2026 NPPES data Surgery Physician NPI 1649376542 MD
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PAUL HANEY, MD

Surgery Physician in BARBOURVILLE, Kentucky. 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
396
Medicare Part D claims · 128 beneficiaries · Surgery Physician avg: 169
Generic prescribing
95%
generic claims · 5% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
87.9565/100
▲ 5 pts above national avg 83.1 · [object Object]
Industry payments
$77.04
3 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: PAUL HANEY, MD is a Surgery Physician ([object Object]) practicing in BARBOURVILLE, Kentucky with a Medicare Part D prescribing footprint of 396 claims across 128 beneficiaries — 5% brand-name prescribing . Their CMS MIPS Final Score of 87.9565/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $77.04 across 3 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: PAUL HANEY, MD reported a CMS MIPS final score of 87.9565 out of 100, above the 83.1 national average, and filed 396 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 HANEY, MD 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).

PAUL HANEY, MD at a glance

High performer (top quartile)

NPI registry status

Active

Issued 09/16/2006

NPI 1649376542

Primary specialty

Surgery Physician

Mid-sized

36,191 US NPIs in this specialty

Medicare Part D claims

396 134% vs specialty avg

2023 prescription claims

Specialty avg: 169

MIPS final score

87.9565/100 4.856500000000011% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Kentucky

How Surgery Physician compares to other specialties among Kentucky providers

Kentucky providers

Surgery Physician share within Kentucky

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

Medicare quality performance — MIPS

PAUL HANEY, MD's 2023 MIPS final score plotted against the Surgery Physician national average

High performer (top quartile)
MIPS Final Score
87.9565/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Surgery Physician) — 87.9565/100 vs national avg 83.1

0%100%National avg83%88%
MIPS final score (Surgery Physician) — 87.9565/100 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 HANEY, MD is a Surgery Physician provider practicing in BARBOURVILLE, Kentucky, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1649376542. 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 HANEY, MD appears in the CMS NPPES registry as a Surgery Physician provider holding MD credentials at 80 HOSPITAL DR STE 2, BARBOURVILLE, KY, 40906, with a listed phone of (606) 545-4460. NPI 1649376542 was issued on 09/16/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what HANEY 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 396 prescription claims written by this provider, covering 128 Medicare beneficiaries and totaling roughly $15K in drug spend, split 5% brand-name and 95% generic by claim count, with an opioid prescribing rate of 10.6%. 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 87.9565/100 for the 2023 performance year (Quality 74.048), compared with the national average of 83.1.

Surgery Physician is a mid-sized specialty nationwide, with 36,191 enrolled providers across 56 states and an average of 169 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

80 HOSPITAL DR STE 2
BARBOURVILLE, KY 40906

Provider Details

NPI 1649376542
Specialty Surgery Physician
Credentials MD
Gender Male
NPI Issued 09/16/2006

CMS Quality Score (MIPS)

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

87.9565
Final Score
Avg: 83.1
74.048
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where PAUL HANEY, 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.

ARH MARY BRECKINRIDGE HEALTH SERVICES INC
BARBOURVILLE, KY

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 HANEY, MD. Source: openpaymentsdata.cms.gov.

Total received

$77

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 · Generic-heavy

PAUL HANEY, MD — brand share 5.0%
Specialty average (est.)

5% brand-name claims vs 95% generic, on 396 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.

396
Total Claims
$15K
Total Drug Cost
128
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
548
Total Day Supply
13,226
Brand vs Generic
5% brand / 95% generic
Brand Drug Cost
$4K
Generic Drug Cost
$12K
Opioid Claims
42 (10.6% rate)
Antibiotic Claims
63

Patient Demographics

Average Patient Age
71.6 years
Avg HCC Risk Score
1.12
Gender Split
46% female / 54% 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
Omeprazole
99
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
39
Famotidine
34
Colestipol Hcl
33
Sucralfate
31
Ciprofloxacin Hcl
20
Metronidazole
20
Pantoprazole Sodium
18
Cholestyramine Light
Cholestyramine/Aspartame
13
Esomeprazole Magnesium
11

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

Surgery Physician Overview

How PAUL HANEY, MD fits within the Surgery Physician landscape nationally.

36,191
Surgery Physician Providers in US
56
States with Surgery Physician
169
Avg Claims per Provider

PAUL HANEY, MD's 396 claims are above the specialty average of 169.

Nearby Surgery Physician Providers in Kentucky

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

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

Frequently Asked Questions

What is PAUL HANEY, MD's specialty?
PAUL HANEY, MD specializes in Surgery Physician and practices in BARBOURVILLE, Kentucky. Credentials: MD.
How much does PAUL HANEY, MD prescribe under Medicare Part D?
In 2023, PAUL HANEY, MD wrote 396 Medicare Part D claims totaling $15K in drug costs for 128 beneficiaries.
What is PAUL HANEY, MD's Medicare quality score?
PAUL HANEY, MD has a CMS MIPS Final Score of 87.9565/100 (Quality: 74.048). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is PAUL HANEY, MD located?
PAUL HANEY, MD is located at 80 HOSPITAL DR STE 2, BARBOURVILLE, KY, 40906. Phone: (606) 545-4460.
What is PAUL HANEY, MD's NPI number?
PAUL HANEY, MD's National Provider Identifier (NPI) is 1649376542, issued on 09/16/2006.
Does PAUL HANEY, MD prescribe more brand-name or generic drugs?
PAUL HANEY, MD's prescribing is 5% brand-name and 95% generic drugs by claim count, with $4K in brand drug costs.
Does PAUL HANEY, MD prescribe opioids?
Yes, PAUL HANEY, MD had 42 opioid claims in 2023 with an opioid prescribing rate of 10.6%.
How many Surgery Physician providers are there in the US?
There are 36,191 Surgery Physician providers across 56 states in the US. The average Surgery Physician provider writes 169 Medicare Part D claims per year.
What drugs does PAUL HANEY, MD prescribe most often?
Based on 2023 Medicare Part D data, PAUL HANEY, MD's most frequently prescribed drugs include Omeprazole, Hydrocodone-Acetaminophen, Famotidine. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does PAUL HANEY, MD accept Medicare?
PAUL HANEY, MD appears in CMS Medicare data with 396 Part D claims and 128 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify PAUL HANEY, MD's credentials?
PAUL HANEY, MD's NPI is 1649376542 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