2026 NPPES data Brain Injury Medicine (Psychiatry & Neurology) Physician NPI 1538352430 MD
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RANDOLPH STEPHENSON, MD

Brain Injury Medicine (Psychiatry & Neurology) Physician in FAIRFAX, 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
2K
Medicare Part D claims · 242 beneficiaries · Brain Injury Medicine (Psychiatry & Neurology) Physician avg: 1K
Generic prescribing
82%
generic claims · 18% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
97.2467/100
▲ 14 pts above national avg 83.1 · [object Object]

What the federal data shows

RANDOLPH STEPHENSON, MD reported a CMS MIPS final score of 97.2467/100 — above the 83.1 national average — and filed 1,586 Medicare Part D claims in 2023.

97.2467/100
MIPS score · +14 vs avg
2K
Part D claims, 2023
82%
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 STEPHENSON, MD's MIPS score vs every scored U.S. clinician

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

97 Top 15% higher than 85% 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%). Below this entry. 80–90: 129,887 scored providers (27%). Below this entry. 90–100: 189,403 scored providers (40%). This entry sits in this band. 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 STEPHENSON, MD 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 RANDOLPH STEPHENSON, MD?

High performer (top quartile)

NPI registry status

Active

Issued 08/23/2007

NPI 1538352430

Primary specialty

Brain Injury Medicine (Psychiatry & Neurology) Physician

Rare

21 US NPIs in this specialty

Medicare Part D claims

1,586 15% vs specialty avg

2023 prescription claims

Specialty avg: 1,382

MIPS final score

97.2467/100 14.14670000000001% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Virginia

How Brain Injury Medicine (Psychiatry & Neurology) Physician compares to other specialties among Virginia providers

Virginia providers

Brain Injury Medicine (Psychiatry & Neurology) Physician share within Virginia

1. Brain Injury Medicine (Psychiatry & Neurology) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Brain Injury Medicine (Psychiatry & Neurology) Physician share within Virginia

Medicare quality performance — MIPS

RANDOLPH STEPHENSON, MD's 2023 MIPS final score plotted against the Brain Injury Medicine (Psychiatry & Neurology) Physician national average

High performer (top quartile)
MIPS Final Score
97.2467/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Brain Injury Medicine (Psychiatry & Neurology) Physician) — 97.2467/100 vs national avg 83.1

0%100%National avg83%97.2%
MIPS final score (Brain Injury Medicine (Psychiatry & Neurology) Physician) — 97.2467/100 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 STEPHENSON, MD appears in the CMS NPPES registry as a Brain Injury Medicine (Psychiatry & Neurology) Physician provider holding MD credentials at 3020 HAMAKER CT, FAIRFAX, VA, 22031, with a listed phone of (703) 876-0800. NPI 1538352430 was issued on 08/23/2007. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what STEPHENSON 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 1,586 prescription claims written by this provider, covering 242 Medicare beneficiaries and totaling roughly $998K in drug spend, split 18% brand-name and 82% generic by claim count. 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 97.2467/100 for the 2023 performance year (Quality 94.4933), compared with the national average of 83.1.

Brain Injury Medicine (Psychiatry & Neurology) Physician is a narrow specialty nationwide, with 21 enrolled providers across 11 states and an average of 1,382 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

3020 HAMAKER CT
FAIRFAX, VA 22031

Provider Details

NPI 1538352430
Specialty Brain Injury Medicine (Psychiatry & Neurology) Physician
Credentials MD
Gender Male
NPI Issued 08/23/2007

CMS Quality Score (MIPS)

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

97.2467
Final Score
Avg: 83.1
94.4933
Quality

Reporting: Group practice

Hospital and facility affiliations

Facilities where RANDOLPH STEPHENSON, 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.

LEGACY HEALTHCARE SERVICES INC
BURKE, VA
NEUROLOGY CENTER OF FAIRFAX, LTD
FAIRFAX, VA

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Brand vs generic prescribing mix · Typical

RANDOLPH STEPHENSON, MD — brand share 18.0%
Specialty average (est.)

