2026 NPPES data General Practice Physician NPI 1013919034 MD
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MARK VAN WORMER, MD

General Practice Physician in CLAYTON, New Mexico. 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
9K
Medicare Part D claims · 364 beneficiaries · General Practice Physician avg: 3K
Generic prescribing
85%
generic claims · 15% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
75.0747/100
▼ 8 pts below national avg 83.1 · [object Object]

What the federal data shows

MARK VAN WORMER, MD reported a CMS MIPS final score of 75.0747/100 — below the 83.1 national average — and filed 9,107 Medicare Part D claims in 2023.

75.0747/100
MIPS score · -8 vs avg
9K
Part D claims, 2023
85%
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 VAN WORMER, MD's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

75 15th percentile higher than 15% 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

Board certification likely (heuristic — not verified)

MARK VAN WORMER, MD 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 VAN WORMER, MD?

Below national average

NPI registry status

Active

Issued 08/10/2005

NPI 1013919034

Primary specialty

General Practice Physician

Mid-sized

16,677 US NPIs in this specialty

Medicare Part D claims

9,107 217% vs specialty avg

2023 prescription claims

Specialty avg: 2,872

MIPS final score

75.0747/100 8.025299999999987% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in New Mexico

How General Practice Physician compares to other specialties among New Mexico providers

New Mexico providers

General Practice Physician share within New Mexico

1. General Practice Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
General Practice Physician share within New Mexico

Medicare quality performance — MIPS

MARK VAN WORMER, MD's 2023 MIPS final score plotted against the General Practice Physician national average

Below national average
MIPS Final Score
75.0747/100
vs 83.1 national avg · 2023 performance year

MIPS final score (General Practice Physician) — 75.0747/100 vs national avg 83.1

0%100%National avg83%75.1%
MIPS final score (General Practice Physician) — 75.0747/100 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 VAN WORMER, MD is a General Practice Physician provider practicing in CLAYTON, New Mexico, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1013919034. 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 VAN WORMER, MD appears in the CMS NPPES registry as a General Practice Physician provider holding MD credentials at 314 N 3RD AVE, CLAYTON, NM, 88415, with a listed phone of (575) 374-8313. NPI 1013919034 was issued on 08/10/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what VAN WORMER 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 9,107 prescription claims written by this provider, covering 364 Medicare beneficiaries and totaling roughly $1.2 million in drug spend, split 15% brand-name and 85% generic by claim count, with an opioid prescribing rate of 4.2%. 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 75.0747/100 for the 2023 performance year (Quality 45.5903), compared with the national average of 83.1.

General Practice Physician is a mid-sized specialty nationwide, with 16,677 enrolled providers across 56 states and an average of 2,872 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

314 N 3RD AVE
CLAYTON, NM 88415

Provider Details

NPI 1013919034
Specialty General Practice Physician
Credentials MD
Gender Male
NPI Issued 08/10/2005

CMS Quality Score (MIPS)

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

75.0747
Final Score
Avg: 83.1
45.5903
Quality
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where MARK VAN WORMER, MD 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.

CLAYTON HEALTH SYSTEMS INC
CLAYTON, NM

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 · Typical

MARK VAN WORMER, MD — brand share 15.0%
Specialty average (est.)

15% brand-name claims vs 85% generic, on 9,107 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.

9,107
Total Claims
$1.2M
Total Drug Cost
364
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
12,817
Total Day Supply
363,023
Brand vs Generic
15% brand / 85% generic
Brand Drug Cost
$946K
Generic Drug Cost
$218K
Opioid Claims
387 (4.2% rate)
Antibiotic Claims
175

Patient Demographics

Average Patient Age
72.6 years
Avg HCC Risk Score
1.20
Gender Split
56% female / 44% male
Age Distribution
<65: 54, 65-74: 142, 75-84: 122, 85+: 46

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Potassium Chloride
362
Levothyroxine Sodium
345
Lisinopril
300
Eliquis
Apixaban
251
Gabapentin
246
Omeprazole
246
Atorvastatin Calcium
235
Carvedilol
201
Amlodipine Besylate
177
Metformin Hcl
174

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

General Practice Physician Overview

How MARK VAN WORMER, MD fits within the General Practice Physician landscape nationally.

16,677
General Practice Physician Providers in US
56
States with General Practice Physician
2,872
Avg Claims per Provider

MARK VAN WORMER, MD's 9,107 claims are above the specialty average of 2,872.

Nearby General Practice Physician Providers in New Mexico

Other clinicians with the same primary specialty enrolled in New Mexico, drawn from the same CMS NPPES roster as VAN WORMER.

Compare General Practice Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is MARK VAN WORMER, MD's specialty?
MARK VAN WORMER, MD specializes in General Practice Physician and practices in CLAYTON, New Mexico. Credentials: MD.
How much does MARK VAN WORMER, MD prescribe under Medicare Part D?
In 2023, MARK VAN WORMER, MD wrote 9,107 Medicare Part D claims totaling $1.2M in drug costs for 364 beneficiaries.
What is MARK VAN WORMER, MD's Medicare quality score?
MARK VAN WORMER, MD has a CMS MIPS Final Score of 75.0747/100 (Quality: 45.5903). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is MARK VAN WORMER, MD located?
MARK VAN WORMER, MD is located at 314 N 3RD AVE, CLAYTON, NM, 88415. Phone: (575) 374-8313.
What is MARK VAN WORMER, MD's NPI number?
MARK VAN WORMER, MD's National Provider Identifier (NPI) is 1013919034, issued on 08/10/2005.
Does MARK VAN WORMER, MD prescribe more brand-name or generic drugs?
MARK VAN WORMER, MD's prescribing is 15% brand-name and 85% generic drugs by claim count, with $946K in brand drug costs.
Does MARK VAN WORMER, MD prescribe opioids?
Yes, MARK VAN WORMER, MD had 387 opioid claims in 2023 with an opioid prescribing rate of 4.2%.
How many General Practice Physician providers are there in the US?
There are 16,677 General Practice Physician providers across 56 states in the US. The average General Practice Physician provider writes 2,872 Medicare Part D claims per year.
What drugs does MARK VAN WORMER, MD prescribe most often?
Based on 2023 Medicare Part D data, MARK VAN WORMER, MD's most frequently prescribed drugs include Potassium Chloride, Levothyroxine Sodium, Lisinopril. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does MARK VAN WORMER, MD accept Medicare?
MARK VAN WORMER, MD appears in CMS Medicare data with 9,107 Part D claims and 364 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify MARK VAN WORMER, MD's credentials?
MARK VAN WORMER, MD's NPI is 1013919034 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

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