NPI registry status
Active
2026 NPPES data Internal Medicine Physician NPI 1295140937 M.D
Verify on CMS → Marco Lorio, M.D
Internal Medicine Physician in Missoula, Montana.
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
343
Medicare Part D claims · 120 beneficiaries · Internal Medicine Physician avg: 3K
MIPS score
85.4/100
▲ 2 pts above national avg 83.1 · Above neutral
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Marco Lorio, M.D reported a CMS MIPS final score of 85.4/100 - above the 83.1 national average - and filed 343 Medicare Part D claims in 2023.
- 85.4/100
- 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
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 Marco Lorio, 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, Marco Lorio, M.D writes more Part D claims than 36% of them and scores higher on MIPS quality than 48% - placing this provider in the lower-volume, lower-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 Marco Lorio, M.D. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 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)Primary specialty
Internal Medicine Physician
Medicare Part D claims
343 87% vs specialty avg
MIPS final score
85.4/100 2.3 pts vs avg
Specialty distribution in Montana
How Internal Medicine Physician compares to other specialties among Montana providers
Medicare quality performance, MIPS
Marco Lorio, M.D's 2023 MIPS final score plotted against the Internal Medicine Physician national average
- MIPS Final Score
- 85.4/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Internal Medicine Physician) - 85.4/100 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).
Marco Lorio, M.D appears in the CMS NPPES registry as an 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.
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. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 85.4/100 for the 2023 performance year (Quality 86, Cost 65.5), 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 | 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
- Amoxicillin-Clavul…
Amoxicillin-Clavulanate Potass
54 claims
- Cefuroxime
Cefuroxime
32 claims
- Biktarvy 17
Biktarvy
17 claims
- Cefadroxil 17
Cefadroxil
17 claims
- Doxycycline Hyclate 17
Doxycycline Hyclate
17 claims
- Methenamine Hippur… 17
Methenamine Hippurate
17 claims
- Azithromycin 14
Azithromycin
14 claims
- Cephalexin 14
Cephalexin
14 claims
| 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.
172,737
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.
Dr. Farnaz Abbasimoradi
MD
Billings, MT
Dr. Ryan Adams
MD
Missoula, MT
Dr. Timothy Adams
MD
Bozeman, MT
Dr. Thomas Addison
MD
Great Falls, MT
Dr. Yee Chuan Ang
M.D.
Billings, MT
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 Montana 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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Medical Specialties Explained
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Understanding Medicare Claims Data
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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 85.4/100 (Quality: 86, Cost: 65.5). 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 172,737 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 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
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
Compiled from official public sources by the PlainDoctor editorial team.
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.