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2026 NPPES data Neurology Physician NPI 1184680605 M.D.
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Mark Pithan, M.D.

Neurology Physician in Kamuela, Hawaii.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 20,467 in Neurology 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
819
Medicare Part D claims · 120 beneficiaries · Neurology Physician avg: 1K
Generic prescribing
88%
generic claims · 11% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
28.6/100
▼ 55 pts below national avg 83.5 · Below average
Industry payments
$111.63
5 payments · CMS Open Payments (Sunshine Act)
Verify NPI on CMS Methodology
Compiled from official public sources by the editorial process.

What the federal data shows

Mark Pithan, M.D. reported a CMS MIPS final score of 28.6/100 - below the 83.5 national average - and filed 819 Medicare Part D claims in 2024.

28.6/100
MIPS score · -55 vs avg
819
Part D claims, 2024
88%
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.

Federal trust snapshot

What official records show about Mark Pithan, M.D.

Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.

  • Verified

    NPI registry status

    Active listing in the CMS National Provider Identifier Registry (NPI 1184680605), first enumerated 04/24/2006.

    Source: CMS NPPES

  • Reported

    Medicare Part D participation

    Filed 819 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.

    Source: CMS Part D Prescriber PUF

  • Reported

    CMS quality reporting (MIPS)

    Reported a CMS MIPS final score of 28.6/100 in the Quality Payment Program — a federal quality measure, not a patient review.

    Source: CMS Quality Payment Program

  • Reported

    Board certification signal

    Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.

    Source: NUCC taxonomy + CMS participation heuristic

  • Reported

    Hospital affiliations

    1 CMS Care Compare hospital affiliation on record — practice footprint from the Doctors and Clinicians file.

    Source: CMS Care Compare

  • Reported

    Industry payment transparency

    $111.63 in reported industry payments (5 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.

    Source: CMS Open Payments

  • Not in federal data

    Individual sanction lookup

    PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.

    Source: State medical board / FSMB

This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.

CMS NPPES provider registry desk

NPI 1184680605 · Neurology Physician

NPI-10 · ENUM-LEGACY · TAX-MID · MIPS-LOW · RX-LIGHT · BOOK-THIN · PHOTO-FINISH

  • NPI-10 1184680605
  • ENUM-LEGACY 2006
  • TAX-MID 20K Neurology Physician
  • MIPS-LOW 28.6/100
  • RX-LIGHT 819
  • BOOK-THIN 59 in Hawaii
  • PHOTO-FINISH John Just, M.D. · ±0.0

MIPS final-score neighbourhood

Same-specialty nationwide peers by CMS final score, not geographic proximity

MIPS pts

What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).

Source CMS Quality Payment Program (MIPS) As of 2023

Mark Pithan, M.D.'s MIPS score vs every measured U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.

29 ≥ 3rd percentile 3% of 454,083 measured providers are in lower value bands

0–10: 8,684 measured providers (2%). Below this entry. 10–20: 3,008 measured providers (1%). Below this entry. 20–30: 3,069 measured providers (1%). This entry sits in this band. 30–40: 2,746 measured providers (1%). Above this entry. 40–50: 2,928 measured providers (1%). Above this entry. 50–60: 5,882 measured providers (1%). Above this entry. 60–70: 13,906 measured providers (3%). Above this entry. 70–80: 94,570 measured providers (21%). Above this entry. 80–90: 129,887 measured providers (29%). Above this entry. 90+: 189,403 measured providers (42%). Above this entry. This provider 0 100 every measured MIPS clinician, bucketed by value

Each bar is a band; taller bars hold more measured 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.

The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Where Mark Pithan, M.D. sits

This provider among neurology physician peers

Across the 5,099 neurology physician providers who report both Medicare Part D prescribing and a MIPS quality score, Mark Pithan, M.D. writes more Part D claims than 46% of them and scores higher on MIPS quality than 6% - placing this provider in the lower-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality0255075100024.148.372.496.6Part D claim volume, percentile in specialtyMIPS quality, percentilePoint, Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 37Point, Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 30Point, Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 83Point, Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 70Point, Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 52Point, Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 28Point, Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 67Point, Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 62Point, Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 35Point, Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 58Point, Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 45Point, Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 12Point, Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 18Point, Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 42Point, Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 63Point, Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 78Point, Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 7Point, Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 27Point, Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 80Point, Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 90Point, Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 47Point, Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 38Point, Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 60Point, Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 33Point, Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 32Point, Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 15Point, Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 5Point, Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 75Point, Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 65Point, Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 10Point, Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 48Point, Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 57Point, Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 53Point, Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 23Point, Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 87Point, Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 68Point, Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 13Point, Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 80Point, Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 50Point, Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 25Point, Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 72Point, Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 38Point, Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 73Point, Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 83Point, Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 75Point, Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 88Point, Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 43Point, Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 15Point, Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 55Point, Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 22Point, Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 20Mark Pithan, M.D., Part D claim volume, percentile in specialty: 46 · MIPS quality, percentile: 6
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one neurology physician peer from a representative sample of 60; the gold marker is Mark Pithan, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

✓
Board certification likely (heuristic, not verified)

Mark Pithan, 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).

What does the federal data show about Mark Pithan, M.D.?

Below national average

NPI registry status

Active

Issued 04/24/2006

NPI 1184680605

Primary specialty

Neurology Physician

Mid-sized

20,467 US NPIs in this specialty

Medicare Part D claims

819 40% vs specialty avg

2024 prescription claims

Specialty avg: 1,356

MIPS final score

28.6/100 54.9 pts vs avg

Below average band

vs 83.5 national avg

Specialty distribution in Hawaii

How Neurology Physician compares to other specialties among Hawaii providers

Hawaii providers
Behavior Technician16.7%Massage Therapist4.3%Pharmacist3.7%Physical Therapist3.7%Registered Nurse3.2%Mental Health Counselor3.2%Neurology Physician0.2%
Largest specialties in Hawaii (% of in-state providers)

Medicare quality performance, MIPS

Mark Pithan, M.D.'s 2023 MIPS final score plotted against the Neurology Physician national average

Below national average
MIPS Final Score
28.6/100
vs 83.5 national avg · 2023 performance year
0%100%National avg84%28.6%
MIPS final score (Neurology Physician) - 28.6/100 vs national avg 83.5
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).

