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2026 NPPES data Sleep Medicine (Otolaryngology) Physician NPI 1609317874 M.D.
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Thomas Kaffenberger, M.D.

Sleep Medicine (Otolaryngology) Physician in Pittsburgh, Pennsylvania.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 98 in Sleep Medicine (Otolaryngology) 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
21
Medicare Part D claims · 11 beneficiaries · Sleep Medicine (Otolaryngology) Physician avg: 543
MIPS score
77.5/100
▼ 6 pts below national avg 83.5 · Above neutral
Industry payments
$11.4K
5 payments · CMS Open Payments (Sunshine Act)
Verify NPI on CMS Methodology
Compiled from official public sources by the editorial process.

What the federal data shows

Thomas Kaffenberger, M.D. reported a CMS MIPS final score of 77.5/100 - below the 83.5 national average - and filed 21 Medicare Part D claims in 2023.

77.5/100
MIPS score · -6 vs avg
21
Part D claims, 2023
Likely
board-certified (heuristic)
≥20th
pct among measured MIPS (lower-bound band)

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.

CMS NPPES provider registry desk

NPI 1609317874 · Sleep Medicine (Otolaryngology) Physician

NPI-10 · ENUM-RECENT · TAX-TRACE · MIPS-BELOW · RX-TRACE · BOOK-THIN · PHOTO-FINISH

  • NPI-10 1609317874
  • ENUM-RECENT 2017
  • TAX-TRACE 98
  • MIPS-BELOW 77.5/100
  • RX-TRACE 21
  • BOOK-THIN 6 in Pennsylvania
  • PHOTO-FINISH Robert Sonnenburg Jr · ±0.2

MIPS final-score neighbourhood

Same-specialty nationwide peers by CMS final score, not geographic proximity

MIPS pts

What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).

Source CMS Quality Payment Program (MIPS) As of 2023

Thomas Kaffenberger, M.D.'s MIPS score vs every measured U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.

78 ≥ 20th percentile 20% of 454,083 measured providers are in lower value bands

0–10: 8,684 measured providers (2%). Below this entry. 10–20: 3,008 measured providers (1%). Below this entry. 20–30: 3,069 measured providers (1%). Below this entry. 30–40: 2,746 measured providers (1%). Below this entry. 40–50: 2,928 measured providers (1%). Below this entry. 50–60: 5,882 measured providers (1%). Below this entry. 60–70: 13,906 measured providers (3%). Below this entry. 70–80: 94,570 measured providers (21%). This entry sits in this band. 80–90: 129,887 measured providers (29%). Above this entry. 90+: 189,403 measured providers (42%). Above this entry. This provider 0 100 every measured MIPS clinician, bucketed by value

Each bar is a band; taller bars hold more measured 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.

The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Where Thomas Kaffenberger, M.D. sits

