2026 NPPES data Adult Medicine Physician NPI 1407895972 DO
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RICHARD BLAIR, DO

Adult Medicine Physician in LOUISVILLE, Kentucky. 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
11K
Medicare Part D claims · 959 beneficiaries · Adult Medicine Physician avg: 3K
Generic prescribing
88%
generic claims · 12% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
100/100
▲ 17 pts above national avg 83.1 · [object Object]
Industry payments
$133.33
7 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: RICHARD BLAIR, DO is a Adult Medicine Physician ([object Object]) practicing in LOUISVILLE, Kentucky with a Medicare Part D prescribing footprint of 11K claims across 959 beneficiaries — 12% brand-name prescribing . Their CMS MIPS Final Score of 100/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $133.33 across 7 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: RICHARD BLAIR, DO reported a CMS MIPS final score of 100 out of 100, above the 83.1 national average, and filed 10,918 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)

RICHARD BLAIR, DO 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).

RICHARD BLAIR, DO at a glance

High performer (top quartile)

NPI registry status

Active

Issued 06/06/2006

NPI 1407895972

Primary specialty

Adult Medicine Physician

Niche

2,481 US NPIs in this specialty

Medicare Part D claims

10,918 289% vs specialty avg

2023 prescription claims

Specialty avg: 2,807

MIPS final score

100/100 16.900000000000006% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Kentucky

How Adult Medicine Physician compares to other specialties among Kentucky providers

Kentucky providers

Adult Medicine Physician share within Kentucky

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

Medicare quality performance — MIPS

RICHARD BLAIR, DO's 2023 MIPS final score plotted against the Adult Medicine Physician national average

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

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

0%100%National avg83%99%
MIPS final score (Adult Medicine Physician) — 100/100 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).

RICHARD BLAIR, DO is a Adult Medicine Physician provider practicing in LOUISVILLE, Kentucky, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: DO. NPI: 1407895972. 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.

RICHARD BLAIR, DO appears in the CMS NPPES registry as a Adult Medicine Physician provider holding DO credentials at 210 E GRAY ST STE 700, LOUISVILLE, KY, 40202, with a listed phone of (502) 629-5400. NPI 1407895972 was issued on 06/06/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BLAIR 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 10,918 prescription claims written by this provider, covering 959 Medicare beneficiaries and totaling roughly $873K in drug spend, split 12% brand-name and 88% generic by claim count, with an opioid prescribing rate of 1.5%. 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 100/100 for the 2023 performance year, compared with the national average of 83.1.

Adult Medicine Physician is a narrow specialty nationwide, with 2,481 enrolled providers across 52 states and an average of 2,807 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

210 E GRAY ST STE 700
LOUISVILLE, KY 40202

Provider Details

NPI 1407895972
Specialty Adult Medicine Physician
Credentials DO
Gender Male
NPI Issued 06/06/2006

CMS Quality Score (MIPS)

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

100
Final Score
Avg: 83.1
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where RICHARD BLAIR, DO 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.

COMMUNITY MEDICAL ASSOCIATES INC
LOUISVILLE, KY

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 RICHARD BLAIR, DO. Source: openpaymentsdata.cms.gov.

Total received

$133

Largest payer

ABBVIE INC.

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

RICHARD BLAIR, DO — brand share 12.0%
Specialty average (est.)

12% brand-name claims vs 88% generic, on 10,918 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.

10,918
Total Claims
$873K
Total Drug Cost
959
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
23,025
Total Day Supply
669,245
Brand vs Generic
12% brand / 88% generic
Brand Drug Cost
$693K
Generic Drug Cost
$178K
Opioid Claims
164 (1.5% rate)
Antibiotic Claims
164

Patient Demographics

Average Patient Age
69.3 years
Avg HCC Risk Score
1.57
Gender Split
58% female / 42% male
Age Distribution
<65: 237, 65-74: 421, 75-84: 227, 85+: 74

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Amlodipine Besylate
607
Atorvastatin Calcium
512
Gabapentin
345
Levothyroxine Sodium
336
Lisinopril
326
Metoprolol Succinate
310
Pravastatin Sodium
304
Omeprazole
269
Albuterol Sulfate Hfa
Albuterol Sulfate
237
Hydrochlorothiazide
214

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

Adult Medicine Physician Overview

How RICHARD BLAIR, DO fits within the Adult Medicine Physician landscape nationally.

2,481
Adult Medicine Physician Providers in US
52
States with Adult Medicine Physician
2,807
Avg Claims per Provider

RICHARD BLAIR, DO's 10,918 claims are above the specialty average of 2,807.

Nearby Adult Medicine Physician Providers in Kentucky

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

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

Frequently Asked Questions

What is RICHARD BLAIR, DO's specialty?
RICHARD BLAIR, DO specializes in Adult Medicine Physician and practices in LOUISVILLE, Kentucky. Credentials: DO.
How much does RICHARD BLAIR, DO prescribe under Medicare Part D?
In 2023, RICHARD BLAIR, DO wrote 10,918 Medicare Part D claims totaling $873K in drug costs for 959 beneficiaries.
What is RICHARD BLAIR, DO's Medicare quality score?
RICHARD BLAIR, DO has a CMS MIPS Final Score of 100/100. The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is RICHARD BLAIR, DO located?
RICHARD BLAIR, DO is located at 210 E GRAY ST STE 700, LOUISVILLE, KY, 40202. Phone: (502) 629-5400.
What is RICHARD BLAIR, DO's NPI number?
RICHARD BLAIR, DO's National Provider Identifier (NPI) is 1407895972, issued on 06/06/2006.
Does RICHARD BLAIR, DO prescribe more brand-name or generic drugs?
RICHARD BLAIR, DO's prescribing is 12% brand-name and 88% generic drugs by claim count, with $693K in brand drug costs.
Does RICHARD BLAIR, DO prescribe opioids?
Yes, RICHARD BLAIR, DO had 164 opioid claims in 2023 with an opioid prescribing rate of 1.5%.
How many Adult Medicine Physician providers are there in the US?
There are 2,481 Adult Medicine Physician providers across 52 states in the US. The average Adult Medicine Physician provider writes 2,807 Medicare Part D claims per year.
What drugs does RICHARD BLAIR, DO prescribe most often?
Based on 2023 Medicare Part D data, RICHARD BLAIR, DO's most frequently prescribed drugs include Amlodipine Besylate, Atorvastatin Calcium, Gabapentin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does RICHARD BLAIR, DO accept Medicare?
RICHARD BLAIR, DO appears in CMS Medicare data with 10,918 Part D claims and 959 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify RICHARD BLAIR, DO's credentials?
RICHARD BLAIR, DO's NPI is 1407895972 with credentials DO. 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