2026 NPPES data Pain Medicine (Physical Medicine & Rehabilitation) Physician NPI 1396004057 M.D.
Verify on CMS →

Ryan Coughlan, M.D.

Pain Medicine (Physical Medicine & Rehabilitation) Physician in Round Rock, Texas.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 1,630 in Pain Medicine (Physical Medicine & Rehabilitation) 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
1K
Medicare Part D claims · 228 beneficiaries · Pain Medicine (Physical Medicine & Rehabilitation) Physician avg: 1K
MIPS score
54.8/100
▼ 28 pts below national avg 83.1 · Mid-tier
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Ryan Coughlan, M.D. reported a CMS MIPS final score of 54.8/100 - below the 83.1 national average - and filed 1,332 Medicare Part D claims in 2023.

54.8/100
MIPS score · -28 vs avg
1K
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.

Ryan Coughlan, 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

55 5th percentile higher than 5% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). This entry sits in this band. 60–70: 13,906 scored providers (3%). Above this entry. 70–80: 118,074 scored providers (25%). Above this entry. 80–90: 129,887 scored providers (27%). Above this entry. 90+: 189,403 scored providers (40%). Above this entry. This provider 0 100 every MIPS-scored clinician, bucketed by value

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 Ryan Coughlan, M.D. sits

This provider among pain medicine (physical medicine & rehabilitation) physician peers

Across the 526 pain medicine (physical medicine & rehabilitation) physician providers who report both Medicare Part D prescribing and a MIPS quality score, Ryan Coughlan, M.D. writes more Part D claims than 64% of them and scores higher on MIPS quality than 18% - placing this provider in the high-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

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality0255075100024.949.974.899.8Part D claim volume, percentile in specialtyMIPS quality, percentilePart D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 18Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 73Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 23Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 25Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 15Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 27Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 93Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 92Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 63Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 95Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 58Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 62Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 83Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 27Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 27Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 27Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 95Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 67Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 13Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 27Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 48Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 53Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 87Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 57Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 73Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 80Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 60Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 50Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 17Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 27Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 72Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 27Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 27Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 27Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 27Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 27Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 82Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 70Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 20Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 65Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 95Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 95Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 68Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 85Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 73Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 55Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 27Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 78Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 52Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 27Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 0Ryan Coughlan, M.D.-Part D claim volume, percentile in specialty: 64 · MIPS quality, percentile: 18
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one pain medicine (physical medicine & rehabilitation) physician peer from a representative sample of 60; the gold marker is Ryan Coughlan, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

Board certification likely (heuristic, not verified)

Ryan Coughlan, 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 Ryan Coughlan, M.D.?

Below national average

NPI registry status

Active

Issued 05/15/2012

NPI 1396004057

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) Physician

Niche

1,630 US NPIs in this specialty

Medicare Part D claims

1,332 5% vs specialty avg

2023 prescription claims

Specialty avg: 1,401

MIPS final score

54.8/100 28.3 pts vs avg

Mid-tier band

vs 83.1 national avg

Specialty distribution in Texas

How Pain Medicine (Physical Medicine & Rehabilitation) Physician compares to other specialties among Texas providers

Texas providers
Behavior Technician - 5.6%Behavior Technician5.6%Student in an Organized Health Care Education/Training Program - 5.1%Student in an Organized Health Care Education/Training Program5.1%Family Nurse Practitioner - 4.5%Family Nurse Practitioner4.5%Professional Counselor - 4.4%Professional Counselor4.4%Pharmacist - 4.4%Pharmacist4.4%Speech-Language Pathologist - 3.9%Speech-Language Pathologist3.9%Pain Medicine (Physical Medicine & Rehabilitation) Physician - 0%Pain Medicine (Physical Medicine & Rehabilitation) Physician0%
Largest specialties in Texas (% of in-state providers)

Medicare quality performance, MIPS

Ryan Coughlan, M.D.'s 2023 MIPS final score plotted against the Pain Medicine (Physical Medicine & Rehabilitation) Physician national average

Below national average
MIPS Final Score
54.8/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Pain Medicine (Physical Medicine & Rehabilitation) Physician) - 54.8/100 vs national avg 83.1

0%100%National avg83%54.8%
MIPS final score (Pain Medicine (Physical Medicine & Rehabilitation) Physician) - 54.8/100 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).

Ryan Coughlan, M.D. appears in the CMS NPPES registry as a Pain Medicine (Physical Medicine & Rehabilitation) Physician provider holding M.D. credentials at 1400 HESTERS CROSSING RD, Round Rock, TX, 78681, with a listed phone of (512) 244-4400. NPI 1396004057 was issued on 05/15/2012.

Medicare Part D records for calendar year 2023 show 1,332 prescription claims written by this provider, covering 228 Medicare beneficiaries and totaling roughly $83K in drug spend, with an opioid prescribing rate of 4.6%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 54.8/100 for the 2023 performance year (Quality 79.2, Cost 60.4), compared with the national average of 83.1.

