2026 NPPES data Urology Physician NPI 1871685339 MD
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PHILIP PROCTOR, MD

Urology Physician in GREENBELT, Maryland. 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
1K
Medicare Part D claims · 386 beneficiaries · Urology Physician avg: 1K
Generic prescribing
84%
generic claims · 16% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
78.6006/100
▼ 4 pts below national avg 83.1 · [object Object]
Industry payments
$853.57
39 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

PHILIP PROCTOR, MD reported a CMS MIPS final score of 78.6006/100 — below the 83.1 national average — and filed 1,466 Medicare Part D claims in 2023.

78.6006/100
MIPS score · -4 vs avg
1K
Part D claims, 2023
84%
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.

PHILIP PROCTOR, MD's MIPS score vs every scored U.S. clinician

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

79 27th percentile higher than 27% 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%). This entry sits in this band. 80–90: 129,887 scored providers (27%). Above this entry. 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)

PHILIP PROCTOR, 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 PHILIP PROCTOR, MD?

Near national average

NPI registry status

Active

Issued 09/29/2006

NPI 1871685339

Primary specialty

Urology Physician

Mid-sized

13,350 US NPIs in this specialty

Medicare Part D claims

1,466 15% vs specialty avg

2023 prescription claims

Specialty avg: 1,280

MIPS final score

78.6006/100 4.499399999999994% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Maryland

How Urology Physician compares to other specialties among Maryland providers

Maryland providers

Urology Physician share within Maryland

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

Medicare quality performance — MIPS

PHILIP PROCTOR, MD's 2023 MIPS final score plotted against the Urology Physician national average

Near national average
MIPS Final Score
78.6006/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Urology Physician) — 78.6006/100 vs national avg 83.1

0%100%National avg83%78.6%
MIPS final score (Urology Physician) — 78.6006/100 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).

PHILIP PROCTOR, MD appears in the CMS NPPES registry as a Urology Physician provider holding MD credentials at 7500 GREENWAY CENTER DR FL 8, GREENBELT, MD, 20770, with a listed phone of (301) 477-2000. NPI 1871685339 was issued on 09/29/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what PROCTOR 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 1,466 prescription claims written by this provider, covering 386 Medicare beneficiaries and totaling roughly $700K in drug spend, split 16% brand-name and 84% generic by claim count, with an opioid prescribing rate of 1.5%. 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 78.6006/100 for the 2023 performance year (Quality 54.4572), 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

7500 GREENWAY CENTER DR FL 8
GREENBELT, MD 20770

Provider Details

NPI 1871685339
Specialty Urology Physician
Credentials MD
Gender Male
NPI Issued 09/29/2006

CMS Quality Score (MIPS)

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

78.6006
Final Score
Avg: 83.1
54.4572
Quality

Reporting: Individual

Hospital and facility affiliations

Facilities where PHILIP PROCTOR, 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.

MIDATLANTIC UROLOGY ASSOCIATES LLC
ANNAPOLIS, MD

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 PHILIP PROCTOR, MD. Source: openpaymentsdata.cms.gov.

Total received

$854

Largest payer

Bayer Healthcare 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

PHILIP PROCTOR, MD — brand share 16.0%
Specialty average (est.)

16% brand-name claims vs 84% generic, on 1,466 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.

1,466
Total Claims
$700K
Total Drug Cost
386
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
3,013
Total Day Supply
84,951
Brand vs Generic
16% brand / 84% generic
Brand Drug Cost
$658K
Generic Drug Cost
$42K
Opioid Claims
22 (1.5% rate)
Antibiotic Claims
210

Patient Demographics

Average Patient Age
73.9 years
Avg HCC Risk Score
1.25
Gender Split
16% female / 84% male
Age Distribution
<65: 23, 65-74: 197, 75-84: 126, 85+: 40

Top Prescribed Drugs (Medicare Part D)

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

What PHILIP PROCTOR, 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
472
Finasteride
152
Oxybutynin Chloride Er
Oxybutynin Chloride
123
Myrbetriq
Mirabegron
91
Ciprofloxacin Hcl
86
Nitrofurantoin Mono-Macro
Nitrofurantoin Monohyd/M-Cryst
53
Gemtesa
Vibegron
43
Alfuzosin Hcl Er
Alfuzosin Hcl
36
Testosterone
35
Doxazosin Mesylate
30

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

Urology Physician Overview

How PHILIP PROCTOR, 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

PHILIP PROCTOR, MD's 1,466 claims are above the specialty average of 1,280.

Nearby Urology Physician Providers in Maryland

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

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

Frequently Asked Questions

What is PHILIP PROCTOR, MD's specialty?
PHILIP PROCTOR, MD specializes in Urology Physician and practices in GREENBELT, Maryland. Credentials: MD.
How much does PHILIP PROCTOR, MD prescribe under Medicare Part D?
In 2023, PHILIP PROCTOR, MD wrote 1,466 Medicare Part D claims totaling $700K in drug costs for 386 beneficiaries.
What is PHILIP PROCTOR, MD's Medicare quality score?
PHILIP PROCTOR, MD has a CMS MIPS Final Score of 78.6006/100 (Quality: 54.4572). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is PHILIP PROCTOR, MD located?
PHILIP PROCTOR, MD is located at 7500 GREENWAY CENTER DR FL 8, GREENBELT, MD, 20770. Phone: (301) 477-2000.
What is PHILIP PROCTOR, MD's NPI number?
PHILIP PROCTOR, MD's National Provider Identifier (NPI) is 1871685339, issued on 09/29/2006.
Does PHILIP PROCTOR, MD prescribe more brand-name or generic drugs?
PHILIP PROCTOR, MD's prescribing is 16% brand-name and 84% generic drugs by claim count, with $658K in brand drug costs.
Does PHILIP PROCTOR, MD prescribe opioids?
Yes, PHILIP PROCTOR, MD had 22 opioid claims in 2023 with an opioid prescribing rate of 1.5%.
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 PHILIP PROCTOR, MD prescribe most often?
Based on 2023 Medicare Part D data, PHILIP PROCTOR, MD's most frequently prescribed drugs include Tamsulosin Hcl, Finasteride, Oxybutynin Chloride Er. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does PHILIP PROCTOR, MD accept Medicare?
PHILIP PROCTOR, MD appears in CMS Medicare data with 1,466 Part D claims and 386 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify PHILIP PROCTOR, MD's credentials?
PHILIP PROCTOR, MD's NPI is 1871685339 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