NPI registry status
Active
2026 NPPES data Plastic Surgery Physician NPI 1316283286 M.D.
Verify on CMS → Roy Brabham, M.D.
Plastic Surgery Physician in Baton Rouge, Louisiana.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 5,322 in Plastic 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
22
Medicare Part D claims · 12 beneficiaries · Plastic Surgery Physician avg: 84
MIPS score
75.2/100
▼ 8 pts below national avg 83.1 · Above neutral
Industry payments
$535.87
24 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2023
What the federal data shows
Roy Brabham, M.D. reported a CMS MIPS final score of 75.2/100 - below the 83.1 national average - and filed 22 Medicare Part D claims in 2023.
- 75.2/100
- MIPS score · -8 vs avg
- 22
- Part D claims, 2023
- 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.
Roy Brabham, M.D.'s MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
75 15th percentile higher than 15% of 477,587 scored providers
Each bar is a band; taller bars hold more scored 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.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where Roy Brabham, M.D. sits
This provider among plastic surgery physician peers
Across the 561 plastic surgery physician providers who report both Medicare Part D prescribing and a MIPS quality score, Roy Brabham, M.D. writes more Part D claims than 18% of them and scores higher on MIPS quality than 19% - placing this provider in the lower-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Part D claim volume vs MIPS quality, by specialty percentile
Each dot is one plastic surgery physician peer from a representative sample of 60; the gold marker is Roy Brabham, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Roy Brabham, 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).
What does the federal data show about Roy Brabham, M.D.?
Below national averagePrimary specialty
Plastic Surgery Physician
Medicare Part D claims
22 74% vs specialty avg
MIPS final score
75.2/100 7.9 pts vs avg
Specialty distribution in Louisiana
How Plastic Surgery Physician compares to other specialties among Louisiana providers
Medicare quality performance, MIPS
Roy Brabham, M.D.'s 2023 MIPS final score plotted against the Plastic Surgery Physician national average
- MIPS Final Score
- 75.2/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Plastic Surgery Physician) - 75.2/100 vs national avg 83.1
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).
Roy Brabham, M.D. appears in the CMS NPPES registry as a Plastic Surgery Physician provider holding M.D. credentials at 3600 FLORIDA BLVD, Baton Rouge, LA, 70806, with a listed phone of (225) 281-2669. NPI 1316283286 was issued on 12/21/2012.
Medicare Part D records for calendar year 2023 show 22 prescription claims written by this provider, covering 12 Medicare beneficiaries and totaling roughly $166 in drug spend. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 75.2/100 for the 2023 performance year (Quality 53, Cost 36.7), compared with the national average of 83.1.
Plastic Surgery Physician is a mid-sized specialty nationwide, with 5,322 enrolled providers across 52 states and an average of 84 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 | 1316283286 |
|---|---|
| Specialty | Plastic Surgery Physician |
| Credentials | M.D. |
| Gender | Male |
| NPI Issued | 12/21/2012 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
75.1568
Final Score
Avg: 83.1
52.9928
Quality
36.6966
Cost
93
Promoting Interoperability
Reporting: Group practice
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 Roy Brabham, M.D.. Source: openpaymentsdata.cms.gov.
Total received
$536
Largest payer
Organogenesis 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.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
22
Total Claims
$166
Total Drug Cost
12
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 22
- Total Day Supply
- 228
- Brand Drug Cost
- $0
- Generic Drug Cost
- $166
- Antibiotic Claims
- 15
Patient Demographics
- Average Patient Age
- 71.2 years
- Avg HCC Risk Score
- 5.89
Plastic Surgery Physician Overview
How Roy Brabham, M.D. fits within the Plastic Surgery Physician landscape nationally.
5,322
Plastic Surgery Physician Providers in US
52
States with Plastic Surgery Physician
84
Avg Claims per Provider
Roy Brabham, M.D.'s 22 claims are below the specialty average of 84.
Nearby Plastic Surgery Physician Providers in Louisiana
Other clinicians with the same primary specialty enrolled in Louisiana, drawn from the same CMS NPPES roster as Brabham.
Dr. Jonathan Boraski
M.D.
Marrero, LA
Dr. Benjamin Boudreaux
M.D.
Mandeville, LA
Dr. Ronzee Bridges
M.D.
Shreveport, LA
Dr. Wallace Brown
M.D.
Shreveport, LA
Dr. Caroline Burg
NP
New Orleans, LA
Compare Plastic 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 Louisiana medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Plastic 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.
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Frequently Asked Questions
What is Roy Brabham, M.D.'s specialty? ▼
Roy Brabham, M.D. specializes in Plastic Surgery Physician and practices in Baton Rouge, Louisiana. Credentials: M.D..
How much does Roy Brabham, M.D. prescribe under Medicare Part D? ▼
In 2023, Roy Brabham, M.D. wrote 22 Medicare Part D claims totaling $166 in drug costs for 12 beneficiaries.
What is Roy Brabham, M.D.'s Medicare quality score? ▼
Roy Brabham, M.D. has a CMS MIPS Final Score of 75.2/100 (Quality: 53, Cost: 36.7). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Roy Brabham, M.D. located? ▼
Roy Brabham, M.D. is located at 3600 FLORIDA BLVD, Baton Rouge, LA, 70806. Phone: (225) 281-2669.
What is Roy Brabham, M.D.'s NPI number? ▼
Roy Brabham, M.D.'s National Provider Identifier (NPI) is 1316283286, issued on 12/21/2012.
How many Plastic Surgery Physician providers are there in the US? ▼
There are 5,322 Plastic Surgery Physician providers across 52 states in the US. The average Plastic Surgery Physician provider writes 84 Medicare Part D claims per year.
Does Roy Brabham, M.D. accept Medicare? ▼
Roy Brabham, M.D. appears in CMS Medicare data with 22 Part D claims and 12 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Roy Brabham, M.D.'s credentials? ▼
Roy Brabham, M.D.'s NPI is 1316283286 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.
- 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
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 May 2026.