2026 NPPES data Interventional Cardiology Physician NPI 1225078793 MD
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SARAH FENTON, MD

Interventional Cardiology Physician in HELENA, Montana. 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
107
Medicare Part D claims · 18 beneficiaries · Interventional Cardiology Physician avg: 3K
Generic prescribing
79%
generic claims · 21% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
81.435/100
▼ 2 pts below national avg 83.1 · [object Object]
What the federal data reveals: SARAH FENTON, MD is a Interventional Cardiology Physician ([object Object]) practicing in HELENA, Montana with a Medicare Part D prescribing footprint of 107 claims across 18 beneficiaries — 21% brand-name prescribing . Their CMS MIPS Final Score of 81.435/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities .

What stands out: SARAH FENTON, MD reported a CMS MIPS final score of 81.435 out of 100, below the 83.1 national average, and filed 107 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)

SARAH FENTON, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

SARAH FENTON, MD at a glance

Near national average

NPI registry status

Active

Issued 06/06/2006

NPI 1225078793

Primary specialty

Interventional Cardiology Physician

Niche

3,382 US NPIs in this specialty

Medicare Part D claims

107 96% vs specialty avg

2023 prescription claims

Specialty avg: 2,984

MIPS final score

81.435/100 1.664999999999992% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Montana

How Interventional Cardiology Physician compares to other specialties among Montana providers

Montana providers

Interventional Cardiology Physician share within Montana

1. Interventional Cardiology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Interventional Cardiology Physician share within Montana

Medicare quality performance — MIPS

SARAH FENTON, MD's 2023 MIPS final score plotted against the Interventional Cardiology Physician national average

Near national average
MIPS Final Score
81.435/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Interventional Cardiology Physician) — 81.435/100 vs national avg 83.1

0%100%National avg83%81.4%
MIPS final score (Interventional Cardiology Physician) — 81.435/100 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).

SARAH FENTON, MD is a Interventional Cardiology Physician provider practicing in HELENA, Montana, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1225078793. 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.

SARAH FENTON, MD appears in the CMS NPPES registry as a Interventional Cardiology Physician provider holding MD credentials at 2550 E BROADWAY ST, HELENA, MT, 59601, with a listed phone of (406) 457-4180. NPI 1225078793 was issued on 06/06/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what FENTON 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 107 prescription claims written by this provider, covering 18 Medicare beneficiaries and totaling roughly $12K in drug spend, split 21% brand-name and 79% 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 81.435/100 for the 2023 performance year (Quality 73.2294, Cost 64.8872), compared with the national average of 83.1.

Interventional Cardiology Physician is a narrow specialty nationwide, with 3,382 enrolled providers across 53 states and an average of 2,984 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

2550 E BROADWAY ST
HELENA, MT 59601

Provider Details

NPI 1225078793
Specialty Interventional Cardiology Physician
Credentials MD
Gender Female
NPI Issued 06/06/2006

CMS Quality Score (MIPS)

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

81.435
Final Score
Avg: 83.1
73.2294
Quality
64.8872
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where SARAH FENTON, MD 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.

ST PETERS HEALTH
★★★☆☆ 3/5
HELENA, MT
Acute Care Hospitals
CMS CCN: 270003

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Brand vs generic prescribing mix · Typical

SARAH FENTON, MD — brand share 21.0%
Specialty average (est.)

21% brand-name claims vs 79% generic, on 107 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.

107
Total Claims
$12K
Total Drug Cost
18
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
141
Total Day Supply
4,056
Brand vs Generic
21% brand / 79% generic
Brand Drug Cost
$12K
Generic Drug Cost
$884

Patient Demographics

Average Patient Age
74.1 years
Avg HCC Risk Score
1.47

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Brilinta
Ticagrelor
16
Atorvastatin Calcium
11

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

Interventional Cardiology Physician Overview

How SARAH FENTON, MD fits within the Interventional Cardiology Physician landscape nationally.

3,382
Interventional Cardiology Physician Providers in US
53
States with Interventional Cardiology Physician
2,984
Avg Claims per Provider

SARAH FENTON, MD's 107 claims are below the specialty average of 2,984.

Nearby Interventional Cardiology Physician Providers in Montana

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

Compare Interventional Cardiology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is SARAH FENTON, MD's specialty?
SARAH FENTON, MD specializes in Interventional Cardiology Physician and practices in HELENA, Montana. Credentials: MD.
How much does SARAH FENTON, MD prescribe under Medicare Part D?
In 2023, SARAH FENTON, MD wrote 107 Medicare Part D claims totaling $12K in drug costs for 18 beneficiaries.
What is SARAH FENTON, MD's Medicare quality score?
SARAH FENTON, MD has a CMS MIPS Final Score of 81.435/100 (Quality: 73.2294, Cost: 64.8872). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is SARAH FENTON, MD located?
SARAH FENTON, MD is located at 2550 E BROADWAY ST, HELENA, MT, 59601. Phone: (406) 457-4180.
What is SARAH FENTON, MD's NPI number?
SARAH FENTON, MD's National Provider Identifier (NPI) is 1225078793, issued on 06/06/2006.
Does SARAH FENTON, MD prescribe more brand-name or generic drugs?
SARAH FENTON, MD's prescribing is 21% brand-name and 79% generic drugs by claim count, with $12K in brand drug costs.
How many Interventional Cardiology Physician providers are there in the US?
There are 3,382 Interventional Cardiology Physician providers across 53 states in the US. The average Interventional Cardiology Physician provider writes 2,984 Medicare Part D claims per year.
What drugs does SARAH FENTON, MD prescribe most often?
Based on 2023 Medicare Part D data, SARAH FENTON, MD's most frequently prescribed drugs include Brilinta, Atorvastatin Calcium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does SARAH FENTON, MD accept Medicare?
SARAH FENTON, MD appears in CMS Medicare data with 107 Part D claims and 18 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify SARAH FENTON, MD's credentials?
SARAH FENTON, MD's NPI is 1225078793 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

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