NPI registry status
Active
2026 NPPES data Medical Physician Assistant NPI 1265859185 MD, PHD
Verify on CMS → Phillip Rappold, MD, PHD
Medical Physician Assistant in Rochester, New York.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 40,580 in Medical Physician Assistant, 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
320
Medicare Part D claims · 104 beneficiaries · Medical Physician Assistant avg: 1K
Generic prescribing
92%
generic claims · 8% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
89.4/100
▲ 6 pts above national avg 83.1 · Exceptional
Industry payments
$13.0K
15 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2023
What the federal data shows
Phillip Rappold, MD, PHD reported a CMS MIPS final score of 89.4/100 - above the 83.1 national average - and filed 320 Medicare Part D claims in 2023.
- 89.4/100
- MIPS score · +6 vs avg
- 320
- Part D claims, 2023
- 92%
- generic prescribing
- $13.0K
- 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.
Phillip Rappold, MD, PHD'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
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
Where Phillip Rappold, MD, PHD sits
This provider among medical physician assistant peers
Across the 7,339 medical physician assistant providers who report both Medicare Part D prescribing and a MIPS quality score, Phillip Rappold, MD, PHD writes more Part D claims than 48% of them and scores higher on MIPS quality than 57% - placing this provider in the lower-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Part D claim volume vs MIPS quality, by specialty percentile
Each dot is one medical physician assistant peer from a representative sample of 60; the gold marker is Phillip Rappold, MD, PHD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
What does the federal data show about Phillip Rappold, MD, PHD?
High performer (top quartile)Primary specialty
Medical Physician Assistant
Medicare Part D claims
320 70% vs specialty avg
MIPS final score
89.4/100 6.3 pts vs avg
Specialty distribution in New York
How Medical Physician Assistant compares to other specialties among New York providers
Medicare quality performance, MIPS
Phillip Rappold, MD, PHD's 2023 MIPS final score plotted against the Medical Physician Assistant national average
- MIPS Final Score
- 89.4/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Medical Physician Assistant) - 89.4/100 vs national avg 83.1
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).
Phillip Rappold, MD, PHD appears in the CMS NPPES registry as a Medical Physician Assistant provider holding MD, PHD credentials at 601 ELMWOOD AVE, Rochester, NY, 14642, with a listed phone of (585) 275-2723. NPI 1265859185 was issued on 03/28/2014.
Medicare Part D records for calendar year 2023 show 320 prescription claims written by this provider, covering 104 Medicare beneficiaries and totaling roughly $21K in drug spend, split 8% brand-name and 92% generic by claim count, with an opioid prescribing rate of 5.3%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 89.4/100 for the 2023 performance year (Quality 77.5, Cost 79.4), compared with the national average of 83.1.
Medical Physician Assistant is a mid-sized specialty nationwide, with 40,580 enrolled providers across 55 states and an average of 1,077 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 | 1265859185 |
|---|---|
| Specialty | Medical Physician Assistant |
| Credentials | MD, PHD |
| Gender | Male |
| NPI Issued | 03/28/2014 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
89.4402
Final Score
Avg: 83.1
77.4693
Quality
79.4291
Cost
100
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where Phillip Rappold, MD, PHD 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.
University Urology Associates
Rochester, NY
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 Phillip Rappold, MD, PHD. Source: openpaymentsdata.cms.gov.
Total received
$13.0K
Largest payer
UROGEN PHARMA, 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.
License & disciplinary context - New York NYSBPMC 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 ~100K New York medical licensees in 2023 - they are NOT specific to Phillip Rappold, MD, PHD. To verify Phillip Rappold, MD, PHD's current license status, search the NYSBPMC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
312
Total board actions, New York 2023
Across 302 cases
3.12
Actions per 1,000 licensees
New York statewide rate
probation
Most common action type
89 cases
NYSBPMC 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 New York disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Brand vs generic prescribing mix · Generic-heavy
Phillip Rappold, MD, PHD - brand share 8.0%
Medical Physician Assistant average
8% brand-name claims vs 92% generic, on 320 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.
