2026 NPPES data Surgery Physician NPI 1235496944 MD
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LORI CARDWELL, MD

Surgery Physician in PORTLAND, Oregon. 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
52
Medicare Part D claims · 36 beneficiaries · Surgery Physician avg: 169
MIPS score
97.83/100
▲ 15 pts above national avg 83.1 · [object Object]
What the federal data reveals: LORI CARDWELL, MD is a Surgery Physician ([object Object]) practicing in PORTLAND, Oregon with a Medicare Part D prescribing footprint of 52 claims across 36 beneficiaries . Their CMS MIPS Final Score of 97.83/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities .

What stands out: LORI CARDWELL, MD reported a CMS MIPS final score of 97.83 out of 100, above the 83.1 national average, and filed 52 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

LORI CARDWELL, 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).

LORI CARDWELL, MD at a glance

High performer (top quartile)

NPI registry status

Active

Issued 04/19/2012

NPI 1235496944

Primary specialty

Surgery Physician

Mid-sized

36,191 US NPIs in this specialty

Medicare Part D claims

52 69% vs specialty avg

2023 prescription claims

Specialty avg: 169

MIPS final score

97.83/100 14.730000000000004% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Oregon

How Surgery Physician compares to other specialties among Oregon providers

Oregon providers

Surgery Physician share within Oregon

1. Surgery Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Surgery Physician share within Oregon

Medicare quality performance — MIPS

LORI CARDWELL, MD's 2023 MIPS final score plotted against the Surgery Physician national average

High performer (top quartile)
MIPS Final Score
97.83/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Surgery Physician) — 97.83/100 vs national avg 83.1

0%100%National avg83%97.8%
MIPS final score (Surgery Physician) — 97.83/100 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).

LORI CARDWELL, MD is a Surgery Physician provider practicing in PORTLAND, Oregon, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1235496944. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

LORI CARDWELL, MD appears in the CMS NPPES registry as a Surgery Physician provider holding MD credentials at OHSU GASTROINTESTINAL & GENERAL SURGERY AT CHH, PORTLAND, OR, 97239, with a listed phone of (503) 494-4373. NPI 1235496944 was issued on 04/19/2012. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what CARDWELL 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 52 prescription claims written by this provider, covering 36 Medicare beneficiaries and totaling roughly $859 in drug spend, with an opioid prescribing rate of 59.6%. 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 97.83/100 for the 2023 performance year (Quality 80.9759), compared with the national average of 83.1.

Surgery Physician is a mid-sized specialty nationwide, with 36,191 enrolled providers across 56 states and an average of 169 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

OHSU GASTROINTESTINAL & GENERAL SURGERY AT CHH
PORTLAND, OR 97239

Provider Details

NPI 1235496944
Specialty Surgery Physician
Credentials MD
Gender Female
NPI Issued 04/19/2012

CMS Quality Score (MIPS)

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

97.83
Final Score
Avg: 83.1
80.9759
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where LORI CARDWELL, 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.

TUALITY MEDICAL GROUP LLC
HILLSBORO, OR

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

Medicare Part D Prescribing Data

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

52
Total Claims
$859
Total Drug Cost
36
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
52
Total Day Supply
312
Generic Drug Cost
$226
Opioid Claims
31 (59.6% rate)

Patient Demographics

Average Patient Age
69.5 years
Avg HCC Risk Score
1.08
Gender Split
36% female / 64% male

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Oxycodone Hcl
28

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

Surgery Physician Overview

How LORI CARDWELL, MD fits within the Surgery Physician landscape nationally.

36,191
Surgery Physician Providers in US
56
States with Surgery Physician
169
Avg Claims per Provider

LORI CARDWELL, MD's 52 claims are below the specialty average of 169.

Nearby Surgery Physician Providers in Oregon

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

Compare Surgery Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is LORI CARDWELL, MD's specialty?
LORI CARDWELL, MD specializes in Surgery Physician and practices in PORTLAND, Oregon. Credentials: MD.
How much does LORI CARDWELL, MD prescribe under Medicare Part D?
In 2023, LORI CARDWELL, MD wrote 52 Medicare Part D claims totaling $859 in drug costs for 36 beneficiaries.
What is LORI CARDWELL, MD's Medicare quality score?
LORI CARDWELL, MD has a CMS MIPS Final Score of 97.83/100 (Quality: 80.9759). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is LORI CARDWELL, MD located?
LORI CARDWELL, MD is located at OHSU GASTROINTESTINAL & GENERAL SURGERY AT CHH, PORTLAND, OR, 97239. Phone: (503) 494-4373.
What is LORI CARDWELL, MD's NPI number?
LORI CARDWELL, MD's National Provider Identifier (NPI) is 1235496944, issued on 04/19/2012.
Does LORI CARDWELL, MD prescribe opioids?
Yes, LORI CARDWELL, MD had 31 opioid claims in 2023 with an opioid prescribing rate of 59.6%.
How many Surgery Physician providers are there in the US?
There are 36,191 Surgery Physician providers across 56 states in the US. The average Surgery Physician provider writes 169 Medicare Part D claims per year.
What drugs does LORI CARDWELL, MD prescribe most often?
Based on 2023 Medicare Part D data, LORI CARDWELL, MD's most frequently prescribed drugs include Oxycodone Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does LORI CARDWELL, MD accept Medicare?
LORI CARDWELL, MD appears in CMS Medicare data with 52 Part D claims and 36 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify LORI CARDWELL, MD's credentials?
LORI CARDWELL, MD's NPI is 1235496944 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