2026 NPPES data Urology Physician NPI 1295795698 MD
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PAUL KENWORTHY, MD

Urology Physician in HUNTSVILLE, Texas. 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
2K
Medicare Part D claims · 592 beneficiaries · Urology Physician avg: 1K
Generic prescribing
89%
generic claims · 11% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
89.042/100
▲ 6 pts above national avg 83.1 · [object Object]
Industry payments
$428.51
15 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

PAUL KENWORTHY, MD reported a CMS MIPS final score of 89.042/100 — above the 83.1 national average — and filed 1,942 Medicare Part D claims in 2023.

89.042/100
MIPS score · +6 vs avg
2K
Part D claims, 2023
89%
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.

PAUL KENWORTHY, MD's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

89 Top 42% higher than 58% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). This entry sits in this band. 90–100: 189,403 scored providers (40%). Above this entry. This provider 0 100 every MIPS-scored clinician, bucketed by value

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

Board certification likely (heuristic — not verified)

PAUL KENWORTHY, 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).

What does the federal data show about PAUL KENWORTHY, MD?

High performer (top quartile)

NPI registry status

Active

Issued 03/28/2006

NPI 1295795698

Primary specialty

Urology Physician

Mid-sized

13,350 US NPIs in this specialty

Medicare Part D claims

1,942 52% vs specialty avg

2023 prescription claims

Specialty avg: 1,280

MIPS final score

89.042/100 5.942000000000007% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Texas

How Urology Physician compares to other specialties among Texas providers

Texas providers

Urology Physician share within Texas

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

Medicare quality performance — MIPS

PAUL KENWORTHY, MD's 2023 MIPS final score plotted against the Urology Physician national average

High performer (top quartile)
MIPS Final Score
89.042/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Urology Physician) — 89.042/100 vs national avg 83.1

0%100%National avg83%89%
MIPS final score (Urology Physician) — 89.042/100 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 KENWORTHY, MD appears in the CMS NPPES registry as a Urology Physician provider holding MD credentials at 100 MEDICAL CENTER PKWY STE 600, HUNTSVILLE, TX, 77340, with a listed phone of (936) 435-9200. NPI 1295795698 was issued on 03/28/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what KENWORTHY 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 1,942 prescription claims written by this provider, covering 592 Medicare beneficiaries and totaling roughly $345K in drug spend, split 11% brand-name and 89% generic by claim count, with an opioid prescribing rate of 5.6%. 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 89.042/100 for the 2023 performance year (Quality 100, Cost 67.64), 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

100 MEDICAL CENTER PKWY STE 600
HUNTSVILLE, TX 77340

Provider Details

NPI 1295795698
Specialty Urology Physician
Credentials MD
Gender Male
NPI Issued 03/28/2006

CMS Quality Score (MIPS)

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

89.042
Final Score
Avg: 83.1
100
Quality
67.64
Cost
95
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where PAUL KENWORTHY, 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.

DAVID P ELLENT PLLC
HUNTSVILLE, TX

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

Total received

$429

Largest payer

PROCEPT BioRobotics Corporation

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.

License & disciplinary context — Texas TMB 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 ~77K Texas medical licensees in 2023 — they are NOT specific to PAUL KENWORTHY, MD. To verify PAUL KENWORTHY, MD's current license status, search the TMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

344
Total board actions, Texas 2023
Across 334 cases
4.47
Actions per 1,000 licensees
Texas statewide rate
probation
Most common action type
94 cases

TMB 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 Texas disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

PAUL KENWORTHY, MD — brand share 11.0%
Specialty average (est.)

11% brand-name claims vs 89% generic, on 1,942 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.

1,942
Total Claims
$345K
Total Drug Cost
592
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
2,981
Total Day Supply
69,238
Brand vs Generic
11% brand / 89% generic
Brand Drug Cost
$313K
Generic Drug Cost
$32K
Opioid Claims
109 (5.6% rate)
Antibiotic Claims
606

Patient Demographics

Average Patient Age
75.3 years
Avg HCC Risk Score
1.40
Gender Split
27% female / 73% male
Age Distribution
<65: 32, 65-74: 242, 75-84: 249, 85+: 69

Top Prescribed Drugs (Medicare Part D)

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

What PAUL KENWORTHY, 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
Tamsulosin Hcl
284
Oxybutynin Chloride
171
Finasteride
130
Sulfamethoxazole-Trimethoprim
Sulfamethoxazole/Trimethoprim
127
Cefdinir
125
Cephalexin
112
Acetaminophen-Codeine
Acetaminophen With Codeine
101
Nitrofurantoin
Nitrofurantoin Macrocrystal
88
Ciprofloxacin Hcl
79
Myrbetriq
Mirabegron
79

* 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 KENWORTHY, MD 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 KENWORTHY, MD's 1,942 claims are above the specialty average of 1,280.

Nearby Urology Physician Providers in Texas

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

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

Frequently Asked Questions

What is PAUL KENWORTHY, MD's specialty?
PAUL KENWORTHY, MD specializes in Urology Physician and practices in HUNTSVILLE, Texas. Credentials: MD.
How much does PAUL KENWORTHY, MD prescribe under Medicare Part D?
In 2023, PAUL KENWORTHY, MD wrote 1,942 Medicare Part D claims totaling $345K in drug costs for 592 beneficiaries.
What is PAUL KENWORTHY, MD's Medicare quality score?
PAUL KENWORTHY, MD has a CMS MIPS Final Score of 89.042/100 (Quality: 100, Cost: 67.64). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is PAUL KENWORTHY, MD located?
PAUL KENWORTHY, MD is located at 100 MEDICAL CENTER PKWY STE 600, HUNTSVILLE, TX, 77340. Phone: (936) 435-9200.
What is PAUL KENWORTHY, MD's NPI number?
PAUL KENWORTHY, MD's National Provider Identifier (NPI) is 1295795698, issued on 03/28/2006.
Does PAUL KENWORTHY, MD prescribe more brand-name or generic drugs?
PAUL KENWORTHY, MD's prescribing is 11% brand-name and 89% generic drugs by claim count, with $313K in brand drug costs.
Does PAUL KENWORTHY, MD prescribe opioids?
Yes, PAUL KENWORTHY, MD had 109 opioid claims in 2023 with an opioid prescribing rate of 5.6%.
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 KENWORTHY, MD prescribe most often?
Based on 2023 Medicare Part D data, PAUL KENWORTHY, MD's most frequently prescribed drugs include Tamsulosin Hcl, Oxybutynin Chloride, Finasteride. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does PAUL KENWORTHY, MD accept Medicare?
PAUL KENWORTHY, MD appears in CMS Medicare data with 1,942 Part D claims and 592 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify PAUL KENWORTHY, MD's credentials?
PAUL KENWORTHY, MD's NPI is 1295795698 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