2026 NPPES data Internal Medicine Physician NPI 1295096501 M.D.
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Richard Tibbetts, M.D.

Internal Medicine Physician in Worcester, Massachusetts. This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers — including 172,858 in Internal Medicine 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
341
Medicare Part D claims · 141 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
82.8/100
▼ 0 pts below national avg 83.1 · Above neutral
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Richard Tibbetts, M.D. reported a CMS MIPS final score of 82.8/100 — below the 83.1 national average — and filed 341 Medicare Part D claims in 2023.

82.8/100
MIPS score · 0 vs avg
341
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 Tibbetts, 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

83 39th percentile higher than 39% 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

Where Richard Tibbetts, M.D. sits

This provider among internal medicine physician peers

Across the 36,260 internal medicine physician providers who report both Medicare Part D prescribing and a MIPS quality score, Richard Tibbetts, M.D. writes more Part D claims than 35% of them and scores higher on MIPS quality than 40% — placing this provider in the lower-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

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality02550751000255075100Part D claim volume — percentile in specialtyMIPS quality — percentilePart D claim volume — percentile in specialty: 98 · MIPS quality — percentile: 88Part D claim volume — percentile in specialty: 43 · MIPS quality — percentile: 67Part D claim volume — percentile in specialty: 57 · MIPS quality — percentile: 18Part D claim volume — percentile in specialty: 83 · MIPS quality — percentile: 47Part D claim volume — percentile in specialty: 30 · MIPS quality — percentile: 42Part D claim volume — percentile in specialty: 78 · MIPS quality — percentile: 43Part D claim volume — percentile in specialty: 3 · MIPS quality — percentile: 85Part D claim volume — percentile in specialty: 42 · MIPS quality — percentile: 38Part D claim volume — percentile in specialty: 97 · MIPS quality — percentile: 53Part D claim volume — percentile in specialty: 67 · MIPS quality — percentile: 93Part D claim volume — percentile in specialty: 20 · MIPS quality — percentile: 97Part D claim volume — percentile in specialty: 37 · MIPS quality — percentile: 60Part D claim volume — percentile in specialty: 27 · MIPS quality — percentile: 25Part D claim volume — percentile in specialty: 28 · MIPS quality — percentile: 13Part D claim volume — percentile in specialty: 95 · MIPS quality — percentile: 0Part D claim volume — percentile in specialty: 93 · MIPS quality — percentile: 18Part D claim volume — percentile in specialty: 72 · MIPS quality — percentile: 92Part D claim volume — percentile in specialty: 15 · MIPS quality — percentile: 12Part D claim volume — percentile in specialty: 92 · MIPS quality — percentile: 18Part D claim volume — percentile in specialty: 0 · MIPS quality — percentile: 27Part D claim volume — percentile in specialty: 48 · MIPS quality — percentile: 30Part D claim volume — percentile in specialty: 68 · MIPS quality — percentile: 77Part D claim volume — percentile in specialty: 55 · MIPS quality — percentile: 97Part D claim volume — percentile in specialty: 75 · MIPS quality — percentile: 3Part D claim volume — percentile in specialty: 7 · MIPS quality — percentile: 52Part D claim volume — percentile in specialty: 23 · MIPS quality — percentile: 55Part D claim volume — percentile in specialty: 50 · MIPS quality — percentile: 10Part D claim volume — percentile in specialty: 53 · MIPS quality — percentile: 17Part D claim volume — percentile in specialty: 22 · MIPS quality — percentile: 33Part D claim volume — percentile in specialty: 80 · MIPS quality — percentile: 77Part D claim volume — percentile in specialty: 100 · MIPS quality — percentile: 2Part D claim volume — percentile in specialty: 87 · MIPS quality — percentile: 50Part D claim volume — percentile in specialty: 85 · MIPS quality — percentile: 73Part D claim volume — percentile in specialty: 35 · MIPS quality — percentile: 83Part D claim volume — percentile in specialty: 73 · MIPS quality — percentile: 32Part D claim volume — percentile in specialty: 12 · MIPS quality — percentile: 15Part D claim volume — percentile in specialty: 90 · MIPS quality — percentile: 40Part D claim volume — percentile in specialty: 25 · MIPS quality — percentile: 35Part D claim volume — percentile in specialty: 5 · MIPS quality — percentile: 62Part D claim volume — percentile in specialty: 58 · MIPS quality — percentile: 70Part D claim volume — percentile in specialty: 82 · MIPS quality — percentile: 5Part D claim volume — percentile in specialty: 63 · MIPS quality — percentile: 18Part D claim volume — percentile in specialty: 77 · MIPS quality — percentile: 58Part D claim volume — percentile in specialty: 88 · MIPS quality — percentile: 28Part D claim volume — percentile in specialty: 38 · MIPS quality — percentile: 88Part D claim volume — percentile in specialty: 8 · MIPS quality — percentile: 75Part D claim volume — percentile in specialty: 33 · MIPS quality — percentile: 87Part D claim volume — percentile in specialty: 65 · MIPS quality — percentile: 8Part D claim volume — percentile in specialty: 18 · MIPS quality — percentile: 72Part D claim volume — percentile in specialty: 70 · MIPS quality — percentile: 68Part D claim volume — percentile in specialty: 40 · MIPS quality — percentile: 45Part D claim volume — percentile in specialty: 52 · MIPS quality — percentile: 7Part D claim volume — percentile in specialty: 2 · MIPS quality — percentile: 63Part D claim volume — percentile in specialty: 62 · MIPS quality — percentile: 95Part D claim volume — percentile in specialty: 45 · MIPS quality — percentile: 37Part D claim volume — percentile in specialty: 10 · MIPS quality — percentile: 57Part D claim volume — percentile in specialty: 13 · MIPS quality — percentile: 82Part D claim volume — percentile in specialty: 32 · MIPS quality — percentile: 63Part D claim volume — percentile in specialty: 60 · MIPS quality — percentile: 97Part D claim volume — percentile in specialty: 17 · MIPS quality — percentile: 80Richard Tibbetts, M.D. — Part D claim volume — percentile in specialty: 35 · MIPS quality — percentile: 40
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one internal medicine physician peer from a representative sample of 60; the gold marker is Richard Tibbetts, 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 Tibbetts, 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 Tibbetts, M.D.?

