NPI registry status
Active
2026 NPPES data Addiction Medicine (Psychiatry & Neurology) Physician NPI 1437186863 M.D.
Verify on CMS → Michelle Lofwall, M.D.
Addiction Medicine (Psychiatry & Neurology) Physician in Lexington, Kentucky.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 648 in Addiction Medicine (Psychiatry & Neurology) 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
73
Medicare Part D claims · Addiction Medicine (Psychiatry & Neurology) Physician avg: 1K
MIPS score
100/100
▲ 17 pts above national avg 83.5 · Exceptional
Industry payments
$1.6K
2 payments · CMS Open Payments (Sunshine Act)
What the federal data shows
Michelle Lofwall, M.D. reported a CMS MIPS final score of 100/100 - above the 83.5 national average - and filed 73 Medicare Part D claims in 2024.
- 100/100
- MIPS score · +17 vs avg
- 73
- Part D claims, 2024
- Likely
- board-certified (heuristic)
- ≥92nd
- pct among measured MIPS (lower-bound band)
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.
Federal trust snapshot
What official records show about Michelle Lofwall, M.D.
Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1437186863), first enumerated 06/28/2006.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 73 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- Reported
CMS quality reporting (MIPS)
Reported a CMS MIPS final score of 100/100 in the Quality Payment Program — a federal quality measure, not a patient review.
Source: CMS Quality Payment Program
- Reported
Board certification signal
Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.
- Reported
Hospital affiliations
1 CMS Care Compare hospital affiliation on record — practice footprint from the Doctors and Clinicians file.
Source: CMS Care Compare
- Reported
Industry payment transparency
$1.6K in reported industry payments (2 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.
Source: CMS Open Payments
- Not in federal data
Individual sanction lookup
PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.
Source: State medical board / FSMB
This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.
CMS NPPES provider registry desk
NPI 1437186863 · Addiction Medicine (Psychiatry & Neurology) Physician
NPI-10 · ENUM-LEGACY · TAX-NARROW · MIPS-ELITE · RX-TRACE · BOOK-THIN · PHOTO-FINISH
- NPI-10 1437186863
- ENUM-LEGACY 2006
- TAX-NARROW 648
- MIPS-ELITE 100/100
- RX-TRACE 73
- BOOK-THIN 7 in Kentucky
- PHOTO-FINISH Jaswant Bagga · ±0.0
MIPS final-score neighbourhood
Same-specialty nationwide peers by CMS final score, not geographic proximity
- Lofwall · this p…
Lofwall · this provider
100 MIPS pts
- Jason Jerry · hi…
Jason Jerry
100 MIPS pts
- Jaswant Bagga · …
Jaswant Bagga
100 MIPS pts
- Jason Cafer · near
Jason Cafer
100 MIPS pts
- Eric Erickson · …
Eric Erickson
100 MIPS pts
What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).
Michelle Lofwall, M.D.'s MIPS score vs every measured U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.
100 ≥ 92nd percentile 92% of 454,083 measured providers are in lower value bands
Each bar is a band; taller bars hold more measured 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.
The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where Michelle Lofwall, M.D. sits
This provider among addiction medicine (psychiatry & neurology) physician peers
Across the 54 addiction medicine (psychiatry & neurology) physician providers who report both Medicare Part D prescribing and a MIPS quality score, Michelle Lofwall, M.D. writes more Part D claims than 15% of them and scores higher on MIPS quality than 81% - placing this provider in the lower-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Each dot is one addiction medicine (psychiatry & neurology) physician peer from a representative sample of 53; the gold marker is Michelle Lofwall, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Michelle Lofwall, 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 Michelle Lofwall, M.D.?
High performer (top quartile)Primary specialty
Addiction Medicine (Psychiatry & Neurology) Physician
Medicare Part D claims
73 93% vs specialty avg
MIPS final score
100/100 16.5 pts vs avg
Specialty distribution in Kentucky
How Addiction Medicine (Psychiatry & Neurology) Physician compares to other specialties among Kentucky providers
Medicare quality performance, MIPS
Michelle Lofwall, M.D.'s 2023 MIPS final score plotted against the Addiction Medicine (Psychiatry & Neurology) Physician national average
- MIPS Final Score
- 100/100
- vs 83.5 national avg · 2023 performance year
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).
