2026 NPPES data Surgery Physician NPI 1407917875 M.D.
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William Rudolph, M.D.

Surgery Physician in Virginia Beach, Virginia. This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers — including 36,191 in Surgery 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
189
Medicare Part D claims · 101 beneficiaries · Surgery Physician avg: 169
MIPS score
95.1/100
▲ 12 pts above national avg 83.1 · Exceptional
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

William Rudolph, M.D. reported a CMS MIPS final score of 95.1/100 — above the 83.1 national average — and filed 189 Medicare Part D claims in 2023.

95.1/100
MIPS score · +12 vs avg
189
Part D claims, 2023
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 Rudolph, 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

95 Top 21% higher than 79% 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%). Below this entry. 80–90: 129,887 scored providers (27%). Below this entry. 90–100: 189,403 scored providers (40%). This entry sits in this band. 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

Where William Rudolph, M.D. sits

This provider among surgery physician peers

Across the 7,525 surgery physician providers who report both Medicare Part D prescribing and a MIPS quality score, William Rudolph, M.D. writes more Part D claims than 75% of them and scores higher on MIPS quality than 77% — placing this provider in the high-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Part D claim volume vs MIPS quality, by specialty percentile

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality0255075100023.146.269.392.4Part D claim volume — percentile in specialtyMIPS quality — percentilePart D claim volume — percentile in specialty: 28 · MIPS quality — percentile: 3Part D claim volume — percentile in specialty: 25 · MIPS quality — percentile: 88Part D claim volume — percentile in specialty: 97 · MIPS quality — percentile: 57Part D claim volume — percentile in specialty: 92 · MIPS quality — percentile: 7Part D claim volume — percentile in specialty: 55 · MIPS quality — percentile: 88Part D claim volume — percentile in specialty: 48 · MIPS quality — percentile: 45Part D claim volume — percentile in specialty: 93 · MIPS quality — percentile: 7Part D claim volume — percentile in specialty: 0 · MIPS quality — percentile: 42Part D claim volume — percentile in specialty: 60 · MIPS quality — percentile: 57Part D claim volume — percentile in specialty: 7 · MIPS quality — percentile: 20Part D claim volume — percentile in specialty: 13 · MIPS quality — percentile: 33Part D claim volume — percentile in specialty: 35 · MIPS quality — percentile: 17Part D claim volume — percentile in specialty: 73 · MIPS quality — percentile: 47Part D claim volume — percentile in specialty: 63 · MIPS quality — percentile: 87Part D claim volume — percentile in specialty: 40 · MIPS quality — percentile: 52Part D claim volume — percentile in specialty: 18 · MIPS quality — percentile: 68Part D claim volume — percentile in specialty: 15 · MIPS quality — percentile: 62Part D claim volume — percentile in specialty: 53 · MIPS quality — percentile: 57Part D claim volume — percentile in specialty: 17 · MIPS quality — percentile: 78Part D claim volume — percentile in specialty: 67 · MIPS quality — percentile: 7Part D claim volume — percentile in specialty: 80 · MIPS quality — percentile: 27Part D claim volume — percentile in specialty: 100 · MIPS quality — percentile: 0Part D claim volume — percentile in specialty: 73 · MIPS quality — percentile: 32Part D claim volume — percentile in specialty: 87 · MIPS quality — percentile: 27Part D claim volume — percentile in specialty: 70 · MIPS quality — percentile: 22Part D claim volume — percentile in specialty: 28 · MIPS quality — percentile: 43Part D claim volume — percentile in specialty: 22 · MIPS quality — percentile: 48Part D claim volume — percentile in specialty: 43 · MIPS quality — percentile: 18Part D claim volume — percentile in specialty: 60 · MIPS quality — percentile: 63Part D claim volume — percentile in specialty: 33 · MIPS quality — percentile: 88Part D claim volume — percentile in specialty: 3 · MIPS quality — percentile: 38Part D claim volume — percentile in specialty: 98 · MIPS quality — percentile: 5Part D claim volume — percentile in specialty: 2 · MIPS quality — percentile: 73Part D claim volume — percentile in specialty: 58 · MIPS quality — percentile: 37Part D claim volume — percentile in specialty: 77 · MIPS quality — percentile: 23Part D claim volume — percentile in specialty: 83 · MIPS quality — percentile: 55Part D claim volume — percentile in specialty: 8 · MIPS quality — percentile: 50Part D claim volume — percentile in specialty: 25 · MIPS quality — percentile: 80Part D claim volume — percentile in specialty: 52 · MIPS quality — percentile: 7Part D claim volume — percentile in specialty: 12 · MIPS quality — percentile: 75Part D claim volume — percentile in specialty: 95 · MIPS quality — percentile: 40Part D claim volume — percentile in specialty: 57 · MIPS quality — percentile: 65Part D claim volume — percentile in specialty: 78 · MIPS quality — percentile: 30Part D claim volume — percentile in specialty: 47 · MIPS quality — percentile: 53Part D claim volume — percentile in specialty: 18 · MIPS quality — percentile: 85Part D claim volume — percentile in specialty: 63 · MIPS quality — percentile: 88Part D claim volume — percentile in specialty: 88 · MIPS quality — percentile: 88Part D claim volume — percentile in specialty: 82 · MIPS quality — percentile: 83Part D claim volume — percentile in specialty: 3 · MIPS quality — percentile: 2Part D claim volume — percentile in specialty: 8 · MIPS quality — percentile: 88Part D claim volume — percentile in specialty: 38 · MIPS quality — percentile: 35Part D claim volume — percentile in specialty: 45 · MIPS quality — percentile: 82Part D claim volume — percentile in specialty: 50 · MIPS quality — percentile: 7Part D claim volume — percentile in specialty: 72 · MIPS quality — percentile: 25Part D claim volume — percentile in specialty: 35 · MIPS quality — percentile: 88Part D claim volume — percentile in specialty: 42 · MIPS quality — percentile: 72Part D claim volume — percentile in specialty: 68 · MIPS quality — percentile: 70Part D claim volume — percentile in specialty: 28 · MIPS quality — percentile: 67Part D claim volume — percentile in specialty: 23 · MIPS quality — percentile: 88Part D claim volume — percentile in specialty: 90 · MIPS quality — percentile: 7William Rudolph, M.D. — Part D claim volume — percentile in specialty: 75 · MIPS quality — percentile: 77
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one surgery physician peer from a representative sample of 60; the gold marker is William Rudolph, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

