 claims
- Mirtazapine 69
Mirtazapine
69 claims
- Gabapentin 63
Gabapentin
63 claims
- Lamotrigine 50
Lamotrigine
50 claims
- Rivastigmine 43
Rivastigmine
43 claims
| Drug | Claims |
|---|---|
| Memantine Hcl | 184 |
| Carbidopa-Levodopa Carbidopa/Levodopa | 150 |
| Donepezil Hcl | 117 |
| Escitalopram Oxalate | 71 |
| Mirtazapine | 69 |
| Gabapentin | 63 |
| Lamotrigine | 50 |
| Rivastigmine Rivastigmine Tartrate | 43 |
| Levetiracetam | 35 |
| Clopidogrel Clopidogrel Bisulfate | 34 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Hospitalist Physician Overview
How Laurence Bower, MD fits within the Hospitalist Physician landscape nationally.
17,950
Hospitalist Physician Providers in US
54
States with Hospitalist Physician
940
Avg Claims per Provider
Laurence Bower, MD's 1,349 claims are above the specialty average of 940.
Nationwide Hospitalist Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Bower, both outside Texas so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (0 here).
Same NPPES enumeration year (2006)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Hospitalist Physician Providers in Texas
Other clinicians with the same primary specialty enrolled in Texas, drawn from the same CMS NPPES roster as Bower.
One of 1,150 Hospitalist Physician providers enrolled in Texas, 5 are shown here.
Leonel Abarca Jr
Fort Worth, TX
Dr. Qamar Abbas
DO
Temple, TX
Dr. Syed Abbas
MD
Houston, TX
Dr. Saherish Abbasi
DO
Houston, TX
Dr. Yezan Abderrahman
M.D.
Dallas, TX
Compare Hospitalist Physician nationally: see state-by-state distribution →
Frequently Asked Questions
What is Laurence Bower, MD's specialty? ▼
Laurence Bower, MD specializes in Hospitalist Physician and practices in Boerne, Texas. Credentials: MD.
How much does Laurence Bower, MD prescribe under Medicare Part D? ▼
In 2024, Laurence Bower, MD wrote 1,349 Medicare Part D claims totaling $231K in drug costs for 440 beneficiaries.
What is Laurence Bower, MD's Medicare quality score? ▼
Laurence Bower, MD has a CMS MIPS Final Score of 0/100 (Quality: 0). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Laurence Bower, MD located? ▼
Laurence Bower, MD is located at 30 CASCADE CAVERNS ROAD, Boerne, TX, 78015. Phone: (830) 816-5518.
What is Laurence Bower, MD's NPI number? ▼
Laurence Bower, MD's National Provider Identifier (NPI) is 1659478303, issued on 09/17/2006.
Does Laurence Bower, MD prescribe more brand-name or generic drugs? ▼
Laurence Bower, MD's prescribing is 3% brand-name and 97% generic drugs by claim count, with $169K in brand drug costs.
How many Hospitalist Physician providers are there in the US? ▼
There are 17,950 Hospitalist Physician providers across 54 states in the US. The average Hospitalist Physician provider writes 940 Medicare Part D claims per year.
What drugs does Laurence Bower, MD prescribe most often? ▼
Based on 2024 Medicare Part D data, Laurence Bower, MD's most frequently prescribed drugs include Memantine Hcl, Carbidopa-Levodopa, Donepezil Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Laurence Bower, MD accept Medicare? ▼
Laurence Bower, MD appears in CMS Medicare data with 1,349 Part D claims and 440 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Laurence Bower, MD's credentials? ▼
Laurence Bower, MD's NPI is 1659478303 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
View source datasets and methodology notes
- 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 (2024). 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 August 2026 (NPPES) / 2024 (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
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of August 2026.