2026 NPPES data Geriatric Medicine (Internal Medicine) Physician NPI 1679596605 MD
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THOMAS CAIN, MD

Geriatric Medicine (Internal Medicine) Physician in LAKEWOOD, Colorado. 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
6K
Medicare Part D claims · 784 beneficiaries · Geriatric Medicine (Internal Medicine) Physician avg: 4K
Generic prescribing
87%
generic claims · 13% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
87.5154/100
▲ 4 pts above national avg 83.1 · [object Object]
What the federal data reveals: THOMAS CAIN, MD is a Geriatric Medicine (Internal Medicine) Physician ([object Object]) practicing in LAKEWOOD, Colorado with a Medicare Part D prescribing footprint of 6K claims across 784 beneficiaries — 13% brand-name prescribing . Their CMS MIPS Final Score of 87.5154/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities .

What stands out: THOMAS CAIN, MD reported a CMS MIPS final score of 87.5154 out of 100, above the 83.1 national average, and filed 6,143 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

THOMAS CAIN, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

THOMAS CAIN, MD at a glance

High performer (top quartile)

NPI registry status

Active

Issued 07/25/2006

NPI 1679596605

Primary specialty

Geriatric Medicine (Internal Medicine) Physician

Niche

4,161 US NPIs in this specialty

Medicare Part D claims

6,143 38% vs specialty avg

2023 prescription claims

Specialty avg: 4,450

MIPS final score

87.5154/100 4.415400000000005% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Colorado

How Geriatric Medicine (Internal Medicine) Physician compares to other specialties among Colorado providers

Colorado providers

Geriatric Medicine (Internal Medicine) Physician share within Colorado

1. Geriatric Medicine (Internal Medicine) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Geriatric Medicine (Internal Medicine) Physician share within Colorado

Medicare quality performance — MIPS

THOMAS CAIN, MD's 2023 MIPS final score plotted against the Geriatric Medicine (Internal Medicine) Physician national average

High performer (top quartile)
MIPS Final Score
87.5154/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Geriatric Medicine (Internal Medicine) Physician) — 87.5154/100 vs national avg 83.1

0%100%National avg83%87.5%
MIPS final score (Geriatric Medicine (Internal Medicine) Physician) — 87.5154/100 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).

THOMAS CAIN, MD is a Geriatric Medicine (Internal Medicine) Physician provider practicing in LAKEWOOD, Colorado, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1679596605. 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.

THOMAS CAIN, MD appears in the CMS NPPES registry as a Geriatric Medicine (Internal Medicine) Physician provider holding MD credentials at 11700 W 2ND PL STE 450, LAKEWOOD, CO, 80228, with a listed phone of (303) 825-1234. NPI 1679596605 was issued on 07/25/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what CAIN 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 6,143 prescription claims written by this provider, covering 784 Medicare beneficiaries and totaling roughly $670K in drug spend, split 13% brand-name and 87% generic by claim count, with an opioid prescribing rate of 1.9%. 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 87.5154/100 for the 2023 performance year (Quality 83.8118), compared with the national average of 83.1.

Geriatric Medicine (Internal Medicine) Physician is a narrow specialty nationwide, with 4,161 enrolled providers across 52 states and an average of 4,450 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

11700 W 2ND PL STE 450
LAKEWOOD, CO 80228

Provider Details

NPI 1679596605
Specialty Geriatric Medicine (Internal Medicine) Physician
Credentials MD
Gender Male
NPI Issued 07/25/2006

CMS Quality Score (MIPS)

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

87.5154
Final Score
Avg: 83.1
83.8118
Quality
85.3649
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where THOMAS CAIN, 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.

GERIATRIC MEDICINE ASSOCIATES, PC
LAKEWOOD, CO

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Brand vs generic prescribing mix · Typical

THOMAS CAIN, MD — brand share 13.0%
Specialty average (est.)

13% brand-name claims vs 87% generic, on 6,143 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.

6,143
Total Claims
$670K
Total Drug Cost
784
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
15,773
Total Day Supply
466,783
Brand vs Generic
13% brand / 87% generic
Brand Drug Cost
$542K
Generic Drug Cost
$125K
Opioid Claims
114 (1.9% rate)
Antibiotic Claims
71

Patient Demographics

Average Patient Age
79.2 years
Avg HCC Risk Score
1.62
Gender Split
51% female / 49% male

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Atorvastatin Calcium
481
Levothyroxine Sodium
328
Losartan Potassium
267
Lisinopril
238
Amlodipine Besylate
208
Tamsulosin Hcl
198
Omeprazole
172
Pantoprazole Sodium
151
Rosuvastatin Calcium
150
Eliquis
Apixaban
141

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

Geriatric Medicine (Internal Medicine) Physician Overview

How THOMAS CAIN, MD fits within the Geriatric Medicine (Internal Medicine) Physician landscape nationally.

4,161
Geriatric Medicine (Internal Medicine) Physician Providers in US
52
States with Geriatric Medicine (Internal Medicine) Physician
4,450
Avg Claims per Provider

THOMAS CAIN, MD's 6,143 claims are above the specialty average of 4,450.

Nearby Geriatric Medicine (Internal Medicine) Physician Providers in Colorado

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

Compare Geriatric Medicine (Internal Medicine) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is THOMAS CAIN, MD's specialty?
THOMAS CAIN, MD specializes in Geriatric Medicine (Internal Medicine) Physician and practices in LAKEWOOD, Colorado. Credentials: MD.
How much does THOMAS CAIN, MD prescribe under Medicare Part D?
In 2023, THOMAS CAIN, MD wrote 6,143 Medicare Part D claims totaling $670K in drug costs for 784 beneficiaries.
What is THOMAS CAIN, MD's Medicare quality score?
THOMAS CAIN, MD has a CMS MIPS Final Score of 87.5154/100 (Quality: 83.8118). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is THOMAS CAIN, MD located?
THOMAS CAIN, MD is located at 11700 W 2ND PL STE 450, LAKEWOOD, CO, 80228. Phone: (303) 825-1234.
What is THOMAS CAIN, MD's NPI number?
THOMAS CAIN, MD's National Provider Identifier (NPI) is 1679596605, issued on 07/25/2006.
Does THOMAS CAIN, MD prescribe more brand-name or generic drugs?
THOMAS CAIN, MD's prescribing is 13% brand-name and 87% generic drugs by claim count, with $542K in brand drug costs.
Does THOMAS CAIN, MD prescribe opioids?
Yes, THOMAS CAIN, MD had 114 opioid claims in 2023 with an opioid prescribing rate of 1.9%.
How many Geriatric Medicine (Internal Medicine) Physician providers are there in the US?
There are 4,161 Geriatric Medicine (Internal Medicine) Physician providers across 52 states in the US. The average Geriatric Medicine (Internal Medicine) Physician provider writes 4,450 Medicare Part D claims per year.
What drugs does THOMAS CAIN, MD prescribe most often?
Based on 2023 Medicare Part D data, THOMAS CAIN, MD's most frequently prescribed drugs include Atorvastatin Calcium, Levothyroxine Sodium, Losartan Potassium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does THOMAS CAIN, MD accept Medicare?
THOMAS CAIN, MD appears in CMS Medicare data with 6,143 Part D claims and 784 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify THOMAS CAIN, MD's credentials?
THOMAS CAIN, MD's NPI is 1679596605 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