2026 NPPES data Emergency Medicine Physician NPI 1922233915
Verify on CMS →

NICHOLAS DOWLING

Emergency Medicine Physician in SIOUX FALLS, South Dakota. 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
57
Medicare Part D claims · 47 beneficiaries · Emergency Medicine Physician avg: 352
MIPS score
76.6912/100
▼ 6 pts below national avg 83.1 · [object Object]
What the federal data reveals: NICHOLAS DOWLING is a Emergency Medicine Physician ([object Object]) practicing in SIOUX FALLS, South Dakota with a Medicare Part D prescribing footprint of 57 claims across 47 beneficiaries . Their CMS MIPS Final Score of 76.6912/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities .

What stands out: NICHOLAS DOWLING reported a CMS MIPS final score of 76.6912 out of 100, below the 83.1 national average, and filed 57 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)

NICHOLAS DOWLING 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).

NICHOLAS DOWLING at a glance

Below national average

NPI registry status

Active

Issued 05/20/2009

NPI 1922233915

Primary specialty

Emergency Medicine Physician

High-volume

64,398 US NPIs in this specialty

Medicare Part D claims

57 84% vs specialty avg

2023 prescription claims

Specialty avg: 352

MIPS final score

76.6912/100 6.408799999999999% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in South Dakota

How Emergency Medicine Physician compares to other specialties among South Dakota providers

South Dakota providers

Emergency Medicine Physician share within South Dakota

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

Medicare quality performance — MIPS

NICHOLAS DOWLING's 2023 MIPS final score plotted against the Emergency Medicine Physician national average

Below national average
MIPS Final Score
76.6912/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Emergency Medicine Physician) — 76.6912/100 vs national avg 83.1

0%100%National avg83%76.7%
MIPS final score (Emergency Medicine Physician) — 76.6912/100 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).

NICHOLAS DOWLING is a Emergency Medicine Physician provider practicing in SIOUX FALLS, South Dakota, according to the CMS National Plan and Provider Enumeration System (NPPES). NPI: 1922233915. 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.

NICHOLAS DOWLING appears in the CMS NPPES registry as a Emergency Medicine Physician provider at 1305 W 18TH ST, SIOUX FALLS, SD, 57105, with a listed phone of (605) 333-6688. NPI 1922233915 was issued on 05/20/2009. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what DOWLING 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 57 prescription claims written by this provider, covering 47 Medicare beneficiaries and totaling roughly $400 in drug spend. 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 76.6912/100 for the 2023 performance year (Quality 78.5693, Cost 44.5681), compared with the national average of 83.1.

Emergency Medicine Physician is a high-volume specialty nationwide, with 64,398 enrolled providers across 56 states and an average of 352 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

1305 W 18TH ST
SIOUX FALLS, SD 57105

Provider Details

NPI 1922233915
Specialty Emergency Medicine Physician
Gender Male
NPI Issued 05/20/2009

CMS Quality Score (MIPS)

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

76.6912
Final Score
Avg: 83.1
78.5693
Quality
44.5681
Cost
99
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where NICHOLAS DOWLING 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.

SANFORD MEDICAL CENTER
SIOUX FALLS, SD

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

57
Total Claims
$400
Total Drug Cost
47
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
57
Total Day Supply
340
Generic Drug Cost
$369
Antibiotic Claims
32

Patient Demographics

Average Patient Age
69.8 years
Avg HCC Risk Score
1.31
Gender Split
70% female / 30% male

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Cephalexin
19

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

Emergency Medicine Physician Overview

How NICHOLAS DOWLING fits within the Emergency Medicine Physician landscape nationally.

64,398
Emergency Medicine Physician Providers in US
56
States with Emergency Medicine Physician
352
Avg Claims per Provider

NICHOLAS DOWLING's 57 claims are below the specialty average of 352.

Nearby Emergency Medicine Physician Providers in South Dakota

Other clinicians with the same primary specialty enrolled in South Dakota, drawn from the same CMS NPPES roster as DOWLING.

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

Frequently Asked Questions

What is NICHOLAS DOWLING's specialty?
NICHOLAS DOWLING specializes in Emergency Medicine Physician and practices in SIOUX FALLS, South Dakota.
How much does NICHOLAS DOWLING prescribe under Medicare Part D?
In 2023, NICHOLAS DOWLING wrote 57 Medicare Part D claims totaling $400 in drug costs for 47 beneficiaries.
What is NICHOLAS DOWLING's Medicare quality score?
NICHOLAS DOWLING has a CMS MIPS Final Score of 76.6912/100 (Quality: 78.5693, Cost: 44.5681). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is NICHOLAS DOWLING located?
NICHOLAS DOWLING is located at 1305 W 18TH ST, SIOUX FALLS, SD, 57105. Phone: (605) 333-6688.
What is NICHOLAS DOWLING's NPI number?
NICHOLAS DOWLING's National Provider Identifier (NPI) is 1922233915, issued on 05/20/2009.
How many Emergency Medicine Physician providers are there in the US?
There are 64,398 Emergency Medicine Physician providers across 56 states in the US. The average Emergency Medicine Physician provider writes 352 Medicare Part D claims per year.
What drugs does NICHOLAS DOWLING prescribe most often?
Based on 2023 Medicare Part D data, NICHOLAS DOWLING's most frequently prescribed drugs include Cephalexin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does NICHOLAS DOWLING accept Medicare?
NICHOLAS DOWLING appears in CMS Medicare data with 57 Part D claims and 47 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify NICHOLAS DOWLING's credentials?
NICHOLAS DOWLING's NPI is 1922233915. 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