2026 NPPES data Cardiovascular Disease Physician NPI 1164468229 MD
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DAVID CALHOUN, MD

Cardiovascular Disease Physician in CHARLOTTESVILLE, Virginia. 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
71
Medicare Part D claims · 12 beneficiaries · Cardiovascular Disease Physician avg: 3K
MIPS score
95.1126/100
▲ 12 pts above national avg 83.1 · [object Object]
What the federal data reveals: DAVID CALHOUN, MD is a Cardiovascular Disease Physician ([object Object]) practicing in CHARLOTTESVILLE, Virginia with a Medicare Part D prescribing footprint of 71 claims across 12 beneficiaries . Their CMS MIPS Final Score of 95.1126/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities .

What stands out: DAVID CALHOUN, MD reported a CMS MIPS final score of 95.1126 out of 100, above the 83.1 national average, and filed 71 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)

DAVID CALHOUN, MD 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).

DAVID CALHOUN, MD at a glance

High performer (top quartile)

NPI registry status

Active

Issued 06/20/2006

NPI 1164468229

Primary specialty

Cardiovascular Disease Physician

Mid-sized

24,795 US NPIs in this specialty

Medicare Part D claims

71 98% vs specialty avg

2023 prescription claims

Specialty avg: 3,033

MIPS final score

95.1126/100 12.012600000000006% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Virginia

How Cardiovascular Disease Physician compares to other specialties among Virginia providers

Virginia providers

Cardiovascular Disease Physician share within Virginia

1. Cardiovascular Disease Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Cardiovascular Disease Physician share within Virginia

Medicare quality performance — MIPS

DAVID CALHOUN, MD's 2023 MIPS final score plotted against the Cardiovascular Disease Physician national average

High performer (top quartile)
MIPS Final Score
95.1126/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Cardiovascular Disease Physician) — 95.1126/100 vs national avg 83.1

0%100%National avg83%95.1%
MIPS final score (Cardiovascular Disease Physician) — 95.1126/100 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).

DAVID CALHOUN, MD is a Cardiovascular Disease Physician provider practicing in CHARLOTTESVILLE, Virginia, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1164468229. 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.

DAVID CALHOUN, MD appears in the CMS NPPES registry as a Cardiovascular Disease Physician provider holding MD credentials at 500 MARTHA JEFFERSON DR FL 5, CHARLOTTESVILLE, VA, 22911, with a listed phone of (434) 654-5260. NPI 1164468229 was issued on 06/20/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what CALHOUN 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 71 prescription claims written by this provider, covering 12 Medicare beneficiaries and totaling roughly $1K in drug spend. 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 95.1126/100 for the 2023 performance year (Quality 86.3184), compared with the national average of 83.1.

Cardiovascular Disease Physician is a mid-sized specialty nationwide, with 24,795 enrolled providers across 54 states and an average of 3,033 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

500 MARTHA JEFFERSON DR FL 5
CHARLOTTESVILLE, VA 22911

Provider Details

NPI 1164468229
Specialty Cardiovascular Disease Physician
Credentials MD
Gender Male
NPI Issued 06/20/2006

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 DAVID CALHOUN, 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.

MARTHA JEFFERSON MEDICAL GROUP LLC
CHARLOTTESVILLE, 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.

71
Total Claims
$1K
Total Drug Cost
12
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
89
Total Day Supply
2,635
Brand Drug Cost
$0
Generic Drug Cost
$1K

Patient Demographics

Average Patient Age
70.2 years
Avg HCC Risk Score
0.88

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Gabapentin
46

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

Cardiovascular Disease Physician Overview

How DAVID CALHOUN, MD fits within the Cardiovascular Disease Physician landscape nationally.

24,795
Cardiovascular Disease Physician Providers in US
54
States with Cardiovascular Disease Physician
3,033
Avg Claims per Provider

DAVID CALHOUN, MD's 71 claims are below the specialty average of 3,033.

Nearby Cardiovascular Disease Physician Providers in Virginia

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

Compare Cardiovascular Disease Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is DAVID CALHOUN, MD's specialty?
DAVID CALHOUN, MD specializes in Cardiovascular Disease Physician and practices in CHARLOTTESVILLE, Virginia. Credentials: MD.
How much does DAVID CALHOUN, MD prescribe under Medicare Part D?
In 2023, DAVID CALHOUN, MD wrote 71 Medicare Part D claims totaling $1K in drug costs for 12 beneficiaries.
What is DAVID CALHOUN, MD's Medicare quality score?
DAVID CALHOUN, MD has a CMS MIPS Final Score of 95.1126/100 (Quality: 86.3184). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is DAVID CALHOUN, MD located?
DAVID CALHOUN, MD is located at 500 MARTHA JEFFERSON DR FL 5, CHARLOTTESVILLE, VA, 22911. Phone: (434) 654-5260.
What is DAVID CALHOUN, MD's NPI number?
DAVID CALHOUN, MD's National Provider Identifier (NPI) is 1164468229, issued on 06/20/2006.
How many Cardiovascular Disease Physician providers are there in the US?
There are 24,795 Cardiovascular Disease Physician providers across 54 states in the US. The average Cardiovascular Disease Physician provider writes 3,033 Medicare Part D claims per year.
What drugs does DAVID CALHOUN, MD prescribe most often?
Based on 2023 Medicare Part D data, DAVID CALHOUN, MD's most frequently prescribed drugs include Gabapentin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does DAVID CALHOUN, MD accept Medicare?
DAVID CALHOUN, MD appears in CMS Medicare data with 71 Part D claims and 12 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify DAVID CALHOUN, MD's credentials?
DAVID CALHOUN, MD's NPI is 1164468229 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