2026 NPPES data Otolaryngology Physician NPI 1295737955 M.D.
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MICHAEL CECIL, M.D.

Otolaryngology Physician in LEXINGTON, Kentucky. 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
2K
Medicare Part D claims · 626 beneficiaries · Otolaryngology Physician avg: 509
Generic prescribing
94%
generic claims · 6% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
90.3736/100
▲ 7 pts above national avg 83.1 · [object Object]
Industry payments
$288.94
9 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: MICHAEL CECIL, M.D. is a Otolaryngology Physician ([object Object]) practicing in LEXINGTON, Kentucky with a Medicare Part D prescribing footprint of 2K claims across 626 beneficiaries — 6% brand-name prescribing . Their CMS MIPS Final Score of 90.3736/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $288.94 across 9 transactions are disclosed under CMS Open Payments (Sunshine Act).

What the federal data shows

MICHAEL CECIL, M.D. reported a CMS MIPS final score of 90.3736/100 — above the 83.1 national average — and filed 1,792 Medicare Part D claims in 2023.

90.3736/100
MIPS score · +7 vs avg
2K
Part D claims, 2023
94%
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.

MICHAEL CECIL, 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

90 Top 40% higher than 60% 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%). Below this entry. 80–90: 129,887 scored providers (27%). Below this entry. 90–100: 189,403 scored providers (40%). This entry sits in this band. 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)

MICHAEL CECIL, M.D. 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).

MICHAEL CECIL, M.D. at a glance

High performer (top quartile)

NPI registry status

Active

Issued 08/12/2005

NPI 1295737955

Primary specialty

Otolaryngology Physician

Mid-sized

10,895 US NPIs in this specialty

Medicare Part D claims

1,792 252% vs specialty avg

2023 prescription claims

Specialty avg: 509

MIPS final score

90.3736/100 7.273600000000002% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Kentucky

How Otolaryngology Physician compares to other specialties among Kentucky providers

Kentucky providers

Otolaryngology Physician share within Kentucky

1. Otolaryngology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Otolaryngology Physician share within Kentucky

Medicare quality performance — MIPS

MICHAEL CECIL, M.D.'s 2023 MIPS final score plotted against the Otolaryngology Physician national average

High performer (top quartile)
MIPS Final Score
90.3736/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Otolaryngology Physician) — 90.3736/100 vs national avg 83.1

0%100%National avg83%90.4%
MIPS final score (Otolaryngology Physician) — 90.3736/100 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).

MICHAEL CECIL, M.D. is a Otolaryngology Physician provider practicing in LEXINGTON, Kentucky, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1295737955. 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.

MICHAEL CECIL, M.D. appears in the CMS NPPES registry as a Otolaryngology Physician provider holding M.D. credentials at 1221 S BROADWAY, LEXINGTON, KY, 40504, with a listed phone of (859) 258-4371. NPI 1295737955 was issued on 08/12/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what CECIL 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 1,792 prescription claims written by this provider, covering 626 Medicare beneficiaries and totaling roughly $103K in drug spend, split 6% brand-name and 94% generic by claim count, with an opioid prescribing rate of 7.0%. 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 90.3736/100 for the 2023 performance year (Quality 82.4975), compared with the national average of 83.1.

Otolaryngology Physician is a mid-sized specialty nationwide, with 10,895 enrolled providers across 54 states and an average of 509 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

1221 S BROADWAY
LEXINGTON, KY 40504

Provider Details

NPI 1295737955
Specialty Otolaryngology Physician
Credentials M.D.
Gender Male
NPI Issued 08/12/2005

CMS Quality Score (MIPS)

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

90.3736
Final Score
Avg: 83.1
82.4975
Quality
100
Promoting Interoperability

Reporting: Individual

Hospital and facility affiliations

Facilities where MICHAEL CECIL, M.D. 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.

NEW LEXINGTON CLINIC PSC
LEXINGTON, KY

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 MICHAEL CECIL, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$289

Largest payer

Regeneron Healthcare Solutions, Inc.

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 · Generic-heavy

MICHAEL CECIL, M.D. — brand share 6.0%
Specialty average (est.)

6% brand-name claims vs 94% generic, on 1,792 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.

1,792
Total Claims
$103K
Total Drug Cost
626
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
2,569
Total Day Supply
60,338
Brand vs Generic
6% brand / 94% generic
Brand Drug Cost
$66K
Generic Drug Cost
$37K
Opioid Claims
125 (7.0% rate)
Antibiotic Claims
255

Patient Demographics

Average Patient Age
73.6 years
Avg HCC Risk Score
1.11
Gender Split
55% female / 45% male
Age Distribution
<65: 49, 65-74: 308, 75-84: 210, 85+: 59

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Fluticasone Propionate
284
Famotidine
208
Ipratropium Bromide
159
Omeprazole
144
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
94
Triamcinolone Acetonide
75
Cefdinir
67
Ofloxacin
58
Azelastine Hcl
52
Amoxicillin-Clavulanate Potass
Amoxicillin/Potassium Clav
47

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

Otolaryngology Physician Overview

How MICHAEL CECIL, M.D. fits within the Otolaryngology Physician landscape nationally.

10,895
Otolaryngology Physician Providers in US
54
States with Otolaryngology Physician
509
Avg Claims per Provider

MICHAEL CECIL, M.D.'s 1,792 claims are above the specialty average of 509.

Nearby Otolaryngology Physician Providers in Kentucky

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

Compare Otolaryngology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is MICHAEL CECIL, M.D.'s specialty?
MICHAEL CECIL, M.D. specializes in Otolaryngology Physician and practices in LEXINGTON, Kentucky. Credentials: M.D..
How much does MICHAEL CECIL, M.D. prescribe under Medicare Part D?
In 2023, MICHAEL CECIL, M.D. wrote 1,792 Medicare Part D claims totaling $103K in drug costs for 626 beneficiaries.
What is MICHAEL CECIL, M.D.'s Medicare quality score?
MICHAEL CECIL, M.D. has a CMS MIPS Final Score of 90.3736/100 (Quality: 82.4975). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is MICHAEL CECIL, M.D. located?
MICHAEL CECIL, M.D. is located at 1221 S BROADWAY, LEXINGTON, KY, 40504. Phone: (859) 258-4371.
What is MICHAEL CECIL, M.D.'s NPI number?
MICHAEL CECIL, M.D.'s National Provider Identifier (NPI) is 1295737955, issued on 08/12/2005.
Does MICHAEL CECIL, M.D. prescribe more brand-name or generic drugs?
MICHAEL CECIL, M.D.'s prescribing is 6% brand-name and 94% generic drugs by claim count, with $66K in brand drug costs.
Does MICHAEL CECIL, M.D. prescribe opioids?
Yes, MICHAEL CECIL, M.D. had 125 opioid claims in 2023 with an opioid prescribing rate of 7.0%.
How many Otolaryngology Physician providers are there in the US?
There are 10,895 Otolaryngology Physician providers across 54 states in the US. The average Otolaryngology Physician provider writes 509 Medicare Part D claims per year.
What drugs does MICHAEL CECIL, M.D. prescribe most often?
Based on 2023 Medicare Part D data, MICHAEL CECIL, M.D.'s most frequently prescribed drugs include Fluticasone Propionate, Famotidine, Ipratropium Bromide. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does MICHAEL CECIL, M.D. accept Medicare?
MICHAEL CECIL, M.D. appears in CMS Medicare data with 1,792 Part D claims and 626 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify MICHAEL CECIL, M.D.'s credentials?
MICHAEL CECIL, M.D.'s NPI is 1295737955 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

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