NPI registry status
Active
2026 NPPES data Pulmonary Disease Physician NPI 1316930787 MD
Verify on CMS → Roy Everett, MD
Pulmonary Disease Physician in New Bern, North Carolina.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 9,323 in Pulmonary Disease 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
25
Medicare Part D claims · Pulmonary Disease Physician avg: 1K
MIPS score
47.6/100
▼ 36 pts below national avg 83.1 · Below average
What the federal data shows
Roy Everett, MD reported a CMS MIPS final score of 47.6/100 - below the 83.1 national average - and filed 25 Medicare Part D claims in 2023.
- 47.6/100
- MIPS score · -36 vs avg
- 25
- 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 Everett, MD's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
48 4th percentile higher than 4% 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 Everett, MD sits
This provider among pulmonary disease physician peers
Across the 2,676 pulmonary disease physician providers who report both Medicare Part D prescribing and a MIPS quality score, Roy Everett, MD writes more Part D claims than 3% of them and scores higher on MIPS quality than 7% - 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 pulmonary disease physician peer from a representative sample of 60; the gold marker is Roy Everett, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Roy Everett, MD 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 Everett, MD?
Below national averagePrimary specialty
Pulmonary Disease Physician
Medicare Part D claims
25 98% vs specialty avg
MIPS final score
47.6/100 35.5 pts vs avg
Specialty distribution in North Carolina
How Pulmonary Disease Physician compares to other specialties among North Carolina providers
Medicare quality performance, MIPS
Roy Everett, MD's 2023 MIPS final score plotted against the Pulmonary Disease Physician national average
- MIPS Final Score
- 47.6/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Pulmonary Disease Physician) - 47.6/100 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 Everett, MD appears in the CMS NPPES registry as a Pulmonary Disease Physician provider holding MD credentials at 2000 NEUSE BLVD, New Bern, NC, 28560, with a listed phone of (252) 633-8111. NPI 1316930787 was issued on 08/31/2005.
Medicare Part D records for calendar year 2023 show 25 prescription claims written by this provider, covering N/A Medicare beneficiaries and totaling roughly $5K in drug spend. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 47.6/100 for the 2023 performance year (Quality 43.5, Cost 65.2), compared with the national average of 83.1.
Pulmonary Disease Physician is a mid-sized specialty nationwide, with 9,323 enrolled providers across 53 states and an average of 1,457 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 | 1316930787 |
|---|---|
| Specialty | Pulmonary Disease Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 08/31/2005 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
47.5964
Final Score
Avg: 83.1
43.4876
Quality
65.1672
Cost
0
Promoting Interoperability
Reporting: Group practice
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
25
Total Claims
$5K
Total Drug Cost
N/A
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 25
- Total Day Supply
- 708
- Generic Drug Cost
- $186
Patient Demographics
- Average Patient Age
- 75.2 years
- Avg HCC Risk Score
- 2.42
Pulmonary Disease Physician Overview
How Roy Everett, MD fits within the Pulmonary Disease Physician landscape nationally.
9,323
Pulmonary Disease Physician Providers in US
53
States with Pulmonary Disease Physician
1,457
Avg Claims per Provider
Roy Everett, MD's 25 claims are below the specialty average of 1,457.
Nearby Pulmonary Disease Physician Providers in North Carolina
Other clinicians with the same primary specialty enrolled in North Carolina, drawn from the same CMS NPPES roster as Everett.
Dr. Mariam Abboud
MD
Raleigh, NC
Dr. Chandar Abboy
M.D.
Fayetteville, NC
Dr. Norman Adair
MD
Winston Salem, NC
Dr. Farhan Ahmed
M.D.
Winston Salem, NC
Dr. Rohit Ahuja
MD
Raleigh, NC
Compare Pulmonary Disease 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 North Carolina medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Pulmonary Disease 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.
Healthcare Guides
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Medical Specialties Explained
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Understanding Medicare Claims Data
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How insurance networks affect your costs
Telehealth Guide
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Explore North Carolina
Frequently Asked Questions
What is Roy Everett, MD's specialty? ▼
Roy Everett, MD specializes in Pulmonary Disease Physician and practices in New Bern, North Carolina. Credentials: MD.
How much does Roy Everett, MD prescribe under Medicare Part D? ▼
In 2023, Roy Everett, MD wrote 25 Medicare Part D claims totaling $5K in drug costs for N/A beneficiaries.
What is Roy Everett, MD's Medicare quality score? ▼
Roy Everett, MD has a CMS MIPS Final Score of 47.6/100 (Quality: 43.5, Cost: 65.2). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Roy Everett, MD located? ▼
Roy Everett, MD is located at 2000 NEUSE BLVD, New Bern, NC, 28560. Phone: (252) 633-8111.
What is Roy Everett, MD's NPI number? ▼
Roy Everett, MD's National Provider Identifier (NPI) is 1316930787, issued on 08/31/2005.
How many Pulmonary Disease Physician providers are there in the US? ▼
There are 9,323 Pulmonary Disease Physician providers across 53 states in the US. The average Pulmonary Disease Physician provider writes 1,457 Medicare Part D claims per year.
Does Roy Everett, MD accept Medicare? ▼
Roy Everett, MD appears in CMS Medicare data with 25 Part D claims and N/A Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Roy Everett, MD's credentials? ▼
Roy Everett, MD's NPI is 1316930787 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
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.