2026 NPPES data Family Medicine Physician NPI 1487622742 MD
Verify on CMS →

Paul Houston, MD

Family Medicine Physician in Brazil, Indiana.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 147,760 in Family Medicine Physician, 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
16K
Medicare Part D claims · 668 beneficiaries · Family Medicine Physician avg: 3K
Generic prescribing
81%
generic claims · 18% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
21.6/100
▼ 62 pts below national avg 83.5 · Below average
Industry payments
$557.92
31 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

Paul Houston, MD reported a CMS MIPS final score of 21.6/100 - below the 83.5 national average - and filed 15,669 Medicare Part D claims in 2023.

21.6/100
MIPS score · -62 vs avg
16K
Part D claims, 2023
81%
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.

CMS NPPES provider registry desk

NPI 1487622742 · Family Medicine Physician

NPI-10 · ENUM-LEGACY · TAX-MEGA · MIPS-LOW · RX-HEAVY · BOOK-LIGHT · PHOTO-FINISH

  • NPI-10 1487622742
  • ENUM-LEGACY 2006
  • TAX-MEGA 148K Family Medicine
  • MIPS-LOW 21.6/100
  • RX-HEAVY 16K claims
  • BOOK-LIGHT 3,321 in Indiana
  • PHOTO-FINISH Lori Moyers · ±0.0

MIPS final-score neighbourhood

Same-specialty nationwide peers by CMS final score, not geographic proximity

MIPS pts

What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).

Source CMS Quality Payment Program (MIPS) As of 2023

Paul Houston, MD's MIPS score vs every measured U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.

22 ≥ 3rd percentile 3% of 454,083 measured providers are in lower value bands

0–10: 8,684 measured providers (2%). Below this entry. 10–20: 3,008 measured providers (1%). Below this entry. 20–30: 3,069 measured providers (1%). This entry sits in this band. 30–40: 2,746 measured providers (1%). Above this entry. 40–50: 2,928 measured providers (1%). Above this entry. 50–60: 5,882 measured providers (1%). Above this entry. 60–70: 13,906 measured providers (3%). Above this entry. 70–80: 94,570 measured providers (21%). Above this entry. 80–90: 129,887 measured providers (29%). Above this entry. 90+: 189,403 measured providers (42%). Above this entry. This provider 0 100 every measured MIPS clinician, bucketed by value

Each bar is a band; taller bars hold more measured 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.

The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Where Paul Houston, MD sits

This provider among family medicine physician peers

Across the 21,266 family medicine physician providers who report both Medicare Part D prescribing and a MIPS quality score, Paul Houston, MD writes more Part D claims than 96% of them and scores higher on MIPS quality than 3% - placing this provider in the high-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality02550751000255075100Part D claim volume, percentile in specialtyMIPS quality, percentilePoint, Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 82Point, Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 47Point, Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 68Point, Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 60Point, Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 77Point, Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 35Point, Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 80Point, Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 90Point, Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 38Point, Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 63Point, Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 58Point, Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 42Point, Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 22Point, Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 15Point, Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 98Point, Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 20Point, Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 13Point, Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 33Point, Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 43Point, Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 12Point, Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 72Point, Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 17Point, Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 3Point, Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 10Point, Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 73Point, Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 87Point, Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 5Point, Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 40Point, Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 25Point, Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 97Point, Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 2Point, Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 50Point, Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 78Point, Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 7Point, Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 62Point, Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 27Point, Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 30Point, Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 23Point, Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 50Point, Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 17Point, Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 48Point, Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 32Point, Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 8Point, Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 28Point, Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 45Point, Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 82Point, Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 98Point, Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 68Point, Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 73Point, Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 50Point, Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 55Point, Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 63Point, Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 87Point, Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 57Point, Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 67Point, Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 37Paul Houston, MD, Part D claim volume, percentile in specialty: 96 · MIPS quality, percentile: 3
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one family medicine physician peer from a representative sample of 60; the gold marker is Paul Houston, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

Board certification likely (heuristic, not verified)

Paul Houston, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting - 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 Paul Houston, MD?

Below national average

NPI registry status

Active

Issued 03/10/2006

NPI 1487622742

Primary specialty

Family Medicine Physician

High-volume

147,760 US NPIs in this specialty

Medicare Part D claims

15,669 358% vs specialty avg

2023 prescription claims

Specialty avg: 3,418

MIPS final score

21.6/100 61.9 pts vs avg

Below average band

vs 83.5 national avg

Specialty distribution in Indiana

How Family Medicine Physician compares to other specialties among Indiana providers

Indiana providers
Behavior Technician13.6%Student in an Organized Heal…4.7%Pharmacist4.3%Family Nurse Practitioner4.2%Clinical Social Worker4.2%Mental Health Counselor4.1%Family Medicine Physician2.8%
Largest specialties in Indiana (% of in-state providers)

Medicare quality performance, MIPS

Paul Houston, MD's 2023 MIPS final score plotted against the Family Medicine Physician national average

Below national average
MIPS Final Score
21.6/100
vs 83.5 national avg · 2023 performance year
0%100%National avg84%21.6%
MIPS final score (Family Medicine Physician) - 21.6/100 vs national avg 83.5
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).