Practice Address
Provider Details
| NPI | 1437186863 |
|---|---|
| Specialty | Addiction Medicine (Psychiatry & Neurology) Physician |
| Credentials | M.D. |
| Gender | Female |
| NPI Issued | 06/28/2006 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
100
Final Score
Measured-score avg: 83.5
100
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where Michelle Lofwall, 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.
Kentucky Medical Services Foundation, Inc
Lexington, 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 Michelle Lofwall, M.D.. Source: openpaymentsdata.cms.gov.
Total received
$1.6K
Largest payer
Braeburn Inc.
Most common payment type
Consulting Fee
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 2024.
73
Total Claims
$20K
Total Drug Cost
N/A
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 73
- Total Day Supply
- 1,317
- Generic Drug Cost
- $8K
Patient Demographics
- Average Patient Age
- 56.8 years
- Avg HCC Risk Score
- 1.78
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
| Drug | Claims |
|---|---|
| Buprenorphine-Naloxone Buprenorphine Hcl/Naloxone Hcl | 52 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
More Addiction Medicine (Psychiatry & Neurology) Physician in KY →
All providers in Kentucky →
Compare specialties →
Addiction Medicine (Psychiatry & Neurology) Physician Overview
How Michelle Lofwall, M.D. fits within the Addiction Medicine (Psychiatry & Neurology) Physician landscape nationally.
648
Addiction Medicine (Psychiatry & Neurology) Physician Providers in US
49
States with Addiction Medicine (Psychiatry & Neurology) Physician
1,039
Avg Claims per Provider
Michelle Lofwall, M.D.'s 73 claims are below the specialty average of 1,039.
Nationwide Addiction Medicine (Psychiatry & Neurology) Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Lofwall, both outside Kentucky so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (100 here).
Same NPPES enumeration year (2006)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Addiction Medicine (Psychiatry & Neurology) Physician Providers in Kentucky
Other clinicians with the same primary specialty enrolled in Kentucky, drawn from the same CMS NPPES roster as Lofwall.
One of 7 Addiction Medicine (Psychiatry & Neurology) Physician providers enrolled in Kentucky, 5 are shown here.
Frequently Asked Questions
What is Michelle Lofwall, M.D.'s specialty? ▼
Michelle Lofwall, M.D. specializes in Addiction Medicine (Psychiatry & Neurology) Physician and practices in Lexington, Kentucky. Credentials: M.D..
How much does Michelle Lofwall, M.D. prescribe under Medicare Part D? ▼
In 2024, Michelle Lofwall, M.D. wrote 73 Medicare Part D claims totaling $20K in drug costs for N/A beneficiaries.
What is Michelle Lofwall, M.D.'s Medicare quality score? ▼
Michelle Lofwall, M.D. has a CMS MIPS Final Score of 100/100. The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Michelle Lofwall, M.D. located? ▼
Michelle Lofwall, M.D. is located at 845 ANGLIANA AVE, Lexington, KY, 40508. Phone: (859) 323-9321.
What is Michelle Lofwall, M.D.'s NPI number? ▼
Michelle Lofwall, M.D.'s National Provider Identifier (NPI) is 1437186863, issued on 06/28/2006.
How many Addiction Medicine (Psychiatry & Neurology) Physician providers are there in the US? ▼
There are 648 Addiction Medicine (Psychiatry & Neurology) Physician providers across 49 states in the US. The average Addiction Medicine (Psychiatry & Neurology) Physician provider writes 1,039 Medicare Part D claims per year.
What drugs does Michelle Lofwall, M.D. prescribe most often? ▼
Based on 2024 Medicare Part D data, Michelle Lofwall, M.D.'s most frequently prescribed drugs include Buprenorphine-Naloxone. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Michelle Lofwall, M.D. accept Medicare? ▼
Michelle Lofwall, M.D. appears in CMS Medicare data with 73 Part D claims and N/A Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Michelle Lofwall, M.D.'s credentials? ▼
Michelle Lofwall, M.D.'s NPI is 1437186863 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
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 (2024). 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 August 2026 (NPPES) / 2024 (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
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 August 2026.