NPI registry status
Active
2026 NPPES data Orthopaedic Surgery Physician NPI 1194987883 M.D.
Verify on CMS → Richard Thoms, M.D.
Orthopaedic Surgery Physician in Niantic, Connecticut.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 25,775 in Orthopaedic Surgery 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
1K
Medicare Part D claims · 285 beneficiaries · Orthopaedic Surgery Physician avg: 324
Generic prescribing
88%
generic claims · 12% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
75/100
▼ 8 pts below national avg 83.1 · Above neutral
Industry payments
$2.0K
2 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 Thoms, M.D. reported a CMS MIPS final score of 75/100 - below the 83.1 national average - and filed 1,215 Medicare Part D claims in 2023.
- 75/100
- MIPS score · -8 vs avg
- 1K
- Part D claims, 2023
- 88%
- 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 Thoms, 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
75 15th percentile higher than 15% 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 Thoms, M.D. sits
This provider among orthopaedic surgery physician peers
Across the 8,194 orthopaedic surgery physician providers who report both Medicare Part D prescribing and a MIPS quality score, Richard Thoms, M.D. writes more Part D claims than 94% of them and scores higher on MIPS quality than 23% - placing this provider in the high-volume, lower-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 orthopaedic surgery physician peer from a representative sample of 60; the gold marker is Richard Thoms, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Richard Thoms, 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).
What does the federal data show about Richard Thoms, M.D.?
Below national averagePrimary specialty
Orthopaedic Surgery Physician
Medicare Part D claims
1,215 275% vs specialty avg
MIPS final score
75/100 8.1 pts vs avg
Specialty distribution in Connecticut
How Orthopaedic Surgery Physician compares to other specialties among Connecticut providers
Medicare quality performance, MIPS
Richard Thoms, M.D.'s 2023 MIPS final score plotted against the Orthopaedic Surgery Physician national average
- MIPS Final Score
- 75/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Orthopaedic Surgery Physician) - 75/100 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 Thoms, M.D. appears in the CMS NPPES registry as an Orthopaedic Surgery Physician provider holding M.D. credentials at 11 INDUSTRIAL PARK RD, Niantic, CT, 06357, with a listed phone of (860) 889-7345. NPI 1194987883 was issued on 06/25/2008.
Medicare Part D records for calendar year 2023 show 1,215 prescription claims written by this provider, covering 285 Medicare beneficiaries and totaling roughly $96K in drug spend, split 12% brand-name and 88% generic by claim count, with an opioid prescribing rate of 19.8%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 75/100 for the 2023 performance year, compared with the national average of 83.1.
Orthopaedic Surgery Physician is a mid-sized specialty nationwide, with 25,775 enrolled providers across 56 states and an average of 324 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 | 1194987883 |
|---|---|
| Specialty | Orthopaedic Surgery Physician |
| Credentials | M.D. |
| Gender | Male |
| NPI Issued | 06/25/2008 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
75
Final Score
Avg: 83.1
Reporting: Group practice
Hospital and facility affiliations
Facilities where Richard Thoms, 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.
Norwich Orthopedic Group PC
North Franklin, CT
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 Thoms, M.D.. Source: openpaymentsdata.cms.gov.
Total received
$2.0K
Largest payer
MEDACTA USA, INC.
Most common payment type
Consulting Fee
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 Thoms, M.D. - brand share 12.0%
Orthopaedic Surgery Physician average
12% brand-name claims vs 88% generic, on 1,215 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.
