NPI registry status
Active
2026 NPPES data Urology Physician NPI 1467406140 MD
Verify on CMS → Mathew Oommen, MD
Urology Physician in Minot, North Dakota.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 13,606 in Urology 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
354
Medicare Part D claims · 158 beneficiaries · Urology Physician avg: 1K
Generic prescribing
88%
generic claims · 12% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
83.8/100
▲ 0 pts above national avg 83.5 · Above neutral
Industry payments
$112.77
1 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2024
What the federal data shows
Mathew Oommen, MD reported a CMS MIPS final score of 83.8/100 - above the 83.5 national average - and filed 354 Medicare Part D claims in 2024.
- 83.8/100
- MIPS score · +0 vs avg
- 354
- 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 Mathew Oommen, MD
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 1467406140), first enumerated 05/19/2006.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 354 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 83.8/100 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.
- 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
$112.77 in reported industry payments (1 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 1467406140 · Urology Physician
NPI-10 · ENUM-LEGACY · TAX-MID · MIPS-INLINE · RX-LIGHT · BOOK-THIN · PHOTO-FINISH
- NPI-10 1467406140
- ENUM-LEGACY 2006
- TAX-MID 14K Urology Physician
- MIPS-INLINE 83.8/100
- RX-LIGHT 354
- BOOK-THIN 27 in North Dakota
- PHOTO-FINISH Adam Berneking · ±0.0
MIPS final-score neighbourhood
Same-specialty nationwide peers by CMS final score, not geographic proximity
- Oommen · this pr…
Oommen · this provider
83.8 MIPS pts
- Thomas McKay · h…
Thomas McKay
83.8 MIPS pts
- Adam Berneking ·…
Adam Berneking
83.8 MIPS pts
- Ghasoub Harb · n…
Ghasoub Harb
83.8 MIPS pts
- Timothy Kresowik…
Timothy Kresowik
83.8 MIPS pts
What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).
Mathew Oommen, MD'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.
84 ≥ 39th percentile 39% of 454,083 measured providers are in lower value bands
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 Mathew Oommen, MD sits
This provider among urology physician peers
Across the 4,091 urology physician providers who report both Medicare Part D prescribing and a MIPS quality score, Mathew Oommen, MD writes more Part D claims than 19% of them and scores higher on MIPS quality than 38% - placing this provider in the lower-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Each dot is one urology physician peer from a representative sample of 60; the gold marker is Mathew Oommen, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Mathew Oommen, 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 Mathew Oommen, MD?
Near national averagePrimary specialty
Urology Physician
Medicare Part D claims
354 74% vs specialty avg
MIPS final score
83.8/100 0.3 pts vs avg
Specialty distribution in North Dakota
How Urology Physician compares to other specialties among North Dakota providers
Medicare quality performance, MIPS
Mathew Oommen, MD's 2023 MIPS final score plotted against the Urology Physician national average
- MIPS Final Score
- 83.8/100
- vs 83.5 national avg · 2023 performance year
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
Provider Details
| NPI | 1467406140 |
|---|---|
| Specialty | Urology Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 05/19/2006 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
83.7984
Final Score
Measured-score avg: 83.5
78.3733
Quality
67.6212
Cost
100
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where Mathew Oommen, 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.
Trinity Health
Minot, 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).
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 Mathew Oommen, MD. Source: openpaymentsdata.cms.gov.
Total received
$113
Largest payer
Integra LifeSciences Corporation
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
Mathew Oommen, MD - brand share 12.0%
Urology Physician average
12% brand-name claims vs 88% generic, on 354 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.
