2026 NPPES data Internal Medicine Physician NPI 1376800409 M.D.
Verify on CMS →

REAFORD BLACKBURN, M.D.

Internal Medicine Physician in BIRMINGHAM, Alabama. 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
157
Medicare Part D claims · 81 beneficiaries · Internal Medicine Physician avg: 3K
Generic prescribing
88%
generic claims · 12% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
85.6187/100
▲ 3 pts above national avg 83.1 · [object Object]
What the federal data reveals: REAFORD BLACKBURN, M.D. is a Internal Medicine Physician ([object Object]) practicing in BIRMINGHAM, Alabama with a Medicare Part D prescribing footprint of 157 claims across 81 beneficiaries — 12% brand-name prescribing . Their CMS MIPS Final Score of 85.6187/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities .

What stands out: REAFORD BLACKBURN, M.D. reported a CMS MIPS final score of 85.6187 out of 100, above the 83.1 national average, and filed 157 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

REAFORD BLACKBURN, M.D. 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).

REAFORD BLACKBURN, M.D. at a glance

High performer (top quartile)

NPI registry status

Active

Issued 04/13/2012

NPI 1376800409

Primary specialty

Internal Medicine Physician

High-volume

172,858 US NPIs in this specialty

Medicare Part D claims

157 94% vs specialty avg

2023 prescription claims

Specialty avg: 2,716

MIPS final score

85.6187/100 2.5187000000000097% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Alabama

How Internal Medicine Physician compares to other specialties among Alabama providers

Alabama providers

Internal Medicine Physician share within Alabama

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

Medicare quality performance — MIPS

REAFORD BLACKBURN, M.D.'s 2023 MIPS final score plotted against the Internal Medicine Physician national average

High performer (top quartile)
MIPS Final Score
85.6187/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Internal Medicine Physician) — 85.6187/100 vs national avg 83.1

0%100%National avg83%85.6%
MIPS final score (Internal Medicine Physician) — 85.6187/100 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).

REAFORD BLACKBURN, M.D. is a Internal Medicine Physician provider practicing in BIRMINGHAM, Alabama, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1376800409. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

REAFORD BLACKBURN, M.D. appears in the CMS NPPES registry as a Internal Medicine Physician provider holding M.D. credentials at 619 19TH ST S, BIRMINGHAM, AL, 35249, with a listed phone of (205) 934-9666. NPI 1376800409 was issued on 04/13/2012. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BLACKBURN 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 157 prescription claims written by this provider, covering 81 Medicare beneficiaries and totaling roughly $10K in drug spend, split 12% brand-name and 88% generic by claim count, with an opioid prescribing rate of 10.8%. 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 85.6187/100 for the 2023 performance year (Quality 70.2583, Cost 73.2554), compared with the national average of 83.1.

Internal Medicine Physician is a high-volume specialty nationwide, with 172,858 enrolled providers across 56 states and an average of 2,716 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

619 19TH ST S
BIRMINGHAM, AL 35249

Provider Details

NPI 1376800409
Specialty Internal Medicine Physician
Credentials M.D.
Gender Male
NPI Issued 04/13/2012

CMS Quality Score (MIPS)

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

85.6187
Final Score
Avg: 83.1
70.2583
Quality
73.2554
Cost

Reporting: Group practice

Hospital and facility affiliations

Facilities where REAFORD BLACKBURN, M.D. 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.

UNIVERSITY OF ALABAMA HEALTH SERVICES FOUNDATION, PC
BIRMINGHAM, AL

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

REAFORD BLACKBURN, M.D. — brand share 12.0%
Specialty average (est.)

12% brand-name claims vs 88% generic, on 157 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.

157
Total Claims
$10K
Total Drug Cost
81
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
166
Total Day Supply
2,997
Brand vs Generic
12% brand / 88% generic
Brand Drug Cost
$7K
Generic Drug Cost
$3K
Opioid Claims
17 (10.8% rate)
Antibiotic Claims
43

Patient Demographics

Average Patient Age
71.1 years
Avg HCC Risk Score
1.91
Gender Split
53% female / 47% male
Age Distribution
<65: 19, 65-74: 32, 75-84: 18, 85+: 12

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Amoxicillin-Clavulanate Potass
Amoxicillin/Potassium Clav
14
Oxycodone Hcl
13

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

Internal Medicine Physician Overview

How REAFORD BLACKBURN, M.D. fits within the Internal Medicine Physician landscape nationally.

172,858
Internal Medicine Physician Providers in US
56
States with Internal Medicine Physician
2,716
Avg Claims per Provider

REAFORD BLACKBURN, M.D.'s 157 claims are below the specialty average of 2,716.

Nearby Internal Medicine Physician Providers in Alabama

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

Compare Internal Medicine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is REAFORD BLACKBURN, M.D.'s specialty?
REAFORD BLACKBURN, M.D. specializes in Internal Medicine Physician and practices in BIRMINGHAM, Alabama. Credentials: M.D..
How much does REAFORD BLACKBURN, M.D. prescribe under Medicare Part D?
In 2023, REAFORD BLACKBURN, M.D. wrote 157 Medicare Part D claims totaling $10K in drug costs for 81 beneficiaries.
What is REAFORD BLACKBURN, M.D.'s Medicare quality score?
REAFORD BLACKBURN, M.D. has a CMS MIPS Final Score of 85.6187/100 (Quality: 70.2583, Cost: 73.2554). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is REAFORD BLACKBURN, M.D. located?
REAFORD BLACKBURN, M.D. is located at 619 19TH ST S, BIRMINGHAM, AL, 35249. Phone: (205) 934-9666.
What is REAFORD BLACKBURN, M.D.'s NPI number?
REAFORD BLACKBURN, M.D.'s National Provider Identifier (NPI) is 1376800409, issued on 04/13/2012.
Does REAFORD BLACKBURN, M.D. prescribe more brand-name or generic drugs?
REAFORD BLACKBURN, M.D.'s prescribing is 12% brand-name and 88% generic drugs by claim count, with $7K in brand drug costs.
Does REAFORD BLACKBURN, M.D. prescribe opioids?
Yes, REAFORD BLACKBURN, M.D. had 17 opioid claims in 2023 with an opioid prescribing rate of 10.8%.
How many Internal Medicine Physician providers are there in the US?
There are 172,858 Internal Medicine Physician providers across 56 states in the US. The average Internal Medicine Physician provider writes 2,716 Medicare Part D claims per year.
What drugs does REAFORD BLACKBURN, M.D. prescribe most often?
Based on 2023 Medicare Part D data, REAFORD BLACKBURN, M.D.'s most frequently prescribed drugs include Amoxicillin-Clavulanate Potass, Oxycodone Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does REAFORD BLACKBURN, M.D. accept Medicare?
REAFORD BLACKBURN, M.D. appears in CMS Medicare data with 157 Part D claims and 81 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify REAFORD BLACKBURN, M.D.'s credentials?
REAFORD BLACKBURN, M.D.'s NPI is 1376800409 with credentials M.D.. 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