2026 NPPES data Plastic and Reconstructive Surgery Physician NPI 1528038072 M.D.
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Roman Rayham, M.D.

Plastic and Reconstructive Surgery Physician in Rochester, Minnesota. This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 2,352 in Plastic and Reconstructive Surgery 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
129
Medicare Part D claims · 35 beneficiaries · Plastic and Reconstructive Surgery Physician avg: 86
Generic prescribing
89%
generic claims · 11% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$77.72
1 payments · CMS Open Payments (Sunshine Act)
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Roman Rayham, M.D. filed 129 Medicare Part D claims in 2023 as a Plastic and Reconstructive Surgery Physician in Rochester, Minnesota, prescribing 89% generic.

129
Part D claims, 2023
89%
generic prescribing
$77.72
industry payments (Sunshine Act)

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.

Roman Rayham, M.D.'s Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023, across all CMS prescribers nationally

129 35th percentile higher than 35% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). This entry sits in this band. 200–400: 182,923 prescribers (13%). Above this entry. 400–600: 90,619 prescribers (7%). Above this entry. 600–800: 56,224 prescribers (4%). Above this entry. 800–1,000: 40,919 prescribers (3%). Above this entry. 1,000–1,200: 31,827 prescribers (2%). Above this entry. 1,200–1,400: 26,224 prescribers (2%). Above this entry. 1,400–1,600: 21,710 prescribers (2%). Above this entry. 1,600–1,800: 19,072 prescribers (1%). Above this entry. 1,800–2,000: 16,451 prescribers (1%). Above this entry. 2K+: 213,991 prescribers (16%). Above this entry. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

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-eligible specialty (heuristic, not verified)

Roman Rayham, M.D. 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 Roman Rayham, M.D.?

Quality data not reported

NPI registry status

Active

Issued 01/26/2006

NPI 1528038072

Primary specialty

Plastic and Reconstructive Surgery Physician

Niche

2,352 US NPIs in this specialty

Medicare Part D claims

129 50% vs specialty avg

2023 prescription claims

Specialty avg: 86

Specialty distribution in Minnesota

How Plastic and Reconstructive Surgery Physician compares to other specialties among Minnesota providers

Minnesota providers
Behavior Technician - 11.7%Behavior Technician11.7%Clinical Social Worker - 4.7%Clinical Social Worker4.7%Physical Therapist - 4.1%Physical Therapist4.1%Pharmacist - 3.7%Pharmacist3.7%Student in an Organized Health Care Education/Training Program - 3.4%Student in an Organized Health Care Education/Training Program3.4%Mental Health Counselor - 3.1%Mental Health Counselor3.1%Plastic and Reconstructive Surgery Physician - 0%Plastic and Reconstructive Surgery Physician0%
Largest specialties in Minnesota (% of in-state 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 Plastic and Reconstructive Surgery Physician. Verify directly:

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 Rayham, M.D. appears in the CMS NPPES registry as a Plastic and Reconstructive Surgery Physician provider holding M.D. credentials at 200 1ST ST SW, Rochester, MN, 55905, with a listed phone of (507) 284-2511. NPI 1528038072 was issued on 01/26/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Rayham 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 129 prescription claims written by this provider, covering 35 Medicare beneficiaries and totaling roughly $6K in drug spend, split 11% brand-name and 89% generic by claim count, with an opioid prescribing rate of 20.9%. 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.

Plastic and Reconstructive Surgery Physician is a narrow specialty nationwide, with 2,352 enrolled providers across 54 states and an average of 86 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

200 1ST ST SW
Rochester, MN 55905

Provider Details

NPI 1528038072
Specialty Plastic and Reconstructive Surgery Physician
Credentials M.D.
Gender Male
NPI Issued 01/26/2006

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 Rayham, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$78

Largest payer

REVANCE THERAPEUTICS, 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.

Brand vs generic prescribing mix · Typical

Roman Rayham, M.D. - brand share 11.0%
Plastic and Reconstructive Surgery Physician average

11% brand-name claims vs 89% generic, on 129 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.

129
Total Claims
$6K
Total Drug Cost
35
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
135
Total Day Supply
1,467
Brand vs Generic
11% brand / 89% generic
Brand Drug Cost
$2K
Generic Drug Cost
$3K
Opioid Claims
27 (20.9% rate)
Antibiotic Claims
33

Patient Demographics

Average Patient Age
72.6 years
Avg HCC Risk Score
0.99

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

What Roman Rayham, M.D. prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Cefadroxil
26
Oxycodone-Acetaminophen
Oxycodone Hcl/Acetaminophen
22
Ondansetron Odt
Ondansetron
18
Tranexamic Acid
18

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

Plastic and Reconstructive Surgery Physician Overview

How Roman Rayham, M.D. fits within the Plastic and Reconstructive Surgery Physician landscape nationally.

2,352
Plastic and Reconstructive Surgery Physician Providers in US
54
States with Plastic and Reconstructive Surgery Physician
86
Avg Claims per Provider

Roman Rayham, M.D.'s 129 claims are above the specialty average of 86.

Nearby Plastic and Reconstructive Surgery Physician Providers in Minnesota

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

Compare Plastic and Reconstructive Surgery 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 Minnesota medical board, federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Plastic and Reconstructive Surgery 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.

Frequently Asked Questions

What is Roman Rayham, M.D.'s specialty?
Roman Rayham, M.D. specializes in Plastic and Reconstructive Surgery Physician and practices in Rochester, Minnesota. Credentials: M.D..
How much does Roman Rayham, M.D. prescribe under Medicare Part D?
In 2023, Roman Rayham, M.D. wrote 129 Medicare Part D claims totaling $6K in drug costs for 35 beneficiaries.
Where is Roman Rayham, M.D. located?
Roman Rayham, M.D. is located at 200 1ST ST SW, Rochester, MN, 55905. Phone: (507) 284-2511.
What is Roman Rayham, M.D.'s NPI number?
Roman Rayham, M.D.'s National Provider Identifier (NPI) is 1528038072, issued on 01/26/2006.
Does Roman Rayham, M.D. prescribe more brand-name or generic drugs?
Roman Rayham, M.D.'s prescribing is 11% brand-name and 89% generic drugs by claim count, with $2K in brand drug costs.
Does Roman Rayham, M.D. prescribe opioids?
Yes, Roman Rayham, M.D. had 27 opioid claims in 2023 with an opioid prescribing rate of 20.9%.
How many Plastic and Reconstructive Surgery Physician providers are there in the US?
There are 2,352 Plastic and Reconstructive Surgery Physician providers across 54 states in the US. The average Plastic and Reconstructive Surgery Physician provider writes 86 Medicare Part D claims per year.
What drugs does Roman Rayham, M.D. prescribe most often?
Based on 2023 Medicare Part D data, Roman Rayham, M.D.'s most frequently prescribed drugs include Cefadroxil, Oxycodone-Acetaminophen, Ondansetron Odt. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Roman Rayham, M.D. accept Medicare?
Roman Rayham, M.D. appears in CMS Medicare data with 129 Part D claims and 35 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Roman Rayham, M.D.'s credentials?
Roman Rayham, M.D.'s NPI is 1528038072 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

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.