2026 NPPES data Psychiatry Physician NPI 1396132098 DO, MBA
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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.

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
2K
Medicare Part D claims · 176 beneficiaries · Psychiatry Physician avg: 1K
Generic prescribing
93%
generic claims · 7% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
83.3209/100
▲ 0 pts above national avg 83.1 · [object Object]

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

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%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). This entry sits in this band. 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

Board certification likely (heuristic — not verified)

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 average

NPI registry status

Active

Issued 04/20/2015

NPI 1396132098

Primary specialty

Psychiatry Physician

High-volume

53,104 US NPIs in this specialty

Medicare Part D claims

2,204 112% vs specialty avg

2023 prescription claims

Specialty avg: 1,038

MIPS final score

83.3209/100 0.22090000000000032% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Idaho

How Psychiatry Physician compares to other specialties among Idaho providers

Idaho providers

Psychiatry Physician share within Idaho

1. Psychiatry Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Psychiatry Physician share within Idaho

Medicare quality performance — MIPS

THOMAS ORTHMEYER, DO, MBA's 2023 MIPS final score plotted against the Psychiatry Physician national average

Near 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

0%100%National avg83%83.3%
MIPS final score (Psychiatry Physician) — 83.3209/100 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 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

703 S AMERICANA BLVD STE 150
BOISE, ID 83702

Provider Details

NPI 1396132098
Specialty Psychiatry Physician
Credentials DO, MBA
Gender Male
NPI Issued 04/20/2015

CMS Quality Score (MIPS)

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

83.3209
Final Score
Avg: 83.1
79.5148
Quality
64.8883
Cost
100
Promoting Interoperability

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.

ST LUKES CLINIC-TREASURE VALLEY LLC
BOISE, ID

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

THOMAS ORTHMEYER, DO, MBA — brand share 7.0%
Specialty average (est.)

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.

2,204
Total Claims
$280K
Total Drug Cost
176
Medicare Beneficiaries

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.

53,104
Psychiatry Physician Providers in US
56
States with Psychiatry Physician
1,038
Avg Claims per Provider

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 →

Frequently Asked Questions

What is THOMAS ORTHMEYER, DO, MBA's specialty?
THOMAS ORTHMEYER, DO, MBA specializes in Psychiatry Physician and practices in BOISE, Idaho. Credentials: DO, MBA.
How much does THOMAS ORTHMEYER, DO, MBA prescribe under Medicare Part D?
In 2023, THOMAS ORTHMEYER, DO, MBA wrote 2,204 Medicare Part D claims totaling $280K in drug costs for 176 beneficiaries.
What is THOMAS ORTHMEYER, DO, MBA's Medicare quality score?
THOMAS ORTHMEYER, DO, MBA has a CMS MIPS Final Score of 83.3209/100 (Quality: 79.5148, Cost: 64.8883). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is THOMAS ORTHMEYER, DO, MBA located?
THOMAS ORTHMEYER, DO, MBA is located at 703 S AMERICANA BLVD STE 150, BOISE, ID, 83702. Phone: (208) 706-6375.
What is THOMAS ORTHMEYER, DO, MBA's NPI number?
THOMAS ORTHMEYER, DO, MBA's National Provider Identifier (NPI) is 1396132098, issued on 04/20/2015.
Does THOMAS ORTHMEYER, DO, MBA prescribe more brand-name or generic drugs?
THOMAS ORTHMEYER, DO, MBA's prescribing is 7% brand-name and 93% generic drugs by claim count, with $152K in brand drug costs.
How many Psychiatry Physician providers are there in the US?
There are 53,104 Psychiatry Physician providers across 56 states in the US. The average Psychiatry Physician provider writes 1,038 Medicare Part D claims per year.
What drugs does THOMAS ORTHMEYER, DO, MBA prescribe most often?
Based on 2023 Medicare Part D data, THOMAS ORTHMEYER, DO, MBA's most frequently prescribed drugs include Gabapentin, Lorazepam, Sertraline Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does THOMAS ORTHMEYER, DO, MBA accept Medicare?
THOMAS ORTHMEYER, DO, MBA appears in CMS Medicare data with 2,204 Part D claims and 176 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify THOMAS ORTHMEYER, DO, MBA's credentials?
THOMAS ORTHMEYER, DO, MBA's NPI is 1396132098 with credentials DO, MBA. 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