NPI registry status
Active
2026 NPPES data Brain Injury Medicine (Psychiatry & Neurology) Physician NPI 1538352430 MD
Verify on CMS → Randolph Stephenson, MD
Brain Injury Medicine (Psychiatry & Neurology) Physician in Fairfax, Virginia.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 22 in Brain Injury Medicine (Psychiatry & Neurology) 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
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
97.2/100
▲ 14 pts above national avg 83.5 · Exceptional
Source: CMS Medicare Part D Prescriber Public Use File, 2023
What the federal data shows
Randolph Stephenson, MD reported a CMS MIPS final score of 97.2/100 - above the 83.5 national average - and filed 1,586 Medicare Part D claims in 2023.
- 97.2/100
- 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 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.
97 ≥ 84th percentile 84% of 454,083 measured providers are in lower value bands
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
✓
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)Primary specialty
Brain Injury Medicine (Psychiatry & Neurology) Physician
Medicare Part D claims
1,586 15% vs specialty avg
MIPS final score
97.2/100 13.7 pts vs avg
Specialty distribution in Virginia
How Brain Injury Medicine (Psychiatry & Neurology) Physician compares to other specialties among Virginia providers
Medicare quality performance, MIPS
Randolph Stephenson, MD's 2023 MIPS final score plotted against the Brain Injury Medicine (Psychiatry & Neurology) Physician national average
- MIPS Final Score
- 97.2/100
- vs 83.5 national avg · 2023 performance year
MIPS final score (Brain Injury Medicine (Psychiatry & Neurology) Physician) - 97.2/100 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).
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.
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. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 97.2/100 for the 2023 performance year (Quality 94.5), compared with the 83.5 average among clinicians with a measured score.
Brain Injury Medicine (Psychiatry & Neurology) Physician is a narrow specialty nationwide, with 22 enrolled providers across 12 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
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
Measured-score avg: 83.5
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%
Brain Injury Medicine (Psychiatry & Neurology) Physician average
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
- Carbidopa-Levodopa
Carbidopa-Levodopa
528 claims
- Rytary 167
Rytary
167 claims
- Gabapentin 138
Gabapentin
138 claims
- Pramipexole Dihydr… 91
Pramipexole Dihydrochloride
91 claims
- Donepezil Hcl 52
Donepezil Hcl
52 claims
- Clonazepam 51
Clonazepam
51 claims
- Amantadine 42
Amantadine
42 claims
- Entacapone 42
Entacapone
42 claims
| 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.
More Brain Injury Medicine (Psychiatry & Neurology) Physician in VA →
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Brain Injury Medicine (Psychiatry & Neurology) Physician Overview
How Randolph Stephenson, MD fits within the Brain Injury Medicine (Psychiatry & Neurology) Physician landscape nationally.
22
Brain Injury Medicine (Psychiatry & Neurology) Physician Providers in US
12
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.
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 Brain Injury Medicine (Psychiatry & Neurology) 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.
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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 97.2/100 (Quality: 94.5). 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 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 22 Brain Injury Medicine (Psychiatry & Neurology) Physician providers across 12 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
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.