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 9,647 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
437
Medicare Part D claims · 74 beneficiaries · Pulmonary Disease Physician avg: 1K
Generic prescribing
45%
generic claims · 55% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
94.3/100
▲ 11 pts above national avg 83.5 · Exceptional
Source: CMS Medicare Part D Prescriber Public Use File, 2024
What the federal data shows
Robert Pueringer, MD reported a CMS MIPS final score of 94.3/100 - above the 83.5 national average - and filed 437 Medicare Part D claims in 2024.
- 94.3/100
- MIPS score · +11 vs avg
- 437
- Part D claims, 2024
- 45%
- 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.
Federal trust snapshot
What official records show about Robert Pueringer, MD
Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1457442295), first enumerated 09/27/2006.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 437 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- Reported
CMS quality reporting (MIPS)
Reported a CMS MIPS final score of 94.3/100 in the Quality Payment Program — a federal quality measure, not a patient review.
Source: CMS Quality Payment Program
- Reported
Board certification signal
Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.
- Reported
Hospital affiliations
1 CMS Care Compare hospital affiliation on record — practice footprint from the Doctors and Clinicians file.
Source: CMS Care Compare
- Not in federal data
Individual sanction lookup
PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.
Source: State medical board / FSMB
This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.
CMS NPPES provider registry desk
NPI 1457442295 · Pulmonary Disease Physician
NPI-10 · ENUM-LEGACY · TAX-MID · MIPS-ELITE · RX-LIGHT · BOOK-THIN · PHOTO-FINISH
- NPI-10 1457442295
- ENUM-LEGACY 2006
- TAX-MID 10K Pulmonary Disease
- MIPS-ELITE 94.3/100
- RX-LIGHT 437
- BOOK-THIN 28 in Montana
- PHOTO-FINISH Rafael Arciniegas Fl… · ±0.0
MIPS final-score neighbourhood
Same-specialty nationwide peers by CMS final score, not geographic proximity
- Pueringer · this…
Pueringer · this provider
94.3 MIPS pts
- Vandana Pai · hi…
Vandana Pai
94.3 MIPS pts
- Rafael Arciniega…
Rafael Arciniegas Flores
94.3 MIPS pts
- Kristopher Clark…
Kristopher Clark
94.3 MIPS pts
- James Lampasso ·…
James Lampasso
94.3 MIPS pts
What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).
Robert Pueringer, MD's MIPS score vs every measured U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.
94 ≥ 73rd percentile 73% of 454,083 measured providers are in lower value bands
Each bar is a band; taller bars hold more measured 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.
The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where Robert Pueringer, MD sits
This provider among pulmonary disease physician peers
Across the 2,467 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 31% of them and scores higher on MIPS quality than 75% - placing this provider in the lower-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
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
437 71% vs specialty avg
MIPS final score
94.3/100 10.8 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 83.5 national avg · 2023 performance year
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 | 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
Measured-score avg: 83.5
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 55.0%
Pulmonary Disease Physician average
55% brand-name claims vs 45% generic, on 437 2024 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 2024.
437
Total Claims
$258K
Total Drug Cost
74
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 613.967
- Total Day Supply
- 17,570
- Brand vs Generic
- 55% brand / 45% generic
- Brand Drug Cost
- $197K
- Generic Drug Cost
- $61K
- Antibiotic Claims
- 68
Patient Demographics
- Average Patient Age
- 72.0 years
- Avg HCC Risk Score
- 1.42
- Gender Split
- 51% female / 49% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
What Robert Pueringer, MD prescribes most
Top Medicare Part D drugs by claim count, 2024
- Jardiance
Jardiance
65 claims
- Azithromycin
Azithromycin
56 claims
- Spiriva Respimat
Spiriva Respimat
52 claims
- Prednisone 23
Prednisone
23 claims
- Symbicort 23
Symbicort
23 claims
- Fluticasone-Salmet… 20
Fluticasone-Salmeterol
20 claims
- Trelegy Ellipta 20
Trelegy Ellipta
20 claims
- Furosemide 19
Furosemide
19 claims
| Drug | Claims |
|---|---|
| Jardiance Empagliflozin | 65 |
| Azithromycin | 56 |
| Spiriva Respimat Tiotropium Bromide | 52 |
| Prednisone | 23 |
| Symbicort Budesonide/Formoterol Fumarate | 23 |
| Fluticasone-Salmeterol Fluticasone Propion/Salmeterol | 20 |
| Trelegy Ellipta Fluticasone/Umeclidin/Vilanter | 20 |
| Furosemide | 19 |
| Ambrisentan | 18 |
| Gabapentin | 12 |
* 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.
9,647
Pulmonary Disease Physician Providers in US
53
States with Pulmonary Disease Physician
1,498
Avg Claims per Provider
Robert Pueringer, MD's 437 claims are below the specialty average of 1,498.
Nationwide Pulmonary Disease Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Pueringer, both outside Montana so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (94.3 here).
Same NPPES enumeration year (2006)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
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.
One of 28 Pulmonary Disease Physician providers enrolled in Montana, 5 are shown here.
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 →
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 2024, Robert Pueringer, MD wrote 437 Medicare Part D claims totaling $258K in drug costs for 74 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 average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. 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 55% brand-name and 45% generic drugs by claim count, with $197K in brand drug costs.
How many Pulmonary Disease Physician providers are there in the US? ▼
There are 9,647 Pulmonary Disease Physician providers across 53 states in the US. The average Pulmonary Disease Physician provider writes 1,498 Medicare Part D claims per year.
What drugs does Robert Pueringer, MD prescribe most often? ▼
Based on 2024 Medicare Part D data, Robert Pueringer, MD's most frequently prescribed drugs include Jardiance, Azithromycin, Spiriva Respimat. 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 437 Part D claims and 74 Medicare beneficiaries in 2024. 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 (2024). 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 August 2026 (NPPES) / 2024 (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 August 2026.