320
Total Claims
$21K
Total Drug Cost
104
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 423
- Total Day Supply
- 10,149
- Brand vs Generic
- 8% brand / 92% generic
- Brand Drug Cost
- $15K
- Generic Drug Cost
- $6K
- Opioid Claims
- 17 (5.3% rate)
- Antibiotic Claims
- 62
Patient Demographics
- Average Patient Age
- 73.2 years
- Avg HCC Risk Score
- 1.55
- Gender Split
- 30% female / 70% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Phillip Rappold, MD, PHD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Tamsulosin Hcl
Tamsulosin Hcl
106 claims
- Oxybutynin Chlorid… 29
Oxybutynin Chloride Er
29 claims
- Myrbetriq 23
Myrbetriq
23 claims
- Trospium Chloride 17
Trospium Chloride
17 claims
- Sulfamethoxazole-T… 16
Sulfamethoxazole-Trimethoprim
16 claims
- Amoxicillin-Clavul… 15
Amoxicillin-Clavulanate Potass
15 claims
- Oxycodone Hcl 15
Oxycodone Hcl
15 claims
- Cephalexin 13
Cephalexin
13 claims
| Drug | Claims |
|---|---|
| Tamsulosin Hcl | 106 |
| Oxybutynin Chloride Er Oxybutynin Chloride | 29 |
| Myrbetriq Mirabegron | 23 |
| Trospium Chloride | 17 |
| Sulfamethoxazole-Trimethoprim Sulfamethoxazole/Trimethoprim | 16 |
| Amoxicillin-Clavulanate Potass Amoxicillin/Potassium Clav | 15 |
| Oxycodone Hcl | 15 |
| Cephalexin | 13 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Medical Physician Assistant Overview
How Phillip Rappold, MD, PHD fits within the Medical Physician Assistant landscape nationally.
40,580
Medical Physician Assistant Providers in US
55
States with Medical Physician Assistant
1,077
Avg Claims per Provider
Phillip Rappold, MD, PHD's 320 claims are below the specialty average of 1,077.
Nearby Medical Physician Assistant Providers in New York
Other clinicians with the same primary specialty enrolled in New York, drawn from the same CMS NPPES roster as Rappold.
Dr. Yesid Abad
PA C
New York, NY
Dr. Vincent Abanilla
PA-C
Brooklyn, NY
Dr. Stella Abayeva
P.A.
Forest Hills, NY
Dr. Amina Abdela
PA-C
Latham, NY
Dr. Hanan Abdelrahman
PA-C
Brooklyn, NY
Compare Medical Physician Assistant nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the New York medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Medical Physician Assistant peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
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Frequently Asked Questions
What is Phillip Rappold, MD, PHD's specialty? ▼
Phillip Rappold, MD, PHD specializes in Medical Physician Assistant and practices in Rochester, New York. Credentials: MD, PHD.
How much does Phillip Rappold, MD, PHD prescribe under Medicare Part D? ▼
In 2023, Phillip Rappold, MD, PHD wrote 320 Medicare Part D claims totaling $21K in drug costs for 104 beneficiaries.
What is Phillip Rappold, MD, PHD's Medicare quality score? ▼
Phillip Rappold, MD, PHD has a CMS MIPS Final Score of 89.4/100 (Quality: 77.5, Cost: 79.4). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Phillip Rappold, MD, PHD located? ▼
Phillip Rappold, MD, PHD is located at 601 ELMWOOD AVE, Rochester, NY, 14642. Phone: (585) 275-2723.
What is Phillip Rappold, MD, PHD's NPI number? ▼
Phillip Rappold, MD, PHD's National Provider Identifier (NPI) is 1265859185, issued on 03/28/2014.
Does Phillip Rappold, MD, PHD prescribe more brand-name or generic drugs? ▼
Phillip Rappold, MD, PHD's prescribing is 8% brand-name and 92% generic drugs by claim count, with $15K in brand drug costs.
Does Phillip Rappold, MD, PHD prescribe opioids? ▼
Yes, Phillip Rappold, MD, PHD had 17 opioid claims in 2023 with an opioid prescribing rate of 5.3%.
How many Medical Physician Assistant providers are there in the US? ▼
There are 40,580 Medical Physician Assistant providers across 55 states in the US. The average Medical Physician Assistant provider writes 1,077 Medicare Part D claims per year.
What drugs does Phillip Rappold, MD, PHD prescribe most often? ▼
Based on 2023 Medicare Part D data, Phillip Rappold, MD, PHD's most frequently prescribed drugs include Tamsulosin Hcl, Oxybutynin Chloride Er, Myrbetriq. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Phillip Rappold, MD, PHD accept Medicare? ▼
Phillip Rappold, MD, PHD appears in CMS Medicare data with 320 Part D claims and 104 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Phillip Rappold, MD, PHD's credentials? ▼
Phillip Rappold, MD, PHD's NPI is 1265859185 with credentials MD, PHD. 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.