NPI registry status
Active
2026 NPPES data Adult Medicine Physician NPI 1497802797 M.D.
Verify on CMS → Roger Pafford, M.D.
Adult Medicine Physician in Anaconda, 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 2,481 in Adult 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
4K
Medicare Part D claims · 286 beneficiaries · Adult Medicine Physician avg: 3K
Generic prescribing
88%
generic claims · 12% brand-name · higher generic rates reduce patient out-of-pocket costs
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
Roger Pafford, M.D. filed 4,481 Medicare Part D claims in 2023 as a Adult Medicine Physician in Anaconda, Montana, prescribing 88% generic.
- 4K
- Part D claims, 2023
- 88%
- 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.
Roger Pafford, M.D.'s Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023, across all CMS prescribers nationally
4,481 Top 7% higher than 93% of 1,370,886 prescribers
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.
Source CMS Medicare Part D Prescriber Public Use File · 2023
✓
Board certification likely (heuristic, not verified)
Roger Pafford, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 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 Roger Pafford, M.D.?
Quality data not reportedPrimary specialty
Adult Medicine Physician
Medicare Part D claims
4,481 60% vs specialty avg
Specialty distribution in Montana
How Adult Medicine Physician compares to other specialties among Montana 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 Adult 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).
Roger Pafford, M.D. appears in the CMS NPPES registry as a Adult Medicine Physician provider holding M.D. credentials at 305 W PENNSYLVANIA AVE, Anaconda, MT, 59711, with a listed phone of (406) 563-8686. NPI 1497802797 was issued on 01/05/2007.
Medicare Part D records for calendar year 2023 show 4,481 prescription claims written by this provider, covering 286 Medicare beneficiaries and totaling roughly $397K in drug spend, split 12% brand-name and 88% generic by claim count, with an opioid prescribing rate of 1.4%.
Adult Medicine Physician is a narrow specialty nationwide, with 2,481 enrolled providers across 52 states and an average of 2,807 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 | 1497802797 |
|---|---|
| Specialty | Adult Medicine Physician |
| Credentials | M.D. |
| Gender | Male |
| NPI Issued | 01/05/2007 |
Hospital and facility affiliations
Facilities where Roger Pafford, 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.
Community Hospital OF Anaconda
★★★★★ 5/5
Anaconda, MT
Critical Access Hospitals
CMS CCN: 271335
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
Roger Pafford, M.D. - brand share 12.0%
Adult Medicine Physician average
12% brand-name claims vs 88% generic, on 4,481 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.
4,481
Total Claims
$397K
Total Drug Cost
286
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 8,646
- Total Day Supply
- 244,292
- Brand vs Generic
- 12% brand / 88% generic
- Brand Drug Cost
- $335K
- Generic Drug Cost
- $60K
- Opioid Claims
- 63 (1.4% rate)
- Antibiotic Claims
- 73
Patient Demographics
- Average Patient Age
- 72.1 years
- Avg HCC Risk Score
- 1.03
- Gender Split
- 29% female / 71% male
- Age Distribution
- <65: 37, 65-74: 150, 75-84: 71, 85+: 28
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Roger Pafford, M.D. prescribes most
Top Medicare Part D drugs by claim count, 2023
- Lisinopril
Lisinopril
249 claims
- Levothyroxine Sodium
Levothyroxine Sodium
222 claims
- Atorvastatin Calcium
Atorvastatin Calcium
170 claims
- Amlodipine Besylate
Amlodipine Besylate
161 claims
- Simvastatin
Simvastatin
161 claims
- Omeprazole
Omeprazole
153 claims
- Metformin Hcl
Metformin Hcl
144 claims
- Losartan Potassium
Losartan Potassium
105 claims
| Drug | Claims |
|---|---|
| Lisinopril | 249 |
| Levothyroxine Sodium | 222 |
| Atorvastatin Calcium | 170 |
| Amlodipine Besylate | 161 |
| Simvastatin | 161 |
| Omeprazole | 153 |
| Metformin Hcl | 144 |
| Losartan Potassium | 105 |
| Duloxetine Hcl | 103 |
| Tamsulosin Hcl | 81 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Adult Medicine Physician Overview
How Roger Pafford, M.D. fits within the Adult Medicine Physician landscape nationally.
2,481
Adult Medicine Physician Providers in US
52
States with Adult Medicine Physician
2,807
Avg Claims per Provider
Roger Pafford, M.D.'s 4,481 claims are above the specialty average of 2,807.
Nearby Adult Medicine Physician Providers in Montana
Other clinicians with the same primary specialty enrolled in Montana, drawn from the same CMS NPPES roster as Pafford.
Dr. Jeffrey Adams
M.D.
Missoula, MT
Dr. Susan Avery
MD
Great Falls, MT
Dr. Kathleen Baskett
M.D.
Billings, MT
Dr. Monica Berner
M.D.
Helena, MT
Dr. Marilyn Lajoie
M.D.
Helena, MT
Compare Adult Medicine 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 Adult Medicine 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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Frequently Asked Questions
What is Roger Pafford, M.D.'s specialty? ▼
Roger Pafford, M.D. specializes in Adult Medicine Physician and practices in Anaconda, Montana. Credentials: M.D..
How much does Roger Pafford, M.D. prescribe under Medicare Part D? ▼
In 2023, Roger Pafford, M.D. wrote 4,481 Medicare Part D claims totaling $397K in drug costs for 286 beneficiaries.
Where is Roger Pafford, M.D. located? ▼
Roger Pafford, M.D. is located at 305 W PENNSYLVANIA AVE, Anaconda, MT, 59711. Phone: (406) 563-8686.
What is Roger Pafford, M.D.'s NPI number? ▼
Roger Pafford, M.D.'s National Provider Identifier (NPI) is 1497802797, issued on 01/05/2007.
Does Roger Pafford, M.D. prescribe more brand-name or generic drugs? ▼
Roger Pafford, M.D.'s prescribing is 12% brand-name and 88% generic drugs by claim count, with $335K in brand drug costs.
Does Roger Pafford, M.D. prescribe opioids? ▼
Yes, Roger Pafford, M.D. had 63 opioid claims in 2023 with an opioid prescribing rate of 1.4%.
How many Adult Medicine Physician providers are there in the US? ▼
There are 2,481 Adult Medicine Physician providers across 52 states in the US. The average Adult Medicine Physician provider writes 2,807 Medicare Part D claims per year.
What drugs does Roger Pafford, M.D. prescribe most often? ▼
Based on 2023 Medicare Part D data, Roger Pafford, M.D.'s most frequently prescribed drugs include Lisinopril, Levothyroxine Sodium, Atorvastatin Calcium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Roger Pafford, M.D. accept Medicare? ▼
Roger Pafford, M.D. appears in CMS Medicare data with 4,481 Part D claims and 286 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Roger Pafford, M.D.'s credentials? ▼
Roger Pafford, M.D.'s NPI is 1497802797 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
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
Compiled from official public sources by the PlainDoctor editorial team.