2026 NPPES data Otolaryngology Physician NPI 1316929250 MD
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TODD PROCTOR, MD

Otolaryngology Physician in AUBURN HILLS, Michigan. 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
292
Medicare Part D claims · 148 beneficiaries · Otolaryngology Physician avg: 509
Generic prescribing
92%
generic claims · 8% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
75/100
▼ 8 pts below national avg 83.1 · [object Object]

What the federal data shows

TODD PROCTOR, MD reported a CMS MIPS final score of 75/100 — below the 83.1 national average — and filed 292 Medicare Part D claims in 2023.

75/100
MIPS score · -8 vs avg
292
Part D claims, 2023
92%
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.

TODD PROCTOR, MD's MIPS score vs every scored U.S. clinician

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

75 15th percentile higher than 15% 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%). This entry sits in this band. 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

Board certification likely (heuristic — not verified)

TODD PROCTOR, MD 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 TODD PROCTOR, MD?

Below national average

NPI registry status

Active

Issued 11/16/2005

NPI 1316929250

Primary specialty

Otolaryngology Physician

Mid-sized

10,895 US NPIs in this specialty

Medicare Part D claims

292 43% vs specialty avg

2023 prescription claims

Specialty avg: 509

MIPS final score

75/100 8.099999999999994% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Michigan

How Otolaryngology Physician compares to other specialties among Michigan providers

Michigan providers

Otolaryngology Physician share within Michigan

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

Medicare quality performance — MIPS

TODD PROCTOR, MD's 2023 MIPS final score plotted against the Otolaryngology Physician national average

Below national average
MIPS Final Score
75/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Otolaryngology Physician) — 75/100 vs national avg 83.1

0%100%National avg83%75%
MIPS final score (Otolaryngology Physician) — 75/100 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).

TODD PROCTOR, MD appears in the CMS NPPES registry as a Otolaryngology Physician provider holding MD credentials at 2251 N SQUIRREL RD, AUBURN HILLS, MI, 48326, with a listed phone of (248) 648-8100. NPI 1316929250 was issued on 11/16/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what PROCTOR 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 292 prescription claims written by this provider, covering 148 Medicare beneficiaries and totaling roughly $7K in drug spend, split 8% brand-name and 92% 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 75/100 for the 2023 performance year, compared with the national average of 83.1.

Otolaryngology Physician is a mid-sized specialty nationwide, with 10,895 enrolled providers across 54 states and an average of 509 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

2251 N SQUIRREL RD
AUBURN HILLS, MI 48326

Provider Details

NPI 1316929250
Specialty Otolaryngology Physician
Credentials MD
Gender Male
NPI Issued 11/16/2005

CMS Quality Score (MIPS)

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

75
Final Score
Avg: 83.1

Reporting: Individual

License & disciplinary context — Michigan MI-BOM 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 ~41K Michigan medical licensees in 2023 — they are NOT specific to TODD PROCTOR, MD. To verify TODD PROCTOR, MD's current license status, search the MI-BOM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

123
Total board actions, Michigan 2023
Across 120 cases
3.00
Actions per 1,000 licensees
Michigan statewide rate
probation
Most common action type
44 cases

MI-BOM 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 Michigan disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Generic-heavy

TODD PROCTOR, MD — brand share 8.0%
Specialty average (est.)

8% brand-name claims vs 92% generic, on 292 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.

292
Total Claims
$7K
Total Drug Cost
148
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
362
Total Day Supply
6,440
Brand vs Generic
8% brand / 92% generic
Brand Drug Cost
$738
Generic Drug Cost
$6K
Antibiotic Claims
104

Patient Demographics

Average Patient Age
74.9 years
Avg HCC Risk Score
1.25
Gender Split
49% female / 51% male

Top Prescribed Drugs (Medicare Part D)

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

What TODD PROCTOR, 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
Amoxicillin-Clavulanate Potass
Amoxicillin/Potassium Clav
55
Ipratropium Bromide
55
Ciprofloxacin Hcl
43
Methylprednisolone
14
Mometasone Furoate
14
Azithromycin
13
Cephalexin
13
Clarithromycin
12
Triamterene-Hydrochlorothiazid
Triamterene/Hydrochlorothiazid
11

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

Otolaryngology Physician Overview

How TODD PROCTOR, MD fits within the Otolaryngology Physician landscape nationally.

10,895
Otolaryngology Physician Providers in US
54
States with Otolaryngology Physician
509
Avg Claims per Provider

TODD PROCTOR, MD's 292 claims are below the specialty average of 509.

Nearby Otolaryngology Physician Providers in Michigan

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

Compare Otolaryngology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is TODD PROCTOR, MD's specialty?
TODD PROCTOR, MD specializes in Otolaryngology Physician and practices in AUBURN HILLS, Michigan. Credentials: MD.
How much does TODD PROCTOR, MD prescribe under Medicare Part D?
In 2023, TODD PROCTOR, MD wrote 292 Medicare Part D claims totaling $7K in drug costs for 148 beneficiaries.
What is TODD PROCTOR, MD's Medicare quality score?
TODD PROCTOR, MD has a CMS MIPS Final Score of 75/100. The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is TODD PROCTOR, MD located?
TODD PROCTOR, MD is located at 2251 N SQUIRREL RD, AUBURN HILLS, MI, 48326. Phone: (248) 648-8100.
What is TODD PROCTOR, MD's NPI number?
TODD PROCTOR, MD's National Provider Identifier (NPI) is 1316929250, issued on 11/16/2005.
Does TODD PROCTOR, MD prescribe more brand-name or generic drugs?
TODD PROCTOR, MD's prescribing is 8% brand-name and 92% generic drugs by claim count, with $738 in brand drug costs.
How many Otolaryngology Physician providers are there in the US?
There are 10,895 Otolaryngology Physician providers across 54 states in the US. The average Otolaryngology Physician provider writes 509 Medicare Part D claims per year.
What drugs does TODD PROCTOR, MD prescribe most often?
Based on 2023 Medicare Part D data, TODD PROCTOR, MD's most frequently prescribed drugs include Amoxicillin-Clavulanate Potass, Ipratropium Bromide, Ciprofloxacin Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does TODD PROCTOR, MD accept Medicare?
TODD PROCTOR, MD appears in CMS Medicare data with 292 Part D claims and 148 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify TODD PROCTOR, MD's credentials?
TODD PROCTOR, MD's NPI is 1316929250 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