2026 NPPES data Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician NPI 1154319598 MD
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SEAN BOUTROS, MD

Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician in HOUSTON, 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
169
Medicare Part D claims · 34 beneficiaries · Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician avg: 193
Generic prescribing
92%
generic claims · 8% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$497.13
16 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

SEAN BOUTROS, MD filed 169 Medicare Part D claims in 2023 as a Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician in HOUSTON, Texas, prescribing 92% generic.

169
Part D claims, 2023
92%
generic prescribing
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.

SEAN BOUTROS, MD's Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

169 35th percentile higher than 35% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). This entry sits in this band. 200–400: 182,923 prescribers (13%). Above this entry. 400–600: 90,619 prescribers (7%). Above this entry. 600–800: 56,224 prescribers (4%). Above this entry. 800–1,000: 40,919 prescribers (3%). Above this entry. 1,000–1,200: 31,827 prescribers (2%). Above this entry. 1,200–1,400: 26,224 prescribers (2%). Above this entry. 1,400–1,600: 21,710 prescribers (2%). Above this entry. 1,600–1,800: 19,072 prescribers (1%). Above this entry. 1,800–2,000: 16,451 prescribers (1%). Above this entry. 2,000–2,200: 213,991 prescribers (16%). Above this entry. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

Each bar is a band; taller bars hold more prescribers. 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 Medicare Part D Prescriber Public Use File · 2023

Board certification likely (heuristic — not verified)

SEAN BOUTROS, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 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 SEAN BOUTROS, MD?

Quality data not reported

NPI registry status

Active

Issued 10/10/2005

NPI 1154319598

Primary specialty

Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician

Rare

179 US NPIs in this specialty

Medicare Part D claims

169 12% vs specialty avg

2023 prescription claims

Specialty avg: 193

Specialty distribution in Texas

How Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician compares to other specialties among Texas providers

Texas providers

Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician share within Texas

1. Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician share within Texas

Specialty board-certification context

Estimated specialty board-certified rate — Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician ABMS/AOA estimate

Est. board-certified rate (Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician) — ABMS / AOA estimate

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).

SEAN BOUTROS, MD appears in the CMS NPPES registry as a Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician provider holding MD credentials at 9230 KATY FWY STE 600, HOUSTON, TX, 77055, with a listed phone of (713) 791-0700. NPI 1154319598 was issued on 10/10/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BOUTROS 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 169 prescription claims written by this provider, covering 34 Medicare beneficiaries and totaling roughly $2K in drug spend, split 8% brand-name and 92% generic by claim count, with an opioid prescribing rate of 17.8%. 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.

Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician is a narrow specialty nationwide, with 179 enrolled providers across 39 states and an average of 193 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

9230 KATY FWY STE 600
HOUSTON, TX 77055

Provider Details

NPI 1154319598
Specialty Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
Credentials MD
Gender Male
NPI Issued 10/10/2005

Hospital and facility affiliations

Facilities where SEAN BOUTROS, 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.

SEAN BOUTROS MD PLLC
HOUSTON, TX

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 SEAN BOUTROS, MD. Source: openpaymentsdata.cms.gov.

Total received

$497

Largest payer

ABBVIE 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 — 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 SEAN BOUTROS, MD. To verify SEAN BOUTROS, MD'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.

Brand vs generic prescribing mix · Generic-heavy

SEAN BOUTROS, MD — brand share 8.0%
Specialty average (est.)

8% brand-name claims vs 92% generic, on 169 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.

169
Total Claims
$2K
Total Drug Cost
34
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
179
Total Day Supply
2,133
Brand vs Generic
8% brand / 92% generic
Brand Drug Cost
$938
Generic Drug Cost
$2K
Opioid Claims
30 (17.8% rate)
Antibiotic Claims
15

Patient Demographics

Average Patient Age
67.8 years
Avg HCC Risk Score
1.04

Top Prescribed Drugs (Medicare Part D)

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

What SEAN BOUTROS, MD 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
Ibuprofen
23
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
19
Lansoprazole
19
Promethazine Hcl
13

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

Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician Overview

How SEAN BOUTROS, MD fits within the Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician landscape nationally.

179
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician Providers in US
39
States with Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
193
Avg Claims per Provider

SEAN BOUTROS, MD's 169 claims are below the specialty average of 193.

Nearby Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician Providers in Texas

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

Compare Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is SEAN BOUTROS, MD's specialty?
SEAN BOUTROS, MD specializes in Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician and practices in HOUSTON, Texas. Credentials: MD.
How much does SEAN BOUTROS, MD prescribe under Medicare Part D?
In 2023, SEAN BOUTROS, MD wrote 169 Medicare Part D claims totaling $2K in drug costs for 34 beneficiaries.
Where is SEAN BOUTROS, MD located?
SEAN BOUTROS, MD is located at 9230 KATY FWY STE 600, HOUSTON, TX, 77055. Phone: (713) 791-0700.
What is SEAN BOUTROS, MD's NPI number?
SEAN BOUTROS, MD's National Provider Identifier (NPI) is 1154319598, issued on 10/10/2005.
Does SEAN BOUTROS, MD prescribe more brand-name or generic drugs?
SEAN BOUTROS, MD's prescribing is 8% brand-name and 92% generic drugs by claim count, with $938 in brand drug costs.
Does SEAN BOUTROS, MD prescribe opioids?
Yes, SEAN BOUTROS, MD had 30 opioid claims in 2023 with an opioid prescribing rate of 17.8%.
How many Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician providers are there in the US?
There are 179 Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician providers across 39 states in the US. The average Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician provider writes 193 Medicare Part D claims per year.
What drugs does SEAN BOUTROS, MD prescribe most often?
Based on 2023 Medicare Part D data, SEAN BOUTROS, MD's most frequently prescribed drugs include Ibuprofen, Hydrocodone-Acetaminophen, Lansoprazole. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does SEAN BOUTROS, MD accept Medicare?
SEAN BOUTROS, MD appears in CMS Medicare data with 169 Part D claims and 34 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify SEAN BOUTROS, MD's credentials?
SEAN BOUTROS, MD's NPI is 1154319598 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.
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