2026 NPPES data Family Medicine Physician NPI 1518077346 M.D.
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Mirko Zugec, M.D.

Family Medicine Physician in Spokane, Washington.

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
7K
Medicare Part D claims · 271 beneficiaries · Family Medicine Physician avg: 3K
Generic prescribing
87%
generic claims · 13% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
91.5/100
▲ 8 pts above national avg 83.1 · Exceptional
Industry payments
$712.74
11 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

Mirko Zugec, M.D. reported a CMS MIPS final score of 91.5/100 - above the 83.1 national average - and filed 6,559 Medicare Part D claims in 2023.

91.5/100
MIPS score · +8 vs avg
7K
Part D claims, 2023
87%
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.

Mirko Zugec, 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

92 Top 37% higher than 63% 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+: 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

Where Mirko Zugec, M.D. 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, Mirko Zugec, M.D. writes more Part D claims than 75% of them and scores higher on MIPS quality than 65% - placing this provider in the high-volume, high-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

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality02550751000255075100Part D claim volume, percentile in specialtyMIPS quality, percentile
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 Mirko Zugec, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

Board certification likely (heuristic, not verified)

Mirko Zugec, M.D. 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 Mirko Zugec, M.D.?

High performer (top quartile)

NPI registry status

Active

Issued 08/30/2006

NPI 1518077346

Primary specialty

Family Medicine Physician

High-volume

147,760 US NPIs in this specialty

Medicare Part D claims

6,559 92% vs specialty avg

2023 prescription claims

Specialty avg: 3,418

MIPS final score

91.5/100 8.4 pts vs avg

Exceptional band

vs 83.1 national avg

Specialty distribution in Washington

How Family Medicine Physician compares to other specialties among Washington providers

Washington providers
Mental Health Counselor8.6%Massage Therapist6.5%Counselor5.7%Behavior Technician4.5%Pharmacist4%Physical Therapist3.6%Family Medicine Physician2.6%
Largest specialties in Washington (% of in-state providers)

Medicare quality performance, MIPS

Mirko Zugec, M.D.'s 2023 MIPS final score plotted against the Family Medicine Physician national average

High performer (top quartile)
MIPS Final Score
91.5/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Family Medicine Physician) - 91.5/100 vs national avg 83.1

0%100%National avg83%91.5%
MIPS final score (Family Medicine Physician) - 91.5/100 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).

Mirko Zugec, M.D. appears in the CMS NPPES registry as a Family Medicine Physician provider holding M.D. credentials at 3919 N MAPLE ST, Spokane, WA, 99205, with a listed phone of (509) 444-8888. NPI 1518077346 was issued on 08/30/2006.

Medicare Part D records for calendar year 2023 show 6,559 prescription claims written by this provider, covering 271 Medicare beneficiaries and totaling roughly $808K in drug spend, split 13% brand-name and 87% generic by claim count, with an opioid prescribing rate of 10.4%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 91.5/100 for the 2023 performance year (Quality 78.4, Cost 100), 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

3919 N MAPLE ST
Spokane, WA 99205

Provider Details

NPI 1518077346
Specialty Family Medicine Physician
Credentials M.D.
Gender Male
NPI Issued 08/30/2006

CMS Quality Score (MIPS)

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

91.5258
Final Score
Avg: 83.1
78.4193
Quality
100
Cost
92
Promoting Interoperability

Reporting: Individual

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 Mirko Zugec, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$713

Largest payer

Amgen 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.

License & disciplinary context - Washington WMC 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 ~34K Washington medical licensees in 2023 - they are NOT specific to Mirko Zugec, M.D.. To verify Mirko Zugec, M.D.'s current license status, search the WMC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

88
Total board actions, Washington 2023
Across 85 cases
2.59
Actions per 1,000 licensees
Washington statewide rate
probation
Most common action type
31 cases

WMC 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 Washington disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

Mirko Zugec, M.D. - brand share 13.0%
Family Medicine Physician average

13% brand-name claims vs 87% generic, on 6,559 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.

6,559
Total Claims
$808K
Total Drug Cost
271
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
11,284
Total Day Supply
324,127
Brand vs Generic
13% brand / 87% generic
Brand Drug Cost
$641K
Generic Drug Cost
$166K
Opioid Claims
685 (10.4% rate)
Antibiotic Claims
225

Patient Demographics

Average Patient Age
77.5 years
Avg HCC Risk Score
1.27
Gender Split
52% female / 48% male
Age Distribution
<65: 13, 65-74: 84, 75-84: 114, 85+: 60

Top Prescribed Drugs (Medicare Part D)

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

What Mirko Zugec, 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
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
252
Levothyroxine Sodium
231
Losartan Potassium
192
Atorvastatin Calcium
178
Oxycodone Hcl
170
Lisinopril
154
Lorazepam
145
Alprazolam
141
Gabapentin
139
Celecoxib
129

* 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 Mirko Zugec, M.D. 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

Mirko Zugec, M.D.'s 6,559 claims are above the specialty average of 3,418.

Nearby Family Medicine Physician Providers in Washington

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

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 Washington 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.

Frequently Asked Questions

What is Mirko Zugec, M.D.'s specialty?
Mirko Zugec, M.D. specializes in Family Medicine Physician and practices in Spokane, Washington. Credentials: M.D..
How much does Mirko Zugec, M.D. prescribe under Medicare Part D?
In 2023, Mirko Zugec, M.D. wrote 6,559 Medicare Part D claims totaling $808K in drug costs for 271 beneficiaries.
What is Mirko Zugec, M.D.'s Medicare quality score?
Mirko Zugec, M.D. has a CMS MIPS Final Score of 91.5/100 (Quality: 78.4, Cost: 100). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Mirko Zugec, M.D. located?
Mirko Zugec, M.D. is located at 3919 N MAPLE ST, Spokane, WA, 99205. Phone: (509) 444-8888.
What is Mirko Zugec, M.D.'s NPI number?
Mirko Zugec, M.D.'s National Provider Identifier (NPI) is 1518077346, issued on 08/30/2006.
Does Mirko Zugec, M.D. prescribe more brand-name or generic drugs?
Mirko Zugec, M.D.'s prescribing is 13% brand-name and 87% generic drugs by claim count, with $641K in brand drug costs.
Does Mirko Zugec, M.D. prescribe opioids?
Yes, Mirko Zugec, M.D. had 685 opioid claims in 2023 with an opioid prescribing rate of 10.4%.
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 Mirko Zugec, M.D. prescribe most often?
Based on 2023 Medicare Part D data, Mirko Zugec, M.D.'s most frequently prescribed drugs include Hydrocodone-Acetaminophen, Levothyroxine Sodium, Losartan Potassium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Mirko Zugec, M.D. accept Medicare?
Mirko Zugec, M.D. appears in CMS Medicare data with 6,559 Part D claims and 271 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Mirko Zugec, M.D.'s credentials?
Mirko Zugec, M.D.'s NPI is 1518077346 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 (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 editorial process.

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.