2026 NPPES data Podiatrist NPI 1841630175 DPM
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SCOTT WALRATH, DPM

Podiatrist in WORCESTER, Massachusetts. 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
481
Medicare Part D claims · 173 beneficiaries · Podiatrist avg: 304
Generic prescribing
97%
generic claims · 3% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
97.0218/100
▲ 14 pts above national avg 83.1 · [object Object]
Industry payments
$17.28
1 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: SCOTT WALRATH, DPM is a Podiatrist ([object Object]) practicing in WORCESTER, Massachusetts with a Medicare Part D prescribing footprint of 481 claims across 173 beneficiaries — 3% brand-name prescribing . Their CMS MIPS Final Score of 97.0218/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $17.28 across 1 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: SCOTT WALRATH, DPM reported a CMS MIPS final score of 97.0218 out of 100, above the 83.1 national average, and filed 481 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

SCOTT WALRATH, DPM at a glance

High performer (top quartile)

NPI registry status

Active

Issued 07/01/2013

NPI 1841630175

Primary specialty

Podiatrist

Mid-sized

10,498 US NPIs in this specialty

Medicare Part D claims

481 58% vs specialty avg

2023 prescription claims

Specialty avg: 304

MIPS final score

97.0218/100 13.921800000000005% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Massachusetts

How Podiatrist compares to other specialties among Massachusetts providers

Massachusetts providers

Podiatrist share within Massachusetts

1. Podiatrist42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Podiatrist share within Massachusetts

Medicare quality performance — MIPS

SCOTT WALRATH, DPM's 2023 MIPS final score plotted against the Podiatrist national average

High performer (top quartile)
MIPS Final Score
97.0218/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Podiatrist) — 97.0218/100 vs national avg 83.1

0%100%National avg83%97%
MIPS final score (Podiatrist) — 97.0218/100 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 WALRATH, DPM is a Podiatrist provider practicing in WORCESTER, Massachusetts, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: DPM. NPI: 1841630175. 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.

SCOTT WALRATH, DPM appears in the CMS NPPES registry as a Podiatrist provider holding DPM credentials at 55 LAKE AVE N, WORCESTER, MA, 01655, with a listed phone of (508) 334-2903. NPI 1841630175 was issued on 07/01/2013. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what WALRATH 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 481 prescription claims written by this provider, covering 173 Medicare beneficiaries and totaling roughly $14K in drug spend, split 3% brand-name and 97% generic by claim count, with an opioid prescribing rate of 7.3%. 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 97.0218/100 for the 2023 performance year (Quality 78.0983), compared with the national average of 83.1.

Podiatrist is a mid-sized specialty nationwide, with 10,498 enrolled providers across 54 states and an average of 304 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

55 LAKE AVE N
WORCESTER, MA 01655

Provider Details

NPI 1841630175
Specialty Podiatrist
Credentials DPM
Gender Male
NPI Issued 07/01/2013

CMS Quality Score (MIPS)

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

97.0218
Final Score
Avg: 83.1
78.0983
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where SCOTT WALRATH, DPM 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.

UMASS MEMORIAL MEDICAL GROUP INC
WORCESTER, MA

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 WALRATH, DPM. Source: openpaymentsdata.cms.gov.

Total received

$17

Largest payer

Paratek Pharmaceuticals, Inc.

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.

License & disciplinary context — Massachusetts BORIM 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 ~38K Massachusetts medical licensees in 2023 — they are NOT specific to SCOTT WALRATH, DPM. To verify SCOTT WALRATH, DPM's current license status, search the BORIM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

80
Total board actions, Massachusetts 2023
Across 78 cases
2.11
Actions per 1,000 licensees
Massachusetts statewide rate
probation
Most common action type
29 cases

BORIM 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 Massachusetts disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Generic-heavy

SCOTT WALRATH, DPM — brand share 3.0%
Specialty average (est.)

3% brand-name claims vs 97% generic, on 481 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.

481
Total Claims
$14K
Total Drug Cost
173
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
508
Total Day Supply
9,487
Brand vs Generic
3% brand / 97% generic
Brand Drug Cost
$5K
Generic Drug Cost
$10K
Opioid Claims
35 (7.3% rate)
Antibiotic Claims
180

Patient Demographics

Average Patient Age
70.8 years
Avg HCC Risk Score
2.25
Gender Split
52% female / 48% male
Age Distribution
<65: 40, 65-74: 70, 75-84: 47, 85+: 16

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Doxycycline Monohydrate
96
Ciclopirox
81
Diclofenac Sodium
79
Amoxicillin-Clavulanate Potass
Amoxicillin/Potassium Clav
41
Clotrimazole-Betamethasone
Clotrimazole/Betamethasone Dip
40
Oxycodone Hcl
26
Ammonium Lactate
23
Levofloxacin
18
Clotrimazole
13

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

Podiatrist Overview

How SCOTT WALRATH, DPM fits within the Podiatrist landscape nationally.

10,498
Podiatrist Providers in US
54
States with Podiatrist
304
Avg Claims per Provider

SCOTT WALRATH, DPM's 481 claims are above the specialty average of 304.

Nearby Podiatrist Providers in Massachusetts

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

Compare Podiatrist nationally: see state-by-state distribution →

Frequently Asked Questions

What is SCOTT WALRATH, DPM's specialty?
SCOTT WALRATH, DPM specializes in Podiatrist and practices in WORCESTER, Massachusetts. Credentials: DPM.
How much does SCOTT WALRATH, DPM prescribe under Medicare Part D?
In 2023, SCOTT WALRATH, DPM wrote 481 Medicare Part D claims totaling $14K in drug costs for 173 beneficiaries.
What is SCOTT WALRATH, DPM's Medicare quality score?
SCOTT WALRATH, DPM has a CMS MIPS Final Score of 97.0218/100 (Quality: 78.0983). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is SCOTT WALRATH, DPM located?
SCOTT WALRATH, DPM is located at 55 LAKE AVE N, WORCESTER, MA, 01655. Phone: (508) 334-2903.
What is SCOTT WALRATH, DPM's NPI number?
SCOTT WALRATH, DPM's National Provider Identifier (NPI) is 1841630175, issued on 07/01/2013.
Does SCOTT WALRATH, DPM prescribe more brand-name or generic drugs?
SCOTT WALRATH, DPM's prescribing is 3% brand-name and 97% generic drugs by claim count, with $5K in brand drug costs.
Does SCOTT WALRATH, DPM prescribe opioids?
Yes, SCOTT WALRATH, DPM had 35 opioid claims in 2023 with an opioid prescribing rate of 7.3%.
How many Podiatrist providers are there in the US?
There are 10,498 Podiatrist providers across 54 states in the US. The average Podiatrist provider writes 304 Medicare Part D claims per year.
What drugs does SCOTT WALRATH, DPM prescribe most often?
Based on 2023 Medicare Part D data, SCOTT WALRATH, DPM's most frequently prescribed drugs include Doxycycline Monohydrate, Ciclopirox, Diclofenac Sodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does SCOTT WALRATH, DPM accept Medicare?
SCOTT WALRATH, DPM appears in CMS Medicare data with 481 Part D claims and 173 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify SCOTT WALRATH, DPM's credentials?
SCOTT WALRATH, DPM's NPI is 1841630175 with credentials DPM. 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