NPI registry status
Active
2026 NPPES data Adult Congenital Heart Disease Physician NPI 1649208521 M.D.
Verify on CMS → Wayne Franklin, M.D.
Adult Congenital Heart Disease Physician in Washington, District of Columbia.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 114 in Adult Congenital Heart Disease 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
177
Medicare Part D claims · 29 beneficiaries · Adult Congenital Heart Disease Physician avg: 2K
Generic prescribing
76%
generic claims · 24% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$175.5
3 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2024
What the federal data shows
Wayne Franklin, M.D. filed 177 Medicare Part D claims in 2024 as an Adult Congenital Heart Disease Physician in Washington, District of Columbia, prescribing 76% generic.
- 177
- Part D claims, 2024
- 76%
- generic prescribing
- Likely
- board-certified (heuristic)
- ≥34th
- pct by Part D claim volume (lower-bound band)
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 Wayne Franklin, M.D.
Federal records show an active NPI with Medicare Part D prescribing activity — verifiable registry data, not a proprietary rating.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1649208521), first enumerated 06/29/2006.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 177 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- 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.
- Reported
Hospital affiliations
1 CMS Care Compare hospital affiliation on record — practice footprint from the Doctors and Clinicians file.
Source: CMS Care Compare
- Reported
Industry payment transparency
$175.5 in reported industry payments (3 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.
Source: CMS Open Payments
- 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 1649208521 · Adult Congenital Heart Disease Physician
NPI-10 · ENUM-LEGACY · TAX-TRACE · RX-LIGHT · BOOK-THIN · PHOTO-ENUM
- NPI-10 1649208521
- ENUM-LEGACY 2006
- TAX-TRACE 114
- RX-LIGHT 177
- BOOK-THIN 4 in District of Columbia
- PHOTO-ENUM Tak Kwan, MD · 2006
Wayne Franklin, M.D.'s Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2024, across all CMS prescribers nationally
177 ≥ 34th percentile 34% of 1,416,883 prescribers are in lower value bands
Each bar is a band; taller bars hold more prescribers. 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 100-claim band: it counts only prescribers in lower claim-volume bands. Medicare Part D claim volume is activity context, not a quality measure or recommendation. See methodology § corpus placement.
Source CMS Medicare Part D Prescriber Public Use File · 2024
✓
Board certification likely (heuristic, not verified)
Wayne Franklin, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 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 Wayne Franklin, M.D.?
Quality data not reportedPrimary specialty
Adult Congenital Heart Disease Physician
Medicare Part D claims
177 90% vs specialty avg
Specialty distribution in District of Columbia
How Adult Congenital Heart Disease Physician compares to other specialties among District of Columbia providers
Board certification
Not published by CMS
CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Adult Congenital Heart Disease Physician. Verify directly:
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
Provider Details
| NPI | 1649208521 |
|---|---|
| Specialty | Adult Congenital Heart Disease Physician |
| Credentials | M.D. |
| Gender | Male |
| NPI Issued | 06/29/2006 |
Hospital and facility affiliations
Facilities where Wayne Franklin, M.D. 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.
Children's Hospital
Washington, DC
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 Wayne Franklin, M.D.. Source: openpaymentsdata.cms.gov.
Total received
$176
Largest payer
Abbott Laboratories
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.
Brand vs generic prescribing mix · Typical
Wayne Franklin, M.D. - brand share 24.0%
Adult Congenital Heart Disease Physician average
24% brand-name claims vs 76% generic, on 177 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.
