2026 NPPES data Otology & Neurotology Physician NPI 1245492735 MD
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JACOB MCAFEE, MD

Otology & Neurotology Physician in PITTSBURGH, 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
529
Medicare Part D claims · 272 beneficiaries · Otology & Neurotology Physician avg: 401
Generic prescribing
91%
generic claims · 9% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
100/100
▲ 17 pts above national avg 83.1 · [object Object]
Industry payments
$258.67
5 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

JACOB MCAFEE, MD reported a CMS MIPS final score of 100/100 — above the 83.1 national average — and filed 529 Medicare Part D claims in 2023.

100/100
MIPS score · +17 vs avg
529
Part D claims, 2023
91%
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.

JACOB MCAFEE, MD's MIPS score vs every scored U.S. clinician

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

100 Top 7% higher than 93% 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)

JACOB MCAFEE, 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).

What does the federal data show about JACOB MCAFEE, MD?

High performer (top quartile)

NPI registry status

Active

Issued 06/26/2008

NPI 1245492735

Primary specialty

Otology & Neurotology Physician

Rare

333 US NPIs in this specialty

Medicare Part D claims

529 32% vs specialty avg

2023 prescription claims

Specialty avg: 401

MIPS final score

100/100 16.900000000000006% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Pennsylvania

How Otology & Neurotology Physician compares to other specialties among Pennsylvania providers

Pennsylvania providers

Otology & Neurotology Physician share within Pennsylvania

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

Medicare quality performance — MIPS

JACOB MCAFEE, MD's 2023 MIPS final score plotted against the Otology & Neurotology Physician national average

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

MIPS final score (Otology & Neurotology Physician) — 100/100 vs national avg 83.1

0%100%National avg83%99%
MIPS final score (Otology & Neurotology Physician) — 100/100 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).

JACOB MCAFEE, MD is a Otology & Neurotology Physician provider practicing in PITTSBURGH, Pennsylvania, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1245492735. 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.

JACOB MCAFEE, MD appears in the CMS NPPES registry as a Otology & Neurotology Physician provider holding MD credentials at 200 LOTHROP ST, PITTSBURGH, PA, 15213, with a listed phone of (412) 647-2115. NPI 1245492735 was issued on 06/26/2008. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what MCAFEE 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 529 prescription claims written by this provider, covering 272 Medicare beneficiaries and totaling roughly $22K in drug spend, split 9% brand-name and 91% generic by claim count, with an opioid prescribing rate of 3.8%. 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 100/100 for the 2023 performance year, compared with the national average of 83.1.

Otology & Neurotology Physician is a narrow specialty nationwide, with 333 enrolled providers across 46 states and an average of 401 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

200 LOTHROP ST
PITTSBURGH, PA 15213

Provider Details

NPI 1245492735
Specialty Otology & Neurotology Physician
Credentials MD
Gender Male
NPI Issued 06/26/2008

CMS Quality Score (MIPS)

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

100
Final Score
Avg: 83.1
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where JACOB MCAFEE, 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.

COASTAL EAR NOSE AND THROAT LLC
NEPTUNE, NJ

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

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for JACOB MCAFEE, MD. Source: openpaymentsdata.cms.gov.

Total received

$259

Largest payer

Optinose US, Inc.

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

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 JACOB MCAFEE, MD. To verify JACOB MCAFEE, 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 · Generic-heavy

JACOB MCAFEE, MD — brand share 9.0%
Specialty average (est.)

9% brand-name claims vs 91% generic, on 529 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.

529
Total Claims
$22K
Total Drug Cost
272
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
681
Total Day Supply
15,171
Brand vs Generic
9% brand / 91% generic
Brand Drug Cost
$8K
Generic Drug Cost
$14K
Opioid Claims
20 (3.8% rate)
Antibiotic Claims
29

Patient Demographics

Average Patient Age
73.5 years
Avg HCC Risk Score
1.23
Gender Split
60% female / 40% male
Age Distribution
<65: 34, 65-74: 110, 75-84: 91, 85+: 37

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Fluticasone Propionate
81
Ciprofloxacin-Dexamethasone
Ciprofloxacin Hcl/Dexameth
63
Mometasone Furoate
58
Ipratropium Bromide
47
Azelastine Hcl
43
Neomycin-Polymyxin-Hc
Neomycin/Polymyxin B/Hydrocort
33
Montelukast Sodium
31
Methylprednisolone
23
Mupirocin
20
Amoxicillin-Clavulanate Potass
Amoxicillin/Potassium Clav
18

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

Otology & Neurotology Physician Overview

How JACOB MCAFEE, MD fits within the Otology & Neurotology Physician landscape nationally.

333
Otology & Neurotology Physician Providers in US
46
States with Otology & Neurotology Physician
401
Avg Claims per Provider

JACOB MCAFEE, MD's 529 claims are above the specialty average of 401.

Nearby Otology & Neurotology Physician Providers in Pennsylvania

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

Compare Otology & Neurotology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is JACOB MCAFEE, MD's specialty?
JACOB MCAFEE, MD specializes in Otology & Neurotology Physician and practices in PITTSBURGH, Pennsylvania. Credentials: MD.
How much does JACOB MCAFEE, MD prescribe under Medicare Part D?
In 2023, JACOB MCAFEE, MD wrote 529 Medicare Part D claims totaling $22K in drug costs for 272 beneficiaries.
What is JACOB MCAFEE, MD's Medicare quality score?
JACOB MCAFEE, MD has a CMS MIPS Final Score of 100/100. The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is JACOB MCAFEE, MD located?
JACOB MCAFEE, MD is located at 200 LOTHROP ST, PITTSBURGH, PA, 15213. Phone: (412) 647-2115.
What is JACOB MCAFEE, MD's NPI number?
JACOB MCAFEE, MD's National Provider Identifier (NPI) is 1245492735, issued on 06/26/2008.
Does JACOB MCAFEE, MD prescribe more brand-name or generic drugs?
JACOB MCAFEE, MD's prescribing is 9% brand-name and 91% generic drugs by claim count, with $8K in brand drug costs.
Does JACOB MCAFEE, MD prescribe opioids?
Yes, JACOB MCAFEE, MD had 20 opioid claims in 2023 with an opioid prescribing rate of 3.8%.
How many Otology & Neurotology Physician providers are there in the US?
There are 333 Otology & Neurotology Physician providers across 46 states in the US. The average Otology & Neurotology Physician provider writes 401 Medicare Part D claims per year.
What drugs does JACOB MCAFEE, MD prescribe most often?
Based on 2023 Medicare Part D data, JACOB MCAFEE, MD's most frequently prescribed drugs include Fluticasone Propionate, Ciprofloxacin-Dexamethasone, Mometasone Furoate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JACOB MCAFEE, MD accept Medicare?
JACOB MCAFEE, MD appears in CMS Medicare data with 529 Part D claims and 272 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JACOB MCAFEE, MD's credentials?
JACOB MCAFEE, MD's NPI is 1245492735 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