NPI registry status
Active
2026 NPPES data Plastic and Reconstructive Surgery Physician NPI 1871585018 M.D.
Verify on CMS → Thomas O'Daniel, M.D.
Plastic and Reconstructive Surgery Physician in Louisville, Kentucky.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 2,421 in Plastic and Reconstructive Surgery 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
299
Medicare Part D claims · 75 beneficiaries · Plastic and Reconstructive Surgery Physician avg: 92
Generic prescribing
95%
generic claims · 5% brand-name · higher generic rates reduce patient out-of-pocket costs
Source: CMS Medicare Part D Prescriber Public Use File, 2024
What the federal data shows
Thomas O'Daniel, M.D. filed 299 Medicare Part D claims in 2024 as a Plastic and Reconstructive Surgery Physician in Louisville, Kentucky, prescribing 95% generic.
- 299
- Part D claims, 2024
- 95%
- generic prescribing
- ≥48th
- pct by Part D claim volume (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.
Federal trust snapshot
What official records show about Thomas O'Daniel, M.D.
Federal records show an active NPI with Medicare Part D prescribing activity — verifiable registry data, not a proprietary rating.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1871585018), first enumerated 08/15/2005.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 299 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- Reported
Board certification signal
Practices in an ABMS-board-eligible specialty; board certification not confirmed in federal records.
- Not in federal data
Individual sanction lookup
PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.
Source: State medical board / FSMB
This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.
CMS NPPES provider registry desk
NPI 1871585018 · Plastic and Reconstructive Surgery Physician
NPI-10 · ENUM-LEGACY · TAX-NARROW · RX-LIGHT · BOOK-THIN · PHOTO-ENUM
- NPI-10 1871585018
- ENUM-LEGACY 2005
- TAX-NARROW 2,421
- RX-LIGHT 299
- BOOK-THIN 32 in Kentucky
- PHOTO-ENUM Jeffrey Hopkins · 2005
Thomas O'Daniel, M.D.'s Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2024, across all CMS prescribers nationally
299 ≥ 48th percentile 48% of 1,416,883 prescribers are in lower value bands
Each bar is a band; taller bars hold more prescribers. 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 100-claim band: it counts only prescribers in lower claim-volume bands. Medicare Part D claim volume is activity context, not a quality measure or recommendation. See methodology § corpus placement.
Source CMS Medicare Part D Prescriber Public Use File · 2024
◑
Board-eligible specialty (heuristic, not verified)
Thomas O'Daniel, M.D. practices in an ABMS-board-eligible specialty but we don't have enough CMS-participation signals to confirm active board-certified status. Consult CertificationMatters.org (the official ABMS public lookup).
What does the federal data show about Thomas O'Daniel, M.D.?
Quality data not reportedPrimary specialty
Plastic and Reconstructive Surgery Physician
Medicare Part D claims
299 225% vs specialty avg
Specialty distribution in Kentucky
How Plastic and Reconstructive Surgery Physician compares to other specialties among Kentucky providers
Board certification
Not published by CMS
CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Plastic and Reconstructive Surgery Physician. Verify directly:
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
Provider Details
| NPI | 1871585018 |
|---|---|
| Specialty | Plastic and Reconstructive Surgery Physician |
| Credentials | M.D. |
| Gender | Male |
| NPI Issued | 08/15/2005 |
Brand vs generic prescribing mix · Generic-heavy
Thomas O'Daniel, M.D. - brand share 5.0%
Plastic and Reconstructive Surgery Physician average
5% brand-name claims vs 95% generic, on 299 2024 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 2024.
