2026 NPPES data Family Medicine Physician NPI 1861495871 MD
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Stephen Rex, MD

Family Medicine Physician in Alexandria, Virginia. 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
974
Medicare Part D claims · 121 beneficiaries · Family Medicine Physician avg: 3K
Generic prescribing
83%
generic claims · 17% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
94/100
▲ 11 pts above national avg 83.1 · [object Object]

What the federal data shows

Stephen Rex, MD reported a CMS MIPS final score of 94/100 — above the 83.1 national average — and filed 974 Medicare Part D claims in 2023.

94/100
MIPS score · +11 vs avg
974
Part D claims, 2023
83%
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.

Stephen Rex, MD's MIPS score vs every scored U.S. clinician

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

94 Top 25% higher than 75% 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%). Below this entry. 90–100: 189,403 scored providers (40%). This entry sits in this band. 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

Board certification likely (heuristic — not verified)

Stephen Rex, MD 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 Rex, MD?

High performer (top quartile)

NPI registry status

Active

Issued 05/23/2005

NPI 1861495871

Primary specialty

Family Medicine Physician

High-volume

147,640 US NPIs in this specialty

Medicare Part D claims

974 72% vs specialty avg

2023 prescription claims

Specialty avg: 3,418

MIPS final score

94/100 10.9 pts vs avg

Exceptional band

vs 83.1 national avg

Specialty distribution in Virginia

How Family Medicine Physician compares to other specialties among Virginia providers

Virginia providers

Family Medicine Physician share within Virginia

1. Family Medicine Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Family Medicine Physician share within Virginia

Medicare quality performance — MIPS

Stephen Rex, MD's 2023 MIPS final score plotted against the Family Medicine Physician national average

High performer (top quartile)
MIPS Final Score
94/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Family Medicine Physician) — 94/100 vs national avg 83.1

0%100%National avg83%94%
MIPS final score (Family Medicine Physician) — 94/100 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).

Stephen Rex, MD appears in the CMS NPPES registry as a Family Medicine Physician provider holding MD credentials at 8101 HINSON FARM RD, Alexandria, VA, 22306, with a listed phone of (703) 799-9695. NPI 1861495871 was issued on 05/23/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Rex 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 974 prescription claims written by this provider, covering 121 Medicare beneficiaries and totaling roughly $99K in drug spend, split 17% brand-name and 83% generic by claim count, with an opioid prescribing rate of 10.9%. 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 94/100 for the 2023 performance year (Quality 100, Cost 80.1), compared with the national average of 83.1.

Family Medicine Physician is a high-volume specialty nationwide, with 147,640 enrolled providers across 56 states and an average of 3,418 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

8101 HINSON FARM RD
Alexandria, VA 22306

Provider Details

NPI 1861495871
Specialty Family Medicine Physician
Credentials MD
Gender Male
NPI Issued 05/23/2005

CMS Quality Score (MIPS)

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

94.0234
Final Score
Avg: 83.1
100
Quality
80.078
Cost
100
Promoting Interoperability

Reporting: Individual

Brand vs generic prescribing mix · Typical

Stephen Rex, MD — brand share 17.0%
Specialty average (est.)

17% brand-name claims vs 83% generic, on 974 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.

974
Total Claims
$99K
Total Drug Cost
121
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
2,051
Total Day Supply
58,458
Brand vs Generic
17% brand / 83% generic
Brand Drug Cost
$78K
Generic Drug Cost
$19K
Opioid Claims
106 (10.9% rate)
Antibiotic Claims
44

Patient Demographics

Average Patient Age
76.2 years
Avg HCC Risk Score
0.96
Gender Split
55% female / 45% male

Top Prescribed Drugs (Medicare Part D)

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

What Stephen Rex, 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
Atorvastatin Calcium
71
Levothyroxine Sodium
47
Alprazolam
36
Oxycodone Hcl
28
Gabapentin
27
Oxycodone-Acetaminophen
Oxycodone Hcl/Acetaminophen
23
Losartan Potassium
21
Omeprazole
20
Synthroid
Levothyroxine Sodium
20
Azelastine Hcl
19

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

Family Medicine Physician Overview

How Stephen Rex, MD fits within the Family Medicine Physician landscape nationally.

147,640
Family Medicine Physician Providers in US
56
States with Family Medicine Physician
3,418
Avg Claims per Provider

Stephen Rex, MD's 974 claims are below the specialty average of 3,418.

Nearby Family Medicine Physician Providers in Virginia

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

Compare Family Medicine 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 Virginia medical board — federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Family Medicine 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 Stephen Rex, MD's specialty?
Stephen Rex, MD specializes in Family Medicine Physician and practices in Alexandria, Virginia. Credentials: MD.
How much does Stephen Rex, MD prescribe under Medicare Part D?
In 2023, Stephen Rex, MD wrote 974 Medicare Part D claims totaling $99K in drug costs for 121 beneficiaries.
What is Stephen Rex, MD's Medicare quality score?
Stephen Rex, MD has a CMS MIPS Final Score of 94/100 (Quality: 100, Cost: 80.1). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Stephen Rex, MD located?
Stephen Rex, MD is located at 8101 HINSON FARM RD, Alexandria, VA, 22306. Phone: (703) 799-9695.
What is Stephen Rex, MD's NPI number?
Stephen Rex, MD's National Provider Identifier (NPI) is 1861495871, issued on 05/23/2005.
Does Stephen Rex, MD prescribe more brand-name or generic drugs?
Stephen Rex, MD's prescribing is 17% brand-name and 83% generic drugs by claim count, with $78K in brand drug costs.
Does Stephen Rex, MD prescribe opioids?
Yes, Stephen Rex, MD had 106 opioid claims in 2023 with an opioid prescribing rate of 10.9%.
How many Family Medicine Physician providers are there in the US?
There are 147,640 Family Medicine Physician providers across 56 states in the US. The average Family Medicine Physician provider writes 3,418 Medicare Part D claims per year.
What drugs does Stephen Rex, MD prescribe most often?
Based on 2023 Medicare Part D data, Stephen Rex, MD's most frequently prescribed drugs include Atorvastatin Calcium, Levothyroxine Sodium, Alprazolam. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Stephen Rex, MD accept Medicare?
Stephen Rex, MD appears in CMS Medicare data with 974 Part D claims and 121 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Stephen Rex, MD's credentials?
Stephen Rex, MD's NPI is 1861495871 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.
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