PlainDoctor

2026 NPPES data Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician NPI 1538401260 MD
Verify on CMS →

Toya Gordon, MD

Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician in Collegeville, Pennsylvania.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 621 in Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) 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
528
Medicare Part D claims · 140 beneficiaries · Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician avg: 661
Generic prescribing
75%
generic claims · 25% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
81.2/100
▼ 2 pts below national avg 83.5 · Above neutral
Industry payments
$295.75
13 payments · CMS Open Payments (Sunshine Act)
Verify NPI on CMS Methodology
Compiled from official public sources by the editorial process.

What the federal data shows

Toya Gordon, MD reported a CMS MIPS final score of 81.2/100 - below the 83.5 national average - and filed 528 Medicare Part D claims in 2024.

81.2/100
MIPS score · -2 vs avg
528
Part D claims, 2024
75%
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.

Federal trust snapshot

What official records show about Toya Gordon, MD

Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.

  • Verified

    NPI registry status

    Active listing in the CMS National Provider Identifier Registry (NPI 1538401260), first enumerated 03/20/2013.

    Source: CMS NPPES

  • Reported

    Medicare Part D participation

    Filed 528 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.

    Source: CMS Part D Prescriber PUF

  • Reported

    CMS quality reporting (MIPS)

    Reported a CMS MIPS final score of 81.2/100 in the Quality Payment Program — a federal quality measure, not a patient review.

    Source: CMS Quality Payment Program

  • Reported

    Board certification signal

    Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.

    Source: NUCC taxonomy + CMS participation heuristic

  • Reported

    Hospital affiliations

    2 CMS Care Compare hospital affiliations on record — practice footprint from the Doctors and Clinicians file.

    Source: CMS Care Compare

  • Reported

    Industry payment transparency

    $295.75 in reported industry payments (13 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.

    Source: CMS Open Payments

  • State context

    State board disciplinary context

    Pennsylvania statewide board action statistics are published annually — these figures describe aggregate state activity, not Toya Gordon, MD's individual license status. Verify directly with the state medical board.

    Source: PA-BOM annual report 2023

  • 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 1538401260 · Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician

NPI-10 · ENUM-MID · TAX-NARROW · MIPS-INLINE · RX-LIGHT · BOOK-THIN · PHOTO-FINISH

  • NPI-10 1538401260
  • ENUM-MID 2013
  • TAX-NARROW 621
  • MIPS-INLINE 81.2/100
  • RX-LIGHT 528
  • BOOK-THIN 32 in Pennsylvania
  • PHOTO-FINISH Austin Hill, M.D. · ±0.0

MIPS final-score neighbourhood

Same-specialty nationwide peers by CMS final score, not geographic proximity

MIPS pts

What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).

Source CMS Quality Payment Program (MIPS) As of 2023

Toya Gordon, MD's MIPS score vs every measured U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.

81 ≥ 32nd percentile 32% of 454,083 measured providers are in lower value bands

0–10: 8,684 measured providers (2%). Below this entry. 10–20: 3,008 measured providers (1%). Below this entry. 20–30: 3,069 measured providers (1%). Below this entry. 30–40: 2,746 measured providers (1%). Below this entry. 40–50: 2,928 measured providers (1%). Below this entry. 50–60: 5,882 measured providers (1%). Below this entry. 60–70: 13,906 measured providers (3%). Below this entry. 70–80: 94,570 measured providers (21%). Below this entry. 80–90: 129,887 measured providers (29%). This entry sits in this band. 90+: 189,403 measured providers (42%). Above this entry. This provider 0 100 every measured MIPS clinician, bucketed by value

Each bar is a band; taller bars hold more measured 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.

