2026 NPPES data Pulmonary Disease Physician NPI 1386691079 M.D.
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THOMAS WILLIAM IRVINE, M.D.

Pulmonary Disease Physician in FALMOUTH, Massachusetts. 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
1K
Medicare Part D claims · 209 beneficiaries · Pulmonary Disease Physician avg: 1K
Generic prescribing
32%
generic claims · 68% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
89.7698/100
▲ 7 pts above national avg 83.1 · [object Object]
Industry payments
$19.49
1 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

THOMAS WILLIAM IRVINE, M.D. reported a CMS MIPS final score of 89.7698/100 — above the 83.1 national average — and filed 1,314 Medicare Part D claims in 2023.

89.7698/100
MIPS score · +7 vs avg
1K
Part D claims, 2023
32%
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 WILLIAM IRVINE, M.D.'s MIPS score vs every scored U.S. clinician

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

90 Top 42% higher than 58% 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 WILLIAM IRVINE, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting — 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 WILLIAM IRVINE, M.D.?

High performer (top quartile)

NPI registry status

Active

Issued 05/28/2006

NPI 1386691079

Primary specialty

Pulmonary Disease Physician

Mid-sized

9,271 US NPIs in this specialty

Medicare Part D claims

1,314 10% vs specialty avg

2023 prescription claims

Specialty avg: 1,457

MIPS final score

89.7698/100 6.669800000000009% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Massachusetts

How Pulmonary Disease Physician compares to other specialties among Massachusetts providers

Massachusetts providers

Pulmonary Disease Physician share within Massachusetts

1. Pulmonary Disease Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Pulmonary Disease Physician share within Massachusetts

Medicare quality performance — MIPS

THOMAS WILLIAM IRVINE, M.D.'s 2023 MIPS final score plotted against the Pulmonary Disease Physician national average

High performer (top quartile)
MIPS Final Score
89.7698/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Pulmonary Disease Physician) — 89.7698/100 vs national avg 83.1

0%100%National avg83%89.8%
MIPS final score (Pulmonary Disease Physician) — 89.7698/100 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 WILLIAM IRVINE, M.D. appears in the CMS NPPES registry as a Pulmonary Disease Physician provider holding M.D. credentials at 340 GIFFORD ST, FALMOUTH, MA, 02540, with a listed phone of (508) 548-8574. NPI 1386691079 was issued on 05/28/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what IRVINE 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 1,314 prescription claims written by this provider, covering 209 Medicare beneficiaries and totaling roughly $1.0 million in drug spend, split 68% brand-name and 32% 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 89.7698/100 for the 2023 performance year (Quality 100, Cost 55.9417), compared with the national average of 83.1.

Pulmonary Disease Physician is a mid-sized specialty nationwide, with 9,271 enrolled providers across 53 states and an average of 1,457 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

340 GIFFORD ST
FALMOUTH, MA 02540

Provider Details

NPI 1386691079
Specialty Pulmonary Disease Physician
Credentials M.D.
Gender Male
NPI Issued 05/28/2006

CMS Quality Score (MIPS)

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

89.7698
Final Score
Avg: 83.1
100
Quality
55.9417
Cost

Reporting: Individual

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 WILLIAM IRVINE, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$19

Largest payer

GENZYME CORPORATION

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 — Massachusetts BORIM 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 ~38K Massachusetts medical licensees in 2023 — they are NOT specific to THOMAS WILLIAM IRVINE, M.D.. To verify THOMAS WILLIAM IRVINE, M.D.'s current license status, search the BORIM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

80
Total board actions, Massachusetts 2023
Across 78 cases
2.11
Actions per 1,000 licensees
Massachusetts statewide rate
probation
Most common action type
29 cases

BORIM 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 Massachusetts disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Brand-heavy

THOMAS WILLIAM IRVINE, M.D. — brand share 68.0%
Specialty average (est.)

68% brand-name claims vs 32% generic, on 1,314 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.

