2026 NPPES data Neuromusculoskeletal Medicine & OMM Physician NPI 1245206408 MD
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ROMAN KUTSY, MD

Neuromusculoskeletal Medicine & OMM Physician in EVERETT, Washington. 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
498
Medicare Part D claims · 77 beneficiaries · Neuromusculoskeletal Medicine & OMM Physician avg: 1K
Generic prescribing
91%
generic claims · 9% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$628.18
24 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: ROMAN KUTSY, MD is a Neuromusculoskeletal Medicine & OMM Physician ([object Object]) practicing in EVERETT, Washington with a Medicare Part D prescribing footprint of 498 claims across 77 beneficiaries — 9% brand-name prescribing . Industry payments of $628.18 across 24 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: ROMAN KUTSY, MD filed 498 Medicare Part D claims in 2023 across EVERETT, Washington. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

ROMAN KUTSY, MD 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).

ROMAN KUTSY, MD at a glance

Quality data not reported

NPI registry status

Active

Issued 02/27/2006

NPI 1245206408

Primary specialty

Neuromusculoskeletal Medicine & OMM Physician

Niche

1,235 US NPIs in this specialty

Medicare Part D claims

498 55% vs specialty avg

2023 prescription claims

Specialty avg: 1,107

Specialty distribution in Washington

How Neuromusculoskeletal Medicine & OMM Physician compares to other specialties among Washington providers

Washington providers

Neuromusculoskeletal Medicine & OMM Physician share within Washington

1. Neuromusculoskeletal Medicine & OMM Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Neuromusculoskeletal Medicine & OMM Physician share within Washington

Specialty board-certification context

Estimated specialty board-certified rate — Neuromusculoskeletal Medicine & OMM Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Neuromusculoskeletal Medicine & OMM Physician ABMS/AOA estimate

Est. board-certified rate (Neuromusculoskeletal Medicine & OMM Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Neuromusculoskeletal Medicine & OMM Physician) — ABMS / AOA estimate

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).

ROMAN KUTSY, MD is a Neuromusculoskeletal Medicine & OMM Physician provider practicing in EVERETT, Washington, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1245206408. 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.

ROMAN KUTSY, MD appears in the CMS NPPES registry as a Neuromusculoskeletal Medicine & OMM Physician provider holding MD credentials at 2326 RUCKER AVE, EVERETT, WA, 98201, with a listed phone of (425) 259-5121. NPI 1245206408 was issued on 02/27/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what KUTSY 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 498 prescription claims written by this provider, covering 77 Medicare beneficiaries and totaling roughly $204K in drug spend, split 9% brand-name and 91% 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.

Neuromusculoskeletal Medicine & OMM Physician is a narrow specialty nationwide, with 1,235 enrolled providers across 51 states and an average of 1,107 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

2326 RUCKER AVE
EVERETT, WA 98201

Provider Details

NPI 1245206408
Specialty Neuromusculoskeletal Medicine & OMM Physician
Credentials MD
Gender Male
NPI Issued 02/27/2006

Hospital and facility affiliations

Facilities where ROMAN KUTSY, 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.

NEUROLOGICAL ASSOCIATES OF WASHINGTON
KIRKLAND, WA

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for ROMAN KUTSY, MD. Source: openpaymentsdata.cms.gov.

Total received

$628

Largest payer

Teva Pharmaceuticals USA, Inc.

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

License & disciplinary context — Washington WMC 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~34K Washington medical licensees in 2023 — they are NOT specific to ROMAN KUTSY, MD. To verify ROMAN KUTSY, MD's current license status, search the WMC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

88
Total board actions, Washington 2023
Across 85 cases
2.59
Actions per 1,000 licensees
Washington statewide rate
probation
Most common action type
31 cases

WMC publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Washington disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Generic-heavy

ROMAN KUTSY, MD — brand share 9.0%
Specialty average (est.)

9% brand-name claims vs 91% generic, on 498 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.

498
Total Claims
$204K
Total Drug Cost
77
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
738
Total Day Supply
21,625
Brand vs Generic
9% brand / 91% generic
Brand Drug Cost
$180K
Generic Drug Cost
$24K

Patient Demographics

Average Patient Age
71.3 years
Avg HCC Risk Score
1.28
Gender Split
58% female / 42% 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
Levetiracetam
77
Zonisamide
56
Gabapentin
40
Carbidopa-Levodopa
Carbidopa/Levodopa
39
Oxcarbazepine
38
Lamotrigine
30
Donepezil Hcl
16
Trihexyphenidyl Hcl
14
Gamunex-C
Immune Globul G/Gly/Iga Avg 46
13
Pregabalin
12

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

Neuromusculoskeletal Medicine & OMM Physician Overview

How ROMAN KUTSY, MD fits within the Neuromusculoskeletal Medicine & OMM Physician landscape nationally.

1,235
Neuromusculoskeletal Medicine & OMM Physician Providers in US
51
States with Neuromusculoskeletal Medicine & OMM Physician
1,107
Avg Claims per Provider

ROMAN KUTSY, MD's 498 claims are below the specialty average of 1,107.

Nearby Neuromusculoskeletal Medicine & OMM Physician Providers in Washington

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

Compare Neuromusculoskeletal Medicine & OMM Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is ROMAN KUTSY, MD's specialty?
ROMAN KUTSY, MD specializes in Neuromusculoskeletal Medicine & OMM Physician and practices in EVERETT, Washington. Credentials: MD.
How much does ROMAN KUTSY, MD prescribe under Medicare Part D?
In 2023, ROMAN KUTSY, MD wrote 498 Medicare Part D claims totaling $204K in drug costs for 77 beneficiaries.
Where is ROMAN KUTSY, MD located?
ROMAN KUTSY, MD is located at 2326 RUCKER AVE, EVERETT, WA, 98201. Phone: (425) 259-5121.
What is ROMAN KUTSY, MD's NPI number?
ROMAN KUTSY, MD's National Provider Identifier (NPI) is 1245206408, issued on 02/27/2006.
Does ROMAN KUTSY, MD prescribe more brand-name or generic drugs?
ROMAN KUTSY, MD's prescribing is 9% brand-name and 91% generic drugs by claim count, with $180K in brand drug costs.
How many Neuromusculoskeletal Medicine & OMM Physician providers are there in the US?
There are 1,235 Neuromusculoskeletal Medicine & OMM Physician providers across 51 states in the US. The average Neuromusculoskeletal Medicine & OMM Physician provider writes 1,107 Medicare Part D claims per year.
What drugs does ROMAN KUTSY, MD prescribe most often?
Based on 2023 Medicare Part D data, ROMAN KUTSY, MD's most frequently prescribed drugs include Levetiracetam, Zonisamide, Gabapentin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does ROMAN KUTSY, MD accept Medicare?
ROMAN KUTSY, MD appears in CMS Medicare data with 498 Part D claims and 77 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify ROMAN KUTSY, MD's credentials?
ROMAN KUTSY, MD's NPI is 1245206408 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

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