The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Where Toya Gordon, MD sits

This provider among urogynecology and reconstructive pelvic surgery (obstetrics & gynecology) physician peers

Across the 201 urogynecology and reconstructive pelvic surgery (obstetrics & gynecology) physician providers who report both Medicare Part D prescribing and a MIPS quality score, Toya Gordon, MD writes more Part D claims than 47% of them and scores higher on MIPS quality than 37% - placing this provider in the lower-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality0255075100024.949.974.899.8Part D claim volume, percentile in specialtyMIPS quality, percentilePoint, Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 93Point, Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 73Point, Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 40Point, Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 50Point, Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 35Point, Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 48Point, Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 52Point, Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 13Point, Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 95Point, Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 95Point, Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 18Point, Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 78Point, Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 12Point, Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 8Point, Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 20Point, Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 15Point, Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 35Point, Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 63Point, Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 53Point, Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 77Point, Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 58Point, Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 87Point, Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 32Point, Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 42Point, Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 47Point, Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 72Point, Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 55Point, Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 10Point, Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 2Point, Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 65Point, Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 88Point, Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 5Point, Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 27Point, Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 90Point, Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 3Point, Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 70Point, Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 95Point, Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 45Point, Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 27Point, Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 60Point, Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 57Point, Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 25Point, Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 67Point, Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 82Point, Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 30Point, Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 17Point, Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 95Point, Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 33Point, Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 68Point, Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 83Point, Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 7Point, Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 75Point, Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 20Point, Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 20Point, Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 80Point, Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 43Point, Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 62Toya Gordon, MD, Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 37
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one urogynecology and reconstructive pelvic surgery (obstetrics & gynecology) physician peer from a representative sample of 60; the gold marker is Toya Gordon, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

✓
Board certification likely (heuristic, not verified)

Toya Gordon, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 2 hospital affiliations - 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 Toya Gordon, MD?

Near national average

NPI registry status

Active

Issued 03/20/2013

NPI 1538401260

Primary specialty

Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician

Niche

621 US NPIs in this specialty

Medicare Part D claims

528 20% vs specialty avg

2024 prescription claims

Specialty avg: 661

MIPS final score

81.2/100 2.3 pts vs avg

Above neutral band

vs 83.5 national avg

Specialty distribution in Pennsylvania

How Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician compares to other specialties among Pennsylvania providers

Pennsylvania providers
Student in an Organized Heal…6%Pharmacist5%Physical Therapist4.8%Mental Health Counselor4%Internal Medicine Physician3.3%Professional Counselor3.2%Urogynecology and Reconstruc…0%
Largest specialties in Pennsylvania (% of in-state providers)

Medicare quality performance, MIPS

Toya Gordon, MD's 2023 MIPS final score plotted against the Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician national average

Near national average
MIPS Final Score
81.2/100
vs 83.5 national avg · 2023 performance year
0%100%National avg84%81.2%
MIPS final score (Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician) - 81.2/100 vs national avg 83.5
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

300 SPRINGHOUSE DR STE 100
Collegeville, PA 19426
(484) 323-1400

Provider Details

NPI 1538401260
Specialty Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Credentials MD
Gender Female
NPI Issued 03/20/2013

CMS Quality Score (MIPS)

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

81.1913
Final Score
Measured-score avg: 83.5
74.5659
Quality
65.2384
Cost
97
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where Toya Gordon, MD 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.

Phoenixville Clinic Company LLC
Limerick, PA
Tower Health Medical Group
West Reading, PA

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

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 Toya Gordon, MD. Source: openpaymentsdata.cms.gov.

Total received

$296

Largest payer

ABBVIE INC.

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 - Pennsylvania PA-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 ~45K Pennsylvania medical licensees in 2023 - they are NOT specific to Toya Gordon, MD. To verify Toya Gordon, MD's current license status, search the PA-BOM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

133
Total board actions, Pennsylvania 2023
Across 129 cases
2.96
Actions per 1,000 licensees
Pennsylvania statewide rate
probation
Most common action type
48 cases

PA-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 Pennsylvania disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Above average

Toya Gordon, MD - brand share 25.0%
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician average

25% brand-name claims vs 75% generic, on 528 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.

528
Total Claims
$84K
Total Drug Cost
140
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
746.867
Total Day Supply
16,133
Brand vs Generic
25% brand / 75% generic
Brand Drug Cost
$73K
Generic Drug Cost
$11K
Opioid Claims
52 (9.8% rate)
Antibiotic Claims
159

Patient Demographics

Average Patient Age
74.5 years
Avg HCC Risk Score
1.31
Gender Split
100% female / 0% male
Age Distribution
<65: 15, 65-74: 51, 75-84: 51, 85+: 23

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.

