2026 NPPES data Hospitalist Physician NPI 1659338762 M.D.
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MICHELE MCGOULD, M.D.

Hospitalist Physician in HIGHLANDS RANCH, Colorado. 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
149
Medicare Part D claims · 42 beneficiaries · Hospitalist Physician avg: 888
Generic prescribing
77%
generic claims · 23% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
97.5814/100
▲ 14 pts above national avg 83.1 · [object Object]
Industry payments
$14.48
1 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

MICHELE MCGOULD, M.D. reported a CMS MIPS final score of 97.5814/100 — above the 83.1 national average — and filed 149 Medicare Part D claims in 2023.

97.5814/100
MIPS score · +14 vs avg
149
Part D claims, 2023
77%
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.

MICHELE MCGOULD, 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

98 Top 15% higher than 85% 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)

MICHELE MCGOULD, 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).

What does the federal data show about MICHELE MCGOULD, M.D.?

High performer (top quartile)

NPI registry status

Active

Issued 05/01/2006

NPI 1659338762

Primary specialty

Hospitalist Physician

Mid-sized

16,825 US NPIs in this specialty

Medicare Part D claims

149 83% vs specialty avg

2023 prescription claims

Specialty avg: 888

MIPS final score

97.5814/100 14.481400000000008% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Colorado

How Hospitalist Physician compares to other specialties among Colorado providers

Colorado providers

Hospitalist Physician share within Colorado

1. Hospitalist Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Hospitalist Physician share within Colorado

Medicare quality performance — MIPS

MICHELE MCGOULD, M.D.'s 2023 MIPS final score plotted against the Hospitalist Physician national average

High performer (top quartile)
MIPS Final Score
97.5814/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Hospitalist Physician) — 97.5814/100 vs national avg 83.1

0%100%National avg83%97.6%
MIPS final score (Hospitalist Physician) — 97.5814/100 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).

MICHELE MCGOULD, M.D. appears in the CMS NPPES registry as a Hospitalist Physician provider holding M.D. credentials at 1500 PARK CENTRAL DR STE 302, HIGHLANDS RANCH, CO, 80129, with a listed phone of (303) 788-7888. NPI 1659338762 was issued on 05/01/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what MCGOULD 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 149 prescription claims written by this provider, covering 42 Medicare beneficiaries and totaling roughly $19K in drug spend, split 23% brand-name and 77% 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 97.5814/100 for the 2023 performance year (Quality 86.5348), compared with the national average of 83.1.

Hospitalist Physician is a mid-sized specialty nationwide, with 16,825 enrolled providers across 54 states and an average of 888 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

1500 PARK CENTRAL DR STE 302
HIGHLANDS RANCH, CO 80129

Provider Details

NPI 1659338762
Specialty Hospitalist Physician
Credentials M.D.
Gender Female
NPI Issued 05/01/2006

CMS Quality Score (MIPS)

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

97.5814
Final Score
Avg: 83.1
86.5348
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where MICHELE MCGOULD, 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 PHYSICIANS INCORPORATED
PARKER, CO

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 MICHELE MCGOULD, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$14

Largest payer

CooperSurgical, 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 · Typical

MICHELE MCGOULD, M.D. — brand share 23.0%
Specialty average (est.)

23% brand-name claims vs 77% generic, on 149 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.

149
Total Claims
$19K
Total Drug Cost
42
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
294
Total Day Supply
8,369
Brand vs Generic
23% brand / 77% generic
Brand Drug Cost
$11K
Generic Drug Cost
$8K

Patient Demographics

Average Patient Age
69.8 years
Avg HCC Risk Score
0.70
Gender Split
100% female / 0% male

Top Prescribed Drugs (Medicare Part D)

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

What MICHELE MCGOULD, M.D. prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Zolpidem Tartrate
19
Estradiol (Twice Weekly)
Estradiol
16
Estradiol
11
Premarin
"Estrogens
N/A
Progesterone
"Progesterone
N/A

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

Hospitalist Physician Overview

How MICHELE MCGOULD, M.D. fits within the Hospitalist Physician landscape nationally.

16,825
Hospitalist Physician Providers in US
54
States with Hospitalist Physician
888
Avg Claims per Provider

MICHELE MCGOULD, M.D.'s 149 claims are below the specialty average of 888.

Nearby Hospitalist Physician Providers in Colorado

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

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

Frequently Asked Questions

What is MICHELE MCGOULD, M.D.'s specialty?
MICHELE MCGOULD, M.D. specializes in Hospitalist Physician and practices in HIGHLANDS RANCH, Colorado. Credentials: M.D..
How much does MICHELE MCGOULD, M.D. prescribe under Medicare Part D?
In 2023, MICHELE MCGOULD, M.D. wrote 149 Medicare Part D claims totaling $19K in drug costs for 42 beneficiaries.
What is MICHELE MCGOULD, M.D.'s Medicare quality score?
MICHELE MCGOULD, M.D. has a CMS MIPS Final Score of 97.5814/100 (Quality: 86.5348). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is MICHELE MCGOULD, M.D. located?
MICHELE MCGOULD, M.D. is located at 1500 PARK CENTRAL DR STE 302, HIGHLANDS RANCH, CO, 80129. Phone: (303) 788-7888.
What is MICHELE MCGOULD, M.D.'s NPI number?
MICHELE MCGOULD, M.D.'s National Provider Identifier (NPI) is 1659338762, issued on 05/01/2006.
Does MICHELE MCGOULD, M.D. prescribe more brand-name or generic drugs?
MICHELE MCGOULD, M.D.'s prescribing is 23% brand-name and 77% generic drugs by claim count, with $11K in brand drug costs.
How many Hospitalist Physician providers are there in the US?
There are 16,825 Hospitalist Physician providers across 54 states in the US. The average Hospitalist Physician provider writes 888 Medicare Part D claims per year.
What drugs does MICHELE MCGOULD, M.D. prescribe most often?
Based on 2023 Medicare Part D data, MICHELE MCGOULD, M.D.'s most frequently prescribed drugs include Zolpidem Tartrate, Estradiol (Twice Weekly), Estradiol. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does MICHELE MCGOULD, M.D. accept Medicare?
MICHELE MCGOULD, M.D. appears in CMS Medicare data with 149 Part D claims and 42 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify MICHELE MCGOULD, M.D.'s credentials?
MICHELE MCGOULD, M.D.'s NPI is 1659338762 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