2026 NPPES data Pediatric Dermatology Physician NPI 1700861382 M.D.
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THEODOR RUDOLPH, M.D.

Pediatric Dermatology Physician in VERO BEACH, Florida. 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
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
▼ 8 pts below national avg 83.1 · [object Object]
Industry payments
$1.9K
21 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

THEODOR RUDOLPH, M.D. reported a CMS MIPS final score of 75/100 — below the 83.1 national average — and filed 2,731 Medicare Part D claims in 2023.

75/100
MIPS score · -8 vs avg
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 MIPS score vs every scored U.S. clinician

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

75 15th percentile higher than 15% 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%). This entry sits in this band. 80–90: 129,887 scored providers (27%). Above this entry. 90–100: 189,403 scored providers (40%). Above this entry. 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)

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.?

Below national average

NPI registry status

Active

Issued 12/07/2005

NPI 1700861382

Primary specialty

Pediatric Dermatology Physician

Rare

222 US NPIs in this specialty

Medicare Part D claims

2,731 449% vs specialty avg

2023 prescription claims

Specialty avg: 497

MIPS final score

75/100 8.099999999999994% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Florida

How Pediatric Dermatology Physician compares to other specialties among Florida providers

Florida providers

Pediatric Dermatology Physician share within Florida

1. Pediatric Dermatology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Pediatric Dermatology Physician share within Florida

Medicare quality performance — MIPS

THEODOR RUDOLPH, M.D.'s 2023 MIPS final score plotted against the Pediatric Dermatology Physician national average

Below national average
MIPS Final Score
75/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Pediatric Dermatology Physician) — 75/100 vs national avg 83.1

0%100%National avg83%75%
MIPS final score (Pediatric Dermatology Physician) — 75/100 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).

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. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what RUDOLPH 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 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. 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 75/100 for the 2023 performance year, compared with the national average of 83.1.

Pediatric Dermatology Physician is a narrow specialty nationwide, with 222 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

3900 20TH ST
VERO BEACH, FL 32960

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
Avg: 83.1

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%
Specialty average (est.)

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

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
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.

222
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.

Compare Pediatric Dermatology Physician nationally: see state-by-state distribution →

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. The national average MIPS Final Score is 83.1. 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 222 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

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