NPI registry status
Active
2026 NPPES data Pulmonary Disease Physician NPI 1457442295 MD
Verify on CMS → Robert Pueringer, MD
Pulmonary Disease Physician in Billings, Montana.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 9,271 in Pulmonary Disease 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
535
Medicare Part D claims · 92 beneficiaries · Pulmonary Disease Physician avg: 1K
Generic prescribing
50%
generic claims · 50% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
94.3/100
▲ 11 pts above national avg 83.1 · Exceptional
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 Pueringer, MD reported a CMS MIPS final score of 94.3/100 - above the 83.1 national average - and filed 535 Medicare Part D claims in 2023.
- 94.3/100
- MIPS score · +11 vs avg
- 535
- Part D claims, 2023
- 50%
- 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 Pueringer, MD's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
94 Top 25% higher than 75% 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 Pueringer, MD sits
This provider among pulmonary disease physician peers
Across the 2,676 pulmonary disease physician providers who report both Medicare Part D prescribing and a MIPS quality score, Robert Pueringer, MD writes more Part D claims than 32% of them and scores higher on MIPS quality than 77% - placing this provider in the lower-volume, high-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 pulmonary disease physician peer from a representative sample of 60; the gold marker is Robert Pueringer, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Robert Pueringer, MD 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 Robert Pueringer, MD?
High performer (top quartile)Primary specialty
Pulmonary Disease Physician
Medicare Part D claims
535 63% vs specialty avg
MIPS final score
94.3/100 11.2 pts vs avg
Specialty distribution in Montana
How Pulmonary Disease Physician compares to other specialties among Montana providers
Medicare quality performance, MIPS
Robert Pueringer, MD's 2023 MIPS final score plotted against the Pulmonary Disease Physician national average
- MIPS Final Score
- 94.3/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Pulmonary Disease Physician) - 94.3/100 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 Pueringer, MD appears in the CMS NPPES registry as a Pulmonary Disease Physician provider holding MD credentials at 801 N 29TH ST, Billings, MT, 59101, with a listed phone of (406) 238-2500. NPI 1457442295 was issued on 09/27/2006.
Medicare Part D records for calendar year 2023 show 535 prescription claims written by this provider, covering 92 Medicare beneficiaries and totaling roughly $568K in drug spend, split 50% brand-name and 50% generic by claim count. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 94.3/100 for the 2023 performance year (Quality 85.6), 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
Provider Details
| NPI | 1457442295 |
|---|---|
| Specialty | Pulmonary Disease Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 09/27/2006 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
94.3056
Final Score
Avg: 83.1
85.5889
Quality
100
Promoting Interoperability
Reporting: Alternative Payment Model
Hospital and facility affiliations
Facilities where Robert Pueringer, 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.
Billings Clinic
Cody, WY
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 Pueringer, MD - brand share 50.0%
Pulmonary Disease Physician average
50% brand-name claims vs 50% generic, on 535 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.
535
Total Claims
$568K
Total Drug Cost
92
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 797
- Total Day Supply
- 23,029
- Brand vs Generic
- 50% brand / 50% generic
- Brand Drug Cost
- $280K
- Generic Drug Cost
- $288K
- Antibiotic Claims
- 97
Patient Demographics
- Average Patient Age
- 72.6 years
- Avg HCC Risk Score
- 1.59
- Gender Split
- 51% female / 49% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Robert Pueringer, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Azithromycin
Azithromycin
87 claims
- Symbicort
Symbicort
54 claims
- Ambrisentan
Ambrisentan
36 claims
- Spiriva Respimat 28
Spiriva Respimat
28 claims
- Incruse Ellipta 25
Incruse Ellipta
25 claims
- Trelegy Ellipta 25
Trelegy Ellipta
25 claims
- Prednisone 23
Prednisone
23 claims
- Spiriva Handihaler 20
Spiriva Handihaler
20 claims
| Drug | Claims |
|---|---|
| Azithromycin | 87 |
| Symbicort Budesonide/Formoterol Fumarate | 54 |
| Ambrisentan | 36 |
| Spiriva Respimat Tiotropium Bromide | 28 |
| Incruse Ellipta Umeclidinium Bromide | 25 |
| Trelegy Ellipta Fluticasone/Umeclidin/Vilanter | 25 |
| Prednisone | 23 |
| Spiriva Handihaler Tiotropium Bromide | 20 |
| Stiolto Respimat Tiotropium Br/Olodaterol Hcl | 20 |
| Ventolin Hfa Albuterol Sulfate | 15 |
* 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 Pueringer, MD 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 Pueringer, MD's 535 claims are below the specialty average of 1,457.
Nearby Pulmonary Disease Physician Providers in Montana
Other clinicians with the same primary specialty enrolled in Montana, drawn from the same CMS NPPES roster as Pueringer.
Dr. David Anderson
MD
Great Falls, MT
Dr. Merhala Balasubramaniam
M.D.
Great Falls, MT
Manfred Baumgartner
Billings, MT
Dr. Richard Blevins
MD
Great Falls, MT
Dr. Anthony Dal Nogare
MD
Kalispell, MT
Compare Pulmonary Disease 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 Montana medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Pulmonary Disease 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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Medical Specialties Explained
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Understanding Medicare Claims Data
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Explore Montana
Frequently Asked Questions
What is Robert Pueringer, MD's specialty? ▼
Robert Pueringer, MD specializes in Pulmonary Disease Physician and practices in Billings, Montana. Credentials: MD.
How much does Robert Pueringer, MD prescribe under Medicare Part D? ▼
In 2023, Robert Pueringer, MD wrote 535 Medicare Part D claims totaling $568K in drug costs for 92 beneficiaries.
What is Robert Pueringer, MD's Medicare quality score? ▼
Robert Pueringer, MD has a CMS MIPS Final Score of 94.3/100 (Quality: 85.6). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Robert Pueringer, MD located? ▼
Robert Pueringer, MD is located at 801 N 29TH ST, Billings, MT, 59101. Phone: (406) 238-2500.
What is Robert Pueringer, MD's NPI number? ▼
Robert Pueringer, MD's National Provider Identifier (NPI) is 1457442295, issued on 09/27/2006.
Does Robert Pueringer, MD prescribe more brand-name or generic drugs? ▼
Robert Pueringer, MD's prescribing is 50% brand-name and 50% generic drugs by claim count, with $280K 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 Pueringer, MD prescribe most often? ▼
Based on 2023 Medicare Part D data, Robert Pueringer, MD's most frequently prescribed drugs include Azithromycin, Symbicort, Ambrisentan. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Robert Pueringer, MD accept Medicare? ▼
Robert Pueringer, MD appears in CMS Medicare data with 535 Part D claims and 92 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Robert Pueringer, MD's credentials? ▼
Robert Pueringer, MD's NPI is 1457442295 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.