2026 NPPES data Urology Physician NPI 1225444029
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Scott Erpelding

Urology Physician in Lexington, Kentucky. This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 13,350 in Urology 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
885
Medicare Part D claims · 283 beneficiaries · Urology Physician avg: 1K
MIPS score
83.3/100
▲ 0 pts above national avg 83.1 · Above neutral
Industry payments
$342.34
16 payments · CMS Open Payments (Sunshine Act)
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Scott Erpelding reported a CMS MIPS final score of 83.3/100 - above the 83.1 national average - and filed 885 Medicare Part D claims in 2023.

83.3/100
MIPS score · +0 vs avg
885
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.

Scott Erpelding's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure

83 42nd percentile higher than 42% 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%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). This entry sits in this band. 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 Scott Erpelding sits

This provider among urology physician peers

Across the 4,623 urology physician providers who report both Medicare Part D prescribing and a MIPS quality score, Scott Erpelding writes more Part D claims than 34% of them and scores higher on MIPS quality than 43% - 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

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality02550751000255075100Part D claim volume, percentile in specialtyMIPS quality, percentilePart D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 87Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 78Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 52Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 17Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 60Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 55Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 63Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 97Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 48Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 43Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 17Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 77Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 53Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 2Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 95Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 85Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 15Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 38Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 87Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 42Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 5Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 97Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 68Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 72Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 37Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 58Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 13Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 40Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 93Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 12Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 17Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 73Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 97Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 17Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 8Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 3Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 43Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 65Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 17Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 35Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 62Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 57Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 10Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 7Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 67Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 17Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 17Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 47Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 80Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 17Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 75Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 17Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 70Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 83Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 82Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 17Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 17Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 92Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 87Scott Erpelding-Part D claim volume, percentile in specialty: 34 · MIPS quality, percentile: 43
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one urology physician peer from a representative sample of 60; the gold marker is Scott Erpelding. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

Board certification likely (heuristic, not verified)

Scott Erpelding 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).

What does the federal data show about Scott Erpelding?

Near national average

NPI registry status

Active

Issued 07/01/2014

NPI 1225444029

Primary specialty

Urology Physician

Mid-sized

13,350 US NPIs in this specialty

Medicare Part D claims

885 31% vs specialty avg

2023 prescription claims

Specialty avg: 1,280

MIPS final score

83.3/100 0.2 pts vs avg

Above neutral band

vs 83.1 national avg

Specialty distribution in Kentucky

How Urology Physician compares to other specialties among Kentucky providers

Kentucky providers

Largest specialties in Kentucky (% of in-state providers)

Family Nurse Practitioner - 5.9%Family Nurse Practitioner5.9%Student in an Organized Health Care Education/Training Program - 5.2%Student in an Organized Health Care Education/Training Program5.2%Pharmacist - 4.8%Pharmacist4.8%Mental Health Counselor - 4.6%Mental Health Counselor4.6%Clinical Social Worker - 4.1%Clinical Social Worker4.1%Physical Therapist - 3.7%Physical Therapist3.7%Urology Physician - 0.2%Urology Physician0.2%
Largest specialties in Kentucky (% of in-state providers)

Medicare quality performance, MIPS

Scott Erpelding's 2023 MIPS final score plotted against the Urology Physician national average

Near national average
MIPS Final Score
83.3/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Urology Physician) - 83.3/100 vs national avg 83.1

0%100%National avg83%83.3%
MIPS final score (Urology Physician) - 83.3/100 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).

Scott Erpelding appears in the CMS NPPES registry as a Urology Physician provider at UNIVERSITY OF KENTUCKY, Lexington, KY, 40536, with a listed phone of (859) 323-5057. NPI 1225444029 was issued on 07/01/2014. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Erpelding 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 885 prescription claims written by this provider, covering 283 Medicare beneficiaries and totaling roughly $52K in drug spend, with an opioid prescribing rate of 8.8%. 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 83.3/100 for the 2023 performance year (Quality 79.5, Cost 64.9), compared with the national average of 83.1.

Urology Physician is a mid-sized specialty nationwide, with 13,350 enrolled providers across 54 states and an average of 1,280 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

UNIVERSITY OF KENTUCKY
Lexington, KY 40536

Provider Details

NPI 1225444029
Specialty Urology Physician
Gender Male
NPI Issued 07/01/2014

CMS Quality Score (MIPS)

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

83.3209
Final Score
Avg: 83.1
79.5148
Quality
64.8883
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where Scott Erpelding 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.

Mountain View Hospital LLC
Idaho Falls, ID

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 Scott Erpelding. Source: openpaymentsdata.cms.gov.

Total received

$342

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.

Medicare Part D Prescribing Data

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

885
Total Claims
$52K
Total Drug Cost
283
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,998
Total Day Supply
54,787
Generic Drug Cost
$26K
Opioid Claims
78 (8.8% rate)
Antibiotic Claims
63

Patient Demographics

Average Patient Age
73.8 years
Avg HCC Risk Score
1.09
Gender Split
12% female / 88% male
Age Distribution
<65: 16, 65-74: 144, 75-84: 95, 85+: 28

Top Prescribed Drugs (Medicare Part D)

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

What Scott Erpelding 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
Tamsulosin Hcl
375
Finasteride
121
Oxybutynin Chloride Er
Oxybutynin Chloride
64
Tramadol Hcl
40
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
33
Alfuzosin Hcl Er
Alfuzosin Hcl
24
Myrbetriq
Mirabegron
24
Sulfamethoxazole-Trimethoprim
Sulfamethoxazole/Trimethoprim
23
Potassium Citrate Er
Potassium Citrate
20
Solifenacin Succinate
17

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

Urology Physician Overview

How Scott Erpelding fits within the Urology Physician landscape nationally.

13,350
Urology Physician Providers in US
54
States with Urology Physician
1,280
Avg Claims per Provider

Scott Erpelding's 885 claims are below the specialty average of 1,280.

Nearby Urology Physician Providers in Kentucky

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

Compare Urology 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 Kentucky medical board, federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Urology 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 Scott Erpelding's specialty?
Scott Erpelding specializes in Urology Physician and practices in Lexington, Kentucky.
How much does Scott Erpelding prescribe under Medicare Part D?
In 2023, Scott Erpelding wrote 885 Medicare Part D claims totaling $52K in drug costs for 283 beneficiaries.
What is Scott Erpelding's Medicare quality score?
Scott Erpelding has a CMS MIPS Final Score of 83.3/100 (Quality: 79.5, Cost: 64.9). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Scott Erpelding located?
Scott Erpelding is located at UNIVERSITY OF KENTUCKY, Lexington, KY, 40536. Phone: (859) 323-5057.
What is Scott Erpelding's NPI number?
Scott Erpelding's National Provider Identifier (NPI) is 1225444029, issued on 07/01/2014.
Does Scott Erpelding prescribe opioids?
Yes, Scott Erpelding had 78 opioid claims in 2023 with an opioid prescribing rate of 8.8%.
How many Urology Physician providers are there in the US?
There are 13,350 Urology Physician providers across 54 states in the US. The average Urology Physician provider writes 1,280 Medicare Part D claims per year.
What drugs does Scott Erpelding prescribe most often?
Based on 2023 Medicare Part D data, Scott Erpelding's most frequently prescribed drugs include Tamsulosin Hcl, Finasteride, Oxybutynin Chloride Er. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Scott Erpelding accept Medicare?
Scott Erpelding appears in CMS Medicare data with 885 Part D claims and 283 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Scott Erpelding's credentials?
Scott Erpelding's NPI is 1225444029. 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

Compiled from official public sources by the PlainDoctor editorial team.