Practice Address

1216 E NATIONAL AVE
Brazil, IN 47834

Provider Details

NPI 1487622742
Specialty Family Medicine Physician
Credentials MD
Gender Male
NPI Issued 03/10/2006

CMS Quality Score (MIPS)

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

21.5715
Final Score
Measured-score avg: 83.5
0
Quality
71.9051
Cost

Reporting: Individual

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

Total received

$558

Largest payer

Phathom Pharmaceuticals, 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 · Typical

Paul Houston, MD - brand share 18.0%
Family Medicine Physician average

18% brand-name claims vs 81% generic, on 15,669 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.

15,669
Total Claims
$2.8M
Total Drug Cost
668
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
32,872
Total Day Supply
947,946
Brand vs Generic
18% brand / 81% generic
Brand Drug Cost
$2.4M
Generic Drug Cost
$394K
Opioid Claims
944 (6.0% rate)
Antibiotic Claims
462

Patient Demographics

Average Patient Age
72.6 years
Avg HCC Risk Score
1.26
Gender Split
54% female / 46% male
Age Distribution
<65: 91, 65-74: 302, 75-84: 199, 85+: 76

Top Prescribed Drugs (Medicare Part D)

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

What Paul Houston, 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
Levothyroxine Sodium
579
Atorvastatin Calcium
487
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
442
Alprazolam
388
Shingrix
Varicella-Zoster Ge/As01b/Pf
364
Tramadol Hcl
309
Allopurinol
289
Amlodipine Besylate
285
Gabapentin
285
Rosuvastatin Calcium
255

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

Family Medicine Physician Overview

How Paul Houston, MD fits within the Family Medicine Physician landscape nationally.

147,760
Family Medicine Physician Providers in US
56
States with Family Medicine Physician
3,418
Avg Claims per Provider

Paul Houston, MD's 15,669 claims are above the specialty average of 3,418.

Nationwide Family Medicine Physician peers with similar MIPS or enrollment year

Two federal-record peer sets for Houston, both outside Indiana so the neighborhoods are not geographic containment.

Similar MIPS final score

Nearest same-specialty clinicians by CMS MIPS final score (21.6 here).

Same NPPES enumeration year (2006)

Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.

Nearby Family Medicine Physician Providers in Indiana

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

One of 3,321 Family Medicine Physician providers enrolled in Indiana, 5 are shown here.

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

Frequently Asked Questions

What is Paul Houston, MD's specialty?
Paul Houston, MD specializes in Family Medicine Physician and practices in Brazil, Indiana. Credentials: MD.
How much does Paul Houston, MD prescribe under Medicare Part D?
In 2023, Paul Houston, MD wrote 15,669 Medicare Part D claims totaling $2.8M in drug costs for 668 beneficiaries.
What is Paul Houston, MD's Medicare quality score?
Paul Houston, MD has a CMS MIPS Final Score of 21.6/100 (Quality: 0, Cost: 71.9). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Paul Houston, MD located?
Paul Houston, MD is located at 1216 E NATIONAL AVE, Brazil, IN, 47834. Phone: (812) 448-3551.
What is Paul Houston, MD's NPI number?
Paul Houston, MD's National Provider Identifier (NPI) is 1487622742, issued on 03/10/2006.
Does Paul Houston, MD prescribe more brand-name or generic drugs?
Paul Houston, MD's prescribing is 18% brand-name and 81% generic drugs by claim count, with $2.4M in brand drug costs.
Does Paul Houston, MD prescribe opioids?
Yes, Paul Houston, MD had 944 opioid claims in 2023 with an opioid prescribing rate of 6.0%.
How many Family Medicine Physician providers are there in the US?
There are 147,760 Family Medicine Physician providers across 56 states in the US. The average Family Medicine Physician provider writes 3,418 Medicare Part D claims per year.
What drugs does Paul Houston, MD prescribe most often?
Based on 2023 Medicare Part D data, Paul Houston, MD's most frequently prescribed drugs include Levothyroxine Sodium, Atorvastatin Calcium, Hydrocodone-Acetaminophen. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Paul Houston, MD accept Medicare?
Paul Houston, MD appears in CMS Medicare data with 15,669 Part D claims and 668 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Paul Houston, MD's credentials?
Paul Houston, MD's NPI is 1487622742 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

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

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.