2026 NPPES data Urology Physician NPI 1720085624 M.D.
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PAUL ALPHONSE, M.D.

Urology Physician in ROSWELL, Georgia. 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
686
Medicare Part D claims · 227 beneficiaries · Urology Physician avg: 1K
Generic prescribing
94%
generic claims · 6% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
92.9348/100
▲ 10 pts above national avg 83.1 · [object Object]
Industry payments
$1.5K
27 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: PAUL ALPHONSE, M.D. is a Urology Physician ([object Object]) practicing in ROSWELL, Georgia with a Medicare Part D prescribing footprint of 686 claims across 227 beneficiaries — 6% brand-name prescribing . Their CMS MIPS Final Score of 92.9348/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $1.5K across 27 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: PAUL ALPHONSE, M.D. reported a CMS MIPS final score of 92.9348 out of 100, above the 83.1 national average, and filed 686 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)

PAUL ALPHONSE, M.D. 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).

PAUL ALPHONSE, M.D. at a glance

High performer (top quartile)

NPI registry status

Active

Issued 07/07/2005

NPI 1720085624

Primary specialty

Urology Physician

Mid-sized

13,350 US NPIs in this specialty

Medicare Part D claims

686 46% vs specialty avg

2023 prescription claims

Specialty avg: 1,280

MIPS final score

92.9348/100 9.834800000000001% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Georgia

How Urology Physician compares to other specialties among Georgia providers

Georgia providers

Urology Physician share within Georgia

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

Medicare quality performance — MIPS

PAUL ALPHONSE, M.D.'s 2023 MIPS final score plotted against the Urology Physician national average

High performer (top quartile)
MIPS Final Score
92.9348/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Urology Physician) — 92.9348/100 vs national avg 83.1

0%100%National avg83%92.9%
MIPS final score (Urology Physician) — 92.9348/100 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).

PAUL ALPHONSE, M.D. is a Urology Physician provider practicing in ROSWELL, Georgia, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1720085624. 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.

PAUL ALPHONSE, M.D. appears in the CMS NPPES registry as a Urology Physician provider holding M.D. credentials at 2500 HOSPITAL BLVD STE 290, ROSWELL, GA, 30076, with a listed phone of (470) 956-4230. NPI 1720085624 was issued on 07/07/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what ALPHONSE 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 686 prescription claims written by this provider, covering 227 Medicare beneficiaries and totaling roughly $37K in drug spend, split 6% brand-name and 94% generic by claim count, with an opioid prescribing rate of 6.7%. 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 92.9348/100 for the 2023 performance year (Quality 80.3814), compared with the national average of 83.1.

Urology Physician is a mid-sized specialty nationwide, with 13,350 enrolled providers across 54 states and an average of 1,280 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

2500 HOSPITAL BLVD STE 290
ROSWELL, GA 30076

Provider Details

NPI 1720085624
Specialty Urology Physician
Credentials M.D.
Gender Male
NPI Issued 07/07/2005

CMS Quality Score (MIPS)

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

92.9348
Final Score
Avg: 83.1
80.3814
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where PAUL ALPHONSE, 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.

FLOYD PHYSICIANS LLC
ROME, GA
PIEDMONT PROVIDERS LLC
MACON, GA

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 PAUL ALPHONSE, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$1.5K

Largest payer

Teleflex LLC

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 · Generic-heavy

PAUL ALPHONSE, M.D. — brand share 6.0%
Specialty average (est.)

6% brand-name claims vs 94% generic, on 686 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.

686
Total Claims
$37K
Total Drug Cost
227
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,353
Total Day Supply
35,438
Brand vs Generic
6% brand / 94% generic
Brand Drug Cost
$22K
Generic Drug Cost
$15K
Opioid Claims
46 (6.7% rate)
Antibiotic Claims
133

Patient Demographics

Average Patient Age
74.8 years
Avg HCC Risk Score
1.31
Gender Split
14% female / 86% 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
Tamsulosin Hcl
280
Sulfamethoxazole-Trimethoprim
Sulfamethoxazole/Trimethoprim
50
Oxycodone-Acetaminophen
Oxycodone Hcl/Acetaminophen
43
Oxybutynin Chloride
42
Cephalexin
32
Alfuzosin Hcl Er
Alfuzosin Hcl
31
Finasteride
31
Myrbetriq
Mirabegron
27
Bethanechol Chloride
23
Ciprofloxacin Hcl
19

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

Urology Physician Overview

How PAUL ALPHONSE, M.D. fits within the Urology Physician landscape nationally.

13,350
Urology Physician Providers in US
54
States with Urology Physician
1,280
Avg Claims per Provider

PAUL ALPHONSE, M.D.'s 686 claims are below the specialty average of 1,280.

Nearby Urology Physician Providers in Georgia

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

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

Frequently Asked Questions

What is PAUL ALPHONSE, M.D.'s specialty?
PAUL ALPHONSE, M.D. specializes in Urology Physician and practices in ROSWELL, Georgia. Credentials: M.D..
How much does PAUL ALPHONSE, M.D. prescribe under Medicare Part D?
In 2023, PAUL ALPHONSE, M.D. wrote 686 Medicare Part D claims totaling $37K in drug costs for 227 beneficiaries.
What is PAUL ALPHONSE, M.D.'s Medicare quality score?
PAUL ALPHONSE, M.D. has a CMS MIPS Final Score of 92.9348/100 (Quality: 80.3814). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is PAUL ALPHONSE, M.D. located?
PAUL ALPHONSE, M.D. is located at 2500 HOSPITAL BLVD STE 290, ROSWELL, GA, 30076. Phone: (470) 956-4230.
What is PAUL ALPHONSE, M.D.'s NPI number?
PAUL ALPHONSE, M.D.'s National Provider Identifier (NPI) is 1720085624, issued on 07/07/2005.
Does PAUL ALPHONSE, M.D. prescribe more brand-name or generic drugs?
PAUL ALPHONSE, M.D.'s prescribing is 6% brand-name and 94% generic drugs by claim count, with $22K in brand drug costs.
Does PAUL ALPHONSE, M.D. prescribe opioids?
Yes, PAUL ALPHONSE, M.D. had 46 opioid claims in 2023 with an opioid prescribing rate of 6.7%.
How many Urology Physician providers are there in the US?
There are 13,350 Urology Physician providers across 54 states in the US. The average Urology Physician provider writes 1,280 Medicare Part D claims per year.
What drugs does PAUL ALPHONSE, M.D. prescribe most often?
Based on 2023 Medicare Part D data, PAUL ALPHONSE, M.D.'s most frequently prescribed drugs include Tamsulosin Hcl, Sulfamethoxazole-Trimethoprim, Oxycodone-Acetaminophen. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does PAUL ALPHONSE, M.D. accept Medicare?
PAUL ALPHONSE, M.D. appears in CMS Medicare data with 686 Part D claims and 227 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify PAUL ALPHONSE, M.D.'s credentials?
PAUL ALPHONSE, M.D.'s NPI is 1720085624 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