Board certification likely (heuristic — not verified)

William Rudolph, 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 Rudolph, M.D.?

High performer (top quartile)

NPI registry status

Active

Issued 12/12/2006

NPI 1407917875

Primary specialty

Surgery Physician

Mid-sized

36,191 US NPIs in this specialty

Medicare Part D claims

189 12% vs specialty avg

2023 prescription claims

Specialty avg: 169

MIPS final score

95.1/100 12 pts vs avg

Exceptional band

vs 83.1 national avg

Specialty distribution in Virginia

How Surgery Physician compares to other specialties among Virginia providers

Virginia providers

Largest specialties in Virginia (% of in-state providers)

Behavior Technician — 5.2%Behavior Technician5.2%Clinical Social Worker — 5.1%Clinical Social Worker5.1%Student in an Organized Health Care Education/Training Program — 4.7%Student in an Organized Health Care Education/Training Program4.7%Physical Therapist — 4.6%Physical Therapist4.6%Pharmacist — 4.5%Pharmacist4.5%Professional Counselor — 4%Professional Counselor4%Surgery Physician — 0.6%Surgery Physician0.6%
Largest specialties in Virginia (% of in-state providers)

Medicare quality performance — MIPS

William Rudolph, M.D.'s 2023 MIPS final score plotted against the Surgery Physician national average

High performer (top quartile)
MIPS Final Score
95.1/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Surgery Physician) — 95.1/100 vs national avg 83.1

0%100%National avg83%95.1%
MIPS final score (Surgery Physician) — 95.1/100 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 Rudolph, M.D. appears in the CMS NPPES registry as a Surgery Physician provider holding M.D. credentials at 1080 FIRST COLONIAL RD, Virginia Beach, VA, 23454, with a listed phone of (757) 395-6070. NPI 1407917875 was issued on 12/12/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Rudolph 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 189 prescription claims written by this provider, covering 101 Medicare beneficiaries and totaling roughly $3K in drug spend, with an opioid prescribing rate of 22.2%. 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 95.1/100 for the 2023 performance year (Quality 86.3), compared with the national average of 83.1.

