2026 NPPES data Rheumatology Physician NPI 1376734731 M.D.
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Mary Youngblood, M.D.

Rheumatology Physician in Lexington, Kentucky.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 6,181 in Rheumatology 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
452
Medicare Part D claims · 113 beneficiaries · Rheumatology Physician avg: 2K
Generic prescribing
90%
generic claims · 10% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
59.4/100
▼ 24 pts below national avg 83.1 · Mid-tier
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Mary Youngblood, M.D. reported a CMS MIPS final score of 59.4/100 - below the 83.1 national average - and filed 452 Medicare Part D claims in 2023.

59.4/100
MIPS score · -24 vs avg
452
Part D claims, 2023
90%
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.

Mary Youngblood, 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

59 5th percentile higher than 5% 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%). This entry sits in this band. 60–70: 13,906 scored providers (3%). Above this entry. 70–80: 118,074 scored providers (25%). Above this entry. 80–90: 129,887 scored providers (27%). Above this entry. 90+: 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

Where Mary Youngblood, M.D. sits

This provider among rheumatology physician peers

Across the 2,181 rheumatology physician providers who report both Medicare Part D prescribing and a MIPS quality score, Mary Youngblood, M.D. writes more Part D claims than 11% 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.

Part D claim volume vs MIPS quality, by specialty percentile

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality0255075100024.949.974.899.8Part D claim volume, percentile in specialtyMIPS quality, percentilePart D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 25Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 22Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 32Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 23Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 95Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 90Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 52Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 85Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 33Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 90Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 30Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 57Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 10Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 75Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 10Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 82Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 45Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 63Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 20Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 10Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 68Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 90Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 95Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 60Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 48Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 38Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 63Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 42Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 95Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 63Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 28Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 7Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 10Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 58Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 33Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 52Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 50Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 27Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 10Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 83Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 62Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 2Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 3Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 77Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 47Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 40Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 95Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 80Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 43Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 55Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 37Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 70Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 10Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 78Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 8Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 87Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 72Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 73Mary Youngblood, M.D.-Part D claim volume, percentile in specialty: 11 · MIPS quality, percentile: 6
Part D claim volume vs MIPS quality, by specialty percentile

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

Board certification likely (heuristic, not verified)

Mary Youngblood, M.D. 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 Mary Youngblood, M.D.?

Below national average

NPI registry status

Active

Issued 08/09/2007

NPI 1376734731

Primary specialty

Rheumatology Physician

Mid-sized

6,181 US NPIs in this specialty

Medicare Part D claims

452 78% vs specialty avg

2023 prescription claims

Specialty avg: 2,054

MIPS final score

59.4/100 23.7 pts vs avg

Mid-tier band

vs 83.1 national avg

Specialty distribution in Kentucky

How Rheumatology Physician compares to other specialties among Kentucky providers

Kentucky providers
Family Nurse Practitioner - 5.9%Family Nurse Practitioner5.9%Student in an Organized Health Care Education/Training Program - 5.2%Student in an Organized Health Care Education/Training Program5.2%Pharmacist - 4.8%Pharmacist4.8%Mental Health Counselor - 4.6%Mental Health Counselor4.6%Clinical Social Worker - 4.1%Clinical Social Worker4.1%Physical Therapist - 3.7%Physical Therapist3.7%Rheumatology Physician - 0.1%Rheumatology Physician0.1%
Largest specialties in Kentucky (% of in-state providers)

Medicare quality performance, MIPS

Mary Youngblood, M.D.'s 2023 MIPS final score plotted against the Rheumatology Physician national average

Below national average
MIPS Final Score
59.4/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Rheumatology Physician) - 59.4/100 vs national avg 83.1

0%100%National avg83%59.4%
MIPS final score (Rheumatology Physician) - 59.4/100 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).

Mary Youngblood, M.D. appears in the CMS NPPES registry as a Rheumatology Physician provider holding M.D. credentials at 740 S LIMESTONE, Lexington, KY, 40536, with a listed phone of (859) 323-6700. NPI 1376734731 was issued on 08/09/2007.

Medicare Part D records for calendar year 2023 show 452 prescription claims written by this provider, covering 113 Medicare beneficiaries and totaling roughly $116K in drug spend, split 10% brand-name and 90% generic by claim count. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 59.4/100 for the 2023 performance year (Quality 19.6, Cost 70.1), compared with the national average of 83.1.

