NPI registry status
Active
2026 NPPES data Pulmonary Disease Physician NPI 1871535096 M.D.
Verify on CMS → Sean Dow, M.D.
Pulmonary Disease Physician in Great Falls, Montana.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 9,271 in Pulmonary Disease 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
32
Medicare Part D claims · 14 beneficiaries · Pulmonary Disease Physician avg: 1K
MIPS score
80.5/100
▼ 3 pts below national avg 83.1 · Above neutral
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Sean Dow, M.D. reported a CMS MIPS final score of 80.5/100 - below the 83.1 national average - and filed 32 Medicare Part D claims in 2023.
- 80.5/100
- MIPS score · -3 vs avg
- 32
- 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.
Sean Dow, 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
81 33rd percentile higher than 33% 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
Where Sean Dow, M.D. sits
This provider among pulmonary disease physician peers
Across the 2,676 pulmonary disease physician providers who report both Medicare Part D prescribing and a MIPS quality score, Sean Dow, M.D. writes more Part D claims than 4% of them and scores higher on MIPS quality than 40% - 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
Each dot is one pulmonary disease physician peer from a representative sample of 60; the gold marker is Sean Dow, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Sean Dow, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting - 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 Dow, M.D.?
Near national averagePrimary specialty
Pulmonary Disease Physician
Medicare Part D claims
32 98% vs specialty avg
MIPS final score
80.5/100 2.6 pts vs avg
Specialty distribution in Montana
How Pulmonary Disease Physician compares to other specialties among Montana providers
Medicare quality performance, MIPS
Sean Dow, M.D.'s 2023 MIPS final score plotted against the Pulmonary Disease Physician national average
- MIPS Final Score
- 80.5/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Pulmonary Disease Physician) - 80.5/100 vs national avg 83.1
How MIPS and board certification work
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 Dow, M.D. appears in the CMS NPPES registry as a Pulmonary Disease Physician provider holding M.D. credentials at 1101 26TH ST S, Great Falls, MT, 59405, with a listed phone of (406) 455-5000. NPI 1871535096 was issued on 06/12/2006.
Medicare Part D records for calendar year 2023 show 32 prescription claims written by this provider, covering 14 Medicare beneficiaries and totaling roughly $3K in drug spend. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 80.5/100 for the 2023 performance year (Quality 93.1, Cost 62.6), compared with the national average of 83.1.
Pulmonary Disease Physician is a mid-sized specialty nationwide, with 9,271 enrolled providers across 53 states and an average of 1,457 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 | 1871535096 |
|---|---|
| Specialty | Pulmonary Disease Physician |
| Credentials | M.D. |
| Gender | Male |
| NPI Issued | 06/12/2006 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
80.4662
Final Score
Avg: 83.1
93.1081
Quality
62.6125
Cost
75
Promoting Interoperability
Reporting: Group practice
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
32
Total Claims
$3K
Total Drug Cost
14
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 34
- Total Day Supply
- 678
- Generic Drug Cost
- $248
Patient Demographics
- Average Patient Age
- 67.5 years
- Avg HCC Risk Score
- 2.75
Pulmonary Disease Physician Overview
How Sean Dow, M.D. fits within the Pulmonary Disease Physician landscape nationally.
9,271
Pulmonary Disease Physician Providers in US
53
States with Pulmonary Disease Physician
1,457
Avg Claims per Provider
Sean Dow, M.D.'s 32 claims are below the specialty average of 1,457.
Nearby Pulmonary Disease Physician Providers in Montana
Other clinicians with the same primary specialty enrolled in Montana, drawn from the same CMS NPPES roster as Dow.
Dr. David Anderson
MD
Great Falls, MT
Dr. Merhala Balasubramaniam
M.D.
Great Falls, MT
Manfred Baumgartner
Billings, MT
Dr. Richard Blevins
MD
Great Falls, MT
Dr. Anthony Dal Nogare
MD
Kalispell, MT
Compare Pulmonary Disease 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 Montana medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Pulmonary Disease 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.
Healthcare Guides
Learn more about finding, verifying, and understanding healthcare providers.
How to Find a Doctor
Step-by-step guide to choosing a provider
Verify Credentials
Check NPI, board certification & license status
Medical Specialties Explained
Who treats what and how specialties differ
Understanding Medicare Claims Data
What prescribing data reveals about a provider
In-Network vs Out-of-Network
How insurance networks affect your costs
Telehealth Guide
Virtual care options and coverage in 2026
Explore Montana
Frequently Asked Questions
What is Sean Dow, M.D.'s specialty? ▼
Sean Dow, M.D. specializes in Pulmonary Disease Physician and practices in Great Falls, Montana. Credentials: M.D..
How much does Sean Dow, M.D. prescribe under Medicare Part D? ▼
In 2023, Sean Dow, M.D. wrote 32 Medicare Part D claims totaling $3K in drug costs for 14 beneficiaries.
What is Sean Dow, M.D.'s Medicare quality score? ▼
Sean Dow, M.D. has a CMS MIPS Final Score of 80.5/100 (Quality: 93.1, Cost: 62.6). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Sean Dow, M.D. located? ▼
Sean Dow, M.D. is located at 1101 26TH ST S, Great Falls, MT, 59405. Phone: (406) 455-5000.
What is Sean Dow, M.D.'s NPI number? ▼
Sean Dow, M.D.'s National Provider Identifier (NPI) is 1871535096, issued on 06/12/2006.
How many Pulmonary Disease Physician providers are there in the US? ▼
There are 9,271 Pulmonary Disease Physician providers across 53 states in the US. The average Pulmonary Disease Physician provider writes 1,457 Medicare Part D claims per year.
Does Sean Dow, M.D. accept Medicare? ▼
Sean Dow, M.D. appears in CMS Medicare data with 32 Part D claims and 14 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Sean Dow, M.D.'s credentials? ▼
Sean Dow, M.D.'s NPI is 1871535096 with credentials M.D.. 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
View source datasets and methodology notes
- 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.