Surgery Physician is a mid-sized specialty nationwide, with 36,191 enrolled providers across 56 states and an average of 169 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

1080 FIRST COLONIAL RD
Virginia Beach, VA 23454

Provider Details

NPI 1407917875
Specialty Surgery Physician
Credentials M.D.
Gender Male
NPI Issued 12/12/2006

CMS Quality Score (MIPS)

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

95.1126
Final Score
Avg: 83.1
86.3184
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where William Rudolph, 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.

Sentara Medical Group
Virginia Bch, VA

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

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

189
Total Claims
$3K
Total Drug Cost
101
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
189
Total Day Supply
612
Generic Drug Cost
$2K
Opioid Claims
42 (22.2% rate)
Antibiotic Claims
83

Patient Demographics

Average Patient Age
70.4 years
Avg HCC Risk Score
1.59
Gender Split
67% female / 33% male

Top Prescribed Drugs (Medicare Part D)

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

What William Rudolph, 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
Metronidazole
37
Neomycin Sulfate
33
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
28
Naloxone Hcl
11
Gavilyte-G
"Peg3350/Sod Sulf
N/A

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

Surgery Physician Overview

How William Rudolph, M.D. fits within the Surgery Physician landscape nationally.

36,191
Surgery Physician Providers in US
56
States with Surgery Physician
169
Avg Claims per Provider

William Rudolph, M.D.'s 189 claims are above the specialty average of 169.

Nearby Surgery Physician Providers in Virginia

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

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

Before you book an appointment

Use this federal record as your verification checklist, not as a recommendation.

  • Confirm the NPI record is current in the official CMS registry — providers update their own NPPES details, and moves can lag. Verify this NPI
  • Check the active license and any disciplinary history with the Virginia medical board — federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Surgery Physician peer on Medicare volume and prescribing patterns. Compare providers

Medicare Part D and MIPS figures describe practice patterns in federal programs only — they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.

Frequently Asked Questions

What is William Rudolph, M.D.'s specialty?
William Rudolph, M.D. specializes in Surgery Physician and practices in Virginia Beach, Virginia. Credentials: M.D..
How much does William Rudolph, M.D. prescribe under Medicare Part D?
In 2023, William Rudolph, M.D. wrote 189 Medicare Part D claims totaling $3K in drug costs for 101 beneficiaries.
What is William Rudolph, M.D.'s Medicare quality score?
William Rudolph, M.D. has a CMS MIPS Final Score of 95.1/100 (Quality: 86.3). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is William Rudolph, M.D. located?
William Rudolph, M.D. is located at 1080 FIRST COLONIAL RD, Virginia Beach, VA, 23454. Phone: (757) 395-6070.
What is William Rudolph, M.D.'s NPI number?
William Rudolph, M.D.'s National Provider Identifier (NPI) is 1407917875, issued on 12/12/2006.
Does William Rudolph, M.D. prescribe opioids?
Yes, William Rudolph, M.D. had 42 opioid claims in 2023 with an opioid prescribing rate of 22.2%.
How many Surgery Physician providers are there in the US?
There are 36,191 Surgery Physician providers across 56 states in the US. The average Surgery Physician provider writes 169 Medicare Part D claims per year.
What drugs does William Rudolph, M.D. prescribe most often?
Based on 2023 Medicare Part D data, William Rudolph, M.D.'s most frequently prescribed drugs include Metronidazole, Neomycin Sulfate, Hydrocodone-Acetaminophen. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does William Rudolph, M.D. accept Medicare?
William Rudolph, M.D. appears in CMS Medicare data with 189 Part D claims and 101 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify William Rudolph, M.D.'s credentials?
William Rudolph, M.D.'s NPI is 1407917875 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

Compiled from official public sources by the PlainDoctor editorial team.