2026 NPPES data Hospice and Palliative Medicine (Family Medicine) Physician NPI 1043537038 MD
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MICHAEL PIPESTONE, MD

Hospice and Palliative Medicine (Family Medicine) Physician in ALLENTOWN, Pennsylvania. 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
3K
Medicare Part D claims · 240 beneficiaries · Hospice and Palliative Medicine (Family Medicine) Physician avg: 2K
Generic prescribing
91%
generic claims · 9% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
95.6426/100
▲ 13 pts above national avg 83.1 · [object Object]

What the federal data shows

MICHAEL PIPESTONE, MD reported a CMS MIPS final score of 95.6426/100 — above the 83.1 national average — and filed 2,686 Medicare Part D claims in 2023.

95.6426/100
MIPS score · +13 vs avg
3K
Part D claims, 2023
91%
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 PIPESTONE, MD's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

96 Top 21% higher than 79% 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 PIPESTONE, 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).

What does the federal data show about MICHAEL PIPESTONE, MD?

High performer (top quartile)

NPI registry status

Active

Issued 04/29/2010

NPI 1043537038

Primary specialty

Hospice and Palliative Medicine (Family Medicine) Physician

Niche

784 US NPIs in this specialty

Medicare Part D claims

2,686 30% vs specialty avg

2023 prescription claims

Specialty avg: 2,070

MIPS final score

95.6426/100 12.542600000000007% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Pennsylvania

How Hospice and Palliative Medicine (Family Medicine) Physician compares to other specialties among Pennsylvania providers

Pennsylvania providers

Hospice and Palliative Medicine (Family Medicine) Physician share within Pennsylvania

1. Hospice and Palliative Medicine (Family Medicine) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Hospice and Palliative Medicine (Family Medicine) Physician share within Pennsylvania

Medicare quality performance — MIPS

MICHAEL PIPESTONE, MD's 2023 MIPS final score plotted against the Hospice and Palliative Medicine (Family Medicine) Physician national average

High performer (top quartile)
MIPS Final Score
95.6426/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Hospice and Palliative Medicine (Family Medicine) Physician) — 95.6426/100 vs national avg 83.1

0%100%National avg83%95.6%
MIPS final score (Hospice and Palliative Medicine (Family Medicine) Physician) — 95.6426/100 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 PIPESTONE, MD is a Hospice and Palliative Medicine (Family Medicine) Physician provider practicing in ALLENTOWN, Pennsylvania, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1043537038. 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 PIPESTONE, MD appears in the CMS NPPES registry as a Hospice and Palliative Medicine (Family Medicine) Physician provider holding MD credentials at 2047 PA ROUTE 309, ALLENTOWN, PA, 18104, with a listed phone of (484) 276-4646. NPI 1043537038 was issued on 04/29/2010. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what PIPESTONE 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 2,686 prescription claims written by this provider, covering 240 Medicare beneficiaries and totaling roughly $194K in drug spend, split 9% brand-name and 91% generic by claim count, with an opioid prescribing rate of 40.6%. 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 95.6426/100 for the 2023 performance year (Quality 80.5735), compared with the national average of 83.1.

Hospice and Palliative Medicine (Family Medicine) Physician is a narrow specialty nationwide, with 784 enrolled providers across 51 states and an average of 2,070 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

2047 PA ROUTE 309
ALLENTOWN, PA 18104

Provider Details

NPI 1043537038
Specialty Hospice and Palliative Medicine (Family Medicine) Physician
Credentials MD
Gender Male
NPI Issued 04/29/2010

CMS Quality Score (MIPS)

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

95.6426
Final Score
Avg: 83.1
80.5735
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where MICHAEL PIPESTONE, 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.

THE CALM SPACE LLC
ALLENTOWN, PA

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 — Pennsylvania PA-BOM 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 ~45K Pennsylvania medical licensees in 2023 — they are NOT specific to MICHAEL PIPESTONE, MD. To verify MICHAEL PIPESTONE, MD's current license status, search the PA-BOM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

133
Total board actions, Pennsylvania 2023
Across 129 cases
2.96
Actions per 1,000 licensees
Pennsylvania statewide rate
probation
Most common action type
48 cases

PA-BOM 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 Pennsylvania disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Generic-heavy

MICHAEL PIPESTONE, MD — brand share 9.0%
Specialty average (est.)