Near national average

NPI registry status

Active

Issued 06/04/2012

NPI 1295096501

Primary specialty

Internal Medicine Physician

High-volume

172,858 US NPIs in this specialty

Medicare Part D claims

341 87% vs specialty avg

2023 prescription claims

Specialty avg: 2,716

MIPS final score

82.8/100 0.3 pts vs avg

Above neutral band

vs 83.1 national avg

Specialty distribution in Massachusetts

How Internal Medicine Physician compares to other specialties among Massachusetts providers

Massachusetts providers

Largest specialties in Massachusetts (% of in-state providers)

Mental Health Counselor — 8.3%Mental Health Counselor8.3%Clinical Social Worker — 7.8%Clinical Social Worker7.8%Student in an Organized Health Care Education/Training Program — 6.2%Student in an Organized Health Care Education/Training Program6.2%Behavior Technician — 4.9%Behavior Technician4.9%Counselor — 4.3%Counselor4.3%Internal Medicine Physician — 3.7%Internal Medicine Physician3.7%
Largest specialties in Massachusetts (% of in-state providers)

Medicare quality performance — MIPS

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

Near national average
MIPS Final Score
82.8/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Internal Medicine Physician) — 82.8/100 vs national avg 83.1

0%100%National avg83%82.8%
MIPS final score (Internal Medicine Physician) — 82.8/100 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 Tibbetts, M.D. appears in the CMS NPPES registry as a Internal Medicine Physician provider holding M.D. credentials at 55 LAKE AVE N, Worcester, MA, 01655, with a listed phone of (508) 334-1000. NPI 1295096501 was issued on 06/04/2012. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Tibbetts 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 341 prescription claims written by this provider, covering 141 Medicare beneficiaries and totaling roughly $20K in drug spend, split 12% brand-name and 88% generic by claim count, with an opioid prescribing rate of 8.5%. 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 82.8/100 for the 2023 performance year (Quality 88.3, Cost 69.5), 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

55 LAKE AVE N
Worcester, MA 01655

Provider Details

NPI 1295096501
Specialty Internal Medicine Physician
Credentials M.D.
Gender Male
NPI Issued 06/04/2012

CMS Quality Score (MIPS)

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

82.7866
Final Score
Avg: 83.1
88.3333
Quality
69.5333
Cost
70
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where Richard Tibbetts, 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.

