2026 NPPES data Physical Medicine & Rehabilitation Physician NPI 1568416873 MD
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THEODORE BROWN, MD

Physical Medicine & Rehabilitation Physician in KIRKLAND, Washington. 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 · 213 beneficiaries · Physical Medicine & Rehabilitation Physician avg: 781
Generic prescribing
90%
generic claims · 10% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
83.8101/100
▲ 1 pts above national avg 83.1 · [object Object]
Industry payments
$7.2K
62 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

THEODORE BROWN, MD reported a CMS MIPS final score of 83.8101/100 — above the 83.1 national average — and filed 2,803 Medicare Part D claims in 2023.

83.8101/100
MIPS score · +1 vs avg
3K
Part D claims, 2023
90%
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.

THEODORE BROWN, MD's MIPS score vs every scored U.S. clinician

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

84 42nd percentile higher than 42% 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%). This entry sits in this band. 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)

THEODORE BROWN, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 3 hospital affiliations — 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 THEODORE BROWN, MD?

Near national average

NPI registry status

Active

Issued 05/20/2006

NPI 1568416873

Primary specialty

Physical Medicine & Rehabilitation Physician

Mid-sized

15,306 US NPIs in this specialty

Medicare Part D claims

2,803 259% vs specialty avg

2023 prescription claims

Specialty avg: 781

MIPS final score

83.8101/100 0.7101000000000113% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Washington

How Physical Medicine & Rehabilitation Physician compares to other specialties among Washington providers

Washington providers

Physical Medicine & Rehabilitation Physician share within Washington

1. Physical Medicine & Rehabilitation Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Physical Medicine & Rehabilitation Physician share within Washington

Medicare quality performance — MIPS

THEODORE BROWN, MD's 2023 MIPS final score plotted against the Physical Medicine & Rehabilitation Physician national average

Near national average
MIPS Final Score
83.8101/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Physical Medicine & Rehabilitation Physician) — 83.8101/100 vs national avg 83.1

0%100%National avg83%83.8%
MIPS final score (Physical Medicine & Rehabilitation Physician) — 83.8101/100 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).

THEODORE BROWN, MD is a Physical Medicine & Rehabilitation Physician provider practicing in KIRKLAND, Washington, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1568416873. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

THEODORE BROWN, MD appears in the CMS NPPES registry as a Physical Medicine & Rehabilitation Physician provider holding MD credentials at 12039 NE 128TH ST, KIRKLAND, WA, 98034, with a listed phone of (425) 899-5350. NPI 1568416873 was issued on 05/20/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BROWN 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 2,803 prescription claims written by this provider, covering 213 Medicare beneficiaries and totaling roughly $2.5 million in drug spend, split 10% brand-name and 90% generic by claim count, with an opioid prescribing rate of 4.1%. 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 83.8101/100 for the 2023 performance year (Quality 74.2614), compared with the national average of 83.1.

Physical Medicine & Rehabilitation Physician is a mid-sized specialty nationwide, with 15,306 enrolled providers across 54 states and an average of 781 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

12039 NE 128TH ST
KIRKLAND, WA 98034

Provider Details

NPI 1568416873
Specialty Physical Medicine & Rehabilitation Physician
Credentials MD
Gender Male
NPI Issued 05/20/2006

CMS Quality Score (MIPS)

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

83.8101
Final Score
Avg: 83.1
74.2614
Quality
80
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where THEODORE BROWN, MD 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.

KING COUNTY PUBLIC HOSPITAL DISTRICT NO 2
KIRKLAND, WA
SELECT OUTPATIENT SERVICES INC
GLENVIEW, IL
SELECT REHABILITATION, LLC
GLENVIEW, IL

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 THEODORE BROWN, MD. Source: openpaymentsdata.cms.gov.

Total received

$7.2K

Largest payer

GENZYME 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.