177
Total Claims
$301K
Total Drug Cost
29
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 365.1
- Total Day Supply
- 10,640
- Brand vs Generic
- 24% brand / 76% generic
- Brand Drug Cost
- $298K
- Generic Drug Cost
- $4K
Patient Demographics
- Average Patient Age
- 56.7 years
- Avg HCC Risk Score
- 1.29
- Gender Split
- 59% female / 41% male
- Age Distribution
- <65: 16, 65-74: N/A, 75-84: N/A, 85+: 0
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
What Wayne Franklin, M.D. prescribes most
Top Medicare Part D drugs by claim count, 2024
- Opsumit
Opsumit
24 claims
- Spironolactone
Spironolactone
18 claims
- Eliquis
Eliquis
17 claims
- Metoprolol Succinate
Metoprolol Succinate
14 claims
- Lisinopril
Lisinopril
13 claims
- Nadolol
Nadolol
13 claims
| Drug | Claims |
|---|---|
| Opsumit Macitentan | 24 |
| Spironolactone | 18 |
| Eliquis Apixaban | 17 |
| Metoprolol Succinate | 14 |
| Lisinopril | 13 |
| Nadolol | 13 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
More Adult Congenital Heart Disease Physician in DC →
All providers in District of Columbia →
Compare specialties →
Adult Congenital Heart Disease Physician Overview
How Wayne Franklin, M.D. fits within the Adult Congenital Heart Disease Physician landscape nationally.
114
Adult Congenital Heart Disease Physician Providers in US
32
States with Adult Congenital Heart Disease Physician
1,792
Avg Claims per Provider
Wayne Franklin, M.D.'s 177 claims are below the specialty average of 1,792.
Nationwide Adult Congenital Heart Disease Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Franklin, both outside District of Columbia so the neighborhoods are not geographic containment.
Same NPPES enumeration year (2006)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Adult Congenital Heart Disease Physician Providers in District of Columbia
Other clinicians with the same primary specialty enrolled in District of Columbia, drawn from the same CMS NPPES roster as Franklin.
One of 4 Adult Congenital Heart Disease Physician providers enrolled in District of Columbia, 3 are shown here.
Dr. Seiji Ito
M.D.
Washington, DC
Anitha John
MD PHD
Washington, DC
Dr. Christian Nagy
M.D.
Washington, DC
Compare Adult Congenital Heart Disease Physician nationally: see state-by-state distribution →
Frequently Asked Questions
What is Wayne Franklin, M.D.'s specialty? ▼
Wayne Franklin, M.D. specializes in Adult Congenital Heart Disease Physician and practices in Washington, District of Columbia. Credentials: M.D..
How much does Wayne Franklin, M.D. prescribe under Medicare Part D? ▼
In 2024, Wayne Franklin, M.D. wrote 177 Medicare Part D claims totaling $301K in drug costs for 29 beneficiaries.
Where is Wayne Franklin, M.D. located? ▼
Wayne Franklin, M.D. is located at 111 MICHIGAN AVE NW, Washington, DC, 20010. Phone: (202) 476-2166.
What is Wayne Franklin, M.D.'s NPI number? ▼
Wayne Franklin, M.D.'s National Provider Identifier (NPI) is 1649208521, issued on 06/29/2006.
Does Wayne Franklin, M.D. prescribe more brand-name or generic drugs? ▼
Wayne Franklin, M.D.'s prescribing is 24% brand-name and 76% generic drugs by claim count, with $298K in brand drug costs.
How many Adult Congenital Heart Disease Physician providers are there in the US? ▼
There are 114 Adult Congenital Heart Disease Physician providers across 32 states in the US. The average Adult Congenital Heart Disease Physician provider writes 1,792 Medicare Part D claims per year.
What drugs does Wayne Franklin, M.D. prescribe most often? ▼
Based on 2024 Medicare Part D data, Wayne Franklin, M.D.'s most frequently prescribed drugs include Opsumit, Spironolactone, Eliquis. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Wayne Franklin, M.D. accept Medicare? ▼
Wayne Franklin, M.D. appears in CMS Medicare data with 177 Part D claims and 29 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Wayne Franklin, M.D.'s credentials? ▼
Wayne Franklin, M.D.'s NPI is 1649208521 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
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.
- 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
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.