NPI registry status
Active
2026 NPPES data Family Medicine Physician NPI 1861495152 MD
Verify on CMS → Robert Pomphrey, MD
Family Medicine Physician in Lexington, Tennessee.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 147,760 in Family 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
2K
Medicare Part D claims · 223 beneficiaries · Family Medicine Physician avg: 3K
What the federal data shows
Robert Pomphrey, MD filed 1,885 Medicare Part D claims in 2023 as a Family Medicine Physician in Lexington, Tennessee.
- 2K
- Part D claims, 2023
- ≥83rd
- pct by Part D claim volume (lower-bound band)
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.
CMS NPPES provider registry desk
NPI 1861495152 · Family Medicine Physician
NPI-10 · ENUM-LEGACY · TAX-MEGA · RX-MID · BOOK-LIGHT · PHOTO-ENUM
- NPI-10 1861495152
- ENUM-LEGACY 2005
- TAX-MEGA 148K Family Medicine
- RX-MID 1,885
- BOOK-LIGHT 2,533 in Tennessee
- PHOTO-ENUM Angela Bennett · 2005
Robert Pomphrey, MD's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023, across all CMS prescribers nationally
1,885 ≥ 83rd percentile 83% of 1,370,886 prescribers are in lower value bands
Each bar is a band; taller bars hold more prescribers. 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.
The percentile is a conservative 100-claim band: it counts only prescribers in lower claim-volume bands. Medicare Part D claim volume is activity context, not a quality measure or recommendation. See methodology § corpus placement.
Source CMS Medicare Part D Prescriber Public Use File · 2023
◑
Board-eligible specialty (heuristic, not verified)
Robert Pomphrey, MD practices in an ABMS-board-eligible specialty but we don't have enough CMS-participation signals to confirm active board-certified status. Consult CertificationMatters.org (the official ABMS public lookup).
What does the federal data show about Robert Pomphrey, MD?
Quality data not reportedPrimary specialty
Family Medicine Physician
Medicare Part D claims
1,885 45% vs specialty avg
Specialty distribution in Tennessee
How Family Medicine Physician compares to other specialties among Tennessee providers
Board certification
Not published by CMS
CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Family Medicine Physician. Verify directly:
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).
Practice Address
Provider Details
| NPI | 1861495152 |
|---|---|
| Specialty | Family Medicine Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 05/31/2005 |
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
1,885
Total Claims
$94K
Total Drug Cost
223
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 2,856
- Total Day Supply
- 77,360
- Generic Drug Cost
- $30K
- Opioid Claims
- 23 (1.2% rate)
- Antibiotic Claims
- 141
Patient Demographics
- Average Patient Age
- 69.0 years
- Avg HCC Risk Score
- 1.28
- Gender Split
- 67% female / 33% male
- Age Distribution
- <65: 64, 65-74: 91, 75-84: 51, 85+: 17
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Robert Pomphrey, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Gabapentin
Gabapentin
74 claims
- Albuterol Sulfate …
Albuterol Sulfate Hfa
66 claims
- Pantoprazole Sodium
Pantoprazole Sodium
64 claims
- Atorvastatin Calcium
Atorvastatin Calcium
46 claims
- Diclofenac Sodium
Diclofenac Sodium
44 claims
- Methylprednisolone
Methylprednisolone
44 claims
- Hydrochlorothiazide
Hydrochlorothiazide
41 claims
- Lisinopril
Lisinopril
41 claims
| Drug | Claims |
|---|---|
| Gabapentin | 74 |
| Albuterol Sulfate Hfa Albuterol Sulfate | 66 |
| Pantoprazole Sodium | 64 |
| Atorvastatin Calcium | 46 |
| Diclofenac Sodium | 44 |
| Methylprednisolone | 44 |
| Hydrochlorothiazide | 41 |
| Lisinopril | 41 |
| Cephalexin | 39 |
| Metformin Hcl | 38 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Family Medicine Physician Overview
How Robert Pomphrey, MD fits within the Family Medicine Physician landscape nationally.
147,760
Family Medicine Physician Providers in US
56
States with Family Medicine Physician
3,418
Avg Claims per Provider
Robert Pomphrey, MD's 1,885 claims are below the specialty average of 3,418.
Nationwide Family Medicine Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Pomphrey, both outside Tennessee so the neighborhoods are not geographic containment.
Same NPPES enumeration year (2005)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Family Medicine Physician Providers in Tennessee
Other clinicians with the same primary specialty enrolled in Tennessee, drawn from the same CMS NPPES roster as Pomphrey.
One of 2,533 Family Medicine Physician providers enrolled in Tennessee, 5 are shown here.
Dr. John Aaron
MD
Clarksville, TN
Dr. Rebecca Aaron
MD
Clarksville, TN
Dr. Richard Aasheim
M.D.
Greeneville, TN
Dr. Julia Abraham
MD
Knoxville, TN
Dr. Sydney Abramson
MD
Murfreesboro, TN
Compare Family Medicine Physician nationally: see state-by-state distribution →
Frequently Asked Questions
What is Robert Pomphrey, MD's specialty? ▼
Robert Pomphrey, MD specializes in Family Medicine Physician and practices in Lexington, Tennessee. Credentials: MD.
How much does Robert Pomphrey, MD prescribe under Medicare Part D? ▼
In 2023, Robert Pomphrey, MD wrote 1,885 Medicare Part D claims totaling $94K in drug costs for 223 beneficiaries.
Where is Robert Pomphrey, MD located? ▼
Robert Pomphrey, MD is located at 16615 HIGHWAY 104 N STE B, Lexington, TN, 38351. Phone: (731) 968-0660.
What is Robert Pomphrey, MD's NPI number? ▼
Robert Pomphrey, MD's National Provider Identifier (NPI) is 1861495152, issued on 05/31/2005.
Does Robert Pomphrey, MD prescribe opioids? ▼
Yes, Robert Pomphrey, MD had 23 opioid claims in 2023 with an opioid prescribing rate of 1.2%.
How many Family Medicine Physician providers are there in the US? ▼
There are 147,760 Family Medicine Physician providers across 56 states in the US. The average Family Medicine Physician provider writes 3,418 Medicare Part D claims per year.
What drugs does Robert Pomphrey, MD prescribe most often? ▼
Based on 2023 Medicare Part D data, Robert Pomphrey, MD's most frequently prescribed drugs include Gabapentin, Albuterol Sulfate Hfa, Pantoprazole Sodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Robert Pomphrey, MD accept Medicare? ▼
Robert Pomphrey, MD appears in CMS Medicare data with 1,885 Part D claims and 223 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Robert Pomphrey, MD's credentials? ▼
Robert Pomphrey, MD's NPI is 1861495152 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.
- 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
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.