2026 NPPES data Neurology with Special Qualifications in Child Neurology Physician NPI 1578561742 M.D.
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MICHAEL SOWELL, M.D.

Neurology with Special Qualifications in Child Neurology Physician in LOUISVILLE, Kentucky. 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
855
Medicare Part D claims · 131 beneficiaries · Neurology with Special Qualifications in Child Neurology Physician avg: 359
Generic prescribing
65%
generic claims · 35% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
73.1977/100
▼ 10 pts below national avg 83.1 · [object Object]
Industry payments
$139.38
3 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: MICHAEL SOWELL, M.D. is a Neurology with Special Qualifications in Child Neurology Physician ([object Object]) practicing in LOUISVILLE, Kentucky with a Medicare Part D prescribing footprint of 855 claims across 131 beneficiaries — 35% brand-name prescribing . Their CMS MIPS Final Score of 73.1977/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $139.38 across 3 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: MICHAEL SOWELL, M.D. reported a CMS MIPS final score of 73.1977 out of 100, below the 83.1 national average, and filed 855 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 SOWELL, M.D. 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 SOWELL, M.D. at a glance

Below national average

NPI registry status

Active

Issued 07/12/2005

NPI 1578561742

Primary specialty

Neurology with Special Qualifications in Child Neurology Physician

Niche

1,803 US NPIs in this specialty

Medicare Part D claims

855 138% vs specialty avg

2023 prescription claims

Specialty avg: 359

MIPS final score

73.1977/100 9.902299999999997% pts

Mid-tier band

vs 83.1 national avg

Specialty distribution in Kentucky

How Neurology with Special Qualifications in Child Neurology Physician compares to other specialties among Kentucky providers

Kentucky providers

Neurology with Special Qualifications in Child Neurology Physician share within Kentucky

1. Neurology with Special Qualifications in Child Neurology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Neurology with Special Qualifications in Child Neurology Physician share within Kentucky

Medicare quality performance — MIPS

MICHAEL SOWELL, M.D.'s 2023 MIPS final score plotted against the Neurology with Special Qualifications in Child Neurology Physician national average

Below national average
MIPS Final Score
73.1977/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Neurology with Special Qualifications in Child Neurology Physician) — 73.1977/100 vs national avg 83.1

0%100%National avg83%73.2%
MIPS final score (Neurology with Special Qualifications in Child Neurology Physician) — 73.1977/100 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 SOWELL, M.D. is a Neurology with Special Qualifications in Child Neurology Physician provider practicing in LOUISVILLE, Kentucky, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1578561742. 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 SOWELL, M.D. appears in the CMS NPPES registry as a Neurology with Special Qualifications in Child Neurology Physician provider holding M.D. credentials at 401 E CHESTNUT ST, LOUISVILLE, KY, 40202, with a listed phone of (502) 589-0802. NPI 1578561742 was issued on 07/12/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what SOWELL 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 855 prescription claims written by this provider, covering 131 Medicare beneficiaries and totaling roughly $317K in drug spend, split 35% brand-name and 65% 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 73.1977/100 for the 2023 performance year (Quality 58.7401, Cost 51.919), compared with the national average of 83.1.

Neurology with Special Qualifications in Child Neurology Physician is a narrow specialty nationwide, with 1,803 enrolled providers across 51 states and an average of 359 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

401 E CHESTNUT ST
LOUISVILLE, KY 40202

Provider Details

NPI 1578561742
Specialty Neurology with Special Qualifications in Child Neurology Physician
Credentials M.D.
Gender Male
NPI Issued 07/12/2005

CMS Quality Score (MIPS)

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

73.1977
Final Score
Avg: 83.1
58.7401
Quality
51.919
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where MICHAEL SOWELL, M.D. 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.

UNIVERSITY OF LOUISVILLE PHYSICIANS INC
LOUISVILLE, KY

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 SOWELL, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$139

Largest payer

SK Life Science, Inc.

