THOMAS ORTHMEYER, DO, MBA
Psychiatry Physician in BOISE, Idaho. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.
What the federal data shows
THOMAS ORTHMEYER, DO, MBA reported a CMS MIPS final score of 83.3209/100 — above the 83.1 national average — and filed 2,204 Medicare Part D claims in 2023.
- 83.3209/100
- MIPS score · +0 vs avg
- 2K
- Part D claims, 2023
- 93%
- 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.
THOMAS ORTHMEYER, DO, MBA's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure
83 42nd percentile higher than 42% of 477,587 scored providers
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
THOMAS ORTHMEYER, DO, MBA 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 ORTHMEYER, DO, MBA?
Near national averagePrimary specialty
Medicare Part D claims
MIPS final score
Specialty distribution in Idaho
How Psychiatry Physician compares to other specialties among Idaho providers
Psychiatry Physician share within Idaho
Psychiatry Physician is one of the more visible NUCC categories in Idaho
Each bar reflects the share of in-state providers whose primary NUCC taxonomy matches the specialty. Long tail of ~690 NUCC codes folded into "Other" to keep the comparison legible.
Medicare quality performance — MIPS
THOMAS ORTHMEYER, DO, MBA's 2023 MIPS final score plotted against the Psychiatry Physician national average
- MIPS Final Score
- 83.3209/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Psychiatry Physician) — 83.3209/100 vs national avg 83.1
Quality benchmarks
- National MIPS avg 2023 reporting year
- Quality dim CMS Quality category
- Cost dim CMS Cost category
- Specialty volume Psychiatry Physician US NPIs
83.3209/100 MIPS final score — 0.2 pts above the 83.1 national average
Quality, Cost, Promoting Interoperability, and Improvement Activities composite score for the 2023 performance year. Specialty: Psychiatry Physician. Quality dim: 79.5148. Cost dim: 64.8883.
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 ORTHMEYER, DO, MBA is a Psychiatry Physician provider practicing in BOISE, Idaho, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: DO, MBA. NPI: 1396132098. 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 ORTHMEYER, DO, MBA appears in the CMS NPPES registry as a Psychiatry Physician provider holding DO, MBA credentials at 703 S AMERICANA BLVD STE 150, BOISE, ID, 83702, with a listed phone of (208) 706-6375. NPI 1396132098 was issued on 04/20/2015. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what ORTHMEYER 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 2,204 prescription claims written by this provider, covering 176 Medicare beneficiaries and totaling roughly $280K in drug spend, split 7% brand-name and 93% generic by claim count. 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 83.3209/100 for the 2023 performance year (Quality 79.5148, Cost 64.8883), compared with the national average of 83.1.
Psychiatry Physician is a high-volume specialty nationwide, with 53,104 enrolled providers across 56 states and an average of 1,038 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
Provider Details
| NPI | 1396132098 |
|---|---|
| Specialty | Psychiatry Physician |
| Credentials | DO, MBA |
| Gender | Male |
| NPI Issued | 04/20/2015 |
Verify this provider's license
PlainDoctor pulls this profile from the CMS NPPES public registry. Confirm THOMAS ORTHMEYER, DO, MBA's current license status, disciplinary history, and board certifications with the Idaho Board of Medicine in Idaho before relying on this page for a clinical or care decision.
How we sourced this profile
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
Reporting: Group practice
Hospital and facility affiliations
Facilities where THOMAS ORTHMEYER, DO, MBA 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.
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 · Generic-heavy
7% brand-name claims vs 93% generic, on 2,204 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.
Prescribing Breakdown
- 30-Day Fills
- 3,484
- Total Day Supply
- 101,927
- Brand vs Generic
- 7% brand / 93% generic
- Brand Drug Cost
- $152K
- Generic Drug Cost
- $127K
Patient Demographics
- Average Patient Age
- 58.9 years
- Avg HCC Risk Score
- 1.39
- Gender Split
- 60% female / 40% male
- Age Distribution
- <65: 97, 65-74: 57, 75-84: N/A, 85+: N/A
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
| Drug | Claims |
|---|---|
| Gabapentin | 92 |
| Lorazepam | 92 |
| Sertraline Hcl | 90 |
| Trazodone Hcl | 87 |
| Bupropion Xl Bupropion Hcl | 84 |
| Duloxetine Hcl | 83 |
| Quetiapine Fumarate | 83 |
| Fluoxetine Hcl | 80 |
| Alprazolam | 78 |
| Buspirone Hcl | 73 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Psychiatry Physician Overview
How THOMAS ORTHMEYER, DO, MBA fits within the Psychiatry Physician landscape nationally.
THOMAS ORTHMEYER, DO, MBA's 2,204 claims are above the specialty average of 1,038.
Nearby Psychiatry Physician Providers in Idaho
Other clinicians with the same primary specialty enrolled in Idaho, drawn from the same CMS NPPES roster as ORTHMEYER.
Compare Psychiatry Physician nationally: see state-by-state distribution →
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Frequently Asked Questions
What is THOMAS ORTHMEYER, DO, MBA's specialty? ▼
How much does THOMAS ORTHMEYER, DO, MBA prescribe under Medicare Part D? ▼
What is THOMAS ORTHMEYER, DO, MBA's Medicare quality score? ▼
Where is THOMAS ORTHMEYER, DO, MBA located? ▼
What is THOMAS ORTHMEYER, DO, MBA's NPI number? ▼
Does THOMAS ORTHMEYER, DO, MBA prescribe more brand-name or generic drugs? ▼
How many Psychiatry Physician providers are there in the US? ▼
What drugs does THOMAS ORTHMEYER, DO, MBA prescribe most often? ▼
Does THOMAS ORTHMEYER, DO, MBA accept Medicare? ▼
How can I verify THOMAS ORTHMEYER, DO, MBA's credentials? ▼
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