2026 NPPES data Family Medicine Physician NPI 1285895938 M.D.
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MARK RICHARDS, M.D.

Family Medicine Physician in CHARLESTON, West Virginia. 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
6K
Medicare Part D claims · 400 beneficiaries · Family Medicine Physician avg: 3K
Generic prescribing
88%
generic claims · 12% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
90.1191/100
▲ 7 pts above national avg 83.1 · [object Object]
Industry payments
$854
45 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

MARK RICHARDS, M.D. reported a CMS MIPS final score of 90.1191/100 — above the 83.1 national average — and filed 5,772 Medicare Part D claims in 2023.

90.1191/100
MIPS score · +7 vs avg
6K
Part D claims, 2023
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.

MARK RICHARDS, 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

90 Top 40% higher than 60% 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%). Below this entry. 90–100: 189,403 scored providers (40%). This entry sits in this band. 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)

MARK RICHARDS, 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 RICHARDS, M.D.?

High performer (top quartile)

NPI registry status

Active

Issued 06/24/2008

NPI 1285895938

Primary specialty

Family Medicine Physician

High-volume

147,640 US NPIs in this specialty

Medicare Part D claims

5,772 69% vs specialty avg

2023 prescription claims

Specialty avg: 3,418

MIPS final score

90.1191/100 7.019100000000009% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in West Virginia

How Family Medicine Physician compares to other specialties among West Virginia providers

West Virginia providers

Family Medicine Physician share within West Virginia

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

Medicare quality performance — MIPS

MARK RICHARDS, M.D.'s 2023 MIPS final score plotted against the Family Medicine Physician national average

High performer (top quartile)
MIPS Final Score
90.1191/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Family Medicine Physician) — 90.1191/100 vs national avg 83.1

0%100%National avg83%90.1%
MIPS final score (Family Medicine Physician) — 90.1191/100 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).

MARK RICHARDS, M.D. appears in the CMS NPPES registry as a Family Medicine Physician provider holding M.D. credentials at 500 DONNALLY ST, CHARLESTON, WV, 25301, with a listed phone of (304) 347-6700. NPI 1285895938 was issued on 06/24/2008. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what RICHARDS 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 5,772 prescription claims written by this provider, covering 400 Medicare beneficiaries and totaling roughly $745K in drug spend, split 12% brand-name and 88% generic by claim count, with an opioid prescribing rate of 5.3%. 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 90.1191/100 for the 2023 performance year (Quality 66.9698), compared with the national average of 83.1.

Family Medicine Physician is a high-volume specialty nationwide, with 147,640 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

500 DONNALLY ST
CHARLESTON, WV 25301

Provider Details

NPI 1285895938
Specialty Family Medicine Physician
Credentials M.D.
Gender Male
NPI Issued 06/24/2008

CMS Quality Score (MIPS)

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

90.1191
Final Score
Avg: 83.1
66.9698
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where MARK RICHARDS, 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.

THS PHYSICIAN PARTNERS INC
CHARLESTON, WV

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 RICHARDS, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$854

Largest payer

PFIZER 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 RICHARDS, M.D. — brand share 12.0%
Specialty average (est.)

12% brand-name claims vs 88% generic, on 5,772 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.

5,772
Total Claims
$745K
Total Drug Cost
400
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
13,659
Total Day Supply
399,577
Brand vs Generic
12% brand / 88% generic
Brand Drug Cost
$636K
Generic Drug Cost
$103K
Opioid Claims
308 (5.3% rate)
Antibiotic Claims
155

Patient Demographics

Average Patient Age
70.9 years
Avg HCC Risk Score
1.32
Gender Split
47% female / 54% male
Age Distribution
<65: 72, 65-74: 203, 75-84: 89, 85+: 36

Top Prescribed Drugs (Medicare Part D)

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

What MARK RICHARDS, 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
Lisinopril
214
Atorvastatin Calcium
167
Metformin Hcl
160
Amlodipine Besylate
159
Pantoprazole Sodium
146
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
144
Losartan Potassium
144
Rosuvastatin Calcium
143
Levothyroxine Sodium
142
Gabapentin
139

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

Family Medicine Physician Overview

How MARK RICHARDS, M.D. fits within the Family Medicine Physician landscape nationally.

147,640
Family Medicine Physician Providers in US
56
States with Family Medicine Physician
3,418
Avg Claims per Provider

MARK RICHARDS, M.D.'s 5,772 claims are above the specialty average of 3,418.

Nearby Family Medicine Physician Providers in West Virginia

Other clinicians with the same primary specialty enrolled in West Virginia, drawn from the same CMS NPPES roster as RICHARDS.

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

Frequently Asked Questions

What is MARK RICHARDS, M.D.'s specialty?
MARK RICHARDS, M.D. specializes in Family Medicine Physician and practices in CHARLESTON, West Virginia. Credentials: M.D..
How much does MARK RICHARDS, M.D. prescribe under Medicare Part D?
In 2023, MARK RICHARDS, M.D. wrote 5,772 Medicare Part D claims totaling $745K in drug costs for 400 beneficiaries.
What is MARK RICHARDS, M.D.'s Medicare quality score?
MARK RICHARDS, M.D. has a CMS MIPS Final Score of 90.1191/100 (Quality: 66.9698). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is MARK RICHARDS, M.D. located?
MARK RICHARDS, M.D. is located at 500 DONNALLY ST, CHARLESTON, WV, 25301. Phone: (304) 347-6700.
What is MARK RICHARDS, M.D.'s NPI number?
MARK RICHARDS, M.D.'s National Provider Identifier (NPI) is 1285895938, issued on 06/24/2008.
Does MARK RICHARDS, M.D. prescribe more brand-name or generic drugs?
MARK RICHARDS, M.D.'s prescribing is 12% brand-name and 88% generic drugs by claim count, with $636K in brand drug costs.
Does MARK RICHARDS, M.D. prescribe opioids?
Yes, MARK RICHARDS, M.D. had 308 opioid claims in 2023 with an opioid prescribing rate of 5.3%.
How many Family Medicine Physician providers are there in the US?
There are 147,640 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.
What drugs does MARK RICHARDS, M.D. prescribe most often?
Based on 2023 Medicare Part D data, MARK RICHARDS, M.D.'s most frequently prescribed drugs include Lisinopril, Atorvastatin Calcium, Metformin Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does MARK RICHARDS, M.D. accept Medicare?
MARK RICHARDS, M.D. appears in CMS Medicare data with 5,772 Part D claims and 400 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify MARK RICHARDS, M.D.'s credentials?
MARK RICHARDS, M.D.'s NPI is 1285895938 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