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2026 NPPES data Urology Physician NPI 1619940640 MD
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Randall Dooley, MD

Urology Physician in O Fallon, Illinois.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 13,606 in Urology Physician, 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
856
Medicare Part D claims · 265 beneficiaries · Urology Physician avg: 1K
MIPS score
28.2/100
▼ 55 pts below national avg 83.5 · Below average
Industry payments
$1.7K
43 payments · CMS Open Payments (Sunshine Act)
Verify NPI on CMS Methodology
Compiled from official public sources by the editorial process.

What the federal data shows

Randall Dooley, MD reported a CMS MIPS final score of 28.2/100 - below the 83.5 national average - and filed 856 Medicare Part D claims in 2024.

28.2/100
MIPS score · -55 vs avg
856
Part D claims, 2024
Likely
board-certified (heuristic)
≥3rd
pct among measured MIPS (lower-bound band)

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.

Federal trust snapshot

What official records show about Randall Dooley, MD

Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.

  • Verified

    NPI registry status

    Active listing in the CMS National Provider Identifier Registry (NPI 1619940640), first enumerated 02/09/2006.

    Source: CMS NPPES

  • Reported

    Medicare Part D participation

    Filed 856 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.

    Source: CMS Part D Prescriber PUF

  • Reported

    CMS quality reporting (MIPS)

    Reported a CMS MIPS final score of 28.2/100 in the Quality Payment Program — a federal quality measure, not a patient review.

    Source: CMS Quality Payment Program

  • Reported

    Board certification signal

    Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.

    Source: NUCC taxonomy + CMS participation heuristic

  • Reported

    Hospital affiliations

    1 CMS Care Compare hospital affiliation on record — practice footprint from the Doctors and Clinicians file.

    Source: CMS Care Compare

  • Reported

    Industry payment transparency

    $1.7K in reported industry payments (43 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.

    Source: CMS Open Payments

  • State context

    State board disciplinary context

    Illinois statewide board action statistics are published annually — these figures describe aggregate state activity, not Randall Dooley, MD's individual license status. Verify directly with the state medical board.

    Source: IDFPR annual report 2023

  • Not in federal data

    Individual sanction lookup

    PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.

    Source: State medical board / FSMB

This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.

CMS NPPES provider registry desk

NPI 1619940640 · Urology Physician

NPI-10 · ENUM-LEGACY · TAX-MID · MIPS-LOW · RX-LIGHT · BOOK-LIGHT · PHOTO-FINISH

  • NPI-10 1619940640
  • ENUM-LEGACY 2006
  • TAX-MID 14K Urology Physician
  • MIPS-LOW 28.2/100
  • RX-LIGHT 856
  • BOOK-LIGHT 577 in Illinois
  • PHOTO-FINISH Kiavash Nikkhou · ±0.1

MIPS final-score neighbourhood

Same-specialty nationwide peers by CMS final score, not geographic proximity

MIPS pts

What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).

Source CMS Quality Payment Program (MIPS) As of 2023

Randall Dooley, MD's MIPS score vs every measured U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.

28 ≥ 3rd percentile 3% of 454,083 measured providers are in lower value bands

0–10: 8,684 measured providers (2%). Below this entry. 10–20: 3,008 measured providers (1%). Below this entry. 20–30: 3,069 measured providers (1%). This entry sits in this band. 30–40: 2,746 measured providers (1%). Above this entry. 40–50: 2,928 measured providers (1%). Above this entry. 50–60: 5,882 measured providers (1%). Above this entry. 60–70: 13,906 measured providers (3%). Above this entry. 70–80: 94,570 measured providers (21%). Above this entry. 80–90: 129,887 measured providers (29%). Above this entry. 90+: 189,403 measured providers (42%). Above this entry. This provider 0 100 every measured MIPS clinician, bucketed by value

Each bar is a band; taller bars hold more measured 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.

