2026 NPPES data Neuromuscular Medicine (Psychiatry & Neurology) Physician NPI 1265775118
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MATTHEW PRESTON

Neuromuscular Medicine (Psychiatry & Neurology) Physician in SEATTLE, Washington. 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
217
Medicare Part D claims · 32 beneficiaries · Neuromuscular Medicine (Psychiatry & Neurology) Physician avg: 931
Generic prescribing
84%
generic claims · 16% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
93.0932/100
▲ 10 pts above national avg 83.1 · [object Object]
What the federal data reveals: MATTHEW PRESTON is a Neuromuscular Medicine (Psychiatry & Neurology) Physician ([object Object]) practicing in SEATTLE, Washington with a Medicare Part D prescribing footprint of 217 claims across 32 beneficiaries — 16% brand-name prescribing . Their CMS MIPS Final Score of 93.0932/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities .

What stands out: MATTHEW PRESTON reported a CMS MIPS final score of 93.0932 out of 100, above the 83.1 national average, and filed 217 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

MATTHEW PRESTON 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).

MATTHEW PRESTON at a glance

High performer (top quartile)

NPI registry status

Active

Issued 03/28/2013

NPI 1265775118

Primary specialty

Neuromuscular Medicine (Psychiatry & Neurology) Physician

Rare

336 US NPIs in this specialty

Medicare Part D claims

217 77% vs specialty avg

2023 prescription claims

Specialty avg: 931

MIPS final score

93.0932/100 9.993200000000002% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Washington

How Neuromuscular Medicine (Psychiatry & Neurology) Physician compares to other specialties among Washington providers

Washington providers

Neuromuscular Medicine (Psychiatry & Neurology) Physician share within Washington

1. Neuromuscular Medicine (Psychiatry & Neurology) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Neuromuscular Medicine (Psychiatry & Neurology) Physician share within Washington

Medicare quality performance — MIPS

MATTHEW PRESTON's 2023 MIPS final score plotted against the Neuromuscular Medicine (Psychiatry & Neurology) Physician national average

High performer (top quartile)
MIPS Final Score
93.0932/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Neuromuscular Medicine (Psychiatry & Neurology) Physician) — 93.0932/100 vs national avg 83.1

0%100%National avg83%93.1%
MIPS final score (Neuromuscular Medicine (Psychiatry & Neurology) Physician) — 93.0932/100 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 PRESTON is a Neuromuscular Medicine (Psychiatry & Neurology) Physician provider practicing in SEATTLE, Washington, according to the CMS National Plan and Provider Enumeration System (NPPES). NPI: 1265775118. 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 PRESTON appears in the CMS NPPES registry as a Neuromuscular Medicine (Psychiatry & Neurology) Physician provider at 1959 NE PACIFIC ST, SEATTLE, WA, 98195, with a listed phone of (206) 598-7688. NPI 1265775118 was issued on 03/28/2013. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what PRESTON 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 217 prescription claims written by this provider, covering 32 Medicare beneficiaries and totaling roughly $369K in drug spend, split 16% brand-name and 84% 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 93.0932/100 for the 2023 performance year (Quality 73.9573), compared with the national average of 83.1.

Neuromuscular Medicine (Psychiatry & Neurology) Physician is a narrow specialty nationwide, with 336 enrolled providers across 44 states and an average of 931 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

1959 NE PACIFIC ST
SEATTLE, WA 98195

Provider Details

NPI 1265775118
Specialty Neuromuscular Medicine (Psychiatry & Neurology) Physician
Gender Male
NPI Issued 03/28/2013

CMS Quality Score (MIPS)

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

93.0932
Final Score
Avg: 83.1
73.9573
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where MATTHEW PRESTON 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.

THE ASSOCIATION OF UNIVERSITY PHYSICIANS
SEATTLE, WA

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

License & disciplinary context — Washington WMC 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~34K Washington medical licensees in 2023 — they are NOT specific to MATTHEW PRESTON. To verify MATTHEW PRESTON's current license status, search the WMC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

88
Total board actions, Washington 2023
Across 85 cases
2.59
Actions per 1,000 licensees
Washington statewide rate
probation
Most common action type
31 cases

WMC publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Washington disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

MATTHEW PRESTON — brand share 16.0%
Specialty average (est.)

16% brand-name claims vs 84% generic, on 217 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.

217
Total Claims
$369K
Total Drug Cost
32
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
431
Total Day Supply
12,696
Brand vs Generic
16% brand / 84% generic
Brand Drug Cost
$354K
Generic Drug Cost
$15K

Patient Demographics

Average Patient Age
67.8 years
Avg HCC Risk Score
1.79
Gender Split
47% female / 53% 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
Duloxetine Hcl
22
Pregabalin
20
Prednisone
16
Radicava Ors
Edaravone
14
Azathioprine
13
Mycophenolate Mofetil
13
Riluzole
13
Relyvrio
Sod Phenylbutyrat/Taurursodiol
11

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

Neuromuscular Medicine (Psychiatry & Neurology) Physician Overview

How MATTHEW PRESTON fits within the Neuromuscular Medicine (Psychiatry & Neurology) Physician landscape nationally.

336
Neuromuscular Medicine (Psychiatry & Neurology) Physician Providers in US
44
States with Neuromuscular Medicine (Psychiatry & Neurology) Physician
931
Avg Claims per Provider

MATTHEW PRESTON's 217 claims are below the specialty average of 931.

Nearby Neuromuscular Medicine (Psychiatry & Neurology) Physician Providers in Washington

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

Compare Neuromuscular Medicine (Psychiatry & Neurology) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is MATTHEW PRESTON's specialty?
MATTHEW PRESTON specializes in Neuromuscular Medicine (Psychiatry & Neurology) Physician and practices in SEATTLE, Washington.
How much does MATTHEW PRESTON prescribe under Medicare Part D?
In 2023, MATTHEW PRESTON wrote 217 Medicare Part D claims totaling $369K in drug costs for 32 beneficiaries.
What is MATTHEW PRESTON's Medicare quality score?
MATTHEW PRESTON has a CMS MIPS Final Score of 93.0932/100 (Quality: 73.9573). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is MATTHEW PRESTON located?
MATTHEW PRESTON is located at 1959 NE PACIFIC ST, SEATTLE, WA, 98195. Phone: (206) 598-7688.
What is MATTHEW PRESTON's NPI number?
MATTHEW PRESTON's National Provider Identifier (NPI) is 1265775118, issued on 03/28/2013.
Does MATTHEW PRESTON prescribe more brand-name or generic drugs?
MATTHEW PRESTON's prescribing is 16% brand-name and 84% generic drugs by claim count, with $354K in brand drug costs.
How many Neuromuscular Medicine (Psychiatry & Neurology) Physician providers are there in the US?
There are 336 Neuromuscular Medicine (Psychiatry & Neurology) Physician providers across 44 states in the US. The average Neuromuscular Medicine (Psychiatry & Neurology) Physician provider writes 931 Medicare Part D claims per year.
What drugs does MATTHEW PRESTON prescribe most often?
Based on 2023 Medicare Part D data, MATTHEW PRESTON's most frequently prescribed drugs include Gabapentin, Duloxetine Hcl, Pregabalin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does MATTHEW PRESTON accept Medicare?
MATTHEW PRESTON appears in CMS Medicare data with 217 Part D claims and 32 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify MATTHEW PRESTON's credentials?
MATTHEW PRESTON's NPI is 1265775118. 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