License & disciplinary context — Washington WMC 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 ~34K Washington medical licensees in 2023 — they are NOT specific to THEODORE BROWN, MD. To verify THEODORE BROWN, MD's current license status, search the WMC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

88
Total board actions, Washington 2023
Across 85 cases
2.59
Actions per 1,000 licensees
Washington statewide rate
probation
Most common action type
31 cases

WMC 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 Washington disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

THEODORE BROWN, MD — brand share 10.0%
Specialty average (est.)

10% brand-name claims vs 90% generic, on 2,803 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.

2,803
Total Claims
$2.5M
Total Drug Cost
213
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
4,577
Total Day Supply
134,145
Brand vs Generic
10% brand / 90% generic
Brand Drug Cost
$1.7M
Generic Drug Cost
$760K
Opioid Claims
114 (4.1% rate)

Patient Demographics

Average Patient Age
63.7 years
Avg HCC Risk Score
1.60
Gender Split
73% female / 27% male
Age Distribution
<65: 92, 65-74: 90, 75-84: 31, 85+: 0

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Baclofen
251
Gabapentin
229
Dimethyl Fumarate
107
Tizanidine Hcl
95
Dalfampridine Er
Dalfampridine
91
Copaxone
Glatiramer Acetate
85
Modafinil
82
Diazepam
68
Clonazepam
66
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
66

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

Physical Medicine & Rehabilitation Physician Overview

How THEODORE BROWN, MD fits within the Physical Medicine & Rehabilitation Physician landscape nationally.

15,306
Physical Medicine & Rehabilitation Physician Providers in US
54
States with Physical Medicine & Rehabilitation Physician
781
Avg Claims per Provider

THEODORE BROWN, MD's 2,803 claims are above the specialty average of 781.

Nearby Physical Medicine & Rehabilitation Physician Providers in Washington

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

Compare Physical Medicine & Rehabilitation Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is THEODORE BROWN, MD's specialty?
THEODORE BROWN, MD specializes in Physical Medicine & Rehabilitation Physician and practices in KIRKLAND, Washington. Credentials: MD.
How much does THEODORE BROWN, MD prescribe under Medicare Part D?
In 2023, THEODORE BROWN, MD wrote 2,803 Medicare Part D claims totaling $2.5M in drug costs for 213 beneficiaries.
What is THEODORE BROWN, MD's Medicare quality score?
THEODORE BROWN, MD has a CMS MIPS Final Score of 83.8101/100 (Quality: 74.2614). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is THEODORE BROWN, MD located?
THEODORE BROWN, MD is located at 12039 NE 128TH ST, KIRKLAND, WA, 98034. Phone: (425) 899-5350.
What is THEODORE BROWN, MD's NPI number?
THEODORE BROWN, MD's National Provider Identifier (NPI) is 1568416873, issued on 05/20/2006.
Does THEODORE BROWN, MD prescribe more brand-name or generic drugs?
THEODORE BROWN, MD's prescribing is 10% brand-name and 90% generic drugs by claim count, with $1.7M in brand drug costs.
Does THEODORE BROWN, MD prescribe opioids?
Yes, THEODORE BROWN, MD had 114 opioid claims in 2023 with an opioid prescribing rate of 4.1%.
How many Physical Medicine & Rehabilitation Physician providers are there in the US?
There are 15,306 Physical Medicine & Rehabilitation Physician providers across 54 states in the US. The average Physical Medicine & Rehabilitation Physician provider writes 781 Medicare Part D claims per year.
What drugs does THEODORE BROWN, MD prescribe most often?
Based on 2023 Medicare Part D data, THEODORE BROWN, MD's most frequently prescribed drugs include Baclofen, Gabapentin, Dimethyl Fumarate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does THEODORE BROWN, MD accept Medicare?
THEODORE BROWN, MD appears in CMS Medicare data with 2,803 Part D claims and 213 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify THEODORE BROWN, MD's credentials?
THEODORE BROWN, MD's NPI is 1568416873 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