NPI registry status
Active
2026 NPPES data Clinical & Laboratory Dermatological Immunology Physician NPI 1376511600 MD
Verify on CMS → Richard Sontheimer, MD
Clinical & Laboratory Dermatological Immunology Physician in Salt Lake City, Utah.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 63 in Clinical & Laboratory Dermatological Immunology 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
507
Medicare Part D claims · 184 beneficiaries · Clinical & Laboratory Dermatological Immunology Physician avg: 755
Generic prescribing
93%
generic claims · 7% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
94.8/100
▲ 12 pts above national avg 83.1 · Exceptional
Industry payments
$15.27
1 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Richard Sontheimer, MD reported a CMS MIPS final score of 94.8/100 - above the 83.1 national average - and filed 507 Medicare Part D claims in 2023.
- 94.8/100
- MIPS score · +12 vs avg
- 507
- Part D claims, 2023
- 93%
- 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.
Richard Sontheimer, MD's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
95 Top 25% higher than 75% of 477,587 scored providers
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
Where Richard Sontheimer, MD sits
This provider among clinical & laboratory dermatological immunology physician peers
Across the 26 clinical & laboratory dermatological immunology physician providers who report both Medicare Part D prescribing and a MIPS quality score, Richard Sontheimer, MD writes more Part D claims than 19% of them and scores higher on MIPS quality than 85% - placing this provider in the lower-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Part D claim volume vs MIPS quality, by specialty percentile
Each dot is one clinical & laboratory dermatological immunology physician peer from a representative sample of 25; the gold marker is Richard Sontheimer, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Richard Sontheimer, MD 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).
What does the federal data show about Richard Sontheimer, MD?
High performer (top quartile)Primary specialty
Clinical & Laboratory Dermatological Immunology Physician
Medicare Part D claims
507 33% vs specialty avg
MIPS final score
94.8/100 11.7 pts vs avg
Specialty distribution in Utah
How Clinical & Laboratory Dermatological Immunology Physician compares to other specialties among Utah providers
Medicare quality performance, MIPS
Richard Sontheimer, MD's 2023 MIPS final score plotted against the Clinical & Laboratory Dermatological Immunology Physician national average
- MIPS Final Score
- 94.8/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Clinical & Laboratory Dermatological Immunology Physician) - 94.8/100 vs national avg 83.1
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).
Richard Sontheimer, MD appears in the CMS NPPES registry as a Clinical & Laboratory Dermatological Immunology Physician provider holding MD credentials at 50 N MEDICAL DR, Salt Lake City, UT, 84132, with a listed phone of (801) 587-6340. NPI 1376511600 was issued on 03/11/2006.
Medicare Part D records for calendar year 2023 show 507 prescription claims written by this provider, covering 184 Medicare beneficiaries and totaling roughly $71K in drug spend, split 7% brand-name and 93% generic by claim count. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 94.8/100 for the 2023 performance year (Quality 90.6), compared with the national average of 83.1.
Clinical & Laboratory Dermatological Immunology Physician is a narrow specialty nationwide, with 63 enrolled providers across 29 states and an average of 755 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 | 1376511600 |
|---|---|
| Specialty | Clinical & Laboratory Dermatological Immunology Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 03/11/2006 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
94.8166
Final Score
Avg: 83.1
90.5757
Quality
100
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where Richard Sontheimer, 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.
Dermatology Division University OF Utah Medical Center
Salt Lake City, UT
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 Sontheimer, MD. Source: openpaymentsdata.cms.gov.
Total received
$15
Largest payer
PFIZER INC.
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.
Brand vs generic prescribing mix · Generic-heavy
Richard Sontheimer, MD - brand share 7.0%
Clinical & Laboratory Dermatological Immunology Physician average
7% brand-name claims vs 93% generic, on 507 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.
