NPI registry status
Active
2026 NPPES data Internal Medicine Physician NPI 1568758423 D.O.
Verify on CMS → Derek Golna, D.O.
Internal Medicine Physician in Mount Morris, Pennsylvania.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 174,792 in Internal Medicine 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
8K
Medicare Part D claims · 511 beneficiaries · Internal Medicine Physician avg: 3K
Generic prescribing
88%
generic claims · 12% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
94.1/100
▲ 11 pts above national avg 83.5 · Exceptional
Source: CMS Medicare Part D Prescriber Public Use File, 2024
What the federal data shows
Derek Golna, D.O. reported a CMS MIPS final score of 94.1/100 - above the 83.5 national average - and filed 7,540 Medicare Part D claims in 2024.
- 94.1/100
- MIPS score · +11 vs avg
- 8K
- Part D claims, 2024
- 88%
- 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.
Federal trust snapshot
What official records show about Derek Golna, D.O.
Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1568758423), first enumerated 06/20/2011.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 7,540 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- Reported
CMS quality reporting (MIPS)
Reported a CMS MIPS final score of 94.1/100 in the Quality Payment Program — a federal quality measure, not a patient review.
Source: CMS Quality Payment Program
- Reported
Board certification signal
Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.
- Reported
Hospital affiliations
2 CMS Care Compare hospital affiliations on record — practice footprint from the Doctors and Clinicians file.
Source: CMS Care Compare
- State context
State board disciplinary context
Pennsylvania statewide board action statistics are published annually — these figures describe aggregate state activity, not Derek Golna, D.O.'s individual license status. Verify directly with the state medical board.
Source: PA-BOM annual report 2023
- Not in federal data
Individual sanction lookup
PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.
Source: State medical board / FSMB
This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.
CMS NPPES provider registry desk
NPI 1568758423 · Internal Medicine Physician
NPI-10 · ENUM-MID · TAX-MEGA · MIPS-ELITE · RX-MID · BOOK-MID · PHOTO-FINISH
- NPI-10 1568758423
- ENUM-MID 2011
- TAX-MEGA 175K Internal Medicine
- MIPS-ELITE 94.1/100
- RX-MID 7,540
- BOOK-MID 8,636 in Pennsylvania
- PHOTO-FINISH Zeeshan Ahmad · ±0.0
MIPS final-score neighbourhood
Same-specialty nationwide peers by CMS final score, not geographic proximity
- Golna · this pro…
Golna · this provider
94.1 MIPS pts
- Peter Ang · high…
Peter Ang
94.1 MIPS pts
- Zeeshan Ahmad · …
Zeeshan Ahmad
94.1 MIPS pts
- Tahreem Ahmad · …
Tahreem Ahmad
94.1 MIPS pts
- Imad Ahmado · near
Imad Ahmado
94.1 MIPS pts
What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).
Derek Golna, D.O.'s MIPS score vs every measured U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.
94 ≥ 73rd percentile 73% of 454,083 measured providers are in lower value bands
Each bar is a band; taller bars hold more measured 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.
The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where Derek Golna, D.O. sits
This provider among internal medicine physician peers
Across the 34,612 internal medicine physician providers who report both Medicare Part D prescribing and a MIPS quality score, Derek Golna, D.O. writes more Part D claims than 88% of them and scores higher on MIPS quality than 75% - placing this provider in the high-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Each dot is one internal medicine physician peer from a representative sample of 60; the gold marker is Derek Golna, D.O.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Derek Golna, D.O. 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).
What does the federal data show about Derek Golna, D.O.?
High performer (top quartile)Primary specialty
Internal Medicine Physician
Medicare Part D claims
7,540 171% vs specialty avg
MIPS final score
94.1/100 10.6 pts vs avg
Specialty distribution in Pennsylvania
How Internal Medicine Physician compares to other specialties among Pennsylvania providers
Medicare quality performance, MIPS
Derek Golna, D.O.'s 2023 MIPS final score plotted against the Internal Medicine Physician national average
- MIPS Final Score
- 94.1/100
- vs 83.5 national avg · 2023 performance year
How MIPS and board certification work
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).
Practice Address
Provider Details
| NPI | 1568758423 |
|---|---|
| Specialty | Internal Medicine Physician |
| Credentials | D.O. |
| Gender | Male |
| NPI Issued | 06/20/2011 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
94.1061
Final Score
Measured-score avg: 83.5
78.4655
Quality
100
Promoting Interoperability
Reporting: Alternative Payment Model
Hospital and facility affiliations
Facilities where Derek Golna, D.O. 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.
Harrison Community Hospital Inc.
Cadiz, OH
Rehab-Bray LLC
Steubenville, 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 - 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 Derek Golna, D.O.. To verify Derek Golna, D.O.'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
Derek Golna, D.O. - brand share 12.0%
Internal Medicine Physician average
12% brand-name claims vs 88% generic, on 7,540 2024 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 2024.
