NPI registry status
Active
2026 NPPES data Pediatric Dermatology Physician NPI 1700861382 M.D.
Verify on CMS → Theodor Rudolph, M.D.
Pediatric Dermatology Physician in Vero Beach, Florida.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 223 in Pediatric Dermatology 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
3K
Medicare Part D claims · 1K beneficiaries · Pediatric Dermatology Physician avg: 497
Generic prescribing
92%
generic claims · 8% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
75/100
CMS neutral threshold · no category scores published
Industry payments
$1.9K
21 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2023
What the federal data shows
Theodor Rudolph, M.D. carries the neutral CMS MIPS final score of 75/100, assigned where no category was scored - and filed 2,731 Medicare Part D claims in 2023.
- 75/100
- CMS neutral score · not measured
- 3K
- Part D claims, 2023
- 92%
- 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.
Theodor Rudolph, M.D.'s Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023, across all CMS prescribers nationally
2,731 ≥ 88th percentile 88% 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
✓
Board certification likely (heuristic, not verified)
Theodor Rudolph, 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 Theodor Rudolph, M.D.?
CMS neutral score, not measuredPrimary specialty
Pediatric Dermatology Physician
Medicare Part D claims
2,731 5× vs specialty avg
MIPS final score
75/100
Specialty distribution in Florida
How Pediatric Dermatology Physician compares to other specialties among Florida providers
MIPS score not measured
CMS assigned a neutral 75/100 threshold
CMS did not publish any Quality, Cost, Promoting Interoperability, or Improvement Activities category score for this clinician. This administrative threshold is not comparable with the national average of clinicians whose MIPS score was measured.
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).
Theodor Rudolph, M.D. appears in the CMS NPPES registry as a Pediatric Dermatology Physician provider holding M.D. credentials at 3900 20TH ST, Vero Beach, FL, 32960, with a listed phone of (772) 299-4000. NPI 1700861382 was issued on 12/07/2005.
Medicare Part D records for calendar year 2023 show 2,731 prescription claims written by this provider, covering 1,098 Medicare beneficiaries and totaling roughly $711K in drug spend, split 8% brand-name and 92% generic by claim count. On the CMS Merit-based Incentive Payment System, this provider carries a Final Score of 75/100 for the 2023 performance year, but CMS published no Quality, Promoting Interoperability, Improvement Activity or Cost score: this is the neutral performance threshold CMS assigns where nothing was scored, so it is not comparable with clinicians whose score was measured.
Pediatric Dermatology Physician is a narrow specialty nationwide, with 223 enrolled providers across 39 states and an average of 497 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 | 1700861382 |
|---|---|
| Specialty | Pediatric Dermatology Physician |
| Credentials | M.D. |
| Gender | Male |
| NPI Issued | 12/07/2005 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
75
Final Score
CMS neutral threshold · not measured
Reporting: Individual
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 Theodor Rudolph, M.D.. Source: openpaymentsdata.cms.gov.
Total received
$1.9K
Largest payer
Kerecis Limited
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.
License & disciplinary context - Florida FLDOH 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 ~75K Florida medical licensees in 2023 - they are NOT specific to Theodor Rudolph, M.D.. To verify Theodor Rudolph, M.D.'s current license status, search the FLDOH public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
480
Total board actions, Florida 2023
Across 467 cases
6.40
Actions per 1,000 licensees
Florida statewide rate
monetary fine
Most common action type
138 cases
FLDOH 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 Florida disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Brand vs generic prescribing mix · Generic-heavy
Theodor Rudolph, M.D. - brand share 8.0%
Pediatric Dermatology Physician average
8% brand-name claims vs 92% generic, on 2,731 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.
