2026 NPPES data Internal Medicine Physician NPI 1295140937 M.D
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MARCO LORIO, M.D

Internal Medicine Physician in MISSOULA, Montana. 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
343
Medicare Part D claims · 120 beneficiaries · Internal Medicine Physician avg: 3K
MIPS score
85.4319/100
▲ 2 pts above national avg 83.1 · [object Object]

What the federal data shows

MARCO LORIO, M.D reported a CMS MIPS final score of 85.4319/100 — above the 83.1 national average — and filed 343 Medicare Part D claims in 2023.

85.4319/100
MIPS score · +2 vs avg
343
Part D claims, 2023
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.

MARCO LORIO, 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

85 49th percentile higher than 49% 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%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). This entry sits in this band. 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)

MARCO LORIO, M.D practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 2 hospital affiliations — 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 MARCO LORIO, M.D?

High performer (top quartile)

NPI registry status

Active

Issued 06/20/2014

NPI 1295140937

Primary specialty

Internal Medicine Physician

High-volume

172,858 US NPIs in this specialty

Medicare Part D claims

343 87% vs specialty avg

2023 prescription claims

Specialty avg: 2,716

MIPS final score

85.4319/100 2.3319000000000045% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Montana

How Internal Medicine Physician compares to other specialties among Montana providers

Montana providers

Internal Medicine Physician share within Montana

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

Medicare quality performance — MIPS

MARCO LORIO, M.D's 2023 MIPS final score plotted against the Internal Medicine Physician national average

High performer (top quartile)
MIPS Final Score
85.4319/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Internal Medicine Physician) — 85.4319/100 vs national avg 83.1

0%100%National avg83%85.4%
MIPS final score (Internal Medicine Physician) — 85.4319/100 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).

MARCO LORIO, M.D appears in the CMS NPPES registry as a Internal Medicine Physician provider holding M.D credentials at 500 W BROADWAY ST, MISSOULA, MT, 59802, with a listed phone of (406) 543-7271. NPI 1295140937 was issued on 06/20/2014. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what LORIO 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 343 prescription claims written by this provider, covering 120 Medicare beneficiaries and totaling roughly $280K in drug spend. 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 85.4319/100 for the 2023 performance year (Quality 85.9823, Cost 65.4573), compared with the national average of 83.1.

Internal Medicine Physician is a high-volume specialty nationwide, with 172,858 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

500 W BROADWAY ST
MISSOULA, MT 59802

Provider Details

NPI 1295140937
Specialty Internal Medicine Physician
Credentials M.D
Gender Male
NPI Issued 06/20/2014

CMS Quality Score (MIPS)

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

85.4319
Final Score
Avg: 83.1
85.9823
Quality
65.4573
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where MARCO LORIO, 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.

KALISPELL REGIONAL MEDICAL CENTER INC
KALISPELL, MT
PROVIDENCE HEALTH AND SERVICES MT
MISSOULA, MT

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.

343
Total Claims
$280K
Total Drug Cost
120
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
421
Total Day Supply
10,043
Generic Drug Cost
$18K
Antibiotic Claims
218

Patient Demographics

Average Patient Age
70.1 years
Avg HCC Risk Score
2.25
Gender Split
58% female / 43% male

Top Prescribed Drugs (Medicare Part D)

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

What MARCO LORIO, M.D 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
Amoxicillin-Clavulanate Potass
Amoxicillin/Potassium Clav
54
Cefuroxime
Cefuroxime Axetil
32
Biktarvy
Bictegrav/Emtricit/Tenofov Ala
17
Cefadroxil
17
Doxycycline Hyclate
17
Methenamine Hippurate
17
Azithromycin
14
Cephalexin
14
Ceftriaxone
Ceftriaxone Sodium
13
Vancomycin Hcl
12

* 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 MARCO LORIO, M.D fits within the Internal Medicine Physician landscape nationally.

172,858
Internal Medicine Physician Providers in US
56
States with Internal Medicine Physician
2,716
Avg Claims per Provider

MARCO LORIO, M.D's 343 claims are below the specialty average of 2,716.

Nearby Internal Medicine Physician Providers in Montana

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

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

Frequently Asked Questions

What is MARCO LORIO, M.D's specialty?
MARCO LORIO, M.D specializes in Internal Medicine Physician and practices in MISSOULA, Montana. Credentials: M.D.
How much does MARCO LORIO, M.D prescribe under Medicare Part D?
In 2023, MARCO LORIO, M.D wrote 343 Medicare Part D claims totaling $280K in drug costs for 120 beneficiaries.
What is MARCO LORIO, M.D's Medicare quality score?
MARCO LORIO, M.D has a CMS MIPS Final Score of 85.4319/100 (Quality: 85.9823, Cost: 65.4573). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is MARCO LORIO, M.D located?
MARCO LORIO, M.D is located at 500 W BROADWAY ST, MISSOULA, MT, 59802. Phone: (406) 543-7271.
What is MARCO LORIO, M.D's NPI number?
MARCO LORIO, M.D's National Provider Identifier (NPI) is 1295140937, issued on 06/20/2014.
How many Internal Medicine Physician providers are there in the US?
There are 172,858 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 MARCO LORIO, M.D prescribe most often?
Based on 2023 Medicare Part D data, MARCO LORIO, M.D's most frequently prescribed drugs include Amoxicillin-Clavulanate Potass, Cefuroxime, Biktarvy. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does MARCO LORIO, M.D accept Medicare?
MARCO LORIO, M.D appears in CMS Medicare data with 343 Part D claims and 120 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify MARCO LORIO, M.D's credentials?
MARCO LORIO, M.D's NPI is 1295140937 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