NPI registry status
Active
2026 NPPES data Anesthesiology Physician NPI 1851443832 MD PHD
Verify on CMS → Terry Fletcher, MD PHD
Anesthesiology Physician in Little Rock, Arkansas.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 56,432 in Anesthesiology 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
6K
Medicare Part D claims · 1K beneficiaries · Anesthesiology Physician avg: 860
Generic prescribing
95%
generic claims · 5% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$73.58
4 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Terry Fletcher, MD PHD filed 6,392 Medicare Part D claims in 2023 as a Anesthesiology Physician in Little Rock, Arkansas, prescribing 95% generic.
- 6K
- Part D claims, 2023
- 95%
- 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.
Terry Fletcher, MD PHD's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023, across all CMS prescribers nationally
6,392 Top 4% higher than 96% of 1,370,886 prescribers
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)
Terry Fletcher, MD PHD 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 Terry Fletcher, MD PHD?
Quality data not reportedPrimary specialty
Anesthesiology Physician
Medicare Part D claims
6,392 7× vs specialty avg
Specialty distribution in Arkansas
How Anesthesiology Physician compares to other specialties among Arkansas 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 Anesthesiology Physician. 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).
Terry Fletcher, MD PHD appears in the CMS NPPES registry as an Anesthesiology Physician provider holding MD PHD credentials at 108 N SHACKLEFORD RD, Little Rock, AR, 72211, with a listed phone of (501) 712-2571. NPI 1851443832 was issued on 01/18/2007.
Medicare Part D records for calendar year 2023 show 6,392 prescription claims written by this provider, covering 1,219 Medicare beneficiaries and totaling roughly $272K in drug spend, split 5% brand-name and 95% generic by claim count, with an opioid prescribing rate of 72.9%.
Anesthesiology Physician is a high-volume specialty nationwide, with 56,432 enrolled providers across 56 states and an average of 860 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 | 1851443832 |
|---|---|
| Specialty | Anesthesiology Physician |
| Credentials | MD PHD |
| Gender | Male |
| NPI Issued | 01/18/2007 |
Hospital and facility affiliations
Facilities where Terry Fletcher, MD PHD 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.
Pain Treatment Centers OF America PLLC
Little Rock, AR
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 Terry Fletcher, MD PHD. Source: openpaymentsdata.cms.gov.
Total received
$74
Largest payer
Boston Scientific Corporation
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.
Brand vs generic prescribing mix · Generic-heavy
Terry Fletcher, MD PHD - brand share 5.0%
Anesthesiology Physician average
5% brand-name claims vs 95% generic, on 6,392 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.
6,392
Total Claims
$272K
Total Drug Cost
1,219
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 6,549
- Total Day Supply
- 185,045
- Brand vs Generic
- 5% brand / 95% generic
- Brand Drug Cost
- $82K
- Generic Drug Cost
- $190K
- Opioid Claims
- 4,661 (72.9% rate)
- Antibiotic Claims
- 50
Patient Demographics
- Average Patient Age
- 64.8 years
- Avg HCC Risk Score
- 1.77
- Gender Split
- 63% female / 37% male
- Age Distribution
- <65: 551, 65-74: 440, 75-84: 198, 85+: 30
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Terry Fletcher, MD PHD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Hydrocodone-Acetam…
Hydrocodone-Acetaminophen
1,623 claims
- Oxycodone-Acetamin…
Oxycodone-Acetaminophen
988 claims
- Oxycodone Hcl
Oxycodone Hcl
775 claims
- Gabapentin 442
Gabapentin
442 claims
- Morphine Sulfate Er 318
Morphine Sulfate Er
318 claims
- Tramadol Hcl 271
Tramadol Hcl
271 claims
- Pregabalin 246
Pregabalin
246 claims
- Naloxone Hcl 195
Naloxone Hcl
195 claims
| Drug | Claims |
|---|---|
| Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen | 1,623 |
| Oxycodone-Acetaminophen Oxycodone Hcl/Acetaminophen | 988 |
| Oxycodone Hcl | 775 |
| Gabapentin | 442 |
| Morphine Sulfate Er Morphine Sulfate | 318 |
| Tramadol Hcl | 271 |
| Pregabalin | 246 |
| Naloxone Hcl | 195 |
| Tizanidine Hcl | 170 |
| Cyclobenzaprine Hcl | 149 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Anesthesiology Physician Overview
How Terry Fletcher, MD PHD fits within the Anesthesiology Physician landscape nationally.
56,432
Anesthesiology Physician Providers in US
56
States with Anesthesiology Physician
860
Avg Claims per Provider
Terry Fletcher, MD PHD's 6,392 claims are above the specialty average of 860.
Nearby Anesthesiology Physician Providers in Arkansas
Other clinicians with the same primary specialty enrolled in Arkansas, drawn from the same CMS NPPES roster as Fletcher.
Dr. Mohamed Abdeldayem
M.D.
Little Rock, AR
Dr. Esamelden Abdelnaem
M.D.
Little Rock, AR
Dr. Abdenour Abib
MD
Little Rock, AR
Dr. Michael Adams
M.D.
Mena, AR
Dr. Brian Alexander
M.D.
Little Rock, AR
Compare Anesthesiology 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 Arkansas medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Anesthesiology 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 Arkansas
Frequently Asked Questions
What is Terry Fletcher, MD PHD's specialty? ▼
Terry Fletcher, MD PHD specializes in Anesthesiology Physician and practices in Little Rock, Arkansas. Credentials: MD PHD.
How much does Terry Fletcher, MD PHD prescribe under Medicare Part D? ▼
In 2023, Terry Fletcher, MD PHD wrote 6,392 Medicare Part D claims totaling $272K in drug costs for 1,219 beneficiaries.
Where is Terry Fletcher, MD PHD located? ▼
Terry Fletcher, MD PHD is located at 108 N SHACKLEFORD RD, Little Rock, AR, 72211. Phone: (501) 712-2571.
What is Terry Fletcher, MD PHD's NPI number? ▼
Terry Fletcher, MD PHD's National Provider Identifier (NPI) is 1851443832, issued on 01/18/2007.
Does Terry Fletcher, MD PHD prescribe more brand-name or generic drugs? ▼
Terry Fletcher, MD PHD's prescribing is 5% brand-name and 95% generic drugs by claim count, with $82K in brand drug costs.
Does Terry Fletcher, MD PHD prescribe opioids? ▼
Yes, Terry Fletcher, MD PHD had 4,661 opioid claims in 2023 with an opioid prescribing rate of 72.9%.
How many Anesthesiology Physician providers are there in the US? ▼
There are 56,432 Anesthesiology Physician providers across 56 states in the US. The average Anesthesiology Physician provider writes 860 Medicare Part D claims per year.
What drugs does Terry Fletcher, MD PHD prescribe most often? ▼
Based on 2023 Medicare Part D data, Terry Fletcher, MD PHD's most frequently prescribed drugs include Hydrocodone-Acetaminophen, Oxycodone-Acetaminophen, Oxycodone Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Terry Fletcher, MD PHD accept Medicare? ▼
Terry Fletcher, MD PHD appears in CMS Medicare data with 6,392 Part D claims and 1,219 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Terry Fletcher, MD PHD's credentials? ▼
Terry Fletcher, MD PHD's NPI is 1851443832 with credentials MD PHD. 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
Compiled from official public sources by the PlainDoctor editorial team.
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.