299
Total Claims
$1K
Total Drug Cost
75
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 300.2
- Total Day Supply
- 2,316
- Brand vs Generic
- 5% brand / 95% generic
- Brand Drug Cost
- $203
- Generic Drug Cost
- $1K
- Opioid Claims
- 30 (10.0% rate)
- Antibiotic Claims
- 46
Patient Demographics
- Average Patient Age
- 70.5 years
- Avg HCC Risk Score
- 0.66
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
What Thomas O'Daniel, M.D. prescribes most
Top Medicare Part D drugs by claim count, 2024
- Acyclovir
Acyclovir
63 claims
- Methylprednisolone
Methylprednisolone
35 claims
- Mupirocin
Mupirocin
27 claims
- Cephalexin 23
Cephalexin
23 claims
- Hydrocodone-Acetam… 23
Hydrocodone-Acetaminophen
23 claims
- Ondansetron Odt 21
Ondansetron Odt
21 claims
- Neomycin-Polymyxin… 12
Neomycin-Polymyxin-Dexameth
12 claims
- Gabapentin 11
Gabapentin
11 claims
| Drug | Claims |
|---|---|
| Acyclovir | 63 |
| Methylprednisolone | 35 |
| Mupirocin | 27 |
| Cephalexin | 23 |
| Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen | 23 |
| Ondansetron Odt Ondansetron | 21 |
| Neomycin-Polymyxin-Dexameth Neomycin/Polymyxin B/Dexametha | 12 |
| Gabapentin | 11 |
| Methocarbamol | 11 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
More Plastic and Reconstructive Surgery Physician in KY →
All providers in Kentucky →
Compare specialties →
Plastic and Reconstructive Surgery Physician Overview
How Thomas O'Daniel, M.D. fits within the Plastic and Reconstructive Surgery Physician landscape nationally.
2,421
Plastic and Reconstructive Surgery Physician Providers in US
54
States with Plastic and Reconstructive Surgery Physician
92
Avg Claims per Provider
Thomas O'Daniel, M.D.'s 299 claims are above the specialty average of 92.
Nationwide Plastic and Reconstructive Surgery Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for O'Daniel, both outside Kentucky so the neighborhoods are not geographic containment.
Same NPPES enumeration year (2005)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Plastic and Reconstructive Surgery Physician Providers in Kentucky
Other clinicians with the same primary specialty enrolled in Kentucky, drawn from the same CMS NPPES roster as O'Daniel.
One of 32 Plastic and Reconstructive Surgery Physician providers enrolled in Kentucky, 5 are shown here.
Dr. Saud Alkabbaa
MD
Louisville, KY
Dr. Fouad Atalla
M.D.
Bowling Green, KY
Dr. Robert Ball
M.D.
Pikeville, KY
Dr. Joseph Banis
MD
Louisville, KY
Dr. Michael Bass
MD
Lexington, KY
Compare Plastic and Reconstructive Surgery Physician nationally: see state-by-state distribution →
Frequently Asked Questions
What is Thomas O'Daniel, M.D.'s specialty? ▼
Thomas O'Daniel, M.D. specializes in Plastic and Reconstructive Surgery Physician and practices in Louisville, Kentucky. Credentials: M.D..
How much does Thomas O'Daniel, M.D. prescribe under Medicare Part D? ▼
In 2024, Thomas O'Daniel, M.D. wrote 299 Medicare Part D claims totaling $1K in drug costs for 75 beneficiaries.
Where is Thomas O'Daniel, M.D. located? ▼
Thomas O'Daniel, M.D. is located at 222 S 1ST ST, Louisville, KY, 40202. Phone: (502) 584-1109.
What is Thomas O'Daniel, M.D.'s NPI number? ▼
Thomas O'Daniel, M.D.'s National Provider Identifier (NPI) is 1871585018, issued on 08/15/2005.
Does Thomas O'Daniel, M.D. prescribe more brand-name or generic drugs? ▼
Thomas O'Daniel, M.D.'s prescribing is 5% brand-name and 95% generic drugs by claim count, with $203 in brand drug costs.
Does Thomas O'Daniel, M.D. prescribe opioids? ▼
Yes, Thomas O'Daniel, M.D. had 30 opioid claims in 2024 with an opioid prescribing rate of 10.0%.
How many Plastic and Reconstructive Surgery Physician providers are there in the US? ▼
There are 2,421 Plastic and Reconstructive Surgery Physician providers across 54 states in the US. The average Plastic and Reconstructive Surgery Physician provider writes 92 Medicare Part D claims per year.
What drugs does Thomas O'Daniel, M.D. prescribe most often? ▼
Based on 2024 Medicare Part D data, Thomas O'Daniel, M.D.'s most frequently prescribed drugs include Acyclovir, Methylprednisolone, Mupirocin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Thomas O'Daniel, M.D. accept Medicare? ▼
Thomas O'Daniel, M.D. appears in CMS Medicare data with 299 Part D claims and 75 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Thomas O'Daniel, M.D.'s credentials? ▼
Thomas O'Daniel, M.D.'s NPI is 1871585018 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 (2024). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
- 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 August 2026 (NPPES) / 2024 (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
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 August 2026.