1,215
Total Claims
$96K
Total Drug Cost
285
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 1,239
- Total Day Supply
- 17,821
- Brand vs Generic
- 12% brand / 88% generic
- Brand Drug Cost
- $84K
- Generic Drug Cost
- $12K
- Opioid Claims
- 240 (19.8% rate)
- Antibiotic Claims
- 50
Patient Demographics
- Average Patient Age
- 74.3 years
- Avg HCC Risk Score
- 1.07
- Gender Split
- 65% female / 35% male
- Age Distribution
- <65: 16, 65-74: 129, 75-84: 122, 85+: 18
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Richard Thoms, M.D. prescribes most
Top Medicare Part D drugs by claim count, 2023
- Ondansetron Odt
Ondansetron Odt
159 claims
- Dexamethasone
Dexamethasone
149 claims
- Oxycodone Hcl
Oxycodone Hcl
136 claims
- Eliquis
Eliquis
132 claims
- Diazepam
Diazepam
117 claims
- Baclofen
Baclofen
114 claims
- Celecoxib
Celecoxib
101 claims
- Hydrocodone-Acetam…
Hydrocodone-Acetaminophen
70 claims
| Drug | Claims |
|---|---|
| Ondansetron Odt Ondansetron | 159 |
| Dexamethasone | 149 |
| Oxycodone Hcl | 136 |
| Eliquis Apixaban | 132 |
| Diazepam | 117 |
| Baclofen | 114 |
| Celecoxib | 101 |
| Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen | 70 |
| Meloxicam | 40 |
| Amoxicillin | 31 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Orthopaedic Surgery Physician Overview
How Richard Thoms, M.D. fits within the Orthopaedic Surgery Physician landscape nationally.
25,775
Orthopaedic Surgery Physician Providers in US
56
States with Orthopaedic Surgery Physician
324
Avg Claims per Provider
Richard Thoms, M.D.'s 1,215 claims are above the specialty average of 324.
Nearby Orthopaedic Surgery Physician Providers in Connecticut
Other clinicians with the same primary specialty enrolled in Connecticut, drawn from the same CMS NPPES roster as Thoms.
Dr. Christina Allen
MD
New Haven, CT
Dr. Kenneth Alleyne
MD
South Windsor, CT
Dr. Ammar Anbari
MD
North Franklin, CT
Dr. Nicole Arcand
MD
North Franklin, CT
Dr. Robert Arciero
MD
Farmington, CT
Compare Orthopaedic Surgery Physician nationally: see state-by-state distribution →
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 Connecticut medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Orthopaedic Surgery 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 Richard Thoms, M.D.'s specialty? ▼
Richard Thoms, M.D. specializes in Orthopaedic Surgery Physician and practices in Niantic, Connecticut. Credentials: M.D..
How much does Richard Thoms, M.D. prescribe under Medicare Part D? ▼
In 2023, Richard Thoms, M.D. wrote 1,215 Medicare Part D claims totaling $96K in drug costs for 285 beneficiaries.
What is Richard Thoms, M.D.'s Medicare quality score? ▼
Richard Thoms, M.D. has a CMS MIPS Final Score of 75/100. The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Richard Thoms, M.D. located? ▼
Richard Thoms, M.D. is located at 11 INDUSTRIAL PARK RD, Niantic, CT, 06357. Phone: (860) 889-7345.
What is Richard Thoms, M.D.'s NPI number? ▼
Richard Thoms, M.D.'s National Provider Identifier (NPI) is 1194987883, issued on 06/25/2008.
Does Richard Thoms, M.D. prescribe more brand-name or generic drugs? ▼
Richard Thoms, M.D.'s prescribing is 12% brand-name and 88% generic drugs by claim count, with $84K in brand drug costs.
Does Richard Thoms, M.D. prescribe opioids? ▼
Yes, Richard Thoms, M.D. had 240 opioid claims in 2023 with an opioid prescribing rate of 19.8%.
How many Orthopaedic Surgery Physician providers are there in the US? ▼
There are 25,775 Orthopaedic Surgery Physician providers across 56 states in the US. The average Orthopaedic Surgery Physician provider writes 324 Medicare Part D claims per year.
What drugs does Richard Thoms, M.D. prescribe most often? ▼
Based on 2023 Medicare Part D data, Richard Thoms, M.D.'s most frequently prescribed drugs include Ondansetron Odt, Dexamethasone, Oxycodone Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Richard Thoms, M.D. accept Medicare? ▼
Richard Thoms, M.D. appears in CMS Medicare data with 1,215 Part D claims and 285 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Richard Thoms, M.D.'s credentials? ▼
Richard Thoms, M.D.'s NPI is 1194987883 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
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.
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.