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.

Brand vs generic prescribing mix · Above average

MICHAEL SOWELL, M.D. — brand share 35.0%
Specialty average (est.)

35% brand-name claims vs 65% generic, on 855 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.

855
Total Claims
$317K
Total Drug Cost
131
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,100
Total Day Supply
28,974
Brand vs Generic
35% brand / 65% generic
Brand Drug Cost
$296K
Generic Drug Cost
$21K

Patient Demographics

Average Patient Age
62.6 years
Avg HCC Risk Score
1.46
Gender Split
66% female / 34% male
Age Distribution
<65: 61, 65-74: 43, 75-84: N/A, 85+: N/A

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Prochlorperazine Maleate
86
Topiramate
84
Emgality Pen
Galcanezumab-Gnlm
75
Gabapentin
65
Ubrelvy
Ubrogepant
65
Nurtec Odt
Rimegepant Sulfate
31
Levetiracetam
27
Carbamazepine Er
Carbamazepine
25
Baclofen
22
Tizanidine Hcl
22

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

Neurology with Special Qualifications in Child Neurology Physician Overview

How MICHAEL SOWELL, M.D. fits within the Neurology with Special Qualifications in Child Neurology Physician landscape nationally.

1,803
Neurology with Special Qualifications in Child Neurology Physician Providers in US
51
States with Neurology with Special Qualifications in Child Neurology Physician
359
Avg Claims per Provider

MICHAEL SOWELL, M.D.'s 855 claims are above the specialty average of 359.

Nearby Neurology with Special Qualifications in Child Neurology Physician Providers in Kentucky

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

Compare Neurology with Special Qualifications in Child Neurology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is MICHAEL SOWELL, M.D.'s specialty?
MICHAEL SOWELL, M.D. specializes in Neurology with Special Qualifications in Child Neurology Physician and practices in LOUISVILLE, Kentucky. Credentials: M.D..
How much does MICHAEL SOWELL, M.D. prescribe under Medicare Part D?
In 2023, MICHAEL SOWELL, M.D. wrote 855 Medicare Part D claims totaling $317K in drug costs for 131 beneficiaries.
What is MICHAEL SOWELL, M.D.'s Medicare quality score?
MICHAEL SOWELL, M.D. has a CMS MIPS Final Score of 73.1977/100 (Quality: 58.7401, Cost: 51.919). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is MICHAEL SOWELL, M.D. located?
MICHAEL SOWELL, M.D. is located at 401 E CHESTNUT ST, LOUISVILLE, KY, 40202. Phone: (502) 589-0802.
What is MICHAEL SOWELL, M.D.'s NPI number?
MICHAEL SOWELL, M.D.'s National Provider Identifier (NPI) is 1578561742, issued on 07/12/2005.
Does MICHAEL SOWELL, M.D. prescribe more brand-name or generic drugs?
MICHAEL SOWELL, M.D.'s prescribing is 35% brand-name and 65% generic drugs by claim count, with $296K in brand drug costs.
How many Neurology with Special Qualifications in Child Neurology Physician providers are there in the US?
There are 1,803 Neurology with Special Qualifications in Child Neurology Physician providers across 51 states in the US. The average Neurology with Special Qualifications in Child Neurology Physician provider writes 359 Medicare Part D claims per year.
What drugs does MICHAEL SOWELL, M.D. prescribe most often?
Based on 2023 Medicare Part D data, MICHAEL SOWELL, M.D.'s most frequently prescribed drugs include Prochlorperazine Maleate, Topiramate, Emgality Pen. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does MICHAEL SOWELL, M.D. accept Medicare?
MICHAEL SOWELL, M.D. appears in CMS Medicare data with 855 Part D claims and 131 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify MICHAEL SOWELL, M.D.'s credentials?
MICHAEL SOWELL, M.D.'s NPI is 1578561742 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