NPI registry status
Active
2026 NPPES data Internal Medicine Physician NPI 1235196163 M.D.
Verify on CMS → Lori Hickson, M.D.
Internal Medicine Physician in New Braunfels, 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 172,737 in Internal Medicine 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
6K
Medicare Part D claims · 559 beneficiaries · Internal Medicine Physician avg: 3K
Generic prescribing
89%
generic claims · 11% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
92.2/100
▲ 9 pts above national avg 83.1 · Exceptional
Source: CMS Medicare Part D Prescriber Public Use File, 2023
What the federal data shows
Lori Hickson, M.D. reported a CMS MIPS final score of 92.2/100 - above the 83.1 national average - and filed 5,731 Medicare Part D claims in 2023.
- 92.2/100
- MIPS score · +9 vs avg
- 6K
- Part D claims, 2023
- 89%
- 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.
Lori Hickson, M.D.'s MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
92 Top 32% higher than 68% 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 Lori Hickson, M.D. sits
This provider among internal medicine physician peers
Across the 36,260 internal medicine physician providers who report both Medicare Part D prescribing and a MIPS quality score, Lori Hickson, M.D. writes more Part D claims than 83% of them and scores higher on MIPS quality than 67% - placing this provider in the high-volume, high-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 internal medicine physician peer from a representative sample of 60; the gold marker is Lori Hickson, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Lori Hickson, M.D. 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 Lori Hickson, M.D.?
High performer (top quartile)Primary specialty
Internal Medicine Physician
Medicare Part D claims
5,731 111% vs specialty avg
MIPS final score
92.2/100 9.1 pts vs avg
Specialty distribution in Texas
How Internal Medicine Physician compares to other specialties among Texas providers
Medicare quality performance, MIPS
Lori Hickson, M.D.'s 2023 MIPS final score plotted against the Internal Medicine Physician national average
- MIPS Final Score
- 92.2/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Internal Medicine Physician) - 92.2/100 vs national avg 83.1
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).
Lori Hickson, M.D. appears in the CMS NPPES registry as an Internal Medicine Physician provider holding M.D. credentials at 1619 E. COMMON ST., New Braunfels, TX, 78130, with a listed phone of (830) 203-6695. NPI 1235196163 was issued on 04/26/2006.
Medicare Part D records for calendar year 2023 show 5,731 prescription claims written by this provider, covering 559 Medicare beneficiaries and totaling roughly $455K in drug spend, split 11% brand-name and 89% generic by claim count, with an opioid prescribing rate of 1.6%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 92.2/100 for the 2023 performance year (Quality 78.1), compared with the national average of 83.1.
Internal Medicine Physician is a high-volume specialty nationwide, with 172,737 enrolled providers across 56 states and an average of 2,716 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 | 1235196163 |
|---|---|
| Specialty | Internal Medicine Physician |
| Credentials | M.D. |
| Gender | Female |
| NPI Issued | 04/26/2006 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
92.1659
Final Score
Avg: 83.1
78.1161
Quality
100
Promoting Interoperability
Reporting: Alternative Payment Model
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 Lori Hickson, M.D.. To verify Lori Hickson, M.D.'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 · Typical
Lori Hickson, M.D. - brand share 11.0%
Internal Medicine Physician average
11% brand-name claims vs 89% generic, on 5,731 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.
