Ryan Koene, M.D.
Student in an Organized Health Care Education/Training Program in Saint Paul, Minnesota. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.
What the federal data shows
Ryan Koene, M.D. reported a CMS MIPS final score of 77.3/100 — below the 83.1 national average — and filed 1,505 Medicare Part D claims in 2023.
- 77.3/100
- MIPS score · -6 vs avg
- 2K
- Part D claims, 2023
- 81%
- generic prescribing
- $513.97
- industry payments (Sunshine Act)
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 Koene, 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
77 24th percentile higher than 24% 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
What does the federal data show about Ryan Koene, M.D.?
Below national averagePrimary specialty
Medicare Part D claims
MIPS final score
Specialty distribution in Minnesota
How Student in an Organized Health Care Education/Training Program compares to other specialties among Minnesota providers
Student in an Organized Health Care Education/Training Program share within Minnesota
Student in an Organized Health Care Education/Training Program is one of the more visible NUCC categories in Minnesota
Each bar reflects the share of in-state providers whose primary NUCC taxonomy matches the specialty. Long tail of ~690 NUCC codes folded into "Other" to keep the comparison legible.
Medicare quality performance — MIPS
Ryan Koene, M.D.'s 2023 MIPS final score plotted against the Student in an Organized Health Care Education/Training Program national average
- MIPS Final Score
- 77.3/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Student in an Organized Health Care Education/Training Program) — 77.3/100 vs national avg 83.1
Quality benchmarks
- National MIPS avg 2023 reporting year
- Quality dim CMS Quality category
- Cost dim CMS Cost category
- Specialty volume Student in an Organized Health Care Education/Training Program US NPIs
77.3/100 MIPS final score — 5.8 pts below the 83.1 national average
Quality, Cost, Promoting Interoperability, and Improvement Activities composite score for the 2023 performance year. Specialty: Student in an Organized Health Care Education/Training Program. Quality dim: 69.9. Cost dim: 56.
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 Koene, M.D. appears in the CMS NPPES registry as a Student in an Organized Health Care Education/Training Program provider holding M.D. credentials at 172 6TH ST E, Saint Paul, MN, 55101, with a listed phone of (414) 303-4240. NPI 1639464498 was issued on 06/09/2011. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Koene 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 1,505 prescription claims written by this provider, covering 357 Medicare beneficiaries and totaling roughly $322K in drug spend, split 19% brand-name and 81% generic by claim count. 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 77.3/100 for the 2023 performance year (Quality 69.9, Cost 56), compared with the national average of 83.1.
Student in an Organized Health Care Education/Training Program is a high-volume specialty nationwide, with 331,761 enrolled providers across 55 states and an average of 459 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 | 1639464498 |
|---|---|
| Specialty | Student in an Organized Health Care Education/Training Program |
| Credentials | M.D. |
| Gender | Male |
| NPI Issued | 06/09/2011 |
Verify this provider's license
PlainDoctor pulls this profile from the CMS NPPES public registry. Confirm Ryan Koene, M.D.'s current license status, disciplinary history, and board certifications with the Minnesota Board of Medical Practice in Minnesota before relying on this page for a clinical or care decision.
How we sourced this profile
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
Reporting: Group practice
Hospital and facility affiliations
Facilities where Ryan Koene, M.D. bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
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 Ryan Koene, M.D.. Source: openpaymentsdata.cms.gov.
Total received
$514
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 · Typical
19% brand-name claims vs 81% generic, on 1,505 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.
Prescribing Breakdown
- 30-Day Fills
- 2,848
- Total Day Supply
- 83,896
- Brand vs Generic
- 19% brand / 81% generic
- Brand Drug Cost
- $253K
- Generic Drug Cost
- $69K
Patient Demographics
- Average Patient Age
- 75.8 years
- Avg HCC Risk Score
- 1.74
- Gender Split
- 48% female / 52% male
- Age Distribution
- <65: 17, 65-74: 145, 75-84: 147, 85+: 48
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Ryan Koene, M.D. prescribes most
Top Medicare Part D drugs by claim count, 2023
- Metoprolol Succinate
Metoprolol Succinate
220 claims
- Sotalol
Sotalol
182 claims
- Eliquis
Eliquis
159 claims
- Dofetilide
Dofetilide
134 claims
- Amiodarone Hcl
Amiodarone Hcl
102 claims
- Xarelto 86
Xarelto
86 claims
- Flecainide Acetate 63
Flecainide Acetate
63 claims
- Diltiazem 24hr Er … 51
Diltiazem 24hr Er (Cd)
51 claims
| Drug | Claims |
|---|---|
| Metoprolol Succinate | 220 |
| Sotalol Sotalol Hcl | 182 |
| Eliquis Apixaban | 159 |
| Dofetilide | 134 |
| Amiodarone Hcl | 102 |
| Xarelto Rivaroxaban | 86 |
| Flecainide Acetate | 63 |
| Diltiazem 24hr Er (Cd) Diltiazem Hcl | 51 |
| Mexiletine Hcl | 41 |
| Lisinopril | 37 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Student in an Organized Health Care Education/Training Program Overview
How Ryan Koene, M.D. fits within the Student in an Organized Health Care Education/Training Program landscape nationally.
Ryan Koene, M.D.'s 1,505 claims are above the specialty average of 459.
Nearby Student in an Organized Health Care Education/Training Program Providers in Minnesota
Other clinicians with the same primary specialty enrolled in Minnesota, drawn from the same CMS NPPES roster as Koene.
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 Minnesota medical board — federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Student in an Organized Health Care Education/Training Program 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
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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