7,540
Total Claims
$574K
Total Drug Cost
511
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 14,033.133
- Total Day Supply
- 392,680
- Brand vs Generic
- 12% brand / 88% generic
- Brand Drug Cost
- $472K
- Generic Drug Cost
- $100K
- Opioid Claims
- 549 (7.3% rate)
- Antibiotic Claims
- 250
Patient Demographics
- Average Patient Age
- 72.9 years
- Avg HCC Risk Score
- 1.29
- Gender Split
- 58% female / 42% male
- Age Distribution
- <65: 73, 65-74: 226, 75-84: 147, 85+: 65
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
What Derek Golna, D.O. prescribes most
Top Medicare Part D drugs by claim count, 2024
- Levothyroxine Sodium
Levothyroxine Sodium
240 claims
- Atorvastatin Calcium
Atorvastatin Calcium
227 claims
- Hydrocodone-Acetam…
Hydrocodone-Acetaminophen
217 claims
- Lisinopril
Lisinopril
211 claims
- Gabapentin
Gabapentin
200 claims
- Omeprazole
Omeprazole
172 claims
- Metformin Hcl
Metformin Hcl
160 claims
- Alprazolam
Alprazolam
159 claims
| Drug | Claims |
|---|---|
| Levothyroxine Sodium | 240 |
| Atorvastatin Calcium | 227 |
| Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen | 217 |
| Lisinopril | 211 |
| Gabapentin | 200 |
| Omeprazole | 172 |
| Metformin Hcl | 160 |
| Alprazolam | 159 |
| Amlodipine Besylate | 156 |
| Prednisone | 146 |
* 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 Derek Golna, D.O. fits within the Internal Medicine Physician landscape nationally.
174,792
Internal Medicine Physician Providers in US
56
States with Internal Medicine Physician
2,785
Avg Claims per Provider
Derek Golna, D.O.'s 7,540 claims are above the specialty average of 2,785.
Nationwide Internal Medicine Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Golna, both outside Pennsylvania so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (94.1 here).
Same NPPES enumeration year (2011)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
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 Golna.
One of 8,636 Internal Medicine Physician providers enrolled in Pennsylvania, 5 are shown here.
Dr. Erin Aakhus
M.D.
Philadelphia, PA
Dr. Muhammad Aamir
MD
Allentown, PA
Dr. Saira Aamir
MD
York, PA
Dr. John Aaron
MD
West Grove, PA
Dr. Todd Aaron
MD
Philadelphia, PA
Compare Internal Medicine Physician nationally: see state-by-state distribution →
Frequently Asked Questions
What is Derek Golna, D.O.'s specialty? ▼
Derek Golna, D.O. specializes in Internal Medicine Physician and practices in Mount Morris, Pennsylvania. Credentials: D.O..
How much does Derek Golna, D.O. prescribe under Medicare Part D? ▼
In 2024, Derek Golna, D.O. wrote 7,540 Medicare Part D claims totaling $574K in drug costs for 511 beneficiaries.
What is Derek Golna, D.O.'s Medicare quality score? ▼
Derek Golna, D.O. has a CMS MIPS Final Score of 94.1/100 (Quality: 78.5). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Derek Golna, D.O. located? ▼
Derek Golna, D.O. is located at 120 LOCUST AVE EXT, Mount Morris, PA, 15349. Phone: (724) 324-9001.
What is Derek Golna, D.O.'s NPI number? ▼
Derek Golna, D.O.'s National Provider Identifier (NPI) is 1568758423, issued on 06/20/2011.
Does Derek Golna, D.O. prescribe more brand-name or generic drugs? ▼
Derek Golna, D.O.'s prescribing is 12% brand-name and 88% generic drugs by claim count, with $472K in brand drug costs.
Does Derek Golna, D.O. prescribe opioids? ▼
Yes, Derek Golna, D.O. had 549 opioid claims in 2024 with an opioid prescribing rate of 7.3%.
How many Internal Medicine Physician providers are there in the US? ▼
There are 174,792 Internal Medicine Physician providers across 56 states in the US. The average Internal Medicine Physician provider writes 2,785 Medicare Part D claims per year.
What drugs does Derek Golna, D.O. prescribe most often? ▼
Based on 2024 Medicare Part D data, Derek Golna, D.O.'s most frequently prescribed drugs include Levothyroxine Sodium, Atorvastatin Calcium, Hydrocodone-Acetaminophen. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Derek Golna, D.O. accept Medicare? ▼
Derek Golna, D.O. appears in CMS Medicare data with 7,540 Part D claims and 511 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Derek Golna, D.O.'s credentials? ▼
Derek Golna, D.O.'s NPI is 1568758423 with credentials D.O.. 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
View source datasets and methodology notes
- 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 (2024). 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 August 2026 (NPPES) / 2024 (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
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of August 2026.