2026 NPPES data Specialist NPI 1548244619 M.D.
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RICHARD HORBAL, M.D.

Specialist in BAY CITY, Michigan. 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
4K
Medicare Part D claims · 800 beneficiaries · Specialist avg: 1K
Generic prescribing
79%
generic claims · 21% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
85.2543/100
▲ 2 pts above national avg 83.1 · [object Object]
Industry payments
$69.25
2 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

RICHARD HORBAL, M.D. reported a CMS MIPS final score of 85.2543/100 — above the 83.1 national average — and filed 3,617 Medicare Part D claims in 2023.

85.2543/100
MIPS score · +2 vs avg
4K
Part D claims, 2023
79%
generic prescribing
$69.25
industry payments (Sunshine Act)

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.

RICHARD HORBAL, M.D.'s MIPS score vs every scored U.S. clinician

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

85 49th percentile higher than 49% 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%). This entry sits in this band. 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

What does the federal data show about RICHARD HORBAL, M.D.?

High performer (top quartile)

NPI registry status

Active

Issued 12/02/2005

NPI 1548244619

Primary specialty

Specialist

High-volume

69,658 US NPIs in this specialty

Medicare Part D claims

3,617 145% vs specialty avg

2023 prescription claims

Specialty avg: 1,474

MIPS final score

85.2543/100 2.1543000000000063% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Michigan

How Specialist compares to other specialties among Michigan providers

Michigan providers

Specialist share within Michigan

1. Specialist42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Specialist share within Michigan

Medicare quality performance — MIPS

RICHARD HORBAL, M.D.'s 2023 MIPS final score plotted against the Specialist national average

High performer (top quartile)
MIPS Final Score
85.2543/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Specialist) — 85.2543/100 vs national avg 83.1

0%100%National avg83%85.3%
MIPS final score (Specialist) — 85.2543/100 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 HORBAL, M.D. appears in the CMS NPPES registry as a Specialist provider holding M.D. credentials at 414 N TUSCOLA RD, BAY CITY, MI, 48708, with a listed phone of (989) 895-5007. NPI 1548244619 was issued on 12/02/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what HORBAL 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 3,617 prescription claims written by this provider, covering 800 Medicare beneficiaries and totaling roughly $536K in drug spend, split 21% brand-name and 79% 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 85.2543/100 for the 2023 performance year (Quality 100, Cost 50.8475), compared with the national average of 83.1.

Specialist is a high-volume specialty nationwide, with 69,658 enrolled providers across 55 states and an average of 1,474 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

414 N TUSCOLA RD
BAY CITY, MI 48708

Provider Details

NPI 1548244619
Specialty Specialist
Credentials M.D.
Gender Male
NPI Issued 12/02/2005

CMS Quality Score (MIPS)

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

85.2543
Final Score
Avg: 83.1
100
Quality
50.8475
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 RICHARD HORBAL, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$69

Largest payer

ADMA BioManufacturing LLC

Most common payment type

Education

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.

License & disciplinary context — Michigan MI-BOM 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~41K Michigan medical licensees in 2023 — they are NOT specific to RICHARD HORBAL, M.D.. To verify RICHARD HORBAL, M.D.'s current license status, search the MI-BOM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

123
Total board actions, Michigan 2023
Across 120 cases
3.00
Actions per 1,000 licensees
Michigan statewide rate
probation
Most common action type
44 cases

MI-BOM publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Michigan disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

RICHARD HORBAL, M.D. — brand share 21.0%
Specialty average (est.)

21% brand-name claims vs 79% generic, on 3,617 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.

3,617
Total Claims
$536K
Total Drug Cost
800
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
6,878
Total Day Supply
194,439
Brand vs Generic
21% brand / 79% generic
Brand Drug Cost
$453K
Generic Drug Cost
$83K
Antibiotic Claims
230

Patient Demographics

Average Patient Age
70.9 years
Avg HCC Risk Score
0.94
Gender Split
72% female / 28% male
Age Distribution
<65: 95, 65-74: 428, 75-84: 240, 85+: 37

Top Prescribed Drugs (Medicare Part D)

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

What RICHARD HORBAL, M.D. 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
Fluticasone Propionate
641
Azelastine Hcl
596
Montelukast Sodium
464
Prednisone
214
Levocetirizine Dihydrochloride
181
Albuterol Sulfate Hfa
Albuterol Sulfate
136
Ipratropium Bromide
130
Famotidine
118
Symbicort
Budesonide/Formoterol Fumarate
110
Azithromycin
79

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

Specialist Overview

How RICHARD HORBAL, M.D. fits within the Specialist landscape nationally.

69,658
Specialist Providers in US
55
States with Specialist
1,474
Avg Claims per Provider

RICHARD HORBAL, M.D.'s 3,617 claims are above the specialty average of 1,474.

Nearby Specialist Providers in Michigan

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

Compare Specialist nationally: see state-by-state distribution →

Frequently Asked Questions

What is RICHARD HORBAL, M.D.'s specialty?
RICHARD HORBAL, M.D. specializes in Specialist and practices in BAY CITY, Michigan. Credentials: M.D..
How much does RICHARD HORBAL, M.D. prescribe under Medicare Part D?
In 2023, RICHARD HORBAL, M.D. wrote 3,617 Medicare Part D claims totaling $536K in drug costs for 800 beneficiaries.
What is RICHARD HORBAL, M.D.'s Medicare quality score?
RICHARD HORBAL, M.D. has a CMS MIPS Final Score of 85.2543/100 (Quality: 100, Cost: 50.8475). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is RICHARD HORBAL, M.D. located?
RICHARD HORBAL, M.D. is located at 414 N TUSCOLA RD, BAY CITY, MI, 48708. Phone: (989) 895-5007.
What is RICHARD HORBAL, M.D.'s NPI number?
RICHARD HORBAL, M.D.'s National Provider Identifier (NPI) is 1548244619, issued on 12/02/2005.
Does RICHARD HORBAL, M.D. prescribe more brand-name or generic drugs?
RICHARD HORBAL, M.D.'s prescribing is 21% brand-name and 79% generic drugs by claim count, with $453K in brand drug costs.
How many Specialist providers are there in the US?
There are 69,658 Specialist providers across 55 states in the US. The average Specialist provider writes 1,474 Medicare Part D claims per year.
What drugs does RICHARD HORBAL, M.D. prescribe most often?
Based on 2023 Medicare Part D data, RICHARD HORBAL, M.D.'s most frequently prescribed drugs include Fluticasone Propionate, Azelastine Hcl, Montelukast Sodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does RICHARD HORBAL, M.D. accept Medicare?
RICHARD HORBAL, M.D. appears in CMS Medicare data with 3,617 Part D claims and 800 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify RICHARD HORBAL, M.D.'s credentials?
RICHARD HORBAL, M.D.'s NPI is 1548244619 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