2026 NPPES data Gastroenterology Physician NPI 1114906195 M.D.
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WILLIAM FOODY, M.D.

Gastroenterology Physician in ST AUGUSTINE, Florida. 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 · 519 beneficiaries · Gastroenterology Physician avg: 833
Generic prescribing
87%
generic claims · 13% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
77.1541/100
▼ 6 pts below national avg 83.1 · [object Object]
Industry payments
$1.3K
65 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

WILLIAM FOODY, M.D. reported a CMS MIPS final score of 77.1541/100 — below the 83.1 national average — and filed 1,803 Medicare Part D claims in 2023.

77.1541/100
MIPS score · -6 vs avg
2K
Part D claims, 2023
87%
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.

WILLIAM FOODY, 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

77 24th percentile higher than 24% 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)

WILLIAM FOODY, M.D. 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 WILLIAM FOODY, M.D.?

Below national average

NPI registry status

Active

Issued 01/10/2006

NPI 1114906195

Primary specialty

Gastroenterology Physician

Mid-sized

16,567 US NPIs in this specialty

Medicare Part D claims

1,803 116% vs specialty avg

2023 prescription claims

Specialty avg: 833

MIPS final score

77.1541/100 5.945899999999995% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Florida

How Gastroenterology Physician compares to other specialties among Florida providers

Florida providers

Gastroenterology Physician share within Florida

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

Medicare quality performance — MIPS

WILLIAM FOODY, M.D.'s 2023 MIPS final score plotted against the Gastroenterology Physician national average

Below national average
MIPS Final Score
77.1541/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Gastroenterology Physician) — 77.1541/100 vs national avg 83.1

0%100%National avg83%77.2%
MIPS final score (Gastroenterology Physician) — 77.1541/100 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).

WILLIAM FOODY, M.D. appears in the CMS NPPES registry as a Gastroenterology Physician provider holding M.D. credentials at 100 WHETSTONE PL, ST AUGUSTINE, FL, 32086, with a listed phone of (904) 829-9557. NPI 1114906195 was issued on 01/10/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what FOODY 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 1,803 prescription claims written by this provider, covering 519 Medicare beneficiaries and totaling roughly $316K in drug spend, split 13% brand-name and 87% generic by claim count, with an opioid prescribing rate of 0.7%. 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 77.1541/100 for the 2023 performance year (Quality 65.9505, Cost 61.2297), compared with the national average of 83.1.

Gastroenterology Physician is a mid-sized specialty nationwide, with 16,567 enrolled providers across 54 states and an average of 833 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

100 WHETSTONE PL
ST AUGUSTINE, FL 32086

Provider Details

NPI 1114906195
Specialty Gastroenterology Physician
Credentials M.D.
Gender Male
NPI Issued 01/10/2006

CMS Quality Score (MIPS)

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

77.1541
Final Score
Avg: 83.1
65.9505
Quality
61.2297
Cost
96
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where WILLIAM FOODY, 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.

BORLAND GROOVER CLINIC, PA
ST AUGUSTINE, FL

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

Total received

$1.3K

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 — Florida FLDOH 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 ~75K Florida medical licensees in 2023 — they are NOT specific to WILLIAM FOODY, M.D.. To verify WILLIAM FOODY, M.D.'s current license status, search the FLDOH public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

480
Total board actions, Florida 2023
Across 467 cases
6.40
Actions per 1,000 licensees
Florida statewide rate
monetary fine
Most common action type
138 cases

FLDOH 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 Florida disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

WILLIAM FOODY, M.D. — brand share 13.0%
Specialty average (est.)

13% brand-name claims vs 87% generic, on 1,803 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.

1,803
Total Claims
$316K
Total Drug Cost
519
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
3,204
Total Day Supply
86,662
Brand vs Generic
13% brand / 87% generic
Brand Drug Cost
$266K
Generic Drug Cost
$50K
Opioid Claims
12 (0.7% rate)
Antibiotic Claims
40

Patient Demographics

Average Patient Age
71.9 years
Avg HCC Risk Score
1.42
Gender Split
52% female / 48% male
Age Distribution
<65: 56, 65-74: 274, 75-84: 154, 85+: 35

Top Prescribed Drugs (Medicare Part D)

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

What WILLIAM FOODY, 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
Pantoprazole Sodium
583
Famotidine
399
Sutab
Sod Sulf/Pot Chloride/Mag Sulf
91
Loperamide
Loperamide Hcl
81
Ondansetron Hcl
61
Lansoprazole
47
Omeprazole
44
Linzess
Linaclotide
32
Colestipol Hcl
27
Lubiprostone
24

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

Gastroenterology Physician Overview

How WILLIAM FOODY, M.D. fits within the Gastroenterology Physician landscape nationally.

16,567
Gastroenterology Physician Providers in US
54
States with Gastroenterology Physician
833
Avg Claims per Provider

WILLIAM FOODY, M.D.'s 1,803 claims are above the specialty average of 833.

Nearby Gastroenterology Physician Providers in Florida

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

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

Frequently Asked Questions

What is WILLIAM FOODY, M.D.'s specialty?
WILLIAM FOODY, M.D. specializes in Gastroenterology Physician and practices in ST AUGUSTINE, Florida. Credentials: M.D..
How much does WILLIAM FOODY, M.D. prescribe under Medicare Part D?
In 2023, WILLIAM FOODY, M.D. wrote 1,803 Medicare Part D claims totaling $316K in drug costs for 519 beneficiaries.
What is WILLIAM FOODY, M.D.'s Medicare quality score?
WILLIAM FOODY, M.D. has a CMS MIPS Final Score of 77.1541/100 (Quality: 65.9505, Cost: 61.2297). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is WILLIAM FOODY, M.D. located?
WILLIAM FOODY, M.D. is located at 100 WHETSTONE PL, ST AUGUSTINE, FL, 32086. Phone: (904) 829-9557.
What is WILLIAM FOODY, M.D.'s NPI number?
WILLIAM FOODY, M.D.'s National Provider Identifier (NPI) is 1114906195, issued on 01/10/2006.
Does WILLIAM FOODY, M.D. prescribe more brand-name or generic drugs?
WILLIAM FOODY, M.D.'s prescribing is 13% brand-name and 87% generic drugs by claim count, with $266K in brand drug costs.
Does WILLIAM FOODY, M.D. prescribe opioids?
Yes, WILLIAM FOODY, M.D. had 12 opioid claims in 2023 with an opioid prescribing rate of 0.7%.
How many Gastroenterology Physician providers are there in the US?
There are 16,567 Gastroenterology Physician providers across 54 states in the US. The average Gastroenterology Physician provider writes 833 Medicare Part D claims per year.
What drugs does WILLIAM FOODY, M.D. prescribe most often?
Based on 2023 Medicare Part D data, WILLIAM FOODY, M.D.'s most frequently prescribed drugs include Pantoprazole Sodium, Famotidine, Sutab. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does WILLIAM FOODY, M.D. accept Medicare?
WILLIAM FOODY, M.D. appears in CMS Medicare data with 1,803 Part D claims and 519 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify WILLIAM FOODY, M.D.'s credentials?
WILLIAM FOODY, M.D.'s NPI is 1114906195 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