2026 NPPES data Neurology Physician NPI 1629147244
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NATHAN FOUNTAIN

Neurology Physician in CHARLOTTESVILLE, Virginia. 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
2K
Medicare Part D claims · 190 beneficiaries · Neurology Physician avg: 1K
Generic prescribing
78%
generic claims · 22% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
79.3949/100
▼ 4 pts below national avg 83.1 · [object Object]
Industry payments
$10.1K
2 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

NATHAN FOUNTAIN reported a CMS MIPS final score of 79.3949/100 — below the 83.1 national average — and filed 1,513 Medicare Part D claims in 2023.

79.3949/100
MIPS score · -4 vs avg
2K
Part D claims, 2023
78%
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.

NATHAN FOUNTAIN's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

79 30th percentile higher than 30% 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%). This entry sits in this band. 80–90: 129,887 scored providers (27%). Above this entry. 90–100: 189,403 scored providers (40%). Above this entry. 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)

NATHAN FOUNTAIN 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 NATHAN FOUNTAIN?

Near national average

NPI registry status

Active

Issued 11/07/2006

NPI 1629147244

Primary specialty

Neurology Physician

Mid-sized

19,866 US NPIs in this specialty

Medicare Part D claims

1,513 16% vs specialty avg

2023 prescription claims

Specialty avg: 1,309

MIPS final score

79.3949/100 3.7050999999999874% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Virginia

How Neurology Physician compares to other specialties among Virginia providers

Virginia providers

Neurology Physician share within Virginia

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

Medicare quality performance — MIPS

NATHAN FOUNTAIN's 2023 MIPS final score plotted against the Neurology Physician national average

Near national average
MIPS Final Score
79.3949/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Neurology Physician) — 79.3949/100 vs national avg 83.1

0%100%National avg83%79.4%
MIPS final score (Neurology Physician) — 79.3949/100 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).

NATHAN FOUNTAIN is a Neurology Physician provider practicing in CHARLOTTESVILLE, Virginia, according to the CMS National Plan and Provider Enumeration System (NPPES). NPI: 1629147244. 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.

NATHAN FOUNTAIN appears in the CMS NPPES registry as a Neurology Physician provider at 1221 LEE ST, CHARLOTTESVILLE, VA, 22908, with a listed phone of (434) 924-2706. NPI 1629147244 was issued on 11/07/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what FOUNTAIN 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 1,513 prescription claims written by this provider, covering 190 Medicare beneficiaries and totaling roughly $1.2 million in drug spend, split 22% brand-name and 78% 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 79.3949/100 for the 2023 performance year (Quality 73.6607, Cost 57.6556), compared with the national average of 83.1.

Neurology Physician is a mid-sized specialty nationwide, with 19,866 enrolled providers across 54 states and an average of 1,309 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

1221 LEE ST
CHARLOTTESVILLE, VA 22908

Provider Details

NPI 1629147244
Specialty Neurology Physician
Gender Male
NPI Issued 11/07/2006

CMS Quality Score (MIPS)

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

79.3949
Final Score
Avg: 83.1
73.6607
Quality
57.6556
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where NATHAN FOUNTAIN 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 VIRGINIA PHYSICIANS GROUP
CHARLOTTESVILLE, VA

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 NATHAN FOUNTAIN. Source: openpaymentsdata.cms.gov.

Total received

$10.1K

Largest payer

Zevra Therapeutics 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.

Brand vs generic prescribing mix · Typical

NATHAN FOUNTAIN — brand share 22.0%
Specialty average (est.)

22% brand-name claims vs 78% generic, on 1,513 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.

1,513
Total Claims
$1.2M
Total Drug Cost
190
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
2,463
Total Day Supply
72,485
Brand vs Generic
22% brand / 78% generic
Brand Drug Cost
$1.0M
Generic Drug Cost
$207K

Patient Demographics

Average Patient Age
52.0 years
Avg HCC Risk Score
1.01
Gender Split
48% female / 52% male
Age Distribution
<65: 140, 65-74: 36, 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
Levetiracetam
139
Lamotrigine
91
Lacosamide
81
Clonazepam
74
Zonisamide
69
Divalproex Sodium Er
Divalproex Sodium
64
Lamotrigine Er
Lamotrigine
63
Clobazam
55
Topiramate
50
Carbamazepine Er
Carbamazepine
44

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

Neurology Physician Overview

How NATHAN FOUNTAIN fits within the Neurology Physician landscape nationally.

19,866
Neurology Physician Providers in US
54
States with Neurology Physician
1,309
Avg Claims per Provider

NATHAN FOUNTAIN's 1,513 claims are above the specialty average of 1,309.

Nearby Neurology Physician Providers in Virginia

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

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

Frequently Asked Questions

What is NATHAN FOUNTAIN's specialty?
NATHAN FOUNTAIN specializes in Neurology Physician and practices in CHARLOTTESVILLE, Virginia.
How much does NATHAN FOUNTAIN prescribe under Medicare Part D?
In 2023, NATHAN FOUNTAIN wrote 1,513 Medicare Part D claims totaling $1.2M in drug costs for 190 beneficiaries.
What is NATHAN FOUNTAIN's Medicare quality score?
NATHAN FOUNTAIN has a CMS MIPS Final Score of 79.3949/100 (Quality: 73.6607, Cost: 57.6556). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is NATHAN FOUNTAIN located?
NATHAN FOUNTAIN is located at 1221 LEE ST, CHARLOTTESVILLE, VA, 22908. Phone: (434) 924-2706.
What is NATHAN FOUNTAIN's NPI number?
NATHAN FOUNTAIN's National Provider Identifier (NPI) is 1629147244, issued on 11/07/2006.
Does NATHAN FOUNTAIN prescribe more brand-name or generic drugs?
NATHAN FOUNTAIN's prescribing is 22% brand-name and 78% generic drugs by claim count, with $1.0M in brand drug costs.
How many Neurology Physician providers are there in the US?
There are 19,866 Neurology Physician providers across 54 states in the US. The average Neurology Physician provider writes 1,309 Medicare Part D claims per year.
What drugs does NATHAN FOUNTAIN prescribe most often?
Based on 2023 Medicare Part D data, NATHAN FOUNTAIN's most frequently prescribed drugs include Levetiracetam, Lamotrigine, Lacosamide. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does NATHAN FOUNTAIN accept Medicare?
NATHAN FOUNTAIN appears in CMS Medicare data with 1,513 Part D claims and 190 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify NATHAN FOUNTAIN's credentials?
NATHAN FOUNTAIN's NPI is 1629147244. 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