NPI registry status
Active
2026 NPPES data Dentist NPI 1942588603 D.M.D.
Verify on CMS → Steven Puffer, D.M.D.
Dentist in Nacogdoches, 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 93,793 in Dentist, 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
132
Medicare Part D claims · 62 beneficiaries · Dentist avg: 87
Source: CMS Medicare Part D Prescriber Public Use File, 2023
What the federal data shows
Steven Puffer, D.M.D. filed 132 Medicare Part D claims in 2023 as a Dentist in Nacogdoches, Texas.
- 132
- Part D claims, 2023
- ≥35th
- pct by Part D claim volume (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.
CMS NPPES provider registry desk
NPI 1942588603 · Dentist
NPI-10 · ENUM-MID · TAX-MEGA · RX-LIGHT · BOOK-MID · PHOTO-ENUM
- NPI-10 1942588603
- ENUM-MID 2011
- TAX-MEGA 94K Dentist
- RX-LIGHT 132
- BOOK-MID 6,775 in Texas
- PHOTO-ENUM Derek Youngblood · 2011
Steven Puffer, D.M.D.'s Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023, across all CMS prescribers nationally
132 ≥ 35th percentile 35% of 1,370,886 prescribers are in lower value bands
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.
The percentile is a conservative 100-claim band: it counts only prescribers in lower claim-volume bands. Medicare Part D claim volume is activity context, not a quality measure or recommendation. See methodology § corpus placement.
Source CMS Medicare Part D Prescriber Public Use File · 2023
What does the federal data show about Steven Puffer, D.M.D.?
Quality data not reportedPrimary specialty
Dentist
Medicare Part D claims
132 52% vs specialty avg
Specialty distribution in Texas
How Dentist compares to other specialties among Texas providers
Board certification
Not published by CMS
CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Dentist. Verify directly:
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 | 1942588603 |
|---|---|
| Specialty | Dentist |
| Credentials | D.M.D. |
| Gender | Male |
| NPI Issued | 07/29/2011 |
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 Steven Puffer, D.M.D.. To verify Steven Puffer, D.M.D.'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 2023.
132
Total Claims
$3K
Total Drug Cost
62
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 137
- Total Day Supply
- 1,721
- Brand Drug Cost
- $0
- Generic Drug Cost
- $3K
- Antibiotic Claims
- 69
Patient Demographics
- Average Patient Age
- 74.8 years
- Avg HCC Risk Score
- 0.97
- Gender Split
- 56% female / 44% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Steven Puffer, D.M.D. prescribes most
Top Medicare Part D drugs by claim count, 2023
- Clindamycin Hcl
Clindamycin Hcl
38 claims
- Chlorhexidine Gluc…
Chlorhexidine Gluconate
21 claims
- Amoxicillin-Clavul…
Amoxicillin-Clavulanate Potass
17 claims
- Pilocarpine Hcl 15
Pilocarpine Hcl
15 claims
- Dexamethasone 14
Dexamethasone
14 claims
- Amoxicillin 13
Amoxicillin
13 claims
| Drug | Claims |
|---|---|
| Clindamycin Hcl | 38 |
| Chlorhexidine Gluconate | 21 |
| Amoxicillin-Clavulanate Potass Amoxicillin/Potassium Clav | 17 |
| Pilocarpine Hcl | 15 |
| Dexamethasone | 14 |
| Amoxicillin | 13 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Dentist Overview
How Steven Puffer, D.M.D. fits within the Dentist landscape nationally.
93,793
Dentist Providers in US
56
States with Dentist
87
Avg Claims per Provider
Steven Puffer, D.M.D.'s 132 claims are above the specialty average of 87.
Nationwide Dentist peers with similar MIPS or enrollment year
Two federal-record peer sets for Puffer, both outside Texas so the neighborhoods are not geographic containment.
Same NPPES enumeration year (2011)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Dentist Providers in Texas
Other clinicians with the same primary specialty enrolled in Texas, drawn from the same CMS NPPES roster as Puffer.
One of 6,775 Dentist providers enrolled in Texas, 5 are shown here.
Nawal Aamir
San Antonio, TX
Dr. Kyle Aaron
D,D,S,
League City, TX
Dr. Seyedeh Abaei
DDS
Dallas, TX
Dr. Chinwendu Abakwue
DDS
Missouri City, TX
Dr. Edmundo Abasolo
DDS
Houston, TX
Compare Dentist nationally: see state-by-state distribution →
Frequently Asked Questions
What is Steven Puffer, D.M.D.'s specialty? ▼
Steven Puffer, D.M.D. specializes in Dentist and practices in Nacogdoches, Texas. Credentials: D.M.D..
How much does Steven Puffer, D.M.D. prescribe under Medicare Part D? ▼
In 2023, Steven Puffer, D.M.D. wrote 132 Medicare Part D claims totaling $3K in drug costs for 62 beneficiaries.
Where is Steven Puffer, D.M.D. located? ▼
Steven Puffer, D.M.D. is located at 1211 PARK ST, Nacogdoches, TX, 75961. Phone: (936) 546-2437.
What is Steven Puffer, D.M.D.'s NPI number? ▼
Steven Puffer, D.M.D.'s National Provider Identifier (NPI) is 1942588603, issued on 07/29/2011.
How many Dentist providers are there in the US? ▼
There are 93,793 Dentist providers across 56 states in the US. The average Dentist provider writes 87 Medicare Part D claims per year.
What drugs does Steven Puffer, D.M.D. prescribe most often? ▼
Based on 2023 Medicare Part D data, Steven Puffer, D.M.D.'s most frequently prescribed drugs include Clindamycin Hcl, Chlorhexidine Gluconate, Amoxicillin-Clavulanate Potass. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Steven Puffer, D.M.D. accept Medicare? ▼
Steven Puffer, D.M.D. appears in CMS Medicare data with 132 Part D claims and 62 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Steven Puffer, D.M.D.'s credentials? ▼
Steven Puffer, D.M.D.'s NPI is 1942588603 with credentials D.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.
- 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
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 May 2026.