NPI registry status
Active
2026 NPPES data Pediatrics Physician NPI 1770608721 MD
Verify on CMS → Robert Boughan, MD
Pediatrics Physician in Lutherville, Maryland.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 80,576 in Pediatrics 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
5K
Medicare Part D claims · 429 beneficiaries · Pediatrics Physician avg: 762
Generic prescribing
87%
generic claims · 13% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
84.4/100
▲ 1 pts above national avg 83.1 · Above neutral
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
Robert Boughan, MD reported a CMS MIPS final score of 84.4/100 - above the 83.1 national average - and filed 4,583 Medicare Part D claims in 2023.
- 84.4/100
- MIPS score · +1 vs avg
- 5K
- Part D claims, 2023
- 87%
- 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.
Robert Boughan, MD's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
84 45th percentile higher than 45% 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 Robert Boughan, MD sits
This provider among pediatrics physician peers
Across the 1,120 pediatrics physician providers who report both Medicare Part D prescribing and a MIPS quality score, Robert Boughan, MD writes more Part D claims than 91% of them and scores higher on MIPS quality than 44% - 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 pediatrics physician peer from a representative sample of 60; the gold marker is Robert Boughan, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Robert Boughan, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 3 hospital affiliations - 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 Robert Boughan, MD?
Near national averagePrimary specialty
Pediatrics Physician
Medicare Part D claims
4,583 6× vs specialty avg
MIPS final score
84.4/100 1.3 pts vs avg
Specialty distribution in Maryland
How Pediatrics Physician compares to other specialties among Maryland providers
Medicare quality performance, MIPS
Robert Boughan, MD's 2023 MIPS final score plotted against the Pediatrics Physician national average
- MIPS Final Score
- 84.4/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Pediatrics Physician) - 84.4/100 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).
Robert Boughan, MD appears in the CMS NPPES registry as a Pediatrics Physician provider holding MD credentials at 1734 YORK RD, Lutherville, MD, 21093, with a listed phone of (410) 252-2273. NPI 1770608721 was issued on 03/20/2007.
Medicare Part D records for calendar year 2023 show 4,583 prescription claims written by this provider, covering 429 Medicare beneficiaries and totaling roughly $561K in drug spend, split 13% brand-name and 87% generic by claim count, with an opioid prescribing rate of 1.6%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 84.4/100 for the 2023 performance year (Quality 95.1, Cost 52.7), compared with the national average of 83.1.
Pediatrics Physician is a high-volume specialty nationwide, with 80,576 enrolled providers across 56 states and an average of 762 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 | 1770608721 |
|---|---|
| Specialty | Pediatrics Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 03/20/2007 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
84.3607
Final Score
Avg: 83.1
95.1344
Quality
52.7347
Cost
100
Promoting Interoperability
Reporting: Individual
Hospital and facility affiliations
Facilities where Robert Boughan, 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.
According to CMS billing records, Robert Boughan, MD is affiliated with 3 Medicare-billing facilities.
Agape Physical Therapy And Sports Rehabilitation LP
Forest Hill, MD
Maryland Family Care Inc
Lutherville, MD
Meritus Medical Center Inc
Hagerstown, MD
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
Brand vs generic prescribing mix · Typical
Robert Boughan, MD - brand share 13.0%
Pediatrics Physician average
13% brand-name claims vs 87% generic, on 4,583 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.