1,314
Total Claims
$1.0M
Total Drug Cost
209
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
2,057
Total Day Supply
57,531
Brand vs Generic
68% brand / 32% generic
Brand Drug Cost
$1.0M
Antibiotic Claims
121

Patient Demographics

Average Patient Age
76.8 years
Avg HCC Risk Score
1.91
Gender Split
63% female / 37% male
Age Distribution
<65: 11, 65-74: 66, 75-84: 98, 85+: 34

Top Prescribed Drugs (Medicare Part D)

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

What THOMAS WILLIAM IRVINE, M.D. 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
Breztri Aerosphere
Budesonide/Glycopyr/Formoterol
264
Anoro Ellipta
Umeclidinium Brm/Vilanterol Tr
120
Prednisone
107
Albuterol Sulfate Hfa
Albuterol Sulfate
98
Azithromycin
91
Trelegy Ellipta
Fluticasone/Umeclidin/Vilanter
70
Symbicort
Budesonide/Formoterol Fumarate
59
Bevespi Aerosphere
Glycopyrrolate/Formoterol Fum
43
Incruse Ellipta
Umeclidinium Bromide
35
Breo Ellipta
Fluticasone/Vilanterol
34

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

Pulmonary Disease Physician Overview

How THOMAS WILLIAM IRVINE, M.D. fits within the Pulmonary Disease Physician landscape nationally.

9,271
Pulmonary Disease Physician Providers in US
53
States with Pulmonary Disease Physician
1,457
Avg Claims per Provider

THOMAS WILLIAM IRVINE, M.D.'s 1,314 claims are below the specialty average of 1,457.

Nearby Pulmonary Disease Physician Providers in Massachusetts

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

Compare Pulmonary Disease Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is THOMAS WILLIAM IRVINE, M.D.'s specialty?
THOMAS WILLIAM IRVINE, M.D. specializes in Pulmonary Disease Physician and practices in FALMOUTH, Massachusetts. Credentials: M.D..
How much does THOMAS WILLIAM IRVINE, M.D. prescribe under Medicare Part D?
In 2023, THOMAS WILLIAM IRVINE, M.D. wrote 1,314 Medicare Part D claims totaling $1.0M in drug costs for 209 beneficiaries.
What is THOMAS WILLIAM IRVINE, M.D.'s Medicare quality score?
THOMAS WILLIAM IRVINE, M.D. has a CMS MIPS Final Score of 89.7698/100 (Quality: 100, Cost: 55.9417). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is THOMAS WILLIAM IRVINE, M.D. located?
THOMAS WILLIAM IRVINE, M.D. is located at 340 GIFFORD ST, FALMOUTH, MA, 02540. Phone: (508) 548-8574.
What is THOMAS WILLIAM IRVINE, M.D.'s NPI number?
THOMAS WILLIAM IRVINE, M.D.'s National Provider Identifier (NPI) is 1386691079, issued on 05/28/2006.
Does THOMAS WILLIAM IRVINE, M.D. prescribe more brand-name or generic drugs?
THOMAS WILLIAM IRVINE, M.D.'s prescribing is 68% brand-name and 32% generic drugs by claim count, with $1.0M in brand drug costs.
How many Pulmonary Disease Physician providers are there in the US?
There are 9,271 Pulmonary Disease Physician providers across 53 states in the US. The average Pulmonary Disease Physician provider writes 1,457 Medicare Part D claims per year.
What drugs does THOMAS WILLIAM IRVINE, M.D. prescribe most often?
Based on 2023 Medicare Part D data, THOMAS WILLIAM IRVINE, M.D.'s most frequently prescribed drugs include Breztri Aerosphere, Anoro Ellipta, Prednisone. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does THOMAS WILLIAM IRVINE, M.D. accept Medicare?
THOMAS WILLIAM IRVINE, M.D. appears in CMS Medicare data with 1,314 Part D claims and 209 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify THOMAS WILLIAM IRVINE, M.D.'s credentials?
THOMAS WILLIAM IRVINE, M.D.'s NPI is 1386691079 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

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