Rachel B. Cain, M.D.
Otolaryngology Physician · Durango, CO
Rachel B. Cain, M.D. is an otolaryngology physician with a practice address in Durango, Colorado, and NPI 1710277975, issued on Apr 8, 2011. Check the license (Colorado DR.0055530, as entered in NPPES) on the Colorado Medical Board; the Medicare figures below come from public CMS files.
- Name
- Rachel B. Cain
- Credential
- M.D.
- Primary taxonomy
- Otolaryngology Physician 207Y00000X
- License numbers
- DR.0055530 CO
45945 AZ
Self-reported in NPPES; status is on the state search - Practice location
- 1 Mercado St, Durango, CO 81301
- Phone
- (970) 385-7272
- Enumerated
- Apr 8, 2011
- Record last updated
- Jul 2, 2016 (not updated in 10 years: call before relying on the address or phone)
- Fax
- (970) 385-7299
- Medicare enrollment
- Enrolled (PECOS I20160615000210); accepts Medicare assignment
- Medical or professional school
- University Of Vermont College Of Medicine, 2011
- Entity
- Type 1 · individual
8 nearest otolaryngology physician records → All 188 in Colorado → Look up another NPI →
Also registered at 1 Mercado St
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Charles Alexander, PT, DPTPhysical Therapist1306185129
- Jennifer Berridge, LMT, NCMTMassage Therapist1033236856
- Emily Billstein, PA-CPhysician Assistant1174906754
- Claudia Bleth, LAC, RNAcupuncturist1235469362
- Cyril Bohachevsky, M.D.Physical Medicine & Rehabilitation Physician1447201033
- Steven Bush, MDRadiation Oncology Physician1780687889
Verify Rachel B. Cain in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersColorado Medical Board
Search for license DR.0055530Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
45% fewer Medicare Part D claims than the average otolaryngology physician in 2024
296 Medicare Part D claims for 118 beneficiaries, against an average of 541 among the 8,339 providers of this specialty who prescribed in Part D. Brand-name drugs were 11% of claims. 50 claims were for opioids.
Most prescribed
- Fluticasone Propionate42 claims
- Hydrocodone-Acetaminophen42 claims
- Ipratropium Bromide33 claims
- Ondansetron Odt31 claims
- Azelastine Hcl17 claims
- Levothyroxine Sodium16 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The MIPS final score for 2023 (Medicare payment program): 91 of 100
The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $244.95
11 payments; by number, the most common kind was food and beverage; the largest payer was Inspire Medical Systems, Inc. The 6,429 providers of this specialty with any payment received $1,922.50 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through one group practice
- Southwestern Colorado Ear Nose And ThroatDurango, CO
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Rachel B. Cain among 188 otolaryngology physician records in Colorado
Rachel B. Cain, M.D. is one of 188 otolaryngology physician records with a practice address in Colorado. 81% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2011, is newer than 68% of them.
- NPI issued2011 · 68% of these records are older, 27% newer
- In a Medicare fileYes · 81% of these records are
- In the CMS Doctors and Clinicians fileYes · 72% of these records are
- Graduated2011 · median 2007 among the 136 with a school on file
- Record last updated2016 · 55% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207Y00000X and a Colorado practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Otolaryngology Physician providers in Colorado
There are 188 otolaryngology physician records in Colorado.
All 188 in Colorado → Every provider in Durango → Otolaryngology Physician nationwide →
The 8 otolaryngology physician records with the nearest ZIP codes
- Ethan Paddock, MDDurango, CO 813011548840622
- Gregory Schackel, M.D.Durango, CO 813011831148352
- William Williams, MDDurango, CO 813011033144621
- Philip Wiley, MDDurango, CO 813031467419135
- Brandon Bentz, MDGunnison, CO 812301679663207
- Brian Dodds, MDCanon City, CO 812121922171776
- William Detar, DOSalida, CO 812011497311435
- Charles Harper, MDMontrose, CO 814011457318529
Common questions
What is Rachel B. Cain, M.D.'s NPI number?
Rachel B. Cain, M.D.'s National Provider Identifier (NPI) is 1710277975, issued on Apr 8, 2011. An NPI identifies a provider in billing; it is not a license.
Where is Rachel B. Cain, M.D. located?
The NPPES record lists a practice address at 1 Mercado St, Durango, CO, 81301. Phone: (970) 385-7272. Providers update this record themselves, so call before visiting.
How can I verify Rachel B. Cain, M.D.'s license?
NPPES lists Colorado license number DR.0055530, as entered by the provider. Search the Colorado Medical Board at https://dpo.colorado.gov/Medical. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Rachel B. Cain, M.D. prescribe under Medicare Part D?
In 2024, Rachel B. Cain, M.D. had 296 Medicare Part D claims for 118 beneficiaries; the average among otolaryngology physician prescribers was 541. Part D covers Medicare prescriptions only.
What is Rachel B. Cain, M.D.'s MIPS final score?
The 2023 MIPS final score is 91 of 100. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.