2026 NPPES data Pulmonary Disease Physician NPI 1801838776 M.D.
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ROBERT HERSCOWITZ, M.D.

Pulmonary Disease Physician in ALEXANDRIA, Virginia. 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
2K
Medicare Part D claims · 268 beneficiaries · Pulmonary Disease Physician avg: 1K
Generic prescribing
34%
generic claims · 66% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
91.5476/100
▲ 8 pts above national avg 83.1 · [object Object]
What the federal data reveals: ROBERT HERSCOWITZ, M.D. is a Pulmonary Disease Physician ([object Object]) practicing in ALEXANDRIA, Virginia with a Medicare Part D prescribing footprint of 2K claims across 268 beneficiaries — 66% brand-name prescribing . Their CMS MIPS Final Score of 91.5476/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities .

What stands out: ROBERT HERSCOWITZ, M.D. reported a CMS MIPS final score of 91.5476 out of 100, above the 83.1 national average, and filed 1,621 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

ROBERT HERSCOWITZ, 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).

ROBERT HERSCOWITZ, M.D. at a glance

High performer (top quartile)

NPI registry status

Active

Issued 06/12/2006

NPI 1801838776

Primary specialty

Pulmonary Disease Physician

Mid-sized

9,271 US NPIs in this specialty

Medicare Part D claims

1,621 11% vs specialty avg

2023 prescription claims

Specialty avg: 1,457

MIPS final score

91.5476/100 8.447600000000008% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Virginia

How Pulmonary Disease Physician compares to other specialties among Virginia providers

Virginia providers

Pulmonary Disease Physician share within Virginia

1. Pulmonary Disease Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Pulmonary Disease Physician share within Virginia

Medicare quality performance — MIPS

ROBERT HERSCOWITZ, M.D.'s 2023 MIPS final score plotted against the Pulmonary Disease Physician national average

High performer (top quartile)
MIPS Final Score
91.5476/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Pulmonary Disease Physician) — 91.5476/100 vs national avg 83.1

0%100%National avg83%91.5%
MIPS final score (Pulmonary Disease Physician) — 91.5476/100 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 HERSCOWITZ, M.D. is a Pulmonary Disease Physician provider practicing in ALEXANDRIA, Virginia, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1801838776. 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 HERSCOWITZ, M.D. appears in the CMS NPPES registry as a Pulmonary Disease Physician provider holding M.D. credentials at 5216 DAWES AVE, ALEXANDRIA, VA, 22311, with a listed phone of (703) 931-4746. NPI 1801838776 was issued on 06/12/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what HERSCOWITZ 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 1,621 prescription claims written by this provider, covering 268 Medicare beneficiaries and totaling roughly $925K in drug spend, split 66% brand-name and 34% generic by claim count. 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 91.5476/100 for the 2023 performance year (Quality 96.8145, Cost 75.0107), compared with the national average of 83.1.

Pulmonary Disease Physician is a mid-sized specialty nationwide, with 9,271 enrolled providers across 53 states and an average of 1,457 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

5216 DAWES AVE
ALEXANDRIA, VA 22311

Provider Details

NPI 1801838776
Specialty Pulmonary Disease Physician
Credentials M.D.
Gender Male
NPI Issued 06/12/2006

CMS Quality Score (MIPS)

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

91.5476
Final Score
Avg: 83.1
96.8145
Quality
75.0107
Cost
100
Promoting Interoperability

Reporting: Individual

Hospital and facility affiliations

Facilities where ROBERT HERSCOWITZ, 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.

PULMONARY ASSOCIATES LTD
ALEXANDRIA, VA

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 · Brand-heavy

ROBERT HERSCOWITZ, M.D. — brand share 66.0%
Specialty average (est.)

66% brand-name claims vs 34% generic, on 1,621 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.

1,621
Total Claims
$925K
Total Drug Cost
268
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
2,829
Total Day Supply
81,999
Brand vs Generic
66% brand / 34% generic
Brand Drug Cost
$897K
Antibiotic Claims
81

Patient Demographics

Average Patient Age
74.7 years
Avg HCC Risk Score
1.50
Gender Split
59% female / 41% male

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Trelegy Ellipta
Fluticasone/Umeclidin/Vilanter
257
Montelukast Sodium
222
Albuterol Sulfate Hfa
Albuterol Sulfate
181
Breo Ellipta
Fluticasone/Vilanterol
151
Anoro Ellipta
Umeclidinium Brm/Vilanterol Tr
103
Azelastine Hcl
66
Symbicort
Budesonide/Formoterol Fumarate
62
Breztri Aerosphere
Budesonide/Glycopyr/Formoterol
61
Incruse Ellipta
Umeclidinium Bromide
50
Prednisone
45

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Pulmonary Disease Physician Overview

How ROBERT HERSCOWITZ, M.D. fits within the Pulmonary Disease Physician landscape nationally.

9,271
Pulmonary Disease Physician Providers in US
53
States with Pulmonary Disease Physician
1,457
Avg Claims per Provider

ROBERT HERSCOWITZ, M.D.'s 1,621 claims are above the specialty average of 1,457.

Nearby Pulmonary Disease Physician Providers in Virginia

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

Compare Pulmonary Disease Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is ROBERT HERSCOWITZ, M.D.'s specialty?
ROBERT HERSCOWITZ, M.D. specializes in Pulmonary Disease Physician and practices in ALEXANDRIA, Virginia. Credentials: M.D..
How much does ROBERT HERSCOWITZ, M.D. prescribe under Medicare Part D?
In 2023, ROBERT HERSCOWITZ, M.D. wrote 1,621 Medicare Part D claims totaling $925K in drug costs for 268 beneficiaries.
What is ROBERT HERSCOWITZ, M.D.'s Medicare quality score?
ROBERT HERSCOWITZ, M.D. has a CMS MIPS Final Score of 91.5476/100 (Quality: 96.8145, Cost: 75.0107). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is ROBERT HERSCOWITZ, M.D. located?
ROBERT HERSCOWITZ, M.D. is located at 5216 DAWES AVE, ALEXANDRIA, VA, 22311. Phone: (703) 931-4746.
What is ROBERT HERSCOWITZ, M.D.'s NPI number?
ROBERT HERSCOWITZ, M.D.'s National Provider Identifier (NPI) is 1801838776, issued on 06/12/2006.
Does ROBERT HERSCOWITZ, M.D. prescribe more brand-name or generic drugs?
ROBERT HERSCOWITZ, M.D.'s prescribing is 66% brand-name and 34% generic drugs by claim count, with $897K in brand drug costs.
How many Pulmonary Disease Physician providers are there in the US?
There are 9,271 Pulmonary Disease Physician providers across 53 states in the US. The average Pulmonary Disease Physician provider writes 1,457 Medicare Part D claims per year.
What drugs does ROBERT HERSCOWITZ, M.D. prescribe most often?
Based on 2023 Medicare Part D data, ROBERT HERSCOWITZ, M.D.'s most frequently prescribed drugs include Trelegy Ellipta, Montelukast Sodium, Albuterol Sulfate Hfa. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does ROBERT HERSCOWITZ, M.D. accept Medicare?
ROBERT HERSCOWITZ, M.D. appears in CMS Medicare data with 1,621 Part D claims and 268 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify ROBERT HERSCOWITZ, M.D.'s credentials?
ROBERT HERSCOWITZ, M.D.'s NPI is 1801838776 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