Rheumatology Physician is a mid-sized specialty nationwide, with 6,181 enrolled providers across 52 states and an average of 2,054 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

740 S LIMESTONE
Lexington, KY 40536

Provider Details

NPI 1376734731
Specialty Rheumatology Physician
Credentials M.D.
Gender Female
NPI Issued 08/09/2007

CMS Quality Score (MIPS)

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

59.4064
Final Score
Avg: 83.1
19.6167
Quality
70.0714
Cost
100
Promoting Interoperability

Reporting: Group practice

Brand vs generic prescribing mix · Typical

Mary Youngblood, M.D. - brand share 10.0%
Rheumatology Physician average

10% brand-name claims vs 90% generic, on 452 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.

452
Total Claims
$116K
Total Drug Cost
113
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
806
Total Day Supply
23,462
Brand vs Generic
10% brand / 90% generic
Brand Drug Cost
$104K
Generic Drug Cost
$12K
Antibiotic Claims
15

Patient Demographics

Average Patient Age
69.8 years
Avg HCC Risk Score
1.82
Gender Split
73% female / 27% male

Top Prescribed Drugs (Medicare Part D)

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

What Mary Youngblood, 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
Prednisone
54
Hydroxychloroquine Sulfate
41
Warfarin Sodium
26
Methotrexate
Methotrexate Sodium
22
Sulfasalazine Dr
Sulfasalazine
22
Meloxicam
20
Folic Acid
19
Gabapentin
16
Alendronate Sodium
15
Atorvastatin Calcium
15

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

Rheumatology Physician Overview

How Mary Youngblood, M.D. fits within the Rheumatology Physician landscape nationally.

6,181
Rheumatology Physician Providers in US
52
States with Rheumatology Physician
2,054
Avg Claims per Provider

Mary Youngblood, M.D.'s 452 claims are below the specialty average of 2,054.

Nearby Rheumatology Physician Providers in Kentucky

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

Compare Rheumatology 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 Kentucky medical board, federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Rheumatology 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.

Frequently Asked Questions

What is Mary Youngblood, M.D.'s specialty?
Mary Youngblood, M.D. specializes in Rheumatology Physician and practices in Lexington, Kentucky. Credentials: M.D..
How much does Mary Youngblood, M.D. prescribe under Medicare Part D?
In 2023, Mary Youngblood, M.D. wrote 452 Medicare Part D claims totaling $116K in drug costs for 113 beneficiaries.
What is Mary Youngblood, M.D.'s Medicare quality score?
Mary Youngblood, M.D. has a CMS MIPS Final Score of 59.4/100 (Quality: 19.6, Cost: 70.1). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Mary Youngblood, M.D. located?
Mary Youngblood, M.D. is located at 740 S LIMESTONE, Lexington, KY, 40536. Phone: (859) 323-6700.
What is Mary Youngblood, M.D.'s NPI number?
Mary Youngblood, M.D.'s National Provider Identifier (NPI) is 1376734731, issued on 08/09/2007.
Does Mary Youngblood, M.D. prescribe more brand-name or generic drugs?
Mary Youngblood, M.D.'s prescribing is 10% brand-name and 90% generic drugs by claim count, with $104K in brand drug costs.
How many Rheumatology Physician providers are there in the US?
There are 6,181 Rheumatology Physician providers across 52 states in the US. The average Rheumatology Physician provider writes 2,054 Medicare Part D claims per year.
What drugs does Mary Youngblood, M.D. prescribe most often?
Based on 2023 Medicare Part D data, Mary Youngblood, M.D.'s most frequently prescribed drugs include Prednisone, Hydroxychloroquine Sulfate, Warfarin Sodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Mary Youngblood, M.D. accept Medicare?
Mary Youngblood, M.D. appears in CMS Medicare data with 452 Part D claims and 113 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Mary Youngblood, M.D.'s credentials?
Mary Youngblood, M.D.'s NPI is 1376734731 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 (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.