Coastal Medical Associates
Weymouth, MA

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

License & disciplinary context — Massachusetts BORIM 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 ~38K Massachusetts medical licensees in 2023 — they are NOT specific to Richard Tibbetts, M.D.. To verify Richard Tibbetts, M.D.'s current license status, search the BORIM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

80
Total board actions, Massachusetts 2023
Across 78 cases
2.11
Actions per 1,000 licensees
Massachusetts statewide rate
probation
Most common action type
29 cases

BORIM 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 Massachusetts disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

Richard Tibbetts, M.D. — brand share 12.0%
Internal Medicine Physician average

12% brand-name claims vs 88% generic, on 341 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.

341
Total Claims
$20K
Total Drug Cost
141
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
365
Total Day Supply
6,728
Brand vs Generic
12% brand / 88% generic
Brand Drug Cost
$13K
Generic Drug Cost
$7K
Opioid Claims
29 (8.5% rate)
Antibiotic Claims
81

Patient Demographics

Average Patient Age
76.3 years
Avg HCC Risk Score
2.11
Gender Split
60% female / 40% male
Age Distribution
<65: 11, 65-74: 49, 75-84: 54, 85+: 27

Top Prescribed Drugs (Medicare Part D)

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

What Richard Tibbetts, 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
Cefpodoxime Proxetil
35
Prednisone
23
Pantoprazole Sodium
13
Tramadol Hcl
13
Azithromycin
11

* 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 Richard Tibbetts, 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

Richard Tibbetts, M.D.'s 341 claims are below the specialty average of 2,716.

Nearby Internal Medicine Physician Providers in Massachusetts

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

Compare Internal Medicine 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 Massachusetts medical board — federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Internal Medicine 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.

Frequently Asked Questions

What is Richard Tibbetts, M.D.'s specialty?
Richard Tibbetts, M.D. specializes in Internal Medicine Physician and practices in Worcester, Massachusetts. Credentials: M.D..
How much does Richard Tibbetts, M.D. prescribe under Medicare Part D?
In 2023, Richard Tibbetts, M.D. wrote 341 Medicare Part D claims totaling $20K in drug costs for 141 beneficiaries.
What is Richard Tibbetts, M.D.'s Medicare quality score?
Richard Tibbetts, M.D. has a CMS MIPS Final Score of 82.8/100 (Quality: 88.3, Cost: 69.5). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Richard Tibbetts, M.D. located?
Richard Tibbetts, M.D. is located at 55 LAKE AVE N, Worcester, MA, 01655. Phone: (508) 334-1000.
What is Richard Tibbetts, M.D.'s NPI number?
Richard Tibbetts, M.D.'s National Provider Identifier (NPI) is 1295096501, issued on 06/04/2012.
Does Richard Tibbetts, M.D. prescribe more brand-name or generic drugs?
Richard Tibbetts, M.D.'s prescribing is 12% brand-name and 88% generic drugs by claim count, with $13K in brand drug costs.
Does Richard Tibbetts, M.D. prescribe opioids?
Yes, Richard Tibbetts, M.D. had 29 opioid claims in 2023 with an opioid prescribing rate of 8.5%.
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 Richard Tibbetts, M.D. prescribe most often?
Based on 2023 Medicare Part D data, Richard Tibbetts, M.D.'s most frequently prescribed drugs include Cefpodoxime Proxetil, Prednisone, Pantoprazole Sodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Richard Tibbetts, M.D. accept Medicare?
Richard Tibbetts, M.D. appears in CMS Medicare data with 341 Part D claims and 141 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Richard Tibbetts, M.D.'s credentials?
Richard Tibbetts, M.D.'s NPI is 1295096501 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

Compiled from official public sources by the PlainDoctor editorial team.