2026 NPPES data Specialist NPI 1265491849 MD
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DONALD JOHNSON, MD

Specialist in CEDAR RAPIDS, Iowa. 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
202
Medicare Part D claims · 87 beneficiaries · Specialist avg: 1K
Generic prescribing
87%
generic claims · 13% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
99.4278/100
▲ 16 pts above national avg 83.1 · [object Object]
What the federal data reveals: DONALD JOHNSON, MD is a Specialist ([object Object]) practicing in CEDAR RAPIDS, Iowa with a Medicare Part D prescribing footprint of 202 claims across 87 beneficiaries — 13% brand-name prescribing . Their CMS MIPS Final Score of 99.4278/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities .

What stands out: DONALD JOHNSON, MD reported a CMS MIPS final score of 99.4278 out of 100, above the 83.1 national average, and filed 202 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

DONALD JOHNSON, MD at a glance

High performer (top quartile)

NPI registry status

Active

Issued 03/21/2006

NPI 1265491849

Primary specialty

Specialist

High-volume

69,658 US NPIs in this specialty

Medicare Part D claims

202 86% vs specialty avg

2023 prescription claims

Specialty avg: 1,474

MIPS final score

99.4278/100 16.32780000000001% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Iowa

How Specialist compares to other specialties among Iowa providers

Iowa providers

Specialist share within Iowa

1. Specialist42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Specialist share within Iowa

Medicare quality performance — MIPS

DONALD JOHNSON, MD's 2023 MIPS final score plotted against the Specialist national average

High performer (top quartile)
MIPS Final Score
99.4278/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Specialist) — 99.4278/100 vs national avg 83.1

0%100%National avg83%99%
MIPS final score (Specialist) — 99.4278/100 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).

DONALD JOHNSON, MD is a Specialist provider practicing in CEDAR RAPIDS, Iowa, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1265491849. 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.

DONALD JOHNSON, MD appears in the CMS NPPES registry as a Specialist provider holding MD credentials at 1815 1ST AVE SE, CEDAR RAPIDS, IA, 52402, with a listed phone of (319) 363-0474. NPI 1265491849 was issued on 03/21/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what JOHNSON 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 202 prescription claims written by this provider, covering 87 Medicare beneficiaries and totaling roughly $138K in drug spend, split 13% brand-name and 87% 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 99.4278/100 for the 2023 performance year (Quality 100, Cost 99.7592), compared with the national average of 83.1.

Specialist is a high-volume specialty nationwide, with 69,658 enrolled providers across 55 states and an average of 1,474 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

1815 1ST AVE SE
CEDAR RAPIDS, IA 52402

Provider Details

NPI 1265491849
Specialty Specialist
Credentials MD
Gender Male
NPI Issued 03/21/2006

CMS Quality Score (MIPS)

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

99.4278
Final Score
Avg: 83.1
100
Quality
99.7592
Cost
98
Promoting Interoperability

Reporting: Group practice

Brand vs generic prescribing mix · Typical

DONALD JOHNSON, MD — brand share 13.0%
Specialty average (est.)

13% brand-name claims vs 87% generic, on 202 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.

202
Total Claims
$138K
Total Drug Cost
87
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
232
Total Day Supply
6,446
Brand vs Generic
13% brand / 87% generic
Brand Drug Cost
$134K
Generic Drug Cost
$4K
Antibiotic Claims
11

Patient Demographics

Average Patient Age
73.9 years
Avg HCC Risk Score
1.09
Gender Split
64% female / 36% male

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Triamcinolone Acetonide
76
Clobetasol Propionate
13
Hydrocortisone
11
Otezla
Apremilast
11
Taltz Autoinjector
Ixekizumab
11

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

Specialist Overview

How DONALD JOHNSON, MD fits within the Specialist landscape nationally.

69,658
Specialist Providers in US
55
States with Specialist
1,474
Avg Claims per Provider

DONALD JOHNSON, MD's 202 claims are below the specialty average of 1,474.

Nearby Specialist Providers in Iowa

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

Compare Specialist nationally: see state-by-state distribution →

Frequently Asked Questions

What is DONALD JOHNSON, MD's specialty?
DONALD JOHNSON, MD specializes in Specialist and practices in CEDAR RAPIDS, Iowa. Credentials: MD.
How much does DONALD JOHNSON, MD prescribe under Medicare Part D?
In 2023, DONALD JOHNSON, MD wrote 202 Medicare Part D claims totaling $138K in drug costs for 87 beneficiaries.
What is DONALD JOHNSON, MD's Medicare quality score?
DONALD JOHNSON, MD has a CMS MIPS Final Score of 99.4278/100 (Quality: 100, Cost: 99.7592). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is DONALD JOHNSON, MD located?
DONALD JOHNSON, MD is located at 1815 1ST AVE SE, CEDAR RAPIDS, IA, 52402. Phone: (319) 363-0474.
What is DONALD JOHNSON, MD's NPI number?
DONALD JOHNSON, MD's National Provider Identifier (NPI) is 1265491849, issued on 03/21/2006.
Does DONALD JOHNSON, MD prescribe more brand-name or generic drugs?
DONALD JOHNSON, MD's prescribing is 13% brand-name and 87% generic drugs by claim count, with $134K in brand drug costs.
How many Specialist providers are there in the US?
There are 69,658 Specialist providers across 55 states in the US. The average Specialist provider writes 1,474 Medicare Part D claims per year.
What drugs does DONALD JOHNSON, MD prescribe most often?
Based on 2023 Medicare Part D data, DONALD JOHNSON, MD's most frequently prescribed drugs include Triamcinolone Acetonide, Clobetasol Propionate, Hydrocortisone. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does DONALD JOHNSON, MD accept Medicare?
DONALD JOHNSON, MD appears in CMS Medicare data with 202 Part D claims and 87 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify DONALD JOHNSON, MD's credentials?
DONALD JOHNSON, MD's NPI is 1265491849 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