354
Total Claims
$23K
Total Drug Cost
158
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 553.733
- Total Day Supply
- 12,239
- Brand vs Generic
- 12% brand / 88% generic
- Brand Drug Cost
- $15K
- Generic Drug Cost
- $8K
- Antibiotic Claims
- 168
Patient Demographics
- Average Patient Age
- 74.1 years
- Avg HCC Risk Score
- 1.34
- Gender Split
- 31% female / 69% male
- Age Distribution
- <65: 12, 65-74: 70, 75-84: 53, 85+: 23
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
What Mathew Oommen, MD prescribes most
Top Medicare Part D drugs by claim count, 2024
- Ciprofloxacin Hcl
Ciprofloxacin Hcl
77 claims
- Tamsulosin Hcl
Tamsulosin Hcl
49 claims
- Methenamine Hippur…
Methenamine Hippurate
46 claims
- Sulfamethoxazole-T…
Sulfamethoxazole-Trimethoprim
39 claims
- Myrbetriq 28
Myrbetriq
28 claims
- Trimethoprim 15
Trimethoprim
15 claims
- Finasteride 14
Finasteride
14 claims
| Drug | Claims |
|---|---|
| Ciprofloxacin Hcl | 77 |
| Tamsulosin Hcl | 49 |
| Methenamine Hippurate | 46 |
| Sulfamethoxazole-Trimethoprim Sulfamethoxazole/Trimethoprim | 39 |
| Myrbetriq Mirabegron | 28 |
| Trimethoprim | 15 |
| Finasteride | 14 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Urology Physician Overview
How Mathew Oommen, MD fits within the Urology Physician landscape nationally.
13,606
Urology Physician Providers in US
54
States with Urology Physician
1,354
Avg Claims per Provider
Mathew Oommen, MD's 354 claims are below the specialty average of 1,354.
Nationwide Urology Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Oommen, both outside North Dakota so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (83.8 here).
Same NPPES enumeration year (2006)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Urology Physician Providers in North Dakota
Other clinicians with the same primary specialty enrolled in North Dakota, drawn from the same CMS NPPES roster as Oommen.
One of 27 Urology Physician providers enrolled in North Dakota, 5 are shown here.
Dr. Saeed Akhter
MD
Minot, ND
Dr. Diane Bigham
D.O.
Minot, ND
Dr. Cameron Charchenko
MD
Bismarck, ND
Dr. Karim Courtemanche
MD
Bismarck, ND
Ann Flinn
Fargo, ND
Compare Urology Physician nationally: see state-by-state distribution →
Frequently Asked Questions
What is Mathew Oommen, MD's specialty? ▼
Mathew Oommen, MD specializes in Urology Physician and practices in Minot, North Dakota. Credentials: MD.
How much does Mathew Oommen, MD prescribe under Medicare Part D? ▼
In 2024, Mathew Oommen, MD wrote 354 Medicare Part D claims totaling $23K in drug costs for 158 beneficiaries.
What is Mathew Oommen, MD's Medicare quality score? ▼
Mathew Oommen, MD has a CMS MIPS Final Score of 83.8/100 (Quality: 78.4, Cost: 67.6). 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 Mathew Oommen, MD located? ▼
Mathew Oommen, MD is located at 2305 37TH AVE SW, Minot, ND, 58701. Phone: (701) 418-7200.
What is Mathew Oommen, MD's NPI number? ▼
Mathew Oommen, MD's National Provider Identifier (NPI) is 1467406140, issued on 05/19/2006.
Does Mathew Oommen, MD prescribe more brand-name or generic drugs? ▼
Mathew Oommen, MD's prescribing is 12% brand-name and 88% generic drugs by claim count, with $15K in brand drug costs.
How many Urology Physician providers are there in the US? ▼
There are 13,606 Urology Physician providers across 54 states in the US. The average Urology Physician provider writes 1,354 Medicare Part D claims per year.
What drugs does Mathew Oommen, MD prescribe most often? ▼
Based on 2024 Medicare Part D data, Mathew Oommen, MD's most frequently prescribed drugs include Ciprofloxacin Hcl, Tamsulosin Hcl, Methenamine Hippurate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Mathew Oommen, MD accept Medicare? ▼
Mathew Oommen, MD appears in CMS Medicare data with 354 Part D claims and 158 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Mathew Oommen, MD's credentials? ▼
Mathew Oommen, MD's NPI is 1467406140 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
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
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.