2026 NPPES data Family Medicine Physician NPI 1720114226 MD
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Randolph Lanford, MD

Family Medicine Physician in Fork Union, Virginia. 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
9K
Medicare Part D claims · 495 beneficiaries · Family Medicine Physician avg: 3K
Generic prescribing
87%
generic claims · 13% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
26.3/100
▼ 57 pts below national avg 83.1 · [object Object]
Industry payments
$530.2
29 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

Randolph Lanford, MD reported a CMS MIPS final score of 26.3/100 — below the 83.1 national average — and filed 8,660 Medicare Part D claims in 2023.

26.3/100
MIPS score · -57 vs avg
9K
Part D claims, 2023
87%
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.

Randolph Lanford, MD's MIPS score vs every scored U.S. clinician

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

26 3rd percentile higher than 3% 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%). This entry sits in this band. 30–40: 2,746 scored providers (1%). Above this entry. 40–50: 2,928 scored providers (1%). Above this entry. 50–60: 5,882 scored providers (1%). Above this entry. 60–70: 13,906 scored providers (3%). Above this entry. 70–80: 118,074 scored providers (25%). Above this entry. 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)

Randolph Lanford, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting — 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 Randolph Lanford, MD?

Below national average

NPI registry status

Active

Issued 02/26/2007

NPI 1720114226

Primary specialty

Family Medicine Physician

High-volume

147,640 US NPIs in this specialty

Medicare Part D claims

8,660 153% vs specialty avg

2023 prescription claims

Specialty avg: 3,418

MIPS final score

26.3/100 56.8 pts vs avg

Below average band

vs 83.1 national avg

Specialty distribution in Virginia

How Family Medicine Physician compares to other specialties among Virginia providers

Virginia providers

Family Medicine Physician share within Virginia

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

Medicare quality performance — MIPS

Randolph Lanford, MD's 2023 MIPS final score plotted against the Family Medicine Physician national average

Below national average
MIPS Final Score
26.3/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Family Medicine Physician) — 26.3/100 vs national avg 83.1

0%100%National avg83%26.3%
MIPS final score (Family Medicine Physician) — 26.3/100 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).

Randolph Lanford, MD appears in the CMS NPPES registry as a Family Medicine Physician provider holding MD credentials at 4064 JAMES MADISON HWY, Fork Union, VA, 23055, with a listed phone of (434) 842-3244. NPI 1720114226 was issued on 02/26/2007. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Lanford 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 8,660 prescription claims written by this provider, covering 495 Medicare beneficiaries and totaling roughly $834K in drug spend, split 13% brand-name and 87% generic by claim count, with an opioid prescribing rate of 6.1%. 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 26.3/100 for the 2023 performance year (Quality 0, Cost 87.7), compared with the national average of 83.1.

Family Medicine Physician is a high-volume specialty nationwide, with 147,640 enrolled providers across 56 states and an average of 3,418 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

4064 JAMES MADISON HWY
Fork Union, VA 23055

Provider Details

NPI 1720114226
Specialty Family Medicine Physician
Credentials MD
Gender Male
NPI Issued 02/26/2007

CMS Quality Score (MIPS)

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

26.3072
Final Score
Avg: 83.1
0
Quality
87.6905
Cost

Reporting: Individual

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 Randolph Lanford, MD. Source: openpaymentsdata.cms.gov.

Total received

$530

Largest payer

Novartis Pharmaceuticals Corporation

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

Randolph Lanford, MD — brand share 13.0%
Specialty average (est.)

13% brand-name claims vs 87% generic, on 8,660 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.

8,660
Total Claims
$834K
Total Drug Cost
495
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
15,273
Total Day Supply
436,717
Brand vs Generic
13% brand / 87% generic
Brand Drug Cost
$684K
Generic Drug Cost
$145K
Opioid Claims
526 (6.1% rate)
Antibiotic Claims
392

Patient Demographics

Average Patient Age
73.5 years
Avg HCC Risk Score
1.04
Gender Split
57% female / 43% male
Age Distribution
<65: 43, 65-74: 220, 75-84: 189, 85+: 43

Top Prescribed Drugs (Medicare Part D)

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

What Randolph Lanford, 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
Rosuvastatin Calcium
521
Amlodipine Besylate
349
Metformin Hcl
322
Lisinopril
246
Levothyroxine Sodium
211
Tramadol Hcl
210
Atorvastatin Calcium
179
Losartan Potassium
177
Omeprazole
173
Simvastatin
168

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

Family Medicine Physician Overview

How Randolph Lanford, MD fits within the Family Medicine Physician landscape nationally.

147,640
Family Medicine Physician Providers in US
56
States with Family Medicine Physician
3,418
Avg Claims per Provider

Randolph Lanford, MD's 8,660 claims are above the specialty average of 3,418.

Nearby Family Medicine Physician Providers in Virginia

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

Compare Family Medicine Physician 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 Virginia medical board — federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Family Medicine Physician 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.

Frequently Asked Questions

What is Randolph Lanford, MD's specialty?
Randolph Lanford, MD specializes in Family Medicine Physician and practices in Fork Union, Virginia. Credentials: MD.
How much does Randolph Lanford, MD prescribe under Medicare Part D?
In 2023, Randolph Lanford, MD wrote 8,660 Medicare Part D claims totaling $834K in drug costs for 495 beneficiaries.
What is Randolph Lanford, MD's Medicare quality score?
Randolph Lanford, MD has a CMS MIPS Final Score of 26.3/100 (Quality: 0, Cost: 87.7). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Randolph Lanford, MD located?
Randolph Lanford, MD is located at 4064 JAMES MADISON HWY, Fork Union, VA, 23055. Phone: (434) 842-3244.
What is Randolph Lanford, MD's NPI number?
Randolph Lanford, MD's National Provider Identifier (NPI) is 1720114226, issued on 02/26/2007.
Does Randolph Lanford, MD prescribe more brand-name or generic drugs?
Randolph Lanford, MD's prescribing is 13% brand-name and 87% generic drugs by claim count, with $684K in brand drug costs.
Does Randolph Lanford, MD prescribe opioids?
Yes, Randolph Lanford, MD had 526 opioid claims in 2023 with an opioid prescribing rate of 6.1%.
How many Family Medicine Physician providers are there in the US?
There are 147,640 Family Medicine Physician providers across 56 states in the US. The average Family Medicine Physician provider writes 3,418 Medicare Part D claims per year.
What drugs does Randolph Lanford, MD prescribe most often?
Based on 2023 Medicare Part D data, Randolph Lanford, MD's most frequently prescribed drugs include Rosuvastatin Calcium, Amlodipine Besylate, Metformin Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Randolph Lanford, MD accept Medicare?
Randolph Lanford, MD appears in CMS Medicare data with 8,660 Part D claims and 495 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Randolph Lanford, MD's credentials?
Randolph Lanford, MD's NPI is 1720114226 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