2026 NPPES data Gynecology Physician NPI 1255595534 M.D.
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LORI SPOOZAK, M.D.

Gynecology Physician in KANSAS CITY, Kansas. 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
583
Medicare Part D claims · 110 beneficiaries · Gynecology Physician avg: 295
Generic prescribing
90%
generic claims · 10% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
91.8902/100
▲ 9 pts above national avg 83.1 · [object Object]
Industry payments
$106.43
4 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: LORI SPOOZAK, M.D. is a Gynecology Physician ([object Object]) practicing in KANSAS CITY, Kansas with a Medicare Part D prescribing footprint of 583 claims across 110 beneficiaries — 10% brand-name prescribing . Their CMS MIPS Final Score of 91.8902/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $106.43 across 4 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: LORI SPOOZAK, M.D. reported a CMS MIPS final score of 91.8902 out of 100, above the 83.1 national average, and filed 583 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 SPOOZAK, M.D. 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 SPOOZAK, M.D. at a glance

High performer (top quartile)

NPI registry status

Active

Issued 07/15/2008

NPI 1255595534

Primary specialty

Gynecology Physician

Niche

3,902 US NPIs in this specialty

Medicare Part D claims

583 98% vs specialty avg

2023 prescription claims

Specialty avg: 295

MIPS final score

91.8902/100 8.790199999999999% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Kansas

How Gynecology Physician compares to other specialties among Kansas providers

Kansas providers

Gynecology Physician share within Kansas

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

Medicare quality performance — MIPS

LORI SPOOZAK, M.D.'s 2023 MIPS final score plotted against the Gynecology Physician national average

High performer (top quartile)
MIPS Final Score
91.8902/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Gynecology Physician) — 91.8902/100 vs national avg 83.1

0%100%National avg83%91.9%
MIPS final score (Gynecology Physician) — 91.8902/100 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 SPOOZAK, M.D. is a Gynecology Physician provider practicing in KANSAS CITY, Kansas, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1255595534. 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 SPOOZAK, M.D. appears in the CMS NPPES registry as a Gynecology Physician provider holding M.D. credentials at 3901 RAINBOW BLVD., KANSAS CITY, KS, 66160, with a listed phone of (212) 305-2323. NPI 1255595534 was issued on 07/15/2008. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what SPOOZAK 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 583 prescription claims written by this provider, covering 110 Medicare beneficiaries and totaling roughly $97K in drug spend, split 10% brand-name and 90% generic by claim count, with an opioid prescribing rate of 24.2%. 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 91.8902/100 for the 2023 performance year (Quality 75.1734), compared with the national average of 83.1.

Gynecology Physician is a narrow specialty nationwide, with 3,902 enrolled providers across 53 states and an average of 295 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

3901 RAINBOW BLVD.
KANSAS CITY, KS 66160

Provider Details

NPI 1255595534
Specialty Gynecology Physician
Credentials M.D.
Gender Female
NPI Issued 07/15/2008

CMS Quality Score (MIPS)

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

91.8902
Final Score
Avg: 83.1
75.1734
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where LORI SPOOZAK, M.D. 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.

KANSAS UNIVERSITY PHYSICIANS INC
GLADSTONE, MO

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 LORI SPOOZAK, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$106

Largest payer

Merck Sharp & Dohme LLC

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

LORI SPOOZAK, M.D. — brand share 10.0%
Specialty average (est.)

10% brand-name claims vs 90% generic, on 583 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.

583
Total Claims
$97K
Total Drug Cost
110
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
827
Total Day Supply
20,375
Brand vs Generic
10% brand / 90% generic
Brand Drug Cost
$83K
Generic Drug Cost
$14K
Opioid Claims
141 (24.2% rate)
Antibiotic Claims
36

Patient Demographics

Average Patient Age
70.4 years
Avg HCC Risk Score
2.30

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
60
Gabapentin
51
Duloxetine Hcl
39
Morphine Sulfate Er
Morphine Sulfate
37
Ondansetron Hcl
26
Prochlorperazine Maleate
25
Metronidazole
14
Dexamethasone
13
Acyclovir
12
Clobetasol Propionate
12

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

Gynecology Physician Overview

How LORI SPOOZAK, M.D. fits within the Gynecology Physician landscape nationally.

3,902
Gynecology Physician Providers in US
53
States with Gynecology Physician
295
Avg Claims per Provider

LORI SPOOZAK, M.D.'s 583 claims are above the specialty average of 295.

Nearby Gynecology Physician Providers in Kansas

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

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

Frequently Asked Questions

What is LORI SPOOZAK, M.D.'s specialty?
LORI SPOOZAK, M.D. specializes in Gynecology Physician and practices in KANSAS CITY, Kansas. Credentials: M.D..
How much does LORI SPOOZAK, M.D. prescribe under Medicare Part D?
In 2023, LORI SPOOZAK, M.D. wrote 583 Medicare Part D claims totaling $97K in drug costs for 110 beneficiaries.
What is LORI SPOOZAK, M.D.'s Medicare quality score?
LORI SPOOZAK, M.D. has a CMS MIPS Final Score of 91.8902/100 (Quality: 75.1734). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is LORI SPOOZAK, M.D. located?
LORI SPOOZAK, M.D. is located at 3901 RAINBOW BLVD., KANSAS CITY, KS, 66160. Phone: (212) 305-2323.
What is LORI SPOOZAK, M.D.'s NPI number?
LORI SPOOZAK, M.D.'s National Provider Identifier (NPI) is 1255595534, issued on 07/15/2008.
Does LORI SPOOZAK, M.D. prescribe more brand-name or generic drugs?
LORI SPOOZAK, M.D.'s prescribing is 10% brand-name and 90% generic drugs by claim count, with $83K in brand drug costs.
Does LORI SPOOZAK, M.D. prescribe opioids?
Yes, LORI SPOOZAK, M.D. had 141 opioid claims in 2023 with an opioid prescribing rate of 24.2%.
How many Gynecology Physician providers are there in the US?
There are 3,902 Gynecology Physician providers across 53 states in the US. The average Gynecology Physician provider writes 295 Medicare Part D claims per year.
What drugs does LORI SPOOZAK, M.D. prescribe most often?
Based on 2023 Medicare Part D data, LORI SPOOZAK, M.D.'s most frequently prescribed drugs include Oxycodone Hcl, Gabapentin, Duloxetine Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does LORI SPOOZAK, M.D. accept Medicare?
LORI SPOOZAK, M.D. appears in CMS Medicare data with 583 Part D claims and 110 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify LORI SPOOZAK, M.D.'s credentials?
LORI SPOOZAK, M.D.'s NPI is 1255595534 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

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