2026 NPPES data Adult Congenital Heart Disease Physician NPI 1407274301 MD
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WILLIAM MARSHALL, MD

Adult Congenital Heart Disease Physician in COLUMBUS, Ohio. 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
157
Medicare Part D claims · 40 beneficiaries · Adult Congenital Heart Disease Physician avg: 2K
Generic prescribing
77%
generic claims · 23% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
95.311/100
▲ 12 pts above national avg 83.1 · [object Object]
What the federal data reveals: WILLIAM MARSHALL, MD is a Adult Congenital Heart Disease Physician ([object Object]) practicing in COLUMBUS, Ohio with a Medicare Part D prescribing footprint of 157 claims across 40 beneficiaries — 23% brand-name prescribing . Their CMS MIPS Final Score of 95.311/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities .

What stands out: WILLIAM MARSHALL, MD reported a CMS MIPS final score of 95.311 out of 100, above the 83.1 national average, and filed 157 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

WILLIAM MARSHALL, 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).

WILLIAM MARSHALL, MD at a glance

High performer (top quartile)

NPI registry status

Active

Issued 03/29/2014

NPI 1407274301

Primary specialty

Adult Congenital Heart Disease Physician

Rare

104 US NPIs in this specialty

Medicare Part D claims

157 92% vs specialty avg

2023 prescription claims

Specialty avg: 1,930

MIPS final score

95.311/100 12.211000000000013% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Ohio

How Adult Congenital Heart Disease Physician compares to other specialties among Ohio providers

Ohio providers

Adult Congenital Heart Disease Physician share within Ohio

1. Adult Congenital Heart Disease Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Adult Congenital Heart Disease Physician share within Ohio

Medicare quality performance — MIPS

WILLIAM MARSHALL, MD's 2023 MIPS final score plotted against the Adult Congenital Heart Disease Physician national average

High performer (top quartile)
MIPS Final Score
95.311/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Adult Congenital Heart Disease Physician) — 95.311/100 vs national avg 83.1

0%100%National avg83%95.3%
MIPS final score (Adult Congenital Heart Disease Physician) — 95.311/100 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 MARSHALL, MD is a Adult Congenital Heart Disease Physician provider practicing in COLUMBUS, Ohio, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1407274301. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

WILLIAM MARSHALL, MD appears in the CMS NPPES registry as a Adult Congenital Heart Disease Physician provider holding MD credentials at 452 W 10TH AVE, COLUMBUS, OH, 43210, with a listed phone of (614) 293-7677. NPI 1407274301 was issued on 03/29/2014. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what MARSHALL 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 157 prescription claims written by this provider, covering 40 Medicare beneficiaries and totaling roughly $43K in drug spend, split 23% brand-name and 77% 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 95.311/100 for the 2023 performance year (Quality 76.5856), compared with the national average of 83.1.

Adult Congenital Heart Disease Physician is a narrow specialty nationwide, with 104 enrolled providers across 31 states and an average of 1,930 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

452 W 10TH AVE
COLUMBUS, OH 43210

Provider Details

NPI 1407274301
Specialty Adult Congenital Heart Disease Physician
Credentials MD
Gender Male
NPI Issued 03/29/2014

CMS Quality Score (MIPS)

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

95.311
Final Score
Avg: 83.1
76.5856
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where WILLIAM MARSHALL, 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.

OSU INTERNAL MEDICINE LLC
COLUMBUS, OH
PEDIATRIC ACADEMIC ASSOCIATION, INC.
COLUMBUS, OH

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

License & disciplinary context — Ohio OMB 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 ~48K Ohio medical licensees in 2023 — they are NOT specific to WILLIAM MARSHALL, MD. To verify WILLIAM MARSHALL, MD's current license status, search the OMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

158
Total board actions, Ohio 2023
Across 154 cases
3.29
Actions per 1,000 licensees
Ohio statewide rate
probation
Most common action type
56 cases

OMB 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 Ohio disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

WILLIAM MARSHALL, MD — brand share 23.0%
Specialty average (est.)

23% brand-name claims vs 77% generic, on 157 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.

157
Total Claims
$43K
Total Drug Cost
40
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
326
Total Day Supply
9,549
Brand vs Generic
23% brand / 77% generic
Brand Drug Cost
$41K
Generic Drug Cost
$2K

Patient Demographics

Average Patient Age
60.3 years
Avg HCC Risk Score
1.90
Gender Split
53% female / 48% male
Age Distribution
<65: 19, 65-74: 12, 75-84: N/A, 85+: N/A

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Furosemide
22
Metoprolol Succinate
15
Farxiga
Dapagliflozin Propanediol
12
Spironolactone
11

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

Adult Congenital Heart Disease Physician Overview

How WILLIAM MARSHALL, MD fits within the Adult Congenital Heart Disease Physician landscape nationally.

104
Adult Congenital Heart Disease Physician Providers in US
31
States with Adult Congenital Heart Disease Physician
1,930
Avg Claims per Provider

WILLIAM MARSHALL, MD's 157 claims are below the specialty average of 1,930.

Nearby Adult Congenital Heart Disease Physician Providers in Ohio

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

Compare Adult Congenital Heart Disease Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is WILLIAM MARSHALL, MD's specialty?
WILLIAM MARSHALL, MD specializes in Adult Congenital Heart Disease Physician and practices in COLUMBUS, Ohio. Credentials: MD.
How much does WILLIAM MARSHALL, MD prescribe under Medicare Part D?
In 2023, WILLIAM MARSHALL, MD wrote 157 Medicare Part D claims totaling $43K in drug costs for 40 beneficiaries.
What is WILLIAM MARSHALL, MD's Medicare quality score?
WILLIAM MARSHALL, MD has a CMS MIPS Final Score of 95.311/100 (Quality: 76.5856). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is WILLIAM MARSHALL, MD located?
WILLIAM MARSHALL, MD is located at 452 W 10TH AVE, COLUMBUS, OH, 43210. Phone: (614) 293-7677.
What is WILLIAM MARSHALL, MD's NPI number?
WILLIAM MARSHALL, MD's National Provider Identifier (NPI) is 1407274301, issued on 03/29/2014.
Does WILLIAM MARSHALL, MD prescribe more brand-name or generic drugs?
WILLIAM MARSHALL, MD's prescribing is 23% brand-name and 77% generic drugs by claim count, with $41K in brand drug costs.
How many Adult Congenital Heart Disease Physician providers are there in the US?
There are 104 Adult Congenital Heart Disease Physician providers across 31 states in the US. The average Adult Congenital Heart Disease Physician provider writes 1,930 Medicare Part D claims per year.
What drugs does WILLIAM MARSHALL, MD prescribe most often?
Based on 2023 Medicare Part D data, WILLIAM MARSHALL, MD's most frequently prescribed drugs include Furosemide, Metoprolol Succinate, Farxiga. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does WILLIAM MARSHALL, MD accept Medicare?
WILLIAM MARSHALL, MD appears in CMS Medicare data with 157 Part D claims and 40 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify WILLIAM MARSHALL, MD's credentials?
WILLIAM MARSHALL, MD's NPI is 1407274301 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