Pain Medicine (Physical Medicine & Rehabilitation) Physician is a narrow specialty nationwide, with 1,630 enrolled providers across 50 states and an average of 1,401 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

1400 HESTERS CROSSING RD
Round Rock, TX 78681

Provider Details

NPI 1396004057
Specialty Pain Medicine (Physical Medicine & Rehabilitation) Physician
Credentials M.D.
Gender Female
NPI Issued 05/15/2012

CMS Quality Score (MIPS)

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

54.8119
Final Score
Avg: 83.1
79.2373
Quality
60.39
Cost

Reporting: Individual

License & disciplinary context - Texas TMB 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 ~77K Texas medical licensees in 2023 - they are NOT specific to Ryan Coughlan, M.D.. To verify Ryan Coughlan, M.D.'s current license status, search the TMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

344
Total board actions, Texas 2023
Across 334 cases
4.47
Actions per 1,000 licensees
Texas statewide rate
probation
Most common action type
94 cases

TMB 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 Texas disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

1,332
Total Claims
$83K
Total Drug Cost
228
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,357
Total Day Supply
35,723
Generic Drug Cost
$20K
Opioid Claims
61 (4.6% rate)
Antibiotic Claims
37

Patient Demographics

Average Patient Age
78.4 years
Avg HCC Risk Score
2.72
Gender Split
61% female / 39% male
Age Distribution
<65: 12, 65-74: 63, 75-84: 94, 85+: 59

Top Prescribed Drugs (Medicare Part D)

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

What Ryan Coughlan, 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
Gabapentin
64
Atorvastatin Calcium
56
Pantoprazole Sodium
49
Furosemide
44
Amlodipine Besylate
43
Levothyroxine Sodium
42
Eliquis
Apixaban
35
Trazodone Hcl
31
Lisinopril
28
Tamsulosin Hcl
28

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

Pain Medicine (Physical Medicine & Rehabilitation) Physician Overview

How Ryan Coughlan, M.D. fits within the Pain Medicine (Physical Medicine & Rehabilitation) Physician landscape nationally.

1,630
Pain Medicine (Physical Medicine & Rehabilitation) Physician Providers in US
50
States with Pain Medicine (Physical Medicine & Rehabilitation) Physician
1,401
Avg Claims per Provider

Ryan Coughlan, M.D.'s 1,332 claims are below the specialty average of 1,401.

Nearby Pain Medicine (Physical Medicine & Rehabilitation) Physician Providers in Texas

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

Compare Pain Medicine (Physical Medicine & Rehabilitation) 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 Texas medical board, federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Pain Medicine (Physical Medicine & Rehabilitation) 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 Ryan Coughlan, M.D.'s specialty?
Ryan Coughlan, M.D. specializes in Pain Medicine (Physical Medicine & Rehabilitation) Physician and practices in Round Rock, Texas. Credentials: M.D..
How much does Ryan Coughlan, M.D. prescribe under Medicare Part D?
In 2023, Ryan Coughlan, M.D. wrote 1,332 Medicare Part D claims totaling $83K in drug costs for 228 beneficiaries.
What is Ryan Coughlan, M.D.'s Medicare quality score?
Ryan Coughlan, M.D. has a CMS MIPS Final Score of 54.8/100 (Quality: 79.2, Cost: 60.4). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Ryan Coughlan, M.D. located?
Ryan Coughlan, M.D. is located at 1400 HESTERS CROSSING RD, Round Rock, TX, 78681. Phone: (512) 244-4400.
What is Ryan Coughlan, M.D.'s NPI number?
Ryan Coughlan, M.D.'s National Provider Identifier (NPI) is 1396004057, issued on 05/15/2012.
Does Ryan Coughlan, M.D. prescribe opioids?
Yes, Ryan Coughlan, M.D. had 61 opioid claims in 2023 with an opioid prescribing rate of 4.6%.
How many Pain Medicine (Physical Medicine & Rehabilitation) Physician providers are there in the US?
There are 1,630 Pain Medicine (Physical Medicine & Rehabilitation) Physician providers across 50 states in the US. The average Pain Medicine (Physical Medicine & Rehabilitation) Physician provider writes 1,401 Medicare Part D claims per year.
What drugs does Ryan Coughlan, M.D. prescribe most often?
Based on 2023 Medicare Part D data, Ryan Coughlan, M.D.'s most frequently prescribed drugs include Gabapentin, Atorvastatin Calcium, Pantoprazole Sodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Ryan Coughlan, M.D. accept Medicare?
Ryan Coughlan, M.D. appears in CMS Medicare data with 1,332 Part D claims and 228 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Ryan Coughlan, M.D.'s credentials?
Ryan Coughlan, M.D.'s NPI is 1396004057 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

Compiled from official public sources by the PlainDoctor editorial team.

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.