NPI registry status
Active
2026 NPPES data Midwife NPI 1225344047 MS, LM, CD(DONA)
Verify on CMS → Patricia Fox, MS, LM, CD(DONA)
Midwife in Brooklyn, New York.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 5,933 in Midwife, 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
16
Medicare Part D claims · Midwife avg: 118
MIPS score
100/100
▲ 17 pts above national avg 83.1 · Exceptional
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Patricia Fox, MS, LM, CD(DONA) reported a CMS MIPS final score of 100/100 - above the 83.1 national average - and filed 16 Medicare Part D claims in 2023.
- 100/100
- MIPS score · +17 vs avg
- 16
- Part D claims, 2023
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.
Patricia Fox, MS, LM, CD(DONA)'s MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
100 Top 9% higher than 91% of 477,587 scored providers
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 Patricia Fox, MS, LM, CD(DONA) sits
This provider among midwife peers
Across the 120 midwife providers who report both Medicare Part D prescribing and a MIPS quality score, Patricia Fox, MS, LM, CD(DONA) writes more Part D claims than 15% of them and scores higher on MIPS quality than 92% - placing this provider in the lower-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
Each dot is one midwife peer from a representative sample of 60; the gold marker is Patricia Fox, MS, LM, CD(DONA). Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
What does the federal data show about Patricia Fox, MS, LM, CD(DONA)?
High performer (top quartile)Primary specialty
Midwife
Medicare Part D claims
16 86% vs specialty avg
MIPS final score
100/100 16.9 pts vs avg
Specialty distribution in New York
How Midwife compares to other specialties among New York providers
Medicare quality performance, MIPS
Patricia Fox, MS, LM, CD(DONA)'s 2023 MIPS final score plotted against the Midwife national average
- MIPS Final Score
- 100/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Midwife) - 100/100 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).
Patricia Fox, MS, LM, CD(DONA) appears in the CMS NPPES registry as a Midwife provider holding MS, LM, CD(DONA) credentials at 821 BEVERLEY RD # 1, Brooklyn, NY, 11218, with a listed phone of (917) 843-4988. NPI 1225344047 was issued on 08/31/2010.
Medicare Part D records for calendar year 2023 show 16 prescription claims written by this provider, covering N/A Medicare beneficiaries and totaling roughly $511 in drug spend. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 100/100 for the 2023 performance year (Quality 91.2, Cost 92.8), compared with the national average of 83.1.
Midwife is a mid-sized specialty nationwide, with 5,933 enrolled providers across 54 states and an average of 118 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
Provider Details
| NPI | 1225344047 |
|---|---|
| Specialty | Midwife |
| Credentials | MS, LM, CD(DONA) |
| Gender | Female |
| NPI Issued | 08/31/2010 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
99.953
Final Score
Avg: 83.1
91.1861
Quality
92.8237
Cost
79
Promoting Interoperability
Reporting: Group practice
License & disciplinary context - New York NYSBPMC 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 ~100K New York medical licensees in 2023 - they are NOT specific to Patricia Fox, MS, LM, CD(DONA). To verify Patricia Fox, MS, LM, CD(DONA)'s current license status, search the NYSBPMC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
312
Total board actions, New York 2023
Across 302 cases
3.12
Actions per 1,000 licensees
New York statewide rate
probation
Most common action type
89 cases
NYSBPMC 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 New York disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
16
Total Claims
$511
Total Drug Cost
N/A
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 17
- Total Day Supply
- 434
- Brand Drug Cost
- $0
- Generic Drug Cost
- $511
Patient Demographics
- Average Patient Age
- 56.2 years
- Avg HCC Risk Score
- 2.21
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
| Drug | Claims |
|---|---|
| Nystatin | 11 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Midwife Overview
How Patricia Fox, MS, LM, CD(DONA) fits within the Midwife landscape nationally.
5,933
Midwife Providers in US
54
States with Midwife
118
Avg Claims per Provider
Patricia Fox, MS, LM, CD(DONA)'s 16 claims are below the specialty average of 118.
Nearby Midwife Providers in New York
Other clinicians with the same primary specialty enrolled in New York, drawn from the same CMS NPPES roster as Fox.
Dr. Khadra Abdi
CNM
Rochester, NY
Dr. Charlene Abraham
CNM
Bronx, NY
Dr. Stephanie Abraitis
CM
New Square, NY
Dr. Lauren Abrams
MW
New York, NY
Dr. Maria Acuna Perez
C.N.M
New York, NY
Compare Midwife 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 New York medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Midwife 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.
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Frequently Asked Questions
What is Patricia Fox, MS, LM, CD(DONA)'s specialty? ▼
Patricia Fox, MS, LM, CD(DONA) specializes in Midwife and practices in Brooklyn, New York. Credentials: MS, LM, CD(DONA).
How much does Patricia Fox, MS, LM, CD(DONA) prescribe under Medicare Part D? ▼
In 2023, Patricia Fox, MS, LM, CD(DONA) wrote 16 Medicare Part D claims totaling $511 in drug costs for N/A beneficiaries.
What is Patricia Fox, MS, LM, CD(DONA)'s Medicare quality score? ▼
Patricia Fox, MS, LM, CD(DONA) has a CMS MIPS Final Score of 100/100 (Quality: 91.2, Cost: 92.8). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Patricia Fox, MS, LM, CD(DONA) located? ▼
Patricia Fox, MS, LM, CD(DONA) is located at 821 BEVERLEY RD # 1, Brooklyn, NY, 11218. Phone: (917) 843-4988.
What is Patricia Fox, MS, LM, CD(DONA)'s NPI number? ▼
Patricia Fox, MS, LM, CD(DONA)'s National Provider Identifier (NPI) is 1225344047, issued on 08/31/2010.
How many Midwife providers are there in the US? ▼
There are 5,933 Midwife providers across 54 states in the US. The average Midwife provider writes 118 Medicare Part D claims per year.
What drugs does Patricia Fox, MS, LM, CD(DONA) prescribe most often? ▼
Based on 2023 Medicare Part D data, Patricia Fox, MS, LM, CD(DONA)'s most frequently prescribed drugs include Nystatin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Patricia Fox, MS, LM, CD(DONA) accept Medicare? ▼
Patricia Fox, MS, LM, CD(DONA) appears in CMS Medicare data with 16 Part D claims and N/A Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Patricia Fox, MS, LM, CD(DONA)'s credentials? ▼
Patricia Fox, MS, LM, CD(DONA)'s NPI is 1225344047 with credentials MS, LM, CD(DONA). 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 PlainDoctor editorial team.
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.