The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Where Randall Dooley, MD sits

This provider among urology physician peers

Across the 4,091 urology physician providers who report both Medicare Part D prescribing and a MIPS quality score, Randall Dooley, MD writes more Part D claims than 36% of them and scores higher on MIPS quality than 4% - placing this provider in the lower-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality0255075100024.949.974.899.8Part D claim volume, percentile in specialtyMIPS quality, percentilePoint, Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 82Point, Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 73Point, Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 42Point, Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 52Point, Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 47Point, Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 57Point, Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 95Point, Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 40Point, Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 32Point, Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 72Point, Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 45Point, Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 3Point, Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 93Point, Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 80Point, Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 20Point, Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 25Point, Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 82Point, Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 30Point, Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 10Point, Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 95Point, Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 63Point, Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 67Point, Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 23Point, Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 50Point, Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 18Point, Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 28Point, Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 90Point, Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 17Point, Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 68Point, Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 95Point, Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 13Point, Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 7Point, Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 32Point, Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 58Point, Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 22Point, Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 55Point, Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 48Point, Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 15Point, Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 12Point, Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 62Point, Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 37Point, Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 75Point, Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 70Point, Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 65Point, Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 78Point, Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 77Point, Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 88Point, Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 82Point, Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 90Point, Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 2Point, Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 95Point, Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 35Point, Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 82Point, Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 38Point, Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 43Point, Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 52Point, Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 60Point, Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 27Point, Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 8Randall Dooley, MD, Part D claim volume, percentile in specialty: 36 · MIPS quality, percentile: 4
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one urology physician peer from a representative sample of 60; the gold marker is Randall Dooley, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

✓
Board certification likely (heuristic, not verified)

Randall Dooley, 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 Randall Dooley, MD?

Below national average

NPI registry status

Active

Issued 02/09/2006

NPI 1619940640

Primary specialty

Urology Physician

Mid-sized

13,606 US NPIs in this specialty

Medicare Part D claims

856 37% vs specialty avg

2024 prescription claims

Specialty avg: 1,354

MIPS final score

28.2/100 55.3 pts vs avg

Below average band

vs 83.5 national avg

Specialty distribution in Illinois

How Urology Physician compares to other specialties among Illinois providers

Illinois providers
Clinical Social Worker5.2%Physical Therapist4.9%Mental Health Counselor4.5%Speech-Language Pathologist4.2%Student in an Organized Heal…4.1%Pharmacist4.1%Urology Physician0.2%
Largest specialties in Illinois (% of in-state providers)

Medicare quality performance, MIPS

Randall Dooley, MD's 2023 MIPS final score plotted against the Urology Physician national average

Below national average
MIPS Final Score
28.2/100
vs 83.5 national avg · 2023 performance year
0%100%National avg84%28.2%
MIPS final score (Urology Physician) - 28.2/100 vs national avg 83.5
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).

Practice Address

3 SAINT ELIZABETH BLVD STE 5000
O Fallon, IL 62269
(618) 641-5803

Provider Details

NPI 1619940640
Specialty Urology Physician
Credentials MD
Gender Male
NPI Issued 02/09/2006

CMS Quality Score (MIPS)

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

28.1813
Final Score
Measured-score avg: 83.5
14.9202
Quality
54.0174
Cost
0
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where Randall Dooley, 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.

St. Lukes Urology, LLC
Saint Louis, MO

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 Randall Dooley, MD. Source: openpaymentsdata.cms.gov.

Total received

$1.7K

Largest payer

Teleflex LLC

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 - Illinois IDFPR 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 ~42K Illinois medical licensees in 2023 - they are NOT specific to Randall Dooley, MD. To verify Randall Dooley, MD's current license status, search the IDFPR public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

106
Total board actions, Illinois 2023
Across 103 cases
2.52
Actions per 1,000 licensees
Illinois statewide rate
probation
Most common action type
38 cases

IDFPR 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 Illinois disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2024.

856
Total Claims
$96K
Total Drug Cost
265
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,234.9
Total Day Supply
27,888
Generic Drug Cost
$13K
Opioid Claims
103 (12.0% rate)
Antibiotic Claims
267

Patient Demographics

Average Patient Age
74.9 years
Avg HCC Risk Score
1.50
Gender Split
20% female / 80% male
Age Distribution
<65: 15, 65-74: 118, 75-84: 96, 85+: 36

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.

