2026 NPPES data Pediatrics Physician NPI 1770608721 MD
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ROBERT BOUGHAN, MD

Pediatrics Physician in LUTHERVILLE, Maryland. 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
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
84.3607/100
▲ 1 pts above national avg 83.1 · [object Object]

What the federal data shows

ROBERT BOUGHAN, MD reported a CMS MIPS final score of 84.3607/100 — above the 83.1 national average — and filed 4,583 Medicare Part D claims in 2023.

84.3607/100
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

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

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 average

NPI registry status

Active

Issued 03/20/2007

NPI 1770608721

Primary specialty

Pediatrics Physician

High-volume

80,574 US NPIs in this specialty

Medicare Part D claims

4,583 501% vs specialty avg

2023 prescription claims

Specialty avg: 762

MIPS final score

84.3607/100 1.2607% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Maryland

How Pediatrics Physician compares to other specialties among Maryland providers

Maryland providers

Pediatrics Physician share within Maryland

1. Pediatrics Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Pediatrics Physician share within Maryland

Medicare quality performance — MIPS

ROBERT BOUGHAN, MD's 2023 MIPS final score plotted against the Pediatrics Physician national average

Near national average
MIPS Final Score
84.3607/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Pediatrics Physician) — 84.3607/100 vs national avg 83.1

0%100%National avg83%84.4%
MIPS final score (Pediatrics Physician) — 84.3607/100 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).

ROBERT BOUGHAN, MD is a Pediatrics Physician provider practicing in LUTHERVILLE, Maryland, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1770608721. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

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. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BOUGHAN 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 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%. 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 84.3607/100 for the 2023 performance year (Quality 95.1344, Cost 52.7347), compared with the national average of 83.1.

Pediatrics Physician is a high-volume specialty nationwide, with 80,574 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

1734 YORK RD
LUTHERVILLE, MD 21093

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.

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%
Specialty average (est.)

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.

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.

80,574
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.

Compare Pediatrics Physician nationally: see state-by-state distribution →

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 84.3607/100 (Quality: 95.1344, Cost: 52.7347). 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 80,574 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

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