Practice Address

65-1267 KAWAIHAE RD
Kamuela, HI 96743
(808) 881-4745

Provider Details

NPI 1184680605
Specialty Neurology Physician
Credentials M.D.
Gender Male
NPI Issued 04/24/2006

CMS Quality Score (MIPS)

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

28.5566
Final Score
Measured-score avg: 83.5
21.3884
Quality
55.9766
Cost

Reporting: Group practice

Hospital and facility affiliations

Facilities where Mark Pithan, 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.

Queens North Hawaii Community Hospital
Kamuela, HI

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 Mark Pithan, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$112

Largest payer

ARGENX US, INC.

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

Mark Pithan, M.D. - brand share 11.0%
Neurology Physician average

11% brand-name claims vs 88% generic, on 819 2024 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 2024.

819
Total Claims
$254K
Total Drug Cost
120
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,380.933
Total Day Supply
40,810
Brand vs Generic
11% brand / 88% generic
Brand Drug Cost
$153K
Generic Drug Cost
$101K

Patient Demographics

Average Patient Age
71.9 years
Avg HCC Risk Score
1.73
Gender Split
59% female / 41% male
Age Distribution
<65: 20, 65-74: 45, 75-84: 42, 85+: 13

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.

What Mark Pithan, M.D. prescribes most

Top Medicare Part D drugs by claim count, 2024

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2024
Drug Claims
Gabapentin
 65
Levetiracetam
 49
Primidone
 42
Baclofen
 37
Lamotrigine
 36
Donepezil Hcl
 34
Pregabalin
 27
Emgality Pen
Galcanezumab-Gnlm
21
Memantine Hcl
 20
Amantadine
Amantadine Hcl
19

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

More Neurology Physician in HI → All providers in Hawaii → Compare specialties →

Neurology Physician Overview

How Mark Pithan, M.D. fits within the Neurology Physician landscape nationally.

20,467
Neurology Physician Providers in US
54
States with Neurology Physician
1,356
Avg Claims per Provider

Mark Pithan, M.D.'s 819 claims are below the specialty average of 1,356.

Nationwide Neurology Physician peers with similar MIPS or enrollment year

Two federal-record peer sets for Pithan, both outside Hawaii so the neighborhoods are not geographic containment.

Similar MIPS final score

Nearest same-specialty clinicians by CMS MIPS final score (28.6 here).

Irena Charysz-Birski 28.6 IA Rodney Short 28.6 IA John Just 28.6 AL Lin Lemay 28.7 CA

Same NPPES enumeration year (2006)

Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.

Milind Kothari Tampa, FL William Burke St Louis, MO Audrey Stein-Goldings Dallas, TX Omid Omidvar Los Alamitos, CA

Nearby Neurology Physician Providers in Hawaii

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

One of 59 Neurology Physician providers enrolled in Hawaii, 5 are shown here.

Dr. Gabriele Barthlen
M.D.
Pearl City, HI
Dr. Elizabeth Blalock
MD
Honolulu, HI
Dr. Michiko Bruno
M.D.
Honolulu, HI
Dr. Brent Burroughs
M.D.
Ewa Beach, HI
Dr. Sharin Burton
MD
Honolulu, HI

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

Frequently Asked Questions

What is Mark Pithan, M.D.'s specialty? ▼
Mark Pithan, M.D. specializes in Neurology Physician and practices in Kamuela, Hawaii. Credentials: M.D..
How much does Mark Pithan, M.D. prescribe under Medicare Part D? ▼
In 2024, Mark Pithan, M.D. wrote 819 Medicare Part D claims totaling $254K in drug costs for 120 beneficiaries.
What is Mark Pithan, M.D.'s Medicare quality score? ▼
Mark Pithan, M.D. has a CMS MIPS Final Score of 28.6/100 (Quality: 21.4, Cost: 56). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Mark Pithan, M.D. located? ▼
Mark Pithan, M.D. is located at 65-1267 KAWAIHAE RD, Kamuela, HI, 96743. Phone: (808) 881-4745.
What is Mark Pithan, M.D.'s NPI number? ▼
Mark Pithan, M.D.'s National Provider Identifier (NPI) is 1184680605, issued on 04/24/2006.
Does Mark Pithan, M.D. prescribe more brand-name or generic drugs? ▼
Mark Pithan, M.D.'s prescribing is 11% brand-name and 88% generic drugs by claim count, with $153K in brand drug costs.
How many Neurology Physician providers are there in the US? ▼
There are 20,467 Neurology Physician providers across 54 states in the US. The average Neurology Physician provider writes 1,356 Medicare Part D claims per year.
What drugs does Mark Pithan, M.D. prescribe most often? ▼
Based on 2024 Medicare Part D data, Mark Pithan, M.D.'s most frequently prescribed drugs include Gabapentin, Levetiracetam, Primidone. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Mark Pithan, M.D. accept Medicare? ▼
Mark Pithan, M.D. appears in CMS Medicare data with 819 Part D claims and 120 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Mark Pithan, M.D.'s credentials? ▼
Mark Pithan, M.D.'s NPI is 1184680605 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 (2024). 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 August 2026 (NPPES) / 2024 (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 editorial process.

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 August 2026.