507
Total Claims
$71K
Total Drug Cost
184
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 631
- Total Day Supply
- 16,853
- Brand vs Generic
- 7% brand / 93% generic
- Brand Drug Cost
- $53K
- Generic Drug Cost
- $17K
- Antibiotic Claims
- 28
Patient Demographics
- Average Patient Age
- 71.8 years
- Avg HCC Risk Score
- 1.39
- Gender Split
- 45% female / 55% male
- Age Distribution
- <65: 24, 65-74: 90, 75-84: 50, 85+: 20
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Richard Sontheimer, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Triamcinolone Acet…
Triamcinolone Acetonide
105 claims
- Clobetasol Propion…
Clobetasol Propionate
63 claims
- Doxepin Hcl
Doxepin Hcl
42 claims
- Hydrocortisone 28
Hydrocortisone
28 claims
- Metronidazole 22
Metronidazole
22 claims
- Prednisone 21
Prednisone
21 claims
- Methotrexate 17
Methotrexate
17 claims
- Ketoconazole 16
Ketoconazole
16 claims
| Drug | Claims |
|---|---|
| Triamcinolone Acetonide | 105 |
| Clobetasol Propionate | 63 |
| Doxepin Hcl | 42 |
| Hydrocortisone | 28 |
| Metronidazole | 22 |
| Prednisone | 21 |
| Methotrexate Methotrexate Sodium | 17 |
| Ketoconazole | 16 |
| Valacyclovir Valacyclovir Hcl | 15 |
| Dupixent Syringe Dupilumab | 14 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
More Clinical & Laboratory Dermatological Immunology Physician in UT →
All providers in Utah →
Compare specialties →
Clinical & Laboratory Dermatological Immunology Physician Overview
How Richard Sontheimer, MD fits within the Clinical & Laboratory Dermatological Immunology Physician landscape nationally.
63
Clinical & Laboratory Dermatological Immunology Physician Providers in US
29
States with Clinical & Laboratory Dermatological Immunology Physician
755
Avg Claims per Provider
Richard Sontheimer, MD's 507 claims are below the specialty average of 755.
Nearby Clinical & Laboratory Dermatological Immunology Physician Providers in Utah
Other clinicians with the same primary specialty enrolled in Utah, drawn from the same CMS NPPES roster as Sontheimer.
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 Utah medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Clinical & Laboratory Dermatological Immunology 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.
Healthcare Guides
Learn more about finding, verifying, and understanding healthcare providers.
How to Find a Doctor
Step-by-step guide to choosing a provider
Verify Credentials
Check NPI, board certification & license status
Medical Specialties Explained
Who treats what and how specialties differ
Understanding Medicare Claims Data
What prescribing data reveals about a provider
In-Network vs Out-of-Network
How insurance networks affect your costs
Telehealth Guide
Virtual care options and coverage in 2026
Explore Utah
Frequently Asked Questions
What is Richard Sontheimer, MD's specialty? ▼
Richard Sontheimer, MD specializes in Clinical & Laboratory Dermatological Immunology Physician and practices in Salt Lake City, Utah. Credentials: MD.
How much does Richard Sontheimer, MD prescribe under Medicare Part D? ▼
In 2023, Richard Sontheimer, MD wrote 507 Medicare Part D claims totaling $71K in drug costs for 184 beneficiaries.
What is Richard Sontheimer, MD's Medicare quality score? ▼
Richard Sontheimer, MD has a CMS MIPS Final Score of 94.8/100 (Quality: 90.6). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Richard Sontheimer, MD located? ▼
Richard Sontheimer, MD is located at 50 N MEDICAL DR, Salt Lake City, UT, 84132. Phone: (801) 587-6340.
What is Richard Sontheimer, MD's NPI number? ▼
Richard Sontheimer, MD's National Provider Identifier (NPI) is 1376511600, issued on 03/11/2006.
Does Richard Sontheimer, MD prescribe more brand-name or generic drugs? ▼
Richard Sontheimer, MD's prescribing is 7% brand-name and 93% generic drugs by claim count, with $53K in brand drug costs.
How many Clinical & Laboratory Dermatological Immunology Physician providers are there in the US? ▼
There are 63 Clinical & Laboratory Dermatological Immunology Physician providers across 29 states in the US. The average Clinical & Laboratory Dermatological Immunology Physician provider writes 755 Medicare Part D claims per year.
What drugs does Richard Sontheimer, MD prescribe most often? ▼
Based on 2023 Medicare Part D data, Richard Sontheimer, MD's most frequently prescribed drugs include Triamcinolone Acetonide, Clobetasol Propionate, Doxepin Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Richard Sontheimer, MD accept Medicare? ▼
Richard Sontheimer, MD appears in CMS Medicare data with 507 Part D claims and 184 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Richard Sontheimer, MD's credentials? ▼
Richard Sontheimer, MD's NPI is 1376511600 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
Compiled from official public sources by the PlainDoctor editorial team.