2,731
Total Claims
$711K
Total Drug Cost
1,098
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 3,132
- Total Day Supply
- 76,004
- Brand vs Generic
- 8% brand / 92% generic
- Brand Drug Cost
- $639K
- Generic Drug Cost
- $72K
- Antibiotic Claims
- 286
Patient Demographics
- Average Patient Age
- 76.4 years
- Avg HCC Risk Score
- 1.12
- Gender Split
- 54% female / 46% male
- Age Distribution
- <65: 37, 65-74: 396, 75-84: 515, 85+: 150
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Theodor Rudolph, M.D. prescribes most
Top Medicare Part D drugs by claim count, 2023
- Ketoconazole
Ketoconazole
291 claims
- Doxycycline Hyclate
Doxycycline Hyclate
257 claims
- Mupirocin
Mupirocin
256 claims
- Triamcinolone Acet…
Triamcinolone Acetonide
217 claims
- Hydrocortisone
Hydrocortisone
212 claims
- Metronidazole
Metronidazole
136 claims
- Clobetasol Propion… 99
Clobetasol Propionate
99 claims
- Ammonium Lactate 95
Ammonium Lactate
95 claims
| Drug | Claims |
|---|---|
| Ketoconazole | 291 |
| Doxycycline Hyclate | 257 |
| Mupirocin | 256 |
| Triamcinolone Acetonide | 217 |
| Hydrocortisone | 212 |
| Metronidazole | 136 |
| Clobetasol Propionate | 99 |
| Ammonium Lactate | 95 |
| Selenium Sulfide | 92 |
| Valacyclovir Valacyclovir Hcl | 68 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Pediatric Dermatology Physician Overview
How Theodor Rudolph, M.D. fits within the Pediatric Dermatology Physician landscape nationally.
223
Pediatric Dermatology Physician Providers in US
39
States with Pediatric Dermatology Physician
497
Avg Claims per Provider
Theodor Rudolph, M.D.'s 2,731 claims are above the specialty average of 497.
Nearby Pediatric Dermatology Physician Providers in Florida
Other clinicians with the same primary specialty enrolled in Florida, drawn from the same CMS NPPES roster as Rudolph.
Dr. Cheryl Aber
MD
Aventura, FL
Dr. Meaghan Birakis
PA-C
Wellington, FL
Dr. Giovanna Ciocca
M.D,F.A.A.P
Miami, FL
Dr. Mercedes Gonzalez
M.D.
Miami, FL
Dr. Michael Lavery
MD
Gainesville, FL
Compare Pediatric Dermatology 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 Florida medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Pediatric Dermatology 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.
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Frequently Asked Questions
What is Theodor Rudolph, M.D.'s specialty? ▼
Theodor Rudolph, M.D. specializes in Pediatric Dermatology Physician and practices in Vero Beach, Florida. Credentials: M.D..
How much does Theodor Rudolph, M.D. prescribe under Medicare Part D? ▼
In 2023, Theodor Rudolph, M.D. wrote 2,731 Medicare Part D claims totaling $711K in drug costs for 1,098 beneficiaries.
What is Theodor Rudolph, M.D.'s Medicare quality score? ▼
Theodor Rudolph, M.D. has a CMS MIPS Final Score of 75/100. CMS published no Quality, Promoting Interoperability, Improvement Activity or Cost score for this clinician, so the final score is the neutral performance threshold CMS assigns rather than a measured result. 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 Theodor Rudolph, M.D. located? ▼
Theodor Rudolph, M.D. is located at 3900 20TH ST, Vero Beach, FL, 32960. Phone: (772) 299-4000.
What is Theodor Rudolph, M.D.'s NPI number? ▼
Theodor Rudolph, M.D.'s National Provider Identifier (NPI) is 1700861382, issued on 12/07/2005.
Does Theodor Rudolph, M.D. prescribe more brand-name or generic drugs? ▼
Theodor Rudolph, M.D.'s prescribing is 8% brand-name and 92% generic drugs by claim count, with $639K in brand drug costs.
How many Pediatric Dermatology Physician providers are there in the US? ▼
There are 223 Pediatric Dermatology Physician providers across 39 states in the US. The average Pediatric Dermatology Physician provider writes 497 Medicare Part D claims per year.
What drugs does Theodor Rudolph, M.D. prescribe most often? ▼
Based on 2023 Medicare Part D data, Theodor Rudolph, M.D.'s most frequently prescribed drugs include Ketoconazole, Doxycycline Hyclate, Mupirocin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Theodor Rudolph, M.D. accept Medicare? ▼
Theodor Rudolph, M.D. appears in CMS Medicare data with 2,731 Part D claims and 1,098 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Theodor Rudolph, M.D.'s credentials? ▼
Theodor Rudolph, M.D.'s NPI is 1700861382 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
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.