2026 NPPES data Specialist NPI 1295731040 M.D.
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MARK SCZEPANSKI, M.D.

Specialist in GRAND FORKS, North Dakota. 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
2K
Medicare Part D claims · 523 beneficiaries · Specialist avg: 1K
Generic prescribing
66%
generic claims · 34% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
78.8664/100
▼ 4 pts below national avg 83.1 · [object Object]

What the federal data shows

MARK SCZEPANSKI, M.D. reported a CMS MIPS final score of 78.8664/100 — below the 83.1 national average — and filed 2,229 Medicare Part D claims in 2023.

78.8664/100
MIPS score · -4 vs avg
2K
Part D claims, 2023
66%
generic prescribing

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 SCZEPANSKI, 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

79 27th percentile higher than 27% 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%). This entry sits in this band. 80–90: 129,887 scored providers (27%). Above this entry. 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

What does the federal data show about MARK SCZEPANSKI, M.D.?

Near national average

NPI registry status

Active

Issued 06/27/2005

NPI 1295731040

Primary specialty

Specialist

High-volume

69,658 US NPIs in this specialty

Medicare Part D claims

2,229 51% vs specialty avg

2023 prescription claims

Specialty avg: 1,474

MIPS final score

78.8664/100 4.233599999999996% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in North Dakota

How Specialist compares to other specialties among North Dakota providers

North Dakota providers

Specialist share within North Dakota

1. Specialist42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Specialist share within North Dakota

Medicare quality performance — MIPS

MARK SCZEPANSKI, M.D.'s 2023 MIPS final score plotted against the Specialist national average

Near national average
MIPS Final Score
78.8664/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Specialist) — 78.8664/100 vs national avg 83.1

0%100%National avg83%78.9%
MIPS final score (Specialist) — 78.8664/100 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 SCZEPANSKI, M.D. is a Specialist provider practicing in GRAND FORKS, North Dakota, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1295731040. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

MARK SCZEPANSKI, M.D. appears in the CMS NPPES registry as a Specialist provider holding M.D. credentials at 3035 DEMERS AVE, GRAND FORKS, ND, 58201, with a listed phone of (701) 775-3151. NPI 1295731040 was issued on 06/27/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what SCZEPANSKI 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 2,229 prescription claims written by this provider, covering 523 Medicare beneficiaries and totaling roughly $172K in drug spend, split 34% brand-name and 66% generic by claim count. 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 78.8664/100 for the 2023 performance year (Quality 96.4526, Cost 29.7883), compared with the national average of 83.1.

Specialist is a high-volume specialty nationwide, with 69,658 enrolled providers across 55 states and an average of 1,474 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

3035 DEMERS AVE
GRAND FORKS, ND 58201

Provider Details

NPI 1295731040
Specialty Specialist
Credentials M.D.
Gender Male
NPI Issued 06/27/2005

CMS Quality Score (MIPS)

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

78.8664
Final Score
Avg: 83.1
96.4526
Quality
29.7883
Cost
99
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where MARK SCZEPANSKI, 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.

NORTH DAKOTA EYE CLINIC LTD
GRAND FORKS, ND

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Brand vs generic prescribing mix · Above average

MARK SCZEPANSKI, M.D. — brand share 34.0%
Specialty average (est.)

34% brand-name claims vs 66% generic, on 2,229 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.

2,229
Total Claims
$172K
Total Drug Cost
523
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
3,024
Total Day Supply
74,342
Brand vs Generic
34% brand / 66% generic
Brand Drug Cost
$136K
Generic Drug Cost
$36K

Patient Demographics

Average Patient Age
76.3 years
Avg HCC Risk Score
1.15
Gender Split
61% female / 39% male
Age Distribution
<65: 20, 65-74: 225, 75-84: 198, 85+: 80

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Latanoprost
367
Ketorolac Tromethamine
361
Prednisolone Acetate
351
Ofloxacin
343
Dorzolamide-Timolol
Dorzolamide Hcl/Timolol Maleat
166
Lumigan
Bimatoprost
122
Timolol Maleate
119
Brimonidine Tartrate
76
Erythromycin
Erythromycin Base
62
Rocklatan
Netarsudil Mesylat/Latanoprost
38

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

Specialist Overview

How MARK SCZEPANSKI, M.D. fits within the Specialist landscape nationally.

69,658
Specialist Providers in US
55
States with Specialist
1,474
Avg Claims per Provider

MARK SCZEPANSKI, M.D.'s 2,229 claims are above the specialty average of 1,474.

Nearby Specialist Providers in North Dakota

Other clinicians with the same primary specialty enrolled in North Dakota, drawn from the same CMS NPPES roster as SCZEPANSKI.

Compare Specialist nationally: see state-by-state distribution →

Frequently Asked Questions

What is MARK SCZEPANSKI, M.D.'s specialty?
MARK SCZEPANSKI, M.D. specializes in Specialist and practices in GRAND FORKS, North Dakota. Credentials: M.D..
How much does MARK SCZEPANSKI, M.D. prescribe under Medicare Part D?
In 2023, MARK SCZEPANSKI, M.D. wrote 2,229 Medicare Part D claims totaling $172K in drug costs for 523 beneficiaries.
What is MARK SCZEPANSKI, M.D.'s Medicare quality score?
MARK SCZEPANSKI, M.D. has a CMS MIPS Final Score of 78.8664/100 (Quality: 96.4526, Cost: 29.7883). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is MARK SCZEPANSKI, M.D. located?
MARK SCZEPANSKI, M.D. is located at 3035 DEMERS AVE, GRAND FORKS, ND, 58201. Phone: (701) 775-3151.
What is MARK SCZEPANSKI, M.D.'s NPI number?
MARK SCZEPANSKI, M.D.'s National Provider Identifier (NPI) is 1295731040, issued on 06/27/2005.
Does MARK SCZEPANSKI, M.D. prescribe more brand-name or generic drugs?
MARK SCZEPANSKI, M.D.'s prescribing is 34% brand-name and 66% generic drugs by claim count, with $136K in brand drug costs.
How many Specialist providers are there in the US?
There are 69,658 Specialist providers across 55 states in the US. The average Specialist provider writes 1,474 Medicare Part D claims per year.
What drugs does MARK SCZEPANSKI, M.D. prescribe most often?
Based on 2023 Medicare Part D data, MARK SCZEPANSKI, M.D.'s most frequently prescribed drugs include Latanoprost, Ketorolac Tromethamine, Prednisolone Acetate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does MARK SCZEPANSKI, M.D. accept Medicare?
MARK SCZEPANSKI, M.D. appears in CMS Medicare data with 2,229 Part D claims and 523 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify MARK SCZEPANSKI, M.D.'s credentials?
MARK SCZEPANSKI, M.D.'s NPI is 1295731040 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