5,731
Total Claims
$455K
Total Drug Cost
559
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 13,607
- Total Day Supply
- 396,322
- Brand vs Generic
- 11% brand / 89% generic
- Brand Drug Cost
- $337K
- Generic Drug Cost
- $115K
- Opioid Claims
- 89 (1.6% rate)
- Antibiotic Claims
- 218
Patient Demographics
- Average Patient Age
- 75.6 years
- Avg HCC Risk Score
- 1.03
- Gender Split
- 75% female / 25% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Lori Hickson, M.D. prescribes most
Top Medicare Part D drugs by claim count, 2023
- Levothyroxine Sodium
Levothyroxine Sodium
468 claims
- Atorvastatin Calcium
Atorvastatin Calcium
328 claims
- Amlodipine Besylate 180
Amlodipine Besylate
180 claims
- Losartan Potassium 154
Losartan Potassium
154 claims
- Omeprazole 139
Omeprazole
139 claims
- Trazodone Hcl 127
Trazodone Hcl
127 claims
- Metoprolol Succinate 116
Metoprolol Succinate
116 claims
- Pravastatin Sodium 116
Pravastatin Sodium
116 claims
| Drug | Claims |
|---|---|
| Levothyroxine Sodium | 468 |
| Atorvastatin Calcium | 328 |
| Amlodipine Besylate | 180 |
| Losartan Potassium | 154 |
| Omeprazole | 139 |
| Trazodone Hcl | 127 |
| Metoprolol Succinate | 116 |
| Pravastatin Sodium | 116 |
| Alprazolam | 115 |
| Rosuvastatin Calcium | 114 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Internal Medicine Physician Overview
How Lori Hickson, M.D. fits within the Internal Medicine Physician landscape nationally.
172,737
Internal Medicine Physician Providers in US
56
States with Internal Medicine Physician
2,716
Avg Claims per Provider
Lori Hickson, M.D.'s 5,731 claims are above the specialty average of 2,716.
Nearby Internal Medicine Physician Providers in Texas
Other clinicians with the same primary specialty enrolled in Texas, drawn from the same CMS NPPES roster as Hickson.
Dr. Muhammad A. Sattar
MD
Dallas, TX
Anunaya Aashish
Denton, TX
Dr. Queenie Ann Abad
M.D.
San Antonio, TX
Dr. Fuad Abaleka
M.D
Lubbock, TX
Dr. Carol Abalihi
M.D.
El Paso, TX
Compare Internal Medicine 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 Texas medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Internal Medicine 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
What is Lori Hickson, M.D.'s specialty? ▼
Lori Hickson, M.D. specializes in Internal Medicine Physician and practices in New Braunfels, Texas. Credentials: M.D..
How much does Lori Hickson, M.D. prescribe under Medicare Part D? ▼
In 2023, Lori Hickson, M.D. wrote 5,731 Medicare Part D claims totaling $455K in drug costs for 559 beneficiaries.
What is Lori Hickson, M.D.'s Medicare quality score? ▼
Lori Hickson, M.D. has a CMS MIPS Final Score of 92.2/100 (Quality: 78.1). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Lori Hickson, M.D. located? ▼
Lori Hickson, M.D. is located at 1619 E. COMMON ST., New Braunfels, TX, 78130. Phone: (830) 203-6695.
What is Lori Hickson, M.D.'s NPI number? ▼
Lori Hickson, M.D.'s National Provider Identifier (NPI) is 1235196163, issued on 04/26/2006.
Does Lori Hickson, M.D. prescribe more brand-name or generic drugs? ▼
Lori Hickson, M.D.'s prescribing is 11% brand-name and 89% generic drugs by claim count, with $337K in brand drug costs.
Does Lori Hickson, M.D. prescribe opioids? ▼
Yes, Lori Hickson, M.D. had 89 opioid claims in 2023 with an opioid prescribing rate of 1.6%.
How many Internal Medicine Physician providers are there in the US? ▼
There are 172,737 Internal Medicine Physician providers across 56 states in the US. The average Internal Medicine Physician provider writes 2,716 Medicare Part D claims per year.
What drugs does Lori Hickson, M.D. prescribe most often? ▼
Based on 2023 Medicare Part D data, Lori Hickson, M.D.'s most frequently prescribed drugs include Levothyroxine Sodium, Atorvastatin Calcium, Amlodipine Besylate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Lori Hickson, M.D. accept Medicare? ▼
Lori Hickson, M.D. appears in CMS Medicare data with 5,731 Part D claims and 559 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Lori Hickson, M.D.'s credentials? ▼
Lori Hickson, M.D.'s NPI is 1235196163 with credentials M.D.. 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 (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
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 May 2026.