2026 NPPES data Adult Medicine Physician NPI 1164487260 D.O.
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PHILIP WOODALL, D.O.

Adult Medicine Physician in ROUND ROCK, 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
23K
Medicare Part D claims · 811 beneficiaries · Adult Medicine Physician avg: 3K
Generic prescribing
90%
generic claims · 10% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
71.8432/100
▼ 11 pts below national avg 83.1 · [object Object]

What the federal data shows

PHILIP WOODALL, D.O. reported a CMS MIPS final score of 71.8432/100 — below the 83.1 national average — and filed 23,278 Medicare Part D claims in 2023.

71.8432/100
MIPS score · -11 vs avg
23K
Part D claims, 2023
90%
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 WOODALL, D.O.'s MIPS score vs every scored U.S. clinician

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

72 9th percentile higher than 9% 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 WOODALL, D.O. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 2 hospital affiliations — 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 WOODALL, D.O.?

Below national average

NPI registry status

Active

Issued 04/20/2006

NPI 1164487260

Primary specialty

Adult Medicine Physician

Niche

2,481 US NPIs in this specialty

Medicare Part D claims

23,278 729% vs specialty avg

2023 prescription claims

Specialty avg: 2,807

MIPS final score

71.8432/100 11.256799999999998% pts

Mid-tier band

vs 83.1 national avg

Specialty distribution in Texas

How Adult Medicine Physician compares to other specialties among Texas providers

Texas providers

Adult Medicine Physician share within Texas

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

Medicare quality performance — MIPS

PHILIP WOODALL, D.O.'s 2023 MIPS final score plotted against the Adult Medicine Physician national average

Below national average
MIPS Final Score
71.8432/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Adult Medicine Physician) — 71.8432/100 vs national avg 83.1

0%100%National avg83%71.8%
MIPS final score (Adult Medicine Physician) — 71.8432/100 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 WOODALL, D.O. appears in the CMS NPPES registry as a Adult Medicine Physician provider holding D.O. credentials at 1404 LAKE BLUFF CV, ROUND ROCK, TX, 78664, with a listed phone of (512) 246-6170. NPI 1164487260 was issued on 04/20/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what WOODALL 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 23,278 prescription claims written by this provider, covering 811 Medicare beneficiaries and totaling roughly $1.8 million in drug spend, split 10% brand-name and 90% generic by claim count, with an opioid prescribing rate of 3.8%. 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 71.8432/100 for the 2023 performance year (Quality 80.3003, Cost 15.7437), compared with the national average of 83.1.

Adult Medicine Physician is a narrow specialty nationwide, with 2,481 enrolled providers across 52 states and an average of 2,807 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

1404 LAKE BLUFF CV
ROUND ROCK, TX 78664

Provider Details

NPI 1164487260
Specialty Adult Medicine Physician
Credentials D.O.
Gender Male
NPI Issued 04/20/2006

CMS Quality Score (MIPS)

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

71.8432
Final Score
Avg: 83.1
80.3003
Quality
15.7437
Cost

Reporting: Group practice

Hospital and facility affiliations

Facilities where PHILIP WOODALL, D.O. 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.

LEGACY HEALTHCARE SERVICES INC
CEDAR PARK, TX
MINISTERING PHYSICIANS, P.A.
ROUND ROCK, 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).

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 PHILIP WOODALL, D.O.. To verify PHILIP WOODALL, D.O.'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

PHILIP WOODALL, D.O. — brand share 10.0%
Specialty average (est.)

10% brand-name claims vs 90% generic, on 23,278 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.

23,278
Total Claims
$1.8M
Total Drug Cost
811
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
29,647
Total Day Supply
821,774
Brand vs Generic
10% brand / 90% generic
Brand Drug Cost
$1.3M
Generic Drug Cost
$511K
Opioid Claims
894 (3.8% rate)
Antibiotic Claims
1,089

Patient Demographics

Average Patient Age
81.3 years
Avg HCC Risk Score
2.13
Gender Split
68% female / 32% male
Age Distribution
<65: 35, 65-74: 146, 75-84: 301, 85+: 329

Top Prescribed Drugs (Medicare Part D)

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

What PHILIP WOODALL, D.O. 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
Furosemide
1,202
Levothyroxine Sodium
1,076
Spironolactone
848
Gabapentin
693
Quetiapine Fumarate
685
Mirtazapine
643
Trazodone Hcl
504
Donepezil Hcl
502
Sertraline Hcl
499
Potassium Chloride
472

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

Adult Medicine Physician Overview

How PHILIP WOODALL, D.O. fits within the Adult Medicine Physician landscape nationally.

2,481
Adult Medicine Physician Providers in US
52
States with Adult Medicine Physician
2,807
Avg Claims per Provider

PHILIP WOODALL, D.O.'s 23,278 claims are above the specialty average of 2,807.

Nearby Adult Medicine Physician Providers in Texas

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

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

Frequently Asked Questions

What is PHILIP WOODALL, D.O.'s specialty?
PHILIP WOODALL, D.O. specializes in Adult Medicine Physician and practices in ROUND ROCK, Texas. Credentials: D.O..
How much does PHILIP WOODALL, D.O. prescribe under Medicare Part D?
In 2023, PHILIP WOODALL, D.O. wrote 23,278 Medicare Part D claims totaling $1.8M in drug costs for 811 beneficiaries.
What is PHILIP WOODALL, D.O.'s Medicare quality score?
PHILIP WOODALL, D.O. has a CMS MIPS Final Score of 71.8432/100 (Quality: 80.3003, Cost: 15.7437). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is PHILIP WOODALL, D.O. located?
PHILIP WOODALL, D.O. is located at 1404 LAKE BLUFF CV, ROUND ROCK, TX, 78664. Phone: (512) 246-6170.
What is PHILIP WOODALL, D.O.'s NPI number?
PHILIP WOODALL, D.O.'s National Provider Identifier (NPI) is 1164487260, issued on 04/20/2006.
Does PHILIP WOODALL, D.O. prescribe more brand-name or generic drugs?
PHILIP WOODALL, D.O.'s prescribing is 10% brand-name and 90% generic drugs by claim count, with $1.3M in brand drug costs.
Does PHILIP WOODALL, D.O. prescribe opioids?
Yes, PHILIP WOODALL, D.O. had 894 opioid claims in 2023 with an opioid prescribing rate of 3.8%.
How many Adult Medicine Physician providers are there in the US?
There are 2,481 Adult Medicine Physician providers across 52 states in the US. The average Adult Medicine Physician provider writes 2,807 Medicare Part D claims per year.
What drugs does PHILIP WOODALL, D.O. prescribe most often?
Based on 2023 Medicare Part D data, PHILIP WOODALL, D.O.'s most frequently prescribed drugs include Furosemide, Levothyroxine Sodium, Spironolactone. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does PHILIP WOODALL, D.O. accept Medicare?
PHILIP WOODALL, D.O. appears in CMS Medicare data with 23,278 Part D claims and 811 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify PHILIP WOODALL, D.O.'s credentials?
PHILIP WOODALL, D.O.'s NPI is 1164487260 with credentials D.O.. 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