What Toya Gordon, MD prescribes most

Top Medicare Part D drugs by claim count, 2024

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2024
Drug Claims
Gemtesa
Vibegron
67
Cephalexin
 53
Nitrofurantoin Mono-Macro
Nitrofurantoin Monohyd/M-Cryst
41
Premarin
Estrogens, Conjugated
38
Clobetasol Propionate
 30
Methenamine Hippurate
 28
Oxycodone Hcl
 27
Alprazolam
 22
Sulfamethoxazole-Trimethoprim
Sulfamethoxazole/Trimethoprim
21
Ibuprofen
 20

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

More Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician in PA → All providers in Pennsylvania → Compare specialties →

Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician Overview

How Toya Gordon, MD fits within the Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician landscape nationally.

621
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician Providers in US
50
States with Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
661
Avg Claims per Provider

Toya Gordon, MD's 528 claims are below the specialty average of 661.

Nationwide Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician peers with similar MIPS or enrollment year

Two federal-record peer sets for Gordon, both outside Pennsylvania so the neighborhoods are not geographic containment.

Similar MIPS final score

Nearest same-specialty clinicians by CMS MIPS final score (81.2 here).

Austin Hill 81.2 UT Gita Singh 81.2 IN Patrick Woodman 81.2 MI Zachery Baxter 81.1 CA

Same NPPES enumeration year (2013)

Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.

Isabel Prieto Tampa, FL Austin Hill Provo, UT Caroline Cox Madison, WI Joseph Panza Rochester, NY

Nearby Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician Providers in Pennsylvania

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

One of 32 Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician providers enrolled in Pennsylvania, 5 are shown here.

Dr. Radhika Ailawadi
M.D.
Stroudsburg, PA
Dr. John Anderson
MD
Wyomissing, PA
Amanda Artsen
Pittsburgh, PA
Dr. Michael Bonidie
MD
Mechanicsburg, PA
Dr. Alexander Bruscke
MD
Quakertown, PA

Compare Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is Toya Gordon, MD's specialty? ▼
Toya Gordon, MD specializes in Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician and practices in Collegeville, Pennsylvania. Credentials: MD.
How much does Toya Gordon, MD prescribe under Medicare Part D? ▼
In 2024, Toya Gordon, MD wrote 528 Medicare Part D claims totaling $84K in drug costs for 140 beneficiaries.
What is Toya Gordon, MD's Medicare quality score? ▼
Toya Gordon, MD has a CMS MIPS Final Score of 81.2/100 (Quality: 74.6, Cost: 65.2). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Toya Gordon, MD located? ▼
Toya Gordon, MD is located at 300 SPRINGHOUSE DR STE 100, Collegeville, PA, 19426. Phone: (484) 323-1400.
What is Toya Gordon, MD's NPI number? ▼
Toya Gordon, MD's National Provider Identifier (NPI) is 1538401260, issued on 03/20/2013.
Does Toya Gordon, MD prescribe more brand-name or generic drugs? ▼
Toya Gordon, MD's prescribing is 25% brand-name and 75% generic drugs by claim count, with $73K in brand drug costs.
Does Toya Gordon, MD prescribe opioids? ▼
Yes, Toya Gordon, MD had 52 opioid claims in 2024 with an opioid prescribing rate of 9.8%.
How many Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician providers are there in the US? ▼
There are 621 Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician providers across 50 states in the US. The average Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician provider writes 661 Medicare Part D claims per year.
What drugs does Toya Gordon, MD prescribe most often? ▼
Based on 2024 Medicare Part D data, Toya Gordon, MD's most frequently prescribed drugs include Gemtesa, Cephalexin, Nitrofurantoin Mono-Macro. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Toya Gordon, MD accept Medicare? ▼
Toya Gordon, MD appears in CMS Medicare data with 528 Part D claims and 140 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Toya Gordon, MD's credentials? ▼
Toya Gordon, MD's NPI is 1538401260 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

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.
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 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

Compiled from official public sources by the editorial process.

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.