2026 NPPES data Physical Medicine & Rehabilitation Physician NPI 1063704823 M.D.
Verify on CMS →

ROSS LUMSDEN, M.D.

Physical Medicine & Rehabilitation Physician in BIRMINGHAM, Alabama. 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
9K
Medicare Part D claims · 1K beneficiaries · Physical Medicine & Rehabilitation Physician avg: 781
Generic prescribing
97%
generic claims · 3% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
75.6/100
▼ 8 pts below national avg 83.1 · [object Object]
Industry payments
$461.85
23 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: ROSS LUMSDEN, M.D. is a Physical Medicine & Rehabilitation Physician ([object Object]) practicing in BIRMINGHAM, Alabama with a Medicare Part D prescribing footprint of 9K claims across 1K beneficiaries — 3% brand-name prescribing . Their CMS MIPS Final Score of 75.6/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $461.85 across 23 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: ROSS LUMSDEN, M.D. reported a CMS MIPS final score of 75.6 out of 100, below the 83.1 national average, and filed 8,730 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

ROSS LUMSDEN, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

ROSS LUMSDEN, M.D. at a glance

Below national average

NPI registry status

Active

Issued 05/11/2011

NPI 1063704823

Primary specialty

Physical Medicine & Rehabilitation Physician

Mid-sized

15,306 US NPIs in this specialty

Medicare Part D claims

8,730 1018% vs specialty avg

2023 prescription claims

Specialty avg: 781

MIPS final score

75.6/100 7.5% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Alabama

How Physical Medicine & Rehabilitation Physician compares to other specialties among Alabama providers

Alabama providers

Physical Medicine & Rehabilitation Physician share within Alabama

1. Physical Medicine & Rehabilitation Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Physical Medicine & Rehabilitation Physician share within Alabama

Medicare quality performance — MIPS

ROSS LUMSDEN, M.D.'s 2023 MIPS final score plotted against the Physical Medicine & Rehabilitation Physician national average

Below national average
MIPS Final Score
75.6/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Physical Medicine & Rehabilitation Physician) — 75.6/100 vs national avg 83.1

0%100%National avg83%75.6%
MIPS final score (Physical Medicine & Rehabilitation Physician) — 75.6/100 vs national avg 83.1

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).

ROSS LUMSDEN, M.D. is a Physical Medicine & Rehabilitation Physician provider practicing in BIRMINGHAM, Alabama, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1063704823. 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.

ROSS LUMSDEN, M.D. appears in the CMS NPPES registry as a Physical Medicine & Rehabilitation Physician provider holding M.D. credentials at 1020 26TH ST S, BIRMINGHAM, AL, 35205, with a listed phone of (205) 332-3155. NPI 1063704823 was issued on 05/11/2011. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what LUMSDEN 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 8,730 prescription claims written by this provider, covering 1,053 Medicare beneficiaries and totaling roughly $420K in drug spend, split 3% brand-name and 97% generic by claim count, with an opioid prescribing rate of 51.6%. 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. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 75.6/100 for the 2023 performance year (Quality 65.829, Cost 49.8884), compared with the national average of 83.1.

Physical Medicine & Rehabilitation Physician is a mid-sized specialty nationwide, with 15,306 enrolled providers across 54 states and an average of 781 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

1020 26TH ST S
BIRMINGHAM, AL 35205

Provider Details

NPI 1063704823
Specialty Physical Medicine & Rehabilitation Physician
Credentials M.D.
Gender Male
NPI Issued 05/11/2011

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

75.6
Final Score
Avg: 83.1
65.829
Quality
49.8884
Cost

Reporting: Individual

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 ROSS LUMSDEN, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$462

Largest payer

Boston Scientific Corporation

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 · Generic-heavy

ROSS LUMSDEN, M.D. — brand share 3.0%
Specialty average (est.)

3% brand-name claims vs 97% generic, on 8,730 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.

8,730
Total Claims
$420K
Total Drug Cost
1,053
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
9,554
Total Day Supply
279,088
Brand vs Generic
3% brand / 97% generic
Brand Drug Cost
$98K
Generic Drug Cost
$322K
Opioid Claims
4,502 (51.6% rate)
Antibiotic Claims
19

Patient Demographics

Average Patient Age
66.7 years
Avg HCC Risk Score
1.80
Gender Split
64% female / 36% male
Age Distribution
<65: 401, 65-74: 456, 75-84: 173, 85+: 23

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
2,043
Oxycodone-Acetaminophen
Oxycodone Hcl/Acetaminophen
1,819
Gabapentin
1,303
Tizanidine Hcl
523
Pregabalin
490
Diclofenac Sodium
264
Baclofen
261
Cyclobenzaprine Hcl
214
Meloxicam
186
Methocarbamol
164

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

Physical Medicine & Rehabilitation Physician Overview

How ROSS LUMSDEN, M.D. fits within the Physical Medicine & Rehabilitation Physician landscape nationally.

15,306
Physical Medicine & Rehabilitation Physician Providers in US
54
States with Physical Medicine & Rehabilitation Physician
781
Avg Claims per Provider

ROSS LUMSDEN, M.D.'s 8,730 claims are above the specialty average of 781.

Nearby Physical Medicine & Rehabilitation Physician Providers in Alabama

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

Compare Physical Medicine & Rehabilitation Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is ROSS LUMSDEN, M.D.'s specialty?
ROSS LUMSDEN, M.D. specializes in Physical Medicine & Rehabilitation Physician and practices in BIRMINGHAM, Alabama. Credentials: M.D..
How much does ROSS LUMSDEN, M.D. prescribe under Medicare Part D?
In 2023, ROSS LUMSDEN, M.D. wrote 8,730 Medicare Part D claims totaling $420K in drug costs for 1,053 beneficiaries.
What is ROSS LUMSDEN, M.D.'s Medicare quality score?
ROSS LUMSDEN, M.D. has a CMS MIPS Final Score of 75.6/100 (Quality: 65.829, Cost: 49.8884). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is ROSS LUMSDEN, M.D. located?
ROSS LUMSDEN, M.D. is located at 1020 26TH ST S, BIRMINGHAM, AL, 35205. Phone: (205) 332-3155.
What is ROSS LUMSDEN, M.D.'s NPI number?
ROSS LUMSDEN, M.D.'s National Provider Identifier (NPI) is 1063704823, issued on 05/11/2011.
Does ROSS LUMSDEN, M.D. prescribe more brand-name or generic drugs?
ROSS LUMSDEN, M.D.'s prescribing is 3% brand-name and 97% generic drugs by claim count, with $98K in brand drug costs.
Does ROSS LUMSDEN, M.D. prescribe opioids?
Yes, ROSS LUMSDEN, M.D. had 4,502 opioid claims in 2023 with an opioid prescribing rate of 51.6%.
How many Physical Medicine & Rehabilitation Physician providers are there in the US?
There are 15,306 Physical Medicine & Rehabilitation Physician providers across 54 states in the US. The average Physical Medicine & Rehabilitation Physician provider writes 781 Medicare Part D claims per year.
What drugs does ROSS LUMSDEN, M.D. prescribe most often?
Based on 2023 Medicare Part D data, ROSS LUMSDEN, M.D.'s most frequently prescribed drugs include Hydrocodone-Acetaminophen, Oxycodone-Acetaminophen, Gabapentin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does ROSS LUMSDEN, M.D. accept Medicare?
ROSS LUMSDEN, M.D. appears in CMS Medicare data with 8,730 Part D claims and 1,053 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify ROSS LUMSDEN, M.D.'s credentials?
ROSS LUMSDEN, M.D.'s NPI is 1063704823 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.
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