9% brand-name claims vs 91% generic, on 2,686 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.

2,686
Total Claims
$194K
Total Drug Cost
240
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
3,331
Total Day Supply
91,357
Brand vs Generic
9% brand / 91% generic
Brand Drug Cost
$105K
Generic Drug Cost
$88K
Opioid Claims
1,090 (40.6% rate)
Antibiotic Claims
16

Patient Demographics

Average Patient Age
68.3 years
Avg HCC Risk Score
3.82
Gender Split
50% female / 50% male
Age Distribution
<65: 73, 65-74: 94, 75-84: 53, 85+: 20

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Oxycodone Hcl
563
Gabapentin
154
Hydromorphone Hcl
123
Methadone Hcl
101
Lorazepam
95
Alprazolam
87
Fentanyl
85
Prednisone
77
Diazepam
76
Ondansetron Hcl
63

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

Hospice and Palliative Medicine (Family Medicine) Physician Overview

How MICHAEL PIPESTONE, MD fits within the Hospice and Palliative Medicine (Family Medicine) Physician landscape nationally.

784
Hospice and Palliative Medicine (Family Medicine) Physician Providers in US
51
States with Hospice and Palliative Medicine (Family Medicine) Physician
2,070
Avg Claims per Provider

MICHAEL PIPESTONE, MD's 2,686 claims are above the specialty average of 2,070.

Nearby Hospice and Palliative Medicine (Family Medicine) Physician Providers in Pennsylvania

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

Compare Hospice and Palliative Medicine (Family Medicine) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is MICHAEL PIPESTONE, MD's specialty?
MICHAEL PIPESTONE, MD specializes in Hospice and Palliative Medicine (Family Medicine) Physician and practices in ALLENTOWN, Pennsylvania. Credentials: MD.
How much does MICHAEL PIPESTONE, MD prescribe under Medicare Part D?
In 2023, MICHAEL PIPESTONE, MD wrote 2,686 Medicare Part D claims totaling $194K in drug costs for 240 beneficiaries.
What is MICHAEL PIPESTONE, MD's Medicare quality score?
MICHAEL PIPESTONE, MD has a CMS MIPS Final Score of 95.6426/100 (Quality: 80.5735). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is MICHAEL PIPESTONE, MD located?
MICHAEL PIPESTONE, MD is located at 2047 PA ROUTE 309, ALLENTOWN, PA, 18104. Phone: (484) 276-4646.
What is MICHAEL PIPESTONE, MD's NPI number?
MICHAEL PIPESTONE, MD's National Provider Identifier (NPI) is 1043537038, issued on 04/29/2010.
Does MICHAEL PIPESTONE, MD prescribe more brand-name or generic drugs?
MICHAEL PIPESTONE, MD's prescribing is 9% brand-name and 91% generic drugs by claim count, with $105K in brand drug costs.
Does MICHAEL PIPESTONE, MD prescribe opioids?
Yes, MICHAEL PIPESTONE, MD had 1,090 opioid claims in 2023 with an opioid prescribing rate of 40.6%.
How many Hospice and Palliative Medicine (Family Medicine) Physician providers are there in the US?
There are 784 Hospice and Palliative Medicine (Family Medicine) Physician providers across 51 states in the US. The average Hospice and Palliative Medicine (Family Medicine) Physician provider writes 2,070 Medicare Part D claims per year.
What drugs does MICHAEL PIPESTONE, MD prescribe most often?
Based on 2023 Medicare Part D data, MICHAEL PIPESTONE, MD's most frequently prescribed drugs include Oxycodone Hcl, Gabapentin, Hydromorphone Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does MICHAEL PIPESTONE, MD accept Medicare?
MICHAEL PIPESTONE, MD appears in CMS Medicare data with 2,686 Part D claims and 240 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify MICHAEL PIPESTONE, MD's credentials?
MICHAEL PIPESTONE, MD's NPI is 1043537038 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