2026 NPPES data Sleep Medicine (Otolaryngology) Physician NPI 1013915586 M.D.
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MICHAEL PICKFORD, M.D.

Sleep Medicine (Otolaryngology) Physician in DULUTH, Georgia. 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
81
Medicare Part D claims · 44 beneficiaries · Sleep Medicine (Otolaryngology) Physician avg: 543
MIPS score
61.674/100
▼ 21 pts below national avg 83.1 · [object Object]

What the federal data shows

MICHAEL PICKFORD, M.D. reported a CMS MIPS final score of 61.674/100 — below the 83.1 national average — and filed 81 Medicare Part D claims in 2023.

61.674/100
MIPS score · -21 vs avg
81
Part D claims, 2023
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 PICKFORD, 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

62 6th percentile higher than 6% 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%). This entry sits in this band. 70–80: 118,074 scored providers (25%). Above this entry. 80–90: 129,887 scored providers (27%). Above this entry. 90–100: 189,403 scored providers (40%). Above this entry. 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 PICKFORD, 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 PICKFORD, M.D.?

Below national average

NPI registry status

Active

Issued 07/08/2005

NPI 1013915586

Primary specialty

Sleep Medicine (Otolaryngology) Physician

Rare

98 US NPIs in this specialty

Medicare Part D claims

81 85% vs specialty avg

2023 prescription claims

Specialty avg: 543

MIPS final score

61.674/100 21.425999999999995% pts

Mid-tier band

vs 83.1 national avg

Specialty distribution in Georgia

How Sleep Medicine (Otolaryngology) Physician compares to other specialties among Georgia providers

Georgia providers

Sleep Medicine (Otolaryngology) Physician share within Georgia

1. Sleep Medicine (Otolaryngology) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Sleep Medicine (Otolaryngology) Physician share within Georgia

Medicare quality performance — MIPS

MICHAEL PICKFORD, M.D.'s 2023 MIPS final score plotted against the Sleep Medicine (Otolaryngology) Physician national average

Below national average
MIPS Final Score
61.674/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Sleep Medicine (Otolaryngology) Physician) — 61.674/100 vs national avg 83.1

0%100%National avg83%61.7%
MIPS final score (Sleep Medicine (Otolaryngology) Physician) — 61.674/100 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 PICKFORD, M.D. appears in the CMS NPPES registry as a Sleep Medicine (Otolaryngology) Physician provider holding M.D. credentials at 3855 PLEASANT HILL RD, DULUTH, GA, 30096, with a listed phone of (678) 312-7390. NPI 1013915586 was issued on 07/08/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what PICKFORD 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 81 prescription claims written by this provider, covering 44 Medicare beneficiaries and totaling roughly $1K 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 61.674/100 for the 2023 performance year (Quality 48.4086, Cost 66.831), compared with the national average of 83.1.

Sleep Medicine (Otolaryngology) Physician is a narrow specialty nationwide, with 98 enrolled providers across 29 states and an average of 543 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

3855 PLEASANT HILL RD
DULUTH, GA 30096

Provider Details

NPI 1013915586
Specialty Sleep Medicine (Otolaryngology) Physician
Credentials M.D.
Gender Male
NPI Issued 07/08/2005

CMS Quality Score (MIPS)

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

61.674
Final Score
Avg: 83.1
48.4086
Quality
66.831
Cost

Reporting: Group practice

Medicare Part D Prescribing Data

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

81
Total Claims
$1K
Total Drug Cost
44
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
110
Total Day Supply
2,350
Generic Drug Cost
$1K
Antibiotic Claims
13

Patient Demographics

Average Patient Age
70.9 years
Avg HCC Risk Score
1.13
Gender Split
66% female / 34% male

Sleep Medicine (Otolaryngology) Physician Overview

How MICHAEL PICKFORD, M.D. fits within the Sleep Medicine (Otolaryngology) Physician landscape nationally.

98
Sleep Medicine (Otolaryngology) Physician Providers in US
29
States with Sleep Medicine (Otolaryngology) Physician
543
Avg Claims per Provider

MICHAEL PICKFORD, M.D.'s 81 claims are below the specialty average of 543.

Nearby Sleep Medicine (Otolaryngology) Physician Providers in Georgia

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

Compare Sleep Medicine (Otolaryngology) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is MICHAEL PICKFORD, M.D.'s specialty?
MICHAEL PICKFORD, M.D. specializes in Sleep Medicine (Otolaryngology) Physician and practices in DULUTH, Georgia. Credentials: M.D..
How much does MICHAEL PICKFORD, M.D. prescribe under Medicare Part D?
In 2023, MICHAEL PICKFORD, M.D. wrote 81 Medicare Part D claims totaling $1K in drug costs for 44 beneficiaries.
What is MICHAEL PICKFORD, M.D.'s Medicare quality score?
MICHAEL PICKFORD, M.D. has a CMS MIPS Final Score of 61.674/100 (Quality: 48.4086, Cost: 66.831). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is MICHAEL PICKFORD, M.D. located?
MICHAEL PICKFORD, M.D. is located at 3855 PLEASANT HILL RD, DULUTH, GA, 30096. Phone: (678) 312-7390.
What is MICHAEL PICKFORD, M.D.'s NPI number?
MICHAEL PICKFORD, M.D.'s National Provider Identifier (NPI) is 1013915586, issued on 07/08/2005.
How many Sleep Medicine (Otolaryngology) Physician providers are there in the US?
There are 98 Sleep Medicine (Otolaryngology) Physician providers across 29 states in the US. The average Sleep Medicine (Otolaryngology) Physician provider writes 543 Medicare Part D claims per year.
Does MICHAEL PICKFORD, M.D. accept Medicare?
MICHAEL PICKFORD, M.D. appears in CMS Medicare data with 81 Part D claims and 44 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify MICHAEL PICKFORD, M.D.'s credentials?
MICHAEL PICKFORD, M.D.'s NPI is 1013915586 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