2026 NPPES data Pain Medicine (Physical Medicine & Rehabilitation) Physician NPI 1396004057 M.D.
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RYAN COUGHLAN, M.D.

Pain Medicine (Physical Medicine & Rehabilitation) Physician in ROUND ROCK, Texas. 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
1K
Medicare Part D claims · 228 beneficiaries · Pain Medicine (Physical Medicine & Rehabilitation) Physician avg: 1K
MIPS score
54.8119/100
▼ 28 pts below national avg 83.1 · [object Object]
What the federal data reveals: RYAN COUGHLAN, M.D. is a Pain Medicine (Physical Medicine & Rehabilitation) Physician ([object Object]) practicing in ROUND ROCK, Texas with a Medicare Part D prescribing footprint of 1K claims across 228 beneficiaries . Their CMS MIPS Final Score of 54.8119/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities .

What stands out: RYAN COUGHLAN, M.D. reported a CMS MIPS final score of 54.8119 out of 100, below the 83.1 national average, and filed 1,332 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)

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).

RYAN COUGHLAN, M.D. at a glance

Below national average

NPI registry status

Active

Issued 05/15/2012

NPI 1396004057

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) Physician

Niche

1,626 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

54.8119/100 28.288099999999993% pts

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

Pain Medicine (Physical Medicine & Rehabilitation) Physician share within Texas

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

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
54.8119/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Pain Medicine (Physical Medicine & Rehabilitation) Physician) — 54.8119/100 vs national avg 83.1

0%100%National avg83%54.8%
MIPS final score (Pain Medicine (Physical Medicine & Rehabilitation) Physician) — 54.8119/100 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).

RYAN COUGHLAN, M.D. is a Pain Medicine (Physical Medicine & Rehabilitation) Physician provider practicing in ROUND ROCK, Texas, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1396004057. 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.

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. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what COUGHLAN 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 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%. 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 54.8119/100 for the 2023 performance year (Quality 79.2373, Cost 60.39), compared with the national average of 83.1.

Pain Medicine (Physical Medicine & Rehabilitation) Physician is a narrow specialty nationwide, with 1,626 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.

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.

1,626
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 →

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 54.8119/100 (Quality: 79.2373, Cost: 60.39). 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 1,626 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

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