2026 NPPES data Internal Medicine Physician NPI 1356769897 MD
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NIALL CROWLEY, MD

Internal Medicine Physician in NORFOLK, 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
1K
Medicare Part D claims · 156 beneficiaries · Internal Medicine Physician avg: 3K
Generic prescribing
35%
generic claims · 65% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
95.1126/100
▲ 12 pts above national avg 83.1 · [object Object]

What the federal data shows

NIALL CROWLEY, MD reported a CMS MIPS final score of 95.1126/100 — above the 83.1 national average — and filed 1,011 Medicare Part D claims in 2023.

95.1126/100
MIPS score · +12 vs avg
1K
Part D claims, 2023
35%
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.

NIALL CROWLEY, MD's MIPS score vs every scored U.S. clinician

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

95 Top 21% higher than 79% 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)

NIALL CROWLEY, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 2 hospital affiliations — 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 NIALL CROWLEY, MD?

High performer (top quartile)

NPI registry status

Active

Issued 04/02/2014

NPI 1356769897

Primary specialty

Internal Medicine Physician

High-volume

172,858 US NPIs in this specialty

Medicare Part D claims

1,011 63% vs specialty avg

2023 prescription claims

Specialty avg: 2,716

MIPS final score

95.1126/100 12.012600000000006% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Virginia

How Internal Medicine Physician compares to other specialties among Virginia providers

Virginia providers

Internal Medicine Physician share within Virginia

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

Medicare quality performance — MIPS

NIALL CROWLEY, MD's 2023 MIPS final score plotted against the Internal Medicine Physician national average

High performer (top quartile)
MIPS Final Score
95.1126/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Internal Medicine Physician) — 95.1126/100 vs national avg 83.1

0%100%National avg83%95.1%
MIPS final score (Internal Medicine Physician) — 95.1126/100 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).

NIALL CROWLEY, MD appears in the CMS NPPES registry as a Internal Medicine Physician provider holding MD credentials at 844 KEMPSVILLE RD STE 212, NORFOLK, VA, 23502, with a listed phone of (757) 261-5977. NPI 1356769897 was issued on 04/02/2014. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what CROWLEY 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 1,011 prescription claims written by this provider, covering 156 Medicare beneficiaries and totaling roughly $493K in drug spend, split 65% brand-name and 35% 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 95.1126/100 for the 2023 performance year (Quality 86.3184), compared with the national average of 83.1.

Internal Medicine Physician is a high-volume specialty nationwide, with 172,858 enrolled providers across 56 states and an average of 2,716 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

844 KEMPSVILLE RD STE 212
NORFOLK, VA 23502

Provider Details

NPI 1356769897
Specialty Internal Medicine Physician
Credentials MD
Gender Male
NPI Issued 04/02/2014

CMS Quality Score (MIPS)

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

95.1126
Final Score
Avg: 83.1
86.3184
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where NIALL CROWLEY, MD 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.

POUDRE VALLEY MEDICAL GROUP LLC
FORT COLLINS, CO
SENTARA MEDICAL GROUP
NORFOLK, 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).

Brand vs generic prescribing mix · Brand-heavy

NIALL CROWLEY, MD — brand share 65.0%
Specialty average (est.)

65% brand-name claims vs 35% generic, on 1,011 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.

1,011
Total Claims
$493K
Total Drug Cost
156
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,475
Total Day Supply
42,554
Brand vs Generic
65% brand / 35% generic
Brand Drug Cost
$468K
Antibiotic Claims
19

Patient Demographics

Average Patient Age
70.8 years
Avg HCC Risk Score
2.08
Gender Split
65% female / 35% male

Top Prescribed Drugs (Medicare Part D)

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

What NIALL CROWLEY, MD 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
Albuterol Sulfate Hfa
Albuterol Sulfate
178
Montelukast Sodium
87
Stiolto Respimat
Tiotropium Br/Olodaterol Hcl
86
Spiriva Respimat
Tiotropium Bromide
76
Trelegy Ellipta
Fluticasone/Umeclidin/Vilanter
65
Symbicort
Budesonide/Formoterol Fumarate
64
Advair Hfa
Fluticasone Propion/Salmeterol
40
Spiriva Handihaler
Tiotropium Bromide
36
Incruse Ellipta
Umeclidinium Bromide
29
Anoro Ellipta
Umeclidinium Brm/Vilanterol Tr
28

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

Internal Medicine Physician Overview

How NIALL CROWLEY, MD fits within the Internal Medicine Physician landscape nationally.

172,858
Internal Medicine Physician Providers in US
56
States with Internal Medicine Physician
2,716
Avg Claims per Provider

NIALL CROWLEY, MD's 1,011 claims are below the specialty average of 2,716.

Nearby Internal Medicine Physician Providers in Virginia

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

Compare Internal Medicine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is NIALL CROWLEY, MD's specialty?
NIALL CROWLEY, MD specializes in Internal Medicine Physician and practices in NORFOLK, Virginia. Credentials: MD.
How much does NIALL CROWLEY, MD prescribe under Medicare Part D?
In 2023, NIALL CROWLEY, MD wrote 1,011 Medicare Part D claims totaling $493K in drug costs for 156 beneficiaries.
What is NIALL CROWLEY, MD's Medicare quality score?
NIALL CROWLEY, MD has a CMS MIPS Final Score of 95.1126/100 (Quality: 86.3184). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is NIALL CROWLEY, MD located?
NIALL CROWLEY, MD is located at 844 KEMPSVILLE RD STE 212, NORFOLK, VA, 23502. Phone: (757) 261-5977.
What is NIALL CROWLEY, MD's NPI number?
NIALL CROWLEY, MD's National Provider Identifier (NPI) is 1356769897, issued on 04/02/2014.
Does NIALL CROWLEY, MD prescribe more brand-name or generic drugs?
NIALL CROWLEY, MD's prescribing is 65% brand-name and 35% generic drugs by claim count, with $468K in brand drug costs.
How many Internal Medicine Physician providers are there in the US?
There are 172,858 Internal Medicine Physician providers across 56 states in the US. The average Internal Medicine Physician provider writes 2,716 Medicare Part D claims per year.
What drugs does NIALL CROWLEY, MD prescribe most often?
Based on 2023 Medicare Part D data, NIALL CROWLEY, MD's most frequently prescribed drugs include Albuterol Sulfate Hfa, Montelukast Sodium, Stiolto Respimat. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does NIALL CROWLEY, MD accept Medicare?
NIALL CROWLEY, MD appears in CMS Medicare data with 1,011 Part D claims and 156 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify NIALL CROWLEY, MD's credentials?
NIALL CROWLEY, MD's NPI is 1356769897 with credentials MD. 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