4,583
Total Claims
$561K
Total Drug Cost
429
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 11,056
- Total Day Supply
- 324,155
- Brand vs Generic
- 13% brand / 87% generic
- Brand Drug Cost
- $446K
- Generic Drug Cost
- $112K
- Opioid Claims
- 72 (1.6% rate)
- Antibiotic Claims
- 75
Patient Demographics
- Average Patient Age
- 73.3 years
- Avg HCC Risk Score
- 1.00
- Gender Split
- 50% female / 50% male
- Age Distribution
- <65: 33, 65-74: 219, 75-84: 130, 85+: 47
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Robert Boughan, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Atorvastatin Calcium
Atorvastatin Calcium
387 claims
- Losartan Potassium
Losartan Potassium
214 claims
- Amlodipine Besylate
Amlodipine Besylate
172 claims
- Lisinopril 142
Lisinopril
142 claims
- Levothyroxine Sodium 135
Levothyroxine Sodium
135 claims
- Rosuvastatin Calcium 110
Rosuvastatin Calcium
110 claims
- Omeprazole 101
Omeprazole
101 claims
- Pravastatin Sodium 90
Pravastatin Sodium
90 claims
| Drug | Claims |
|---|---|
| Atorvastatin Calcium | 387 |
| Losartan Potassium | 214 |
| Amlodipine Besylate | 172 |
| Lisinopril | 142 |
| Levothyroxine Sodium | 135 |
| Rosuvastatin Calcium | 110 |
| Omeprazole | 101 |
| Pravastatin Sodium | 90 |
| Pantoprazole Sodium | 82 |
| Metformin Hcl Er Metformin Hcl | 74 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Pediatrics Physician Overview
How Robert Boughan, MD fits within the Pediatrics Physician landscape nationally.
80,576
Pediatrics Physician Providers in US
56
States with Pediatrics Physician
762
Avg Claims per Provider
Robert Boughan, MD's 4,583 claims are above the specialty average of 762.
Nearby Pediatrics Physician Providers in Maryland
Other clinicians with the same primary specialty enrolled in Maryland, drawn from the same CMS NPPES roster as Boughan.
Dr. Bernard Abbott
MD
Baltimore, MD
Dr. Ahmed Abdel-Gawad
MD
Cambridge, MD
Dr. Yara Abdelaal
DO
Easton, MD
Fatima Abdo
Lutherville Timonium, MD
Dr. Victor Abdow
M.D.
Rockville, MD
Compare Pediatrics 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 Maryland medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Pediatrics 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 Robert Boughan, MD's specialty? ▼
Robert Boughan, MD specializes in Pediatrics Physician and practices in Lutherville, Maryland. Credentials: MD.
How much does Robert Boughan, MD prescribe under Medicare Part D? ▼
In 2023, Robert Boughan, MD wrote 4,583 Medicare Part D claims totaling $561K in drug costs for 429 beneficiaries.
What is Robert Boughan, MD's Medicare quality score? ▼
Robert Boughan, MD has a CMS MIPS Final Score of 84.4/100 (Quality: 95.1, Cost: 52.7). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Robert Boughan, MD located? ▼
Robert Boughan, MD is located at 1734 YORK RD, Lutherville, MD, 21093. Phone: (410) 252-2273.
What is Robert Boughan, MD's NPI number? ▼
Robert Boughan, MD's National Provider Identifier (NPI) is 1770608721, issued on 03/20/2007.
Does Robert Boughan, MD prescribe more brand-name or generic drugs? ▼
Robert Boughan, MD's prescribing is 13% brand-name and 87% generic drugs by claim count, with $446K in brand drug costs.
Does Robert Boughan, MD prescribe opioids? ▼
Yes, Robert Boughan, MD had 72 opioid claims in 2023 with an opioid prescribing rate of 1.6%.
How many Pediatrics Physician providers are there in the US? ▼
There are 80,576 Pediatrics Physician providers across 56 states in the US. The average Pediatrics Physician provider writes 762 Medicare Part D claims per year.
What drugs does Robert Boughan, MD prescribe most often? ▼
Based on 2023 Medicare Part D data, Robert Boughan, MD's most frequently prescribed drugs include Atorvastatin Calcium, Losartan Potassium, Amlodipine Besylate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Robert Boughan, MD accept Medicare? ▼
Robert Boughan, MD appears in CMS Medicare data with 4,583 Part D claims and 429 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Robert Boughan, MD's credentials? ▼
Robert Boughan, MD's NPI is 1770608721 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.
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.