2026 NPPES data Internal Medicine Physician NPI 1184668790 MD
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BRIAN MCDONALD, MD

Internal Medicine Physician in EAST STROUDSBURG, Pennsylvania. 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
8K
Medicare Part D claims · 670 beneficiaries · Internal Medicine Physician avg: 3K
Generic prescribing
89%
generic claims · 11% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
95.6426/100
▲ 13 pts above national avg 83.1 · [object Object]

What the federal data shows

BRIAN MCDONALD, MD reported a CMS MIPS final score of 95.6426/100 — above the 83.1 national average — and filed 7,699 Medicare Part D claims in 2023.

95.6426/100
MIPS score · +13 vs avg
8K
Part D claims, 2023
89%
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.

BRIAN MCDONALD, MD's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

96 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

Board certification likely (heuristic — not verified)

BRIAN MCDONALD, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting — 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 BRIAN MCDONALD, MD?

High performer (top quartile)

NPI registry status

Active

Issued 06/15/2006

NPI 1184668790

Primary specialty

Internal Medicine Physician

High-volume

172,858 US NPIs in this specialty

Medicare Part D claims

7,699 183% vs specialty avg

2023 prescription claims

Specialty avg: 2,716

MIPS final score

95.6426/100 12.542600000000007% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Pennsylvania

How Internal Medicine Physician compares to other specialties among Pennsylvania providers

Pennsylvania providers

Internal Medicine Physician share within Pennsylvania

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

Medicare quality performance — MIPS

BRIAN MCDONALD, MD's 2023 MIPS final score plotted against the Internal Medicine Physician national average

High performer (top quartile)
MIPS Final Score
95.6426/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Internal Medicine Physician) — 95.6426/100 vs national avg 83.1

0%100%National avg83%95.6%
MIPS final score (Internal Medicine Physician) — 95.6426/100 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).

BRIAN MCDONALD, MD appears in the CMS NPPES registry as a Internal Medicine Physician provider holding MD credentials at 239 E BROWN ST, EAST STROUDSBURG, PA, 18301, with a listed phone of (570) 421-3872. NPI 1184668790 was issued on 06/15/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what MCDONALD 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 7,699 prescription claims written by this provider, covering 670 Medicare beneficiaries and totaling roughly $929K in drug spend, split 11% brand-name and 89% generic by claim count, with an opioid prescribing rate of 2.5%. 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 95.6426/100 for the 2023 performance year (Quality 80.5735), compared with the national average of 83.1.

Internal Medicine Physician is a high-volume specialty nationwide, with 172,858 enrolled providers across 56 states and an average of 2,716 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

239 E BROWN ST
EAST STROUDSBURG, PA 18301

Provider Details

NPI 1184668790
Specialty Internal Medicine Physician
Credentials MD
Gender Male
NPI Issued 06/15/2006

CMS Quality Score (MIPS)

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

95.6426
Final Score
Avg: 83.1
80.5735
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

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 BRIAN MCDONALD, MD. To verify BRIAN MCDONALD, 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 · Typical

BRIAN MCDONALD, MD — brand share 11.0%
Specialty average (est.)

11% brand-name claims vs 89% generic, on 7,699 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.

7,699
Total Claims
$929K
Total Drug Cost
670
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
17,521
Total Day Supply
516,543
Brand vs Generic
11% brand / 89% generic
Brand Drug Cost
$758K
Generic Drug Cost
$165K
Opioid Claims
193 (2.5% rate)
Antibiotic Claims
87

Patient Demographics

Average Patient Age
72.9 years
Avg HCC Risk Score
1.43
Gender Split
50% female / 50% male
Age Distribution
<65: 89, 65-74: 298, 75-84: 207, 85+: 76

Top Prescribed Drugs (Medicare Part D)

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

What BRIAN MCDONALD, MD 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
Atorvastatin Calcium
548
Amlodipine Besylate
405
Lisinopril
236
Metoprolol Succinate
224
Levothyroxine Sodium
203
Pantoprazole Sodium
177
Gabapentin
175
Metformin Hcl
167
Rosuvastatin Calcium
158
Metformin Hcl Er
Metformin Hcl
150

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

Internal Medicine Physician Overview

How BRIAN MCDONALD, MD fits within the Internal Medicine Physician landscape nationally.

172,858
Internal Medicine Physician Providers in US
56
States with Internal Medicine Physician
2,716
Avg Claims per Provider

BRIAN MCDONALD, MD's 7,699 claims are above the specialty average of 2,716.

Nearby Internal Medicine Physician Providers in Pennsylvania

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

Compare Internal Medicine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is BRIAN MCDONALD, MD's specialty?
BRIAN MCDONALD, MD specializes in Internal Medicine Physician and practices in EAST STROUDSBURG, Pennsylvania. Credentials: MD.
How much does BRIAN MCDONALD, MD prescribe under Medicare Part D?
In 2023, BRIAN MCDONALD, MD wrote 7,699 Medicare Part D claims totaling $929K in drug costs for 670 beneficiaries.
What is BRIAN MCDONALD, MD's Medicare quality score?
BRIAN MCDONALD, MD has a CMS MIPS Final Score of 95.6426/100 (Quality: 80.5735). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is BRIAN MCDONALD, MD located?
BRIAN MCDONALD, MD is located at 239 E BROWN ST, EAST STROUDSBURG, PA, 18301. Phone: (570) 421-3872.
What is BRIAN MCDONALD, MD's NPI number?
BRIAN MCDONALD, MD's National Provider Identifier (NPI) is 1184668790, issued on 06/15/2006.
Does BRIAN MCDONALD, MD prescribe more brand-name or generic drugs?
BRIAN MCDONALD, MD's prescribing is 11% brand-name and 89% generic drugs by claim count, with $758K in brand drug costs.
Does BRIAN MCDONALD, MD prescribe opioids?
Yes, BRIAN MCDONALD, MD had 193 opioid claims in 2023 with an opioid prescribing rate of 2.5%.
How many Internal Medicine Physician providers are there in the US?
There are 172,858 Internal Medicine Physician providers across 56 states in the US. The average Internal Medicine Physician provider writes 2,716 Medicare Part D claims per year.
What drugs does BRIAN MCDONALD, MD prescribe most often?
Based on 2023 Medicare Part D data, BRIAN MCDONALD, MD's most frequently prescribed drugs include Atorvastatin Calcium, Amlodipine Besylate, Lisinopril. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does BRIAN MCDONALD, MD accept Medicare?
BRIAN MCDONALD, MD appears in CMS Medicare data with 7,699 Part D claims and 670 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify BRIAN MCDONALD, MD's credentials?
BRIAN MCDONALD, MD's NPI is 1184668790 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