2026 NPPES data Specialist NPI 1467441766 MD
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MATTHEW EPPLEY, MD

Specialist in NEWARK, Delaware. 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
108
Medicare Part D claims · 55 beneficiaries · Specialist avg: 1K
MIPS score
80.0209/100
▼ 3 pts below national avg 83.1 · [object Object]
Industry payments
$2.0K
12 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: MATTHEW EPPLEY, MD is a Specialist ([object Object]) practicing in NEWARK, Delaware with a Medicare Part D prescribing footprint of 108 claims across 55 beneficiaries . Their CMS MIPS Final Score of 80.0209/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $2.0K across 12 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: MATTHEW EPPLEY, MD reported a CMS MIPS final score of 80.0209 out of 100, below the 83.1 national average, and filed 108 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

MATTHEW EPPLEY, MD at a glance

Near national average

NPI registry status

Active

Issued 10/19/2005

NPI 1467441766

Primary specialty

Specialist

High-volume

69,658 US NPIs in this specialty

Medicare Part D claims

108 93% vs specialty avg

2023 prescription claims

Specialty avg: 1,474

MIPS final score

80.0209/100 3.079099999999997% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Delaware

How Specialist compares to other specialties among Delaware providers

Delaware providers

Specialist share within Delaware

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

Medicare quality performance — MIPS

MATTHEW EPPLEY, MD's 2023 MIPS final score plotted against the Specialist national average

Near national average
MIPS Final Score
80.0209/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Specialist) — 80.0209/100 vs national avg 83.1

0%100%National avg83%80%
MIPS final score (Specialist) — 80.0209/100 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).

MATTHEW EPPLEY, MD is a Specialist provider practicing in NEWARK, Delaware, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1467441766. 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.

MATTHEW EPPLEY, MD appears in the CMS NPPES registry as a Specialist provider holding MD credentials at 774 CHRISTIANA RD, NEWARK, DE, 19713, with a listed phone of (302) 366-7671. NPI 1467441766 was issued on 10/19/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what EPPLEY 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 108 prescription claims written by this provider, covering 55 Medicare beneficiaries and totaling roughly $883 in drug spend, with an opioid prescribing rate of 36.1%. 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 80.0209/100 for the 2023 performance year (Quality 69.2362, Cost 100), 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

774 CHRISTIANA RD
NEWARK, DE 19713

Provider Details

NPI 1467441766
Specialty Specialist
Credentials MD
Gender Male
NPI Issued 10/19/2005

CMS Quality Score (MIPS)

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

80.0209
Final Score
Avg: 83.1
69.2362
Quality
100
Cost
57
Promoting Interoperability

Reporting: Individual

Hospital and facility affiliations

Facilities where MATTHEW EPPLEY, 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.

AGAPE PHYSICAL THERAPY AND SPORTS REHABILITATION LP
FOREST HILL, MD
DELAWARE NEUROSURGICAL GROUP, PA
NEWARK, DE
PHOENIX REHABILITATION AND HEALTH SERVICES INC
CRANBERRY TOWNSHIP, PA

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 MATTHEW EPPLEY, MD. Source: openpaymentsdata.cms.gov.

Total received

$2.0K

Largest payer

Medtronic, Inc.

Most common payment type

Travel and Lodging

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.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

108
Total Claims
$883
Total Drug Cost
55
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
110
Total Day Supply
2,029
Brand Drug Cost
$0
Generic Drug Cost
$883
Opioid Claims
39 (36.1% rate)

Patient Demographics

Average Patient Age
70.5 years
Avg HCC Risk Score
1.35
Gender Split
60% female / 40% male

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Gabapentin
30
Oxycodone Hcl
18
Tizanidine Hcl
13
Tramadol Hcl
11

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

Specialist Overview

How MATTHEW EPPLEY, MD fits within the Specialist landscape nationally.

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

MATTHEW EPPLEY, MD's 108 claims are below the specialty average of 1,474.

Nearby Specialist Providers in Delaware

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

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

Frequently Asked Questions

What is MATTHEW EPPLEY, MD's specialty?
MATTHEW EPPLEY, MD specializes in Specialist and practices in NEWARK, Delaware. Credentials: MD.
How much does MATTHEW EPPLEY, MD prescribe under Medicare Part D?
In 2023, MATTHEW EPPLEY, MD wrote 108 Medicare Part D claims totaling $883 in drug costs for 55 beneficiaries.
What is MATTHEW EPPLEY, MD's Medicare quality score?
MATTHEW EPPLEY, MD has a CMS MIPS Final Score of 80.0209/100 (Quality: 69.2362, Cost: 100). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is MATTHEW EPPLEY, MD located?
MATTHEW EPPLEY, MD is located at 774 CHRISTIANA RD, NEWARK, DE, 19713. Phone: (302) 366-7671.
What is MATTHEW EPPLEY, MD's NPI number?
MATTHEW EPPLEY, MD's National Provider Identifier (NPI) is 1467441766, issued on 10/19/2005.
Does MATTHEW EPPLEY, MD prescribe opioids?
Yes, MATTHEW EPPLEY, MD had 39 opioid claims in 2023 with an opioid prescribing rate of 36.1%.
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 MATTHEW EPPLEY, MD prescribe most often?
Based on 2023 Medicare Part D data, MATTHEW EPPLEY, MD's most frequently prescribed drugs include Gabapentin, Oxycodone Hcl, Tizanidine Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does MATTHEW EPPLEY, MD accept Medicare?
MATTHEW EPPLEY, MD appears in CMS Medicare data with 108 Part D claims and 55 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify MATTHEW EPPLEY, MD's credentials?
MATTHEW EPPLEY, MD's NPI is 1467441766 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