2026 NPPES data Student in an Organized Health Care Education/Training Program NPI 1841618311 MD
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Thomas Middour, MD

Student in an Organized Health Care Education/Training Program in Lawrenceville, Georgia. 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
613
Medicare Part D claims · 173 beneficiaries · Student in an Organized Health Care Education/Training Program avg: 459
Generic prescribing
87%
generic claims · 13% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
65.4/100
▼ 18 pts below national avg 83.1 · [object Object]
Industry payments
$3.2K
72 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

Thomas Middour, MD reported a CMS MIPS final score of 65.4/100 — below the 83.1 national average — and filed 613 Medicare Part D claims in 2023.

65.4/100
MIPS score · -18 vs avg
613
Part D claims, 2023
87%
generic prescribing
$3.2K
industry payments (Sunshine Act)

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.

Thomas Middour, MD's MIPS score vs every scored U.S. clinician

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

65 7th percentile higher than 7% 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%). This entry sits in this band. 70–80: 118,074 scored providers (25%). Above this entry. 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

What does the federal data show about Thomas Middour, MD?

Below national average

NPI registry status

Active

Issued 04/02/2014

NPI 1841618311

Primary specialty

Student in an Organized Health Care Education/Training Program

High-volume

331,761 US NPIs in this specialty

Medicare Part D claims

613 34% vs specialty avg

2023 prescription claims

Specialty avg: 459

MIPS final score

65.4/100 17.7 pts vs avg

Mid-tier band

vs 83.1 national avg

Specialty distribution in Georgia

How Student in an Organized Health Care Education/Training Program compares to other specialties among Georgia providers

Georgia providers

Student in an Organized Health Care Education/Training Program share within Georgia

1. Student in an Organized Health Care Education/Training Program42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Student in an Organized Health Care Education/Training Program share within Georgia

Medicare quality performance — MIPS

Thomas Middour, MD's 2023 MIPS final score plotted against the Student in an Organized Health Care Education/Training Program national average

Below national average
MIPS Final Score
65.4/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Student in an Organized Health Care Education/Training Program) — 65.4/100 vs national avg 83.1

0%100%National avg83%65.4%
MIPS final score (Student in an Organized Health Care Education/Training Program) — 65.4/100 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 Middour, MD appears in the CMS NPPES registry as a Student in an Organized Health Care Education/Training Program provider holding MD credentials at 755 WALTHER RD, Lawrenceville, GA, 30046, with a listed phone of (678) 272-3699. NPI 1841618311 was issued on 04/02/2014. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Middour 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 613 prescription claims written by this provider, covering 173 Medicare beneficiaries and totaling roughly $79K in drug spend, split 13% brand-name and 87% generic by claim count, with an opioid prescribing rate of 7.8%. 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 65.4/100 for the 2023 performance year (Quality 59.2, Cost 59.4), compared with the national average of 83.1.

Student in an Organized Health Care Education/Training Program is a high-volume specialty nationwide, with 331,761 enrolled providers across 55 states and an average of 459 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

755 WALTHER RD
Lawrenceville, GA 30046

Provider Details

NPI 1841618311
Specialty Student in an Organized Health Care Education/Training Program
Credentials MD
Gender Male
NPI Issued 04/02/2014

CMS Quality Score (MIPS)

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

65.416
Final Score
Avg: 83.1
59.2423
Quality
59.4425
Cost

Reporting: Group practice

Hospital and facility affiliations

Facilities where Thomas Middour, 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.

Northside CV Professional Services LLC
Lawrenceville, GA

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 Middour, MD. Source: openpaymentsdata.cms.gov.

Total received

$3.2K

Largest payer

Medical Device Business Services, 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.

Brand vs generic prescribing mix · Typical

Thomas Middour, MD — brand share 13.0%
Specialty average (est.)

13% brand-name claims vs 87% generic, on 613 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.

613
Total Claims
$79K
Total Drug Cost
173
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,191
Total Day Supply
33,099
Brand vs Generic
13% brand / 87% generic
Brand Drug Cost
$70K
Generic Drug Cost
$9K
Opioid Claims
48 (7.8% rate)

Patient Demographics

Average Patient Age
74.1 years
Avg HCC Risk Score
1.63
Gender Split
46% female / 54% male

Top Prescribed Drugs (Medicare Part D)

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

What Thomas Middour, MD 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
Metoprolol Succinate
50
Eliquis
Apixaban
39
Flecainide Acetate
34
Amlodipine Besylate
33
Carvedilol
32
Furosemide
32
Prednisone
30
Pantoprazole Sodium
28
Amiodarone Hcl
27
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
20

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

Student in an Organized Health Care Education/Training Program Overview

How Thomas Middour, MD fits within the Student in an Organized Health Care Education/Training Program landscape nationally.

331,761
Student in an Organized Health Care Education/Training Program Providers in US
55
States with Student in an Organized Health Care Education/Training Program
459
Avg Claims per Provider

Thomas Middour, MD's 613 claims are above the specialty average of 459.

Nearby Student in an Organized Health Care Education/Training Program Providers in Georgia

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

Compare Student in an Organized Health Care Education/Training Program 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 Georgia medical board — federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Student in an Organized Health Care Education/Training Program 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.

Frequently Asked Questions

What is Thomas Middour, MD's specialty?
Thomas Middour, MD specializes in Student in an Organized Health Care Education/Training Program and practices in Lawrenceville, Georgia. Credentials: MD.
How much does Thomas Middour, MD prescribe under Medicare Part D?
In 2023, Thomas Middour, MD wrote 613 Medicare Part D claims totaling $79K in drug costs for 173 beneficiaries.
What is Thomas Middour, MD's Medicare quality score?
Thomas Middour, MD has a CMS MIPS Final Score of 65.4/100 (Quality: 59.2, Cost: 59.4). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Thomas Middour, MD located?
Thomas Middour, MD is located at 755 WALTHER RD, Lawrenceville, GA, 30046. Phone: (678) 272-3699.
What is Thomas Middour, MD's NPI number?
Thomas Middour, MD's National Provider Identifier (NPI) is 1841618311, issued on 04/02/2014.
Does Thomas Middour, MD prescribe more brand-name or generic drugs?
Thomas Middour, MD's prescribing is 13% brand-name and 87% generic drugs by claim count, with $70K in brand drug costs.
Does Thomas Middour, MD prescribe opioids?
Yes, Thomas Middour, MD had 48 opioid claims in 2023 with an opioid prescribing rate of 7.8%.
How many Student in an Organized Health Care Education/Training Program providers are there in the US?
There are 331,761 Student in an Organized Health Care Education/Training Program providers across 55 states in the US. The average Student in an Organized Health Care Education/Training Program provider writes 459 Medicare Part D claims per year.
What drugs does Thomas Middour, MD prescribe most often?
Based on 2023 Medicare Part D data, Thomas Middour, MD's most frequently prescribed drugs include Metoprolol Succinate, Eliquis, Flecainide Acetate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Thomas Middour, MD accept Medicare?
Thomas Middour, MD appears in CMS Medicare data with 613 Part D claims and 173 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Thomas Middour, MD's credentials?
Thomas Middour, MD's NPI is 1841618311 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