NPI registry status
Active
2026 NPPES data Neurological Surgery Physician NPI 1164447298 D.O.
Verify on CMS → Stephen Fletcher, D.O.
Neurological Surgery Physician in Houston, Texas.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 8,317 in Neurological Surgery 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
20
Medicare Part D claims · Neurological Surgery Physician avg: 189
MIPS score
82.4/100
▼ 1 pts below national avg 83.5 · Above neutral
Source: CMS Medicare Part D Prescriber Public Use File, 2024
What the federal data shows
Stephen Fletcher, D.O. reported a CMS MIPS final score of 82.4/100 - below the 83.5 national average - and filed 20 Medicare Part D claims in 2024.
- 82.4/100
- MIPS score · -1 vs avg
- 20
- Part D claims, 2024
- Likely
- board-certified (heuristic)
- ≥36th
- pct among measured MIPS (lower-bound band)
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.
Federal trust snapshot
What official records show about Stephen Fletcher, D.O.
Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1164447298), first enumerated 07/12/2006.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 20 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- Reported
CMS quality reporting (MIPS)
Reported a CMS MIPS final score of 82.4/100 in the Quality Payment Program — a federal quality measure, not a patient review.
Source: CMS Quality Payment Program
- Reported
Board certification signal
Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.
- State context
State board disciplinary context
Texas statewide board action statistics are published annually — these figures describe aggregate state activity, not Stephen Fletcher, D.O.'s individual license status. Verify directly with the state medical board.
Source: TMB annual report 2023
- Not in federal data
Individual sanction lookup
PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.
Source: State medical board / FSMB
This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.
CMS NPPES provider registry desk
NPI 1164447298 · Neurological Surgery Physician
NPI-10 · ENUM-LEGACY · TAX-MID · MIPS-INLINE · RX-TRACE · BOOK-LIGHT · PHOTO-FINISH
- NPI-10 1164447298
- ENUM-LEGACY 2006
- TAX-MID 8K Neurological Surgery
- MIPS-INLINE 82.4/100
- RX-TRACE 20
- BOOK-LIGHT 627 in Texas
- PHOTO-FINISH Andrew Beykovsky · ±0.0
MIPS final-score neighbourhood
Same-specialty nationwide peers by CMS final score, not geographic proximity
- Clark Chen · low…
Clark Chen
82.3 MIPS pts
- Fletcher · this …
Fletcher · this provider
82.4 MIPS pts
- Kenneth Reichert…
Kenneth Reichert
82.4 MIPS pts
- Andrew Beykovsky…
Andrew Beykovsky
82.4 MIPS pts
What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).
Stephen Fletcher, D.O.'s MIPS score vs every measured U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.
82 ≥ 36th percentile 36% of 454,083 measured providers are in lower value bands
Each bar is a band; taller bars hold more measured 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.
The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where Stephen Fletcher, D.O. sits
This provider among neurological surgery physician peers
Across the 1,591 neurological surgery physician providers who report both Medicare Part D prescribing and a MIPS quality score, Stephen Fletcher, D.O. writes more Part D claims than 13% of them and scores higher on MIPS quality than 45% - placing this provider in the lower-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Each dot is one neurological surgery physician peer from a representative sample of 60; the gold marker is Stephen Fletcher, D.O.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Stephen Fletcher, D.O. 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 Stephen Fletcher, D.O.?
Near national averagePrimary specialty
Neurological Surgery Physician
Medicare Part D claims
20 89% vs specialty avg
MIPS final score
82.4/100 1.1 pts vs avg
Specialty distribution in Texas
How Neurological Surgery Physician compares to other specialties among Texas providers
Medicare quality performance, MIPS
Stephen Fletcher, D.O.'s 2023 MIPS final score plotted against the Neurological Surgery Physician national average
- MIPS Final Score
- 82.4/100
- vs 83.5 national avg · 2023 performance year
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).
Practice Address
Provider Details
| NPI | 1164447298 |
|---|---|
| Specialty | Neurological Surgery Physician |
| Credentials | D.O. |
| Gender | Male |
| NPI Issued | 07/12/2006 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
82.3883
Final Score
Measured-score avg: 83.5
79.2344
Quality
58.5062
Cost
100
Promoting Interoperability
Reporting: Group practice
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 Stephen Fletcher, D.O.. To verify Stephen Fletcher, D.O.'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.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2024.
20
Total Claims
$3K
Total Drug Cost
N/A
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 60
- Total Day Supply
- 1,800
- Brand Drug Cost
- $0
- Generic Drug Cost
- $3K
Patient Demographics
- Average Patient Age
- 58.0 years
- Avg HCC Risk Score
- 0.33
Neurological Surgery Physician Overview
How Stephen Fletcher, D.O. fits within the Neurological Surgery Physician landscape nationally.
8,317
Neurological Surgery Physician Providers in US
53
States with Neurological Surgery Physician
189
Avg Claims per Provider
Stephen Fletcher, D.O.'s 20 claims are below the specialty average of 189.
Nationwide Neurological Surgery Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Fletcher, both outside Texas so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (82.4 here).
Same NPPES enumeration year (2006)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Neurological Surgery Physician Providers in Texas
Other clinicians with the same primary specialty enrolled in Texas, drawn from the same CMS NPPES roster as Fletcher.
One of 627 Neurological Surgery Physician providers enrolled in Texas, 5 are shown here.
Dr. Dare Adewumi
M.D.
Fort Worth, TX
Dr. Osama Ahmed
MD
Live Oak, TX
Dr. Nicholas Ahye
M.D.
Houston, TX
Dr. Olaide Ajayi
MD
Fort Worth, TX
Dr. George Al Shamy
MD
Shenandoah, TX
Compare Neurological Surgery Physician nationally: see state-by-state distribution →
Frequently Asked Questions
What is Stephen Fletcher, D.O.'s specialty? ▼
Stephen Fletcher, D.O. specializes in Neurological Surgery Physician and practices in Houston, Texas. Credentials: D.O..
How much does Stephen Fletcher, D.O. prescribe under Medicare Part D? ▼
In 2024, Stephen Fletcher, D.O. wrote 20 Medicare Part D claims totaling $3K in drug costs for N/A beneficiaries.
What is Stephen Fletcher, D.O.'s Medicare quality score? ▼
Stephen Fletcher, D.O. has a CMS MIPS Final Score of 82.4/100 (Quality: 79.2, Cost: 58.5). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Stephen Fletcher, D.O. located? ▼
Stephen Fletcher, D.O. is located at 6410 FANNIN ST, Houston, TX, 77030. Phone: (832) 325-7234.
What is Stephen Fletcher, D.O.'s NPI number? ▼
Stephen Fletcher, D.O.'s National Provider Identifier (NPI) is 1164447298, issued on 07/12/2006.
How many Neurological Surgery Physician providers are there in the US? ▼
There are 8,317 Neurological Surgery Physician providers across 53 states in the US. The average Neurological Surgery Physician provider writes 189 Medicare Part D claims per year.
Does Stephen Fletcher, D.O. accept Medicare? ▼
Stephen Fletcher, D.O. appears in CMS Medicare data with 20 Part D claims and N/A Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Stephen Fletcher, D.O.'s credentials? ▼
Stephen Fletcher, D.O.'s NPI is 1164447298 with credentials D.O.. 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 (2024). 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 August 2026 (NPPES) / 2024 (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
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of August 2026.