2026 NPPES data Neurology Physician NPI 1396238176 MD
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MICHAEL MCCAULEY, MD

Neurology Physician in NEWPORT, Rhode Island. 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
117
Medicare Part D claims · 49 beneficiaries · Neurology Physician avg: 1K
MIPS score
93.2757/100
▲ 10 pts above national avg 83.1 · [object Object]
Industry payments
$409.65
4 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: MICHAEL MCCAULEY, MD is a Neurology Physician ([object Object]) practicing in NEWPORT, Rhode Island with a Medicare Part D prescribing footprint of 117 claims across 49 beneficiaries . Their CMS MIPS Final Score of 93.2757/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $409.65 across 4 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: MICHAEL MCCAULEY, MD reported a CMS MIPS final score of 93.2757 out of 100, above the 83.1 national average, and filed 117 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)

MICHAEL MCCAULEY, 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).

MICHAEL MCCAULEY, MD at a glance

High performer (top quartile)

NPI registry status

Active

Issued 06/07/2018

NPI 1396238176

Primary specialty

Neurology Physician

Mid-sized

19,866 US NPIs in this specialty

Medicare Part D claims

117 91% vs specialty avg

2023 prescription claims

Specialty avg: 1,309

MIPS final score

93.2757/100 10.175700000000006% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Rhode Island

How Neurology Physician compares to other specialties among Rhode Island providers

Rhode Island providers

Neurology Physician share within Rhode Island

1. Neurology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Neurology Physician share within Rhode Island

Medicare quality performance — MIPS

MICHAEL MCCAULEY, MD's 2023 MIPS final score plotted against the Neurology Physician national average

High performer (top quartile)
MIPS Final Score
93.2757/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Neurology Physician) — 93.2757/100 vs national avg 83.1

0%100%National avg83%93.3%
MIPS final score (Neurology Physician) — 93.2757/100 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 MCCAULEY, MD is a Neurology Physician provider practicing in NEWPORT, Rhode Island, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1396238176. 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 MCCAULEY, MD appears in the CMS NPPES registry as a Neurology Physician provider holding MD credentials at 19 FRIENDSHIP ST STE 150-160, NEWPORT, RI, 02840, with a listed phone of (401) 845-3800. NPI 1396238176 was issued on 06/07/2018. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what MCCAULEY 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 117 prescription claims written by this provider, covering 49 Medicare beneficiaries and totaling roughly $19K in drug spend. 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 93.2757/100 for the 2023 performance year (Quality 81.7219), compared with the national average of 83.1.

Neurology Physician is a mid-sized specialty nationwide, with 19,866 enrolled providers across 54 states and an average of 1,309 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

19 FRIENDSHIP ST STE 150-160
NEWPORT, RI 02840

Provider Details

NPI 1396238176
Specialty Neurology Physician
Credentials MD
Gender Male
NPI Issued 06/07/2018

CMS Quality Score (MIPS)

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

93.2757
Final Score
Avg: 83.1
81.7219
Quality
78.0315
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where MICHAEL MCCAULEY, 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.

LIFESPAN PHYSICIAN GROUP INC
NEWPORT, RI

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 MCCAULEY, MD. Source: openpaymentsdata.cms.gov.

Total received

$410

Largest payer

Lundbeck LLC

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.

Medicare Part D Prescribing Data

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

117
Total Claims
$19K
Total Drug Cost
49
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
224
Total Day Supply
6,424
Generic Drug Cost
$5K

Patient Demographics

Average Patient Age
73.5 years
Avg HCC Risk Score
1.38
Gender Split
49% female / 51% 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
Donepezil Hcl
13
Gabapentin
13

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

Neurology Physician Overview

How MICHAEL MCCAULEY, MD fits within the Neurology Physician landscape nationally.

19,866
Neurology Physician Providers in US
54
States with Neurology Physician
1,309
Avg Claims per Provider

MICHAEL MCCAULEY, MD's 117 claims are below the specialty average of 1,309.

Nearby Neurology Physician Providers in Rhode Island

Other clinicians with the same primary specialty enrolled in Rhode Island, drawn from the same CMS NPPES roster as MCCAULEY.

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

Frequently Asked Questions

What is MICHAEL MCCAULEY, MD's specialty?
MICHAEL MCCAULEY, MD specializes in Neurology Physician and practices in NEWPORT, Rhode Island. Credentials: MD.
How much does MICHAEL MCCAULEY, MD prescribe under Medicare Part D?
In 2023, MICHAEL MCCAULEY, MD wrote 117 Medicare Part D claims totaling $19K in drug costs for 49 beneficiaries.
What is MICHAEL MCCAULEY, MD's Medicare quality score?
MICHAEL MCCAULEY, MD has a CMS MIPS Final Score of 93.2757/100 (Quality: 81.7219). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is MICHAEL MCCAULEY, MD located?
MICHAEL MCCAULEY, MD is located at 19 FRIENDSHIP ST STE 150-160, NEWPORT, RI, 02840. Phone: (401) 845-3800.
What is MICHAEL MCCAULEY, MD's NPI number?
MICHAEL MCCAULEY, MD's National Provider Identifier (NPI) is 1396238176, issued on 06/07/2018.
How many Neurology Physician providers are there in the US?
There are 19,866 Neurology Physician providers across 54 states in the US. The average Neurology Physician provider writes 1,309 Medicare Part D claims per year.
What drugs does MICHAEL MCCAULEY, MD prescribe most often?
Based on 2023 Medicare Part D data, MICHAEL MCCAULEY, MD's most frequently prescribed drugs include Donepezil Hcl, Gabapentin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does MICHAEL MCCAULEY, MD accept Medicare?
MICHAEL MCCAULEY, MD appears in CMS Medicare data with 117 Part D claims and 49 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify MICHAEL MCCAULEY, MD's credentials?
MICHAEL MCCAULEY, MD's NPI is 1396238176 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