2026 NPPES data Dermatology Physician NPI 1215908223 M.D.
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MICHAEL MATHIEU, M.D.

Dermatology Physician in WINCHESTER, Virginia. 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
188
Medicare Part D claims · 106 beneficiaries · Dermatology Physician avg: 729
Generic prescribing
90%
generic claims · 10% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
100/100
▲ 17 pts above national avg 83.1 · [object Object]

What the federal data shows

MICHAEL MATHIEU, M.D. reported a CMS MIPS final score of 100/100 — above the 83.1 national average — and filed 188 Medicare Part D claims in 2023.

100/100
MIPS score · +17 vs avg
188
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.

MICHAEL MATHIEU, 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

100 Top 7% higher than 93% 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 MATHIEU, 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 MICHAEL MATHIEU, M.D.?

High performer (top quartile)

NPI registry status

Active

Issued 01/28/2006

NPI 1215908223

Primary specialty

Dermatology Physician

Mid-sized

14,610 US NPIs in this specialty

Medicare Part D claims

188 74% vs specialty avg

2023 prescription claims

Specialty avg: 729

MIPS final score

100/100 16.900000000000006% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Virginia

How Dermatology Physician compares to other specialties among Virginia providers

Virginia providers

Dermatology Physician share within Virginia

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

Medicare quality performance — MIPS

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

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

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

0%100%National avg83%99%
MIPS final score (Dermatology Physician) — 100/100 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 MATHIEU, M.D. appears in the CMS NPPES registry as a Dermatology Physician provider holding M.D. credentials at 1514 AMHERST ST, WINCHESTER, VA, 22601, with a listed phone of (540) 667-4499. NPI 1215908223 was issued on 01/28/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what MATHIEU 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 188 prescription claims written by this provider, covering 106 Medicare beneficiaries and totaling roughly $25K in drug spend, split 10% brand-name and 90% 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 100/100 for the 2023 performance year, compared with the national average of 83.1.

Dermatology Physician is a mid-sized specialty nationwide, with 14,610 enrolled providers across 53 states and an average of 729 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

1514 AMHERST ST
WINCHESTER, VA 22601

Provider Details

NPI 1215908223
Specialty Dermatology Physician
Credentials M.D.
Gender Male
NPI Issued 01/28/2006

CMS Quality Score (MIPS)

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

100
Final Score
Avg: 83.1
100
Promoting Interoperability

Reporting: Group practice

Brand vs generic prescribing mix · Typical

MICHAEL MATHIEU, M.D. — brand share 10.0%
Specialty average (est.)

10% brand-name claims vs 90% generic, on 188 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.

188
Total Claims
$25K
Total Drug Cost
106
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
211
Total Day Supply
5,376
Brand vs Generic
10% brand / 90% generic
Brand Drug Cost
$17K
Generic Drug Cost
$7K

Patient Demographics

Average Patient Age
76.1 years
Avg HCC Risk Score
1.06
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.

What MICHAEL MATHIEU, 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
Triamcinolone Acetonide
40
Betamethasone Diprop Augmented
Betamethasone/Propylene Glyc
27
Ketoconazole
18
Fluorouracil
17
Clobetasol Propionate
11

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

Dermatology Physician Overview

How MICHAEL MATHIEU, M.D. fits within the Dermatology Physician landscape nationally.

14,610
Dermatology Physician Providers in US
53
States with Dermatology Physician
729
Avg Claims per Provider

MICHAEL MATHIEU, M.D.'s 188 claims are below the specialty average of 729.

Nearby Dermatology Physician Providers in Virginia

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

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

Frequently Asked Questions

What is MICHAEL MATHIEU, M.D.'s specialty?
MICHAEL MATHIEU, M.D. specializes in Dermatology Physician and practices in WINCHESTER, Virginia. Credentials: M.D..
How much does MICHAEL MATHIEU, M.D. prescribe under Medicare Part D?
In 2023, MICHAEL MATHIEU, M.D. wrote 188 Medicare Part D claims totaling $25K in drug costs for 106 beneficiaries.
What is MICHAEL MATHIEU, M.D.'s Medicare quality score?
MICHAEL MATHIEU, M.D. has a CMS MIPS Final Score of 100/100. The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is MICHAEL MATHIEU, M.D. located?
MICHAEL MATHIEU, M.D. is located at 1514 AMHERST ST, WINCHESTER, VA, 22601. Phone: (540) 667-4499.
What is MICHAEL MATHIEU, M.D.'s NPI number?
MICHAEL MATHIEU, M.D.'s National Provider Identifier (NPI) is 1215908223, issued on 01/28/2006.
Does MICHAEL MATHIEU, M.D. prescribe more brand-name or generic drugs?
MICHAEL MATHIEU, M.D.'s prescribing is 10% brand-name and 90% generic drugs by claim count, with $17K in brand drug costs.
How many Dermatology Physician providers are there in the US?
There are 14,610 Dermatology Physician providers across 53 states in the US. The average Dermatology Physician provider writes 729 Medicare Part D claims per year.
What drugs does MICHAEL MATHIEU, M.D. prescribe most often?
Based on 2023 Medicare Part D data, MICHAEL MATHIEU, M.D.'s most frequently prescribed drugs include Triamcinolone Acetonide, Betamethasone Diprop Augmented, Ketoconazole. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does MICHAEL MATHIEU, M.D. accept Medicare?
MICHAEL MATHIEU, M.D. appears in CMS Medicare data with 188 Part D claims and 106 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify MICHAEL MATHIEU, M.D.'s credentials?
MICHAEL MATHIEU, M.D.'s NPI is 1215908223 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