What Randall Dooley, MD prescribes most

Top Medicare Part D drugs by claim count, 2024

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2024
Drug Claims
Tamsulosin Hcl
 120
Finasteride
 116
Cefdinir
 104
Gemtesa
Vibegron
89
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
74
Sulfamethoxazole-Trimethoprim
Sulfamethoxazole/Trimethoprim
62
Cephalexin
 35
Tramadol Hcl
 29
Methenamine Hippurate
 23
Levofloxacin
 21

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

More Urology Physician in IL → All providers in Illinois → Compare specialties →

Urology Physician Overview

How Randall Dooley, MD fits within the Urology Physician landscape nationally.

13,606
Urology Physician Providers in US
54
States with Urology Physician
1,354
Avg Claims per Provider

Randall Dooley, MD's 856 claims are below the specialty average of 1,354.

Nationwide Urology Physician peers with similar MIPS or enrollment year

Two federal-record peer sets for Dooley, both outside Illinois so the neighborhoods are not geographic containment.

Similar MIPS final score

Nearest same-specialty clinicians by CMS MIPS final score (28.2 here).

Kiavash Nikkhou 28.3 CA Joseph Ford 27.9 CA Kyle Himsl 28.5 CA Premal Desai 28.7 AZ

Same NPPES enumeration year (2006)

Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.

Augusto Tirado Miami, FL Henry Krahn Owatonna, MN Bharat Shah Northport, NY Robert Emery Batesville, AR

Nearby Urology Physician Providers in Illinois

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

One of 577 Urology Physician providers enrolled in Illinois, 5 are shown here.

Dr. Michael Abern
M.D.
Chicago, IL
Dr. Omer Acar
MD
Chicago, IL
Dr. Melanie Adamsky
M.D.
Melrose Park, IL
Piyush Agarwal
Chicago, IL
Dr. Arif Agha
MD
Oak Brook, IL

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

Frequently Asked Questions

What is Randall Dooley, MD's specialty? ▼
Randall Dooley, MD specializes in Urology Physician and practices in O Fallon, Illinois. Credentials: MD.
How much does Randall Dooley, MD prescribe under Medicare Part D? ▼
In 2024, Randall Dooley, MD wrote 856 Medicare Part D claims totaling $96K in drug costs for 265 beneficiaries.
What is Randall Dooley, MD's Medicare quality score? ▼
Randall Dooley, MD has a CMS MIPS Final Score of 28.2/100 (Quality: 14.9, Cost: 54). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Randall Dooley, MD located? ▼
Randall Dooley, MD is located at 3 SAINT ELIZABETH BLVD STE 5000, O Fallon, IL, 62269. Phone: (618) 641-5803.
What is Randall Dooley, MD's NPI number? ▼
Randall Dooley, MD's National Provider Identifier (NPI) is 1619940640, issued on 02/09/2006.
Does Randall Dooley, MD prescribe opioids? ▼
Yes, Randall Dooley, MD had 103 opioid claims in 2024 with an opioid prescribing rate of 12.0%.
How many Urology Physician providers are there in the US? ▼
There are 13,606 Urology Physician providers across 54 states in the US. The average Urology Physician provider writes 1,354 Medicare Part D claims per year.
What drugs does Randall Dooley, MD prescribe most often? ▼
Based on 2024 Medicare Part D data, Randall Dooley, MD's most frequently prescribed drugs include Tamsulosin Hcl, Finasteride, Cefdinir. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Randall Dooley, MD accept Medicare? ▼
Randall Dooley, MD appears in CMS Medicare data with 856 Part D claims and 265 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Randall Dooley, MD's credentials? ▼
Randall Dooley, MD's NPI is 1619940640 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

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 (2024). 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 August 2026 (NPPES) / 2024 (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

Compiled from official public sources by the editorial process.

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 August 2026.