PAUL WORTMAN, M.D.
Dermatology Physician in WINSTON SALEM, North Carolina. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.
What the federal data shows
PAUL WORTMAN, M.D. filed 308 Medicare Part D claims in 2023 as a Dermatology Physician in WINSTON SALEM, North Carolina, prescribing 91% generic.
- 308
- Part D claims, 2023
- 91%
- generic prescribing
- $112.97
- industry payments (Sunshine Act)
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 WORTMAN, M.D.'s Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023 — across all CMS prescribers nationally
308 Top 43% higher than 57% of 1,370,886 prescribers
Each bar is a band; taller bars hold more prescribers. 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 Medicare Part D Prescriber Public Use File · 2023
PAUL WORTMAN, M.D. practices in an ABMS-board-eligible specialty but we don't have enough CMS-participation signals to confirm active board-certified status. Consult CertificationMatters.org (the official ABMS public lookup).
What does the federal data show about PAUL WORTMAN, M.D.?
Quality data not reportedPrimary specialty
Medicare Part D claims
Specialty distribution in North Carolina
How Dermatology Physician compares to other specialties among North Carolina providers
Dermatology Physician share within North Carolina
Dermatology Physician is one of the more visible NUCC categories in North Carolina
Each bar reflects the share of in-state providers whose primary NUCC taxonomy matches the specialty. Long tail of ~690 NUCC codes folded into "Other" to keep the comparison legible.
Specialty board-certification context
Estimated specialty board-certified rate — Dermatology Physician (ABMS / AOA reference)
- Est. board-certified rate
- 78%
- Dermatology Physician ABMS/AOA estimate
Est. board-certified rate (Dermatology Physician) — ABMS / AOA estimate
Verify credentials
- Verify via ABMS free public lookup
- Verify via AOA osteopathic boards
- Specialty volume Dermatology Physician US NPIs
Specialty board-certified rate — Dermatology Physician estimate
Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus Maintenance of Certification cycles. CMS does not publish a per-provider board-certification field; the figure shown is the specialty-level estimated rate from ABMS / AOA reference data.
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 WORTMAN, M.D. appears in the CMS NPPES registry as a Dermatology Physician provider holding M.D. credentials at 127 S POPLAR ST, WINSTON SALEM, NC, 27101, with a listed phone of (336) 893-8423. NPI 1932108461 was issued on 07/18/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what WORTMAN 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 308 prescription claims written by this provider, covering 148 Medicare beneficiaries and totaling roughly $270K in drug spend, split 9% brand-name and 91% generic by claim count. 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.
Dermatology Physician is a mid-sized specialty nationwide, with 14,610 enrolled providers across 53 states and an average of 729 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 | 1932108461 |
|---|---|
| Specialty | Dermatology Physician |
| Credentials | M.D. |
| Gender | Male |
| NPI Issued | 07/18/2005 |
Verify this provider's license
PlainDoctor pulls this profile from the CMS NPPES public registry. Confirm PAUL WORTMAN, M.D.'s current license status, disciplinary history, and board certifications with the North Carolina Medical Board in North Carolina before relying on this page for a clinical or care decision.
How we sourced this profile
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 WORTMAN, M.D.. Source: openpaymentsdata.cms.gov.
Total received
$113
Largest payer
SUN PHARMACEUTICAL INDUSTRIES INC.
Most common payment type
Education
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
9% brand-name claims vs 91% generic, on 308 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.
Prescribing Breakdown
- 30-Day Fills
- 353
- Total Day Supply
- 8,242
- Brand vs Generic
- 9% brand / 91% generic
- Brand Drug Cost
- $255K
- Generic Drug Cost
- $15K
- Antibiotic Claims
- 47
Patient Demographics
- Average Patient Age
- 73.6 years
- Avg HCC Risk Score
- 1.21
- Gender Split
- 43% female / 57% male
- Age Distribution
- <65: 12, 65-74: 71, 75-84: 49, 85+: 16
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What PAUL WORTMAN, M.D. prescribes most
Top Medicare Part D drugs by claim count, 2023
- Triamcinolone Acet…
Triamcinolone Acetonide
43 claims
- Cephalexin
Cephalexin
34 claims
- Imiquimod
Imiquimod
34 claims
- Ketoconazole
Ketoconazole
34 claims
- Fluorouracil
Fluorouracil
27 claims
- Clobetasol Propion…
Clobetasol Propionate
22 claims
- Calcipotriene
Calcipotriene
18 claims
- Halobetasol Propio…
Halobetasol Propionate
18 claims
| Drug | Claims |
|---|---|
| Triamcinolone Acetonide | 43 |
| Cephalexin | 34 |
| Imiquimod | 34 |
| Ketoconazole | 34 |
| Fluorouracil | 27 |
| Clobetasol Propionate | 22 |
| Calcipotriene | 18 |
| Halobetasol Propionate | 18 |
| Humira Pen Adalimumab | 13 |
| Mupirocin | 12 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Dermatology Physician Overview
How PAUL WORTMAN, M.D. fits within the Dermatology Physician landscape nationally.
PAUL WORTMAN, M.D.'s 308 claims are below the specialty average of 729.
Nearby Dermatology Physician Providers in North Carolina
Other clinicians with the same primary specialty enrolled in North Carolina, drawn from the same CMS NPPES roster as WORTMAN.
Compare Dermatology Physician nationally: see state-by-state distribution →
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Frequently Asked Questions
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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.
- 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