NPI registry status
Active
2026 NPPES data Family Medicine Physician NPI 1497098891
Verify on CMS → Michael Pratt
Family Medicine Physician in Burley, Idaho.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 147,760 in Family Medicine Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
136
Medicare Part D claims · 87 beneficiaries · Family Medicine Physician avg: 3K
MIPS score
78.9/100
▼ 4 pts below national avg 83.1 · Above neutral
Industry payments
$13.45
1 payments · CMS Open Payments (Sunshine Act)
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Michael Pratt reported a CMS MIPS final score of 78.9/100 - below the 83.1 national average - and filed 136 Medicare Part D claims in 2023.
- 78.9/100
- MIPS score · -4 vs avg
- 136
- 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 Pratt's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
79 27th percentile higher than 27% of 477,587 scored providers
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
Where Michael Pratt sits
This provider among family medicine physician peers
Across the 22,040 family medicine physician providers who report both Medicare Part D prescribing and a MIPS quality score, Michael Pratt writes more Part D claims than 8% of them and scores higher on MIPS quality than 28% - placing this provider in the lower-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Part D claim volume vs MIPS quality, by specialty percentile
Each dot is one family medicine physician peer from a representative sample of 60; the gold marker is Michael Pratt. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Michael Pratt 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 Pratt?
Near national averagePrimary specialty
Family Medicine Physician
Medicare Part D claims
136 96% vs specialty avg
MIPS final score
78.9/100 4.2 pts vs avg
Specialty distribution in Idaho
How Family Medicine Physician compares to other specialties among Idaho providers
Medicare quality performance, MIPS
Michael Pratt's 2023 MIPS final score plotted against the Family Medicine Physician national average
- MIPS Final Score
- 78.9/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Family Medicine Physician) - 78.9/100 vs national avg 83.1
How MIPS and board certification work
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 Pratt appears in the CMS NPPES registry as a Family Medicine Physician provider at 1501 HILAND AVE, Burley, ID, 83318, with a listed phone of (208) 677-6560. NPI 1497098891 was issued on 04/03/2013.
Medicare Part D records for calendar year 2023 show 136 prescription claims written by this provider, covering 87 Medicare beneficiaries and totaling roughly $2K in drug spend. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 78.9/100 for the 2023 performance year (Quality 81.6, Cost 47.9), compared with the national average of 83.1.
Family Medicine Physician is a high-volume specialty nationwide, with 147,760 enrolled providers across 56 states and an average of 3,418 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
Provider Details
| NPI | 1497098891 |
|---|---|
| Specialty | Family Medicine Physician |
| Gender | Male |
| NPI Issued | 04/03/2013 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
78.858
Final Score
Avg: 83.1
81.5861
Quality
47.9407
Cost
100
Promoting Interoperability
Reporting: Group practice
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 Pratt. Source: openpaymentsdata.cms.gov.
Total received
$13
Largest payer
Stryker Corporation
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.
136
Total Claims
$2K
Total Drug Cost
87
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 137
- Total Day Supply
- 1,323
- Generic Drug Cost
- $1K
- Antibiotic Claims
- 51
Patient Demographics
- Average Patient Age
- 67.6 years
- Avg HCC Risk Score
- 1.55
- Gender Split
- 63% female / 37% 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 |
|---|---|
| Ciprofloxacin Hcl | 13 |
| Ondansetron Odt Ondansetron | 12 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Family Medicine Physician Overview
How Michael Pratt fits within the Family Medicine Physician landscape nationally.
147,760
Family Medicine Physician Providers in US
56
States with Family Medicine Physician
3,418
Avg Claims per Provider
Michael Pratt's 136 claims are below the specialty average of 3,418.
Nearby Family Medicine Physician Providers in Idaho
Other clinicians with the same primary specialty enrolled in Idaho, drawn from the same CMS NPPES roster as Pratt.
Dr. Shelly Abell
FNP
Chubbuck, ID
Dr. Peter Abraham
D.O.
Eagle, ID
Dr. Suhrei Acevedo-Daniels
MD
Melba, ID
Dr. Brenda Adams
MD
Meridian, ID
Dr. Joshua Adams
M.D.
Boise, ID
Compare Family Medicine Physician nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the Idaho medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Family Medicine Physician peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
Healthcare Guides
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Medical Specialties Explained
Who treats what and how specialties differ
Understanding Medicare Claims Data
What prescribing data reveals about a provider
In-Network vs Out-of-Network
How insurance networks affect your costs
Telehealth Guide
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Explore Idaho
Frequently Asked Questions
What is Michael Pratt's specialty? ▼
Michael Pratt specializes in Family Medicine Physician and practices in Burley, Idaho.
How much does Michael Pratt prescribe under Medicare Part D? ▼
In 2023, Michael Pratt wrote 136 Medicare Part D claims totaling $2K in drug costs for 87 beneficiaries.
What is Michael Pratt's Medicare quality score? ▼
Michael Pratt has a CMS MIPS Final Score of 78.9/100 (Quality: 81.6, Cost: 47.9). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Michael Pratt located? ▼
Michael Pratt is located at 1501 HILAND AVE, Burley, ID, 83318. Phone: (208) 677-6560.
What is Michael Pratt's NPI number? ▼
Michael Pratt's National Provider Identifier (NPI) is 1497098891, issued on 04/03/2013.
How many Family Medicine Physician providers are there in the US? ▼
There are 147,760 Family Medicine Physician providers across 56 states in the US. The average Family Medicine Physician provider writes 3,418 Medicare Part D claims per year.
What drugs does Michael Pratt prescribe most often? ▼
Based on 2023 Medicare Part D data, Michael Pratt's most frequently prescribed drugs include Ciprofloxacin Hcl, Ondansetron Odt. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Michael Pratt accept Medicare? ▼
Michael Pratt appears in CMS Medicare data with 136 Part D claims and 87 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Michael Pratt's credentials? ▼
Michael Pratt's NPI is 1497098891. 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
View source datasets and methodology notes
- 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
Compiled from official public sources by the PlainDoctor editorial team.
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of May 2026.