This provider among sleep medicine (otolaryngology) physician peers

Across the 44 sleep medicine (otolaryngology) physician providers who report both Medicare Part D prescribing and a MIPS quality score, Thomas Kaffenberger, M.D. writes more Part D claims than 5% of them and scores higher on MIPS quality than 30% - placing this provider in the lower-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality02550751000255075100Part D claim volume, percentile in specialtyMIPS quality, percentilePoint, Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 21Point, Part D claim volume, percentile in specialty: 81 · MIPS quality, percentile: 7Point, Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 49Point, Part D claim volume, percentile in specialty: 14 · MIPS quality, percentile: 9Point, Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 5Point, Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 88Point, Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 70Point, Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 44Point, Part D claim volume, percentile in specialty: 26 · MIPS quality, percentile: 23Point, Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 60Point, Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 100Point, Part D claim volume, percentile in specialty: 19 · MIPS quality, percentile: 95Point, Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 53Point, Part D claim volume, percentile in specialty: 84 · MIPS quality, percentile: 14Point, Part D claim volume, percentile in specialty: 51 · MIPS quality, percentile: 40Point, Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 19Point, Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 91Point, Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 70Point, Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 35Point, Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 26Point, Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 42Point, Part D claim volume, percentile in specialty: 49 · MIPS quality, percentile: 60Point, Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 51Point, Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 16 · MIPS quality, percentile: 33Point, Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 37Point, Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 70Point, Part D claim volume, percentile in specialty: 56 · MIPS quality, percentile: 58Point, Part D claim volume, percentile in specialty: 91 · MIPS quality, percentile: 47Point, Part D claim volume, percentile in specialty: 44 · MIPS quality, percentile: 86Point, Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 91Point, Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 74 · MIPS quality, percentile: 70Point, Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 16Point, Part D claim volume, percentile in specialty: 9 · MIPS quality, percentile: 95Point, Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 12Point, Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 60Point, Part D claim volume, percentile in specialty: 86 · MIPS quality, percentile: 70Point, Part D claim volume, percentile in specialty: 79 · MIPS quality, percentile: 70Point, Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 70Point, Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 60Point, Part D claim volume, percentile in specialty: 21 · MIPS quality, percentile: 56Point, Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 28Thomas Kaffenberger, M.D., Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 30
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one sleep medicine (otolaryngology) physician peer from a representative sample of 43; the gold marker is Thomas Kaffenberger, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

✓
Board certification likely (heuristic, not verified)

Thomas Kaffenberger, M.D. 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).

What does the federal data show about Thomas Kaffenberger, M.D.?

Below national average

NPI registry status

Active

Issued 03/20/2017

NPI 1609317874

Primary specialty

Sleep Medicine (Otolaryngology) Physician

Rare

98 US NPIs in this specialty

Medicare Part D claims

21 96% vs specialty avg

2023 prescription claims

Specialty avg: 543

MIPS final score

77.5/100 6 pts vs avg

Above neutral band

vs 83.5 national avg

Specialty distribution in Pennsylvania

How Sleep Medicine (Otolaryngology) Physician compares to other specialties among Pennsylvania providers

Pennsylvania providers
Student in an Organized Heal…5.6%Pharmacist5%Physical Therapist4.9%Mental Health Counselor3.9%Internal Medicine Physician3.3%Professional Counselor3.2%Sleep Medicine (Otolaryngolo…0%
Largest specialties in Pennsylvania (% of in-state providers)

Medicare quality performance, MIPS

Thomas Kaffenberger, M.D.'s 2023 MIPS final score plotted against the Sleep Medicine (Otolaryngology) Physician national average

Below national average
MIPS Final Score
77.5/100
vs 83.5 national avg · 2023 performance year
0%100%National avg84%77.5%
MIPS final score (Sleep Medicine (Otolaryngology) Physician) - 77.5/100 vs national avg 83.5
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).

Practice Address

1400 LOCUST ST STE 2100
Pittsburgh, PA 15219
(412) 232-3687

Provider Details

NPI 1609317874
Specialty Sleep Medicine (Otolaryngology) Physician
Credentials M.D.
Gender Male
NPI Issued 03/20/2017

CMS Quality Score (MIPS)

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

77.5068
Final Score
Measured-score avg: 83.5
68.6144
Quality
56.4081
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where Thomas Kaffenberger, M.D. 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.

University OF Pittsburgh Physicians
Pittsburgh, PA

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 Thomas Kaffenberger, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$11.4K

Largest payer

Inspire Medical Systems, Inc.

