2026 NPPES data Obstetrics Physician NPI 1588874242 M.D.
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NATHAN RATCHFORD, M.D.

Obstetrics Physician in ROLLA, Missouri. 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
190
Medicare Part D claims · 58 beneficiaries · Obstetrics Physician avg: 319
Generic prescribing
88%
generic claims · 12% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
77.5232/100
▼ 6 pts below national avg 83.1 · [object Object]
Industry payments
$4.2K
3 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: NATHAN RATCHFORD, M.D. is a Obstetrics Physician ([object Object]) practicing in ROLLA, Missouri with a Medicare Part D prescribing footprint of 190 claims across 58 beneficiaries — 12% brand-name prescribing . Their CMS MIPS Final Score of 77.5232/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $4.2K across 3 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: NATHAN RATCHFORD, M.D. reported a CMS MIPS final score of 77.5232 out of 100, below the 83.1 national average, and filed 190 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)

NATHAN RATCHFORD, 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).

NATHAN RATCHFORD, M.D. at a glance

Below national average

NPI registry status

Active

Issued 05/23/2007

NPI 1588874242

Primary specialty

Obstetrics Physician

Niche

1,402 US NPIs in this specialty

Medicare Part D claims

190 40% vs specialty avg

2023 prescription claims

Specialty avg: 319

MIPS final score

77.5232/100 5.5767999999999915% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Missouri

How Obstetrics Physician compares to other specialties among Missouri providers

Missouri providers

Obstetrics Physician share within Missouri

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

Medicare quality performance — MIPS

NATHAN RATCHFORD, M.D.'s 2023 MIPS final score plotted against the Obstetrics Physician national average

Below national average
MIPS Final Score
77.5232/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Obstetrics Physician) — 77.5232/100 vs national avg 83.1

0%100%National avg83%77.5%
MIPS final score (Obstetrics Physician) — 77.5232/100 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 RATCHFORD, M.D. is a Obstetrics Physician provider practicing in ROLLA, Missouri, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1588874242. 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 RATCHFORD, M.D. appears in the CMS NPPES registry as a Obstetrics Physician provider holding M.D. credentials at 1050 W 10TH ST, ROLLA, MO, 65401, with a listed phone of (573) 364-9000. NPI 1588874242 was issued on 05/23/2007. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what RATCHFORD 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 190 prescription claims written by this provider, covering 58 Medicare beneficiaries and totaling roughly $15K in drug spend, split 12% brand-name and 88% 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 77.5232/100 for the 2023 performance year (Quality 64.8858, Cost 60.1917), compared with the national average of 83.1.

Obstetrics Physician is a narrow specialty nationwide, with 1,402 enrolled providers across 54 states and an average of 319 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

1050 W 10TH ST
ROLLA, MO 65401

Provider Details

NPI 1588874242
Specialty Obstetrics Physician
Credentials M.D.
Gender Male
NPI Issued 05/23/2007

CMS Quality Score (MIPS)

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

77.5232
Final Score
Avg: 83.1
64.8858
Quality
60.1917
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where NATHAN RATCHFORD, 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.

PCRMC MEDICAL GROUP INC
ROLLA, MO

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

Total received

$4.2K

Largest payer

INTUITIVE SURGICAL, 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

NATHAN RATCHFORD, M.D. — brand share 12.0%
Specialty average (est.)

12% brand-name claims vs 88% generic, on 190 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.

190
Total Claims
$15K
Total Drug Cost
58
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
296
Total Day Supply
7,800
Brand vs Generic
12% brand / 88% generic
Brand Drug Cost
$11K
Generic Drug Cost
$5K
Antibiotic Claims
13

Patient Demographics

Average Patient Age
64.7 years
Avg HCC Risk Score
0.88
Gender Split
100% female / 0% male
Age Distribution
<65: 23, 65-74: 19, 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
Estradiol
34
Juleber
Desogestrel-Ethinyl Estradiol
26
Dasetta
Norethindrone-Ethin. Estradiol
13
Mono-Linyah
Norgestimate-Ethinyl Estradiol
13
Premarin
"Estrogens
N/A

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

Obstetrics Physician Overview

How NATHAN RATCHFORD, M.D. fits within the Obstetrics Physician landscape nationally.

1,402
Obstetrics Physician Providers in US
54
States with Obstetrics Physician
319
Avg Claims per Provider

NATHAN RATCHFORD, M.D.'s 190 claims are below the specialty average of 319.

Nearby Obstetrics Physician Providers in Missouri

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

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

Frequently Asked Questions

What is NATHAN RATCHFORD, M.D.'s specialty?
NATHAN RATCHFORD, M.D. specializes in Obstetrics Physician and practices in ROLLA, Missouri. Credentials: M.D..
How much does NATHAN RATCHFORD, M.D. prescribe under Medicare Part D?
In 2023, NATHAN RATCHFORD, M.D. wrote 190 Medicare Part D claims totaling $15K in drug costs for 58 beneficiaries.
What is NATHAN RATCHFORD, M.D.'s Medicare quality score?
NATHAN RATCHFORD, M.D. has a CMS MIPS Final Score of 77.5232/100 (Quality: 64.8858, Cost: 60.1917). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is NATHAN RATCHFORD, M.D. located?
NATHAN RATCHFORD, M.D. is located at 1050 W 10TH ST, ROLLA, MO, 65401. Phone: (573) 364-9000.
What is NATHAN RATCHFORD, M.D.'s NPI number?
NATHAN RATCHFORD, M.D.'s National Provider Identifier (NPI) is 1588874242, issued on 05/23/2007.
Does NATHAN RATCHFORD, M.D. prescribe more brand-name or generic drugs?
NATHAN RATCHFORD, M.D.'s prescribing is 12% brand-name and 88% generic drugs by claim count, with $11K in brand drug costs.
How many Obstetrics Physician providers are there in the US?
There are 1,402 Obstetrics Physician providers across 54 states in the US. The average Obstetrics Physician provider writes 319 Medicare Part D claims per year.
What drugs does NATHAN RATCHFORD, M.D. prescribe most often?
Based on 2023 Medicare Part D data, NATHAN RATCHFORD, M.D.'s most frequently prescribed drugs include Estradiol, Juleber, Dasetta. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does NATHAN RATCHFORD, M.D. accept Medicare?
NATHAN RATCHFORD, M.D. appears in CMS Medicare data with 190 Part D claims and 58 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify NATHAN RATCHFORD, M.D.'s credentials?
NATHAN RATCHFORD, M.D.'s NPI is 1588874242 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