NPI registry status
Active
2026 NPPES data Family Medicine Physician NPI 1649263609 MD
Verify on CMS → Margaret Coughlin, MD
Family Medicine Physician in Middletown, New York.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 147,760 in Family 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
60
Medicare Part D claims · 45 beneficiaries · Family Medicine Physician avg: 3K
MIPS score
91.1/100
▲ 8 pts above national avg 83.1 · Exceptional
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Margaret Coughlin, MD reported a CMS MIPS final score of 91.1/100 - above the 83.1 national average - and filed 60 Medicare Part D claims in 2023.
- 91.1/100
- MIPS score · +8 vs avg
- 60
- 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.
Margaret Coughlin, MD's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
91 Top 37% higher than 63% 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 Margaret Coughlin, MD sits
This provider among family medicine physician peers
Across the 22,040 family medicine physician providers who report both Medicare Part D prescribing and a MIPS quality score, Margaret Coughlin, MD writes more Part D claims than 4% of them and scores higher on MIPS quality than 63% - placing this provider in the lower-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 family medicine physician peer from a representative sample of 60; the gold marker is Margaret Coughlin, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Margaret Coughlin, MD 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 Margaret Coughlin, MD?
High performer (top quartile)Primary specialty
Family Medicine Physician
Medicare Part D claims
60 98% vs specialty avg
MIPS final score
91.1/100 8 pts vs avg
Specialty distribution in New York
How Family Medicine Physician compares to other specialties among New York providers
Medicare quality performance, MIPS
Margaret Coughlin, MD's 2023 MIPS final score plotted against the Family Medicine Physician national average
- MIPS Final Score
- 91.1/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Family Medicine Physician) - 91.1/100 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).
Margaret Coughlin, MD appears in the CMS NPPES registry as a Family Medicine Physician provider holding MD credentials at 155 CRYSTAL RUN RD, Middletown, NY, 10941, with a listed phone of (845) 703-6999. NPI 1649263609 was issued on 08/25/2005.
Medicare Part D records for calendar year 2023 show 60 prescription claims written by this provider, covering 45 Medicare beneficiaries and totaling roughly $804 in drug spend. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 91.1/100 for the 2023 performance year (Quality 68.7, Cost 98.4), compared with the national average of 83.1.
Family Medicine Physician is a high-volume specialty nationwide, with 147,760 enrolled providers across 56 states and an average of 3,418 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 | 1649263609 |
|---|---|
| Specialty | Family Medicine Physician |
| Credentials | MD |
| Gender | Female |
| NPI Issued | 08/25/2005 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
91.1164
Final Score
Avg: 83.1
68.7112
Quality
98.4291
Cost
100
Promoting Interoperability
Reporting: Group practice
License & disciplinary context - New York NYSBPMC 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 ~100K New York medical licensees in 2023 - they are NOT specific to Margaret Coughlin, MD. To verify Margaret Coughlin, MD's current license status, search the NYSBPMC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
312
Total board actions, New York 2023
Across 302 cases
3.12
Actions per 1,000 licensees
New York statewide rate
probation
Most common action type
89 cases
NYSBPMC 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 New York disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
60
Total Claims
$804
Total Drug Cost
45
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 64
- Total Day Supply
- 755
- Generic Drug Cost
- $410
- Antibiotic Claims
- 24
Patient Demographics
- Average Patient Age
- 72.5 years
- Avg HCC Risk Score
- 1.12
- Gender Split
- 76% female / 24% male
Family Medicine Physician Overview
How Margaret Coughlin, MD fits within the Family Medicine Physician landscape nationally.
147,760
Family Medicine Physician Providers in US
56
States with Family Medicine Physician
3,418
Avg Claims per Provider
Margaret Coughlin, MD's 60 claims are below the specialty average of 3,418.
Nearby Family Medicine Physician Providers in New York
Other clinicians with the same primary specialty enrolled in New York, drawn from the same CMS NPPES roster as Coughlin.
Dr. Stuart Aaronson
M.D.
New York, NY
Dr. Amarachi Abara
MD
Bronx, NY
Dr. Sharon Abara-Palaganas
MD
Brooklyn, NY
Dr. Mary Claire Abbot
MD
New York, NY
Dr. Heather Abdalla
FNP-C
Horseheads, NY
Compare Family 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 New York medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Family 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 Margaret Coughlin, MD's specialty? ▼
Margaret Coughlin, MD specializes in Family Medicine Physician and practices in Middletown, New York. Credentials: MD.
How much does Margaret Coughlin, MD prescribe under Medicare Part D? ▼
In 2023, Margaret Coughlin, MD wrote 60 Medicare Part D claims totaling $804 in drug costs for 45 beneficiaries.
What is Margaret Coughlin, MD's Medicare quality score? ▼
Margaret Coughlin, MD has a CMS MIPS Final Score of 91.1/100 (Quality: 68.7, Cost: 98.4). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Margaret Coughlin, MD located? ▼
Margaret Coughlin, MD is located at 155 CRYSTAL RUN RD, Middletown, NY, 10941. Phone: (845) 703-6999.
What is Margaret Coughlin, MD's NPI number? ▼
Margaret Coughlin, MD's National Provider Identifier (NPI) is 1649263609, issued on 08/25/2005.
How many Family Medicine Physician providers are there in the US? ▼
There are 147,760 Family Medicine Physician providers across 56 states in the US. The average Family Medicine Physician provider writes 3,418 Medicare Part D claims per year.
Does Margaret Coughlin, MD accept Medicare? ▼
Margaret Coughlin, MD appears in CMS Medicare data with 60 Part D claims and 45 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Margaret Coughlin, MD's credentials? ▼
Margaret Coughlin, MD's NPI is 1649263609 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
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.