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 - Pennsylvania PA-BOM 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 ~45K Pennsylvania medical licensees in 2023 - they are NOT specific to Thomas Kaffenberger, M.D.. To verify Thomas Kaffenberger, M.D.'s current license status, search the PA-BOM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

133
Total board actions, Pennsylvania 2023
Across 129 cases
2.96
Actions per 1,000 licensees
Pennsylvania statewide rate
probation
Most common action type
48 cases

PA-BOM 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 Pennsylvania disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

21
Total Claims
$239
Total Drug Cost
11
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
32
Total Day Supply
666
Brand Drug Cost
$0
Generic Drug Cost
$239

Patient Demographics

Average Patient Age
71.6 years
Avg HCC Risk Score
1.76
More Sleep Medicine (Otolaryngology) Physician in PA → All providers in Pennsylvania → Compare specialties →

Sleep Medicine (Otolaryngology) Physician Overview

How Thomas Kaffenberger, M.D. fits within the Sleep Medicine (Otolaryngology) Physician landscape nationally.

98
Sleep Medicine (Otolaryngology) Physician Providers in US
29
States with Sleep Medicine (Otolaryngology) Physician
543
Avg Claims per Provider

Thomas Kaffenberger, M.D.'s 21 claims are below the specialty average of 543.

Nationwide Sleep Medicine (Otolaryngology) Physician peers with similar MIPS or enrollment year

Two federal-record peer sets for Kaffenberger, both outside Pennsylvania so the neighborhoods are not geographic containment.

Similar MIPS final score

Nearest same-specialty clinicians by CMS MIPS final score (77.5 here).

Robert Sonnenburg Jr 77.3 WI Alexander Ierokomos 78.1 CA Melissa Mortensen-Welch 76.7 NY Robson Capasso 76.5 CA

Same NPPES enumeration year (2017)

Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.

Axel Shum Milwaukee, WI James Metkus Lakewood, CO Andrea Plawecki Detroit, MI Vaibhav Ramprasad Cleveland, OH

Nearby Sleep Medicine (Otolaryngology) Physician Providers in Pennsylvania

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

One of 6 Sleep Medicine (Otolaryngology) Physician providers enrolled in Pennsylvania, 5 are shown here.

Crystal Cheong
Philadelphia, PA
Dr. Raj Dedhia
MD
Philadelphia, PA
Dr. Chihun Han
MD
Philadelphia, PA
Dr. Colin Huntley
MD
Philadelphia, PA
Dr. Jie Min Leonard Soh
MBBS
Philadelphia, PA

Compare Sleep Medicine (Otolaryngology) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is Thomas Kaffenberger, M.D.'s specialty? ▼
Thomas Kaffenberger, M.D. specializes in Sleep Medicine (Otolaryngology) Physician and practices in Pittsburgh, Pennsylvania. Credentials: M.D..
How much does Thomas Kaffenberger, M.D. prescribe under Medicare Part D? ▼
In 2023, Thomas Kaffenberger, M.D. wrote 21 Medicare Part D claims totaling $239 in drug costs for 11 beneficiaries.
What is Thomas Kaffenberger, M.D.'s Medicare quality score? ▼
Thomas Kaffenberger, M.D. has a CMS MIPS Final Score of 77.5/100 (Quality: 68.6, Cost: 56.4). 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 Thomas Kaffenberger, M.D. located? ▼
Thomas Kaffenberger, M.D. is located at 1400 LOCUST ST STE 2100, Pittsburgh, PA, 15219. Phone: (412) 232-3687.
What is Thomas Kaffenberger, M.D.'s NPI number? ▼
Thomas Kaffenberger, M.D.'s National Provider Identifier (NPI) is 1609317874, issued on 03/20/2017.
How many Sleep Medicine (Otolaryngology) Physician providers are there in the US? ▼
There are 98 Sleep Medicine (Otolaryngology) Physician providers across 29 states in the US. The average Sleep Medicine (Otolaryngology) Physician provider writes 543 Medicare Part D claims per year.
Does Thomas Kaffenberger, M.D. accept Medicare? ▼
Thomas Kaffenberger, M.D. appears in CMS Medicare data with 21 Part D claims and 11 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Thomas Kaffenberger, M.D.'s credentials? ▼
Thomas Kaffenberger, M.D.'s NPI is 1609317874 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

Compiled from official public sources by the editorial process.

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.