18% brand-name claims vs 82% generic, on 1,586 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.

1,586
Total Claims
$998K
Total Drug Cost
242
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
3,120
Total Day Supply
92,464
Brand vs Generic
18% brand / 82% generic
Brand Drug Cost
$916K
Generic Drug Cost
$82K

Patient Demographics

Average Patient Age
76.5 years
Avg HCC Risk Score
1.51
Gender Split
47% female / 53% male

Top Prescribed Drugs (Medicare Part D)

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

What RANDOLPH STEPHENSON, 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
Carbidopa-Levodopa
Carbidopa/Levodopa
528
Rytary
Carbidopa/Levodopa
167
Gabapentin
138
Pramipexole Dihydrochloride
Pramipexole Di-Hcl
91
Donepezil Hcl
52
Clonazepam
51
Amantadine
Amantadine Hcl
42
Entacapone
42
Propranolol Hcl
41
Rasagiline Mesylate
37

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

Brain Injury Medicine (Psychiatry & Neurology) Physician Overview

How RANDOLPH STEPHENSON, MD fits within the Brain Injury Medicine (Psychiatry & Neurology) Physician landscape nationally.

21
Brain Injury Medicine (Psychiatry & Neurology) Physician Providers in US
11
States with Brain Injury Medicine (Psychiatry & Neurology) Physician
1,382
Avg Claims per Provider

RANDOLPH STEPHENSON, MD's 1,586 claims are above the specialty average of 1,382.

Nearby Brain Injury Medicine (Psychiatry & Neurology) Physician Providers in Virginia

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

Compare Brain Injury Medicine (Psychiatry & Neurology) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is RANDOLPH STEPHENSON, MD's specialty?
RANDOLPH STEPHENSON, MD specializes in Brain Injury Medicine (Psychiatry & Neurology) Physician and practices in FAIRFAX, Virginia. Credentials: MD.
How much does RANDOLPH STEPHENSON, MD prescribe under Medicare Part D?
In 2023, RANDOLPH STEPHENSON, MD wrote 1,586 Medicare Part D claims totaling $998K in drug costs for 242 beneficiaries.
What is RANDOLPH STEPHENSON, MD's Medicare quality score?
RANDOLPH STEPHENSON, MD has a CMS MIPS Final Score of 97.2467/100 (Quality: 94.4933). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is RANDOLPH STEPHENSON, MD located?
RANDOLPH STEPHENSON, MD is located at 3020 HAMAKER CT, FAIRFAX, VA, 22031. Phone: (703) 876-0800.
What is RANDOLPH STEPHENSON, MD's NPI number?
RANDOLPH STEPHENSON, MD's National Provider Identifier (NPI) is 1538352430, issued on 08/23/2007.
Does RANDOLPH STEPHENSON, MD prescribe more brand-name or generic drugs?
RANDOLPH STEPHENSON, MD's prescribing is 18% brand-name and 82% generic drugs by claim count, with $916K in brand drug costs.
How many Brain Injury Medicine (Psychiatry & Neurology) Physician providers are there in the US?
There are 21 Brain Injury Medicine (Psychiatry & Neurology) Physician providers across 11 states in the US. The average Brain Injury Medicine (Psychiatry & Neurology) Physician provider writes 1,382 Medicare Part D claims per year.
What drugs does RANDOLPH STEPHENSON, MD prescribe most often?
Based on 2023 Medicare Part D data, RANDOLPH STEPHENSON, MD's most frequently prescribed drugs include Carbidopa-Levodopa, Rytary, Gabapentin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does RANDOLPH STEPHENSON, MD accept Medicare?
RANDOLPH STEPHENSON, MD appears in CMS Medicare data with 1,586 Part D claims and 242 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify RANDOLPH STEPHENSON, MD's credentials?
RANDOLPH STEPHENSON, MD's NPI is 1538352430 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