2026 NPPES data Family Medicine Physician NPI 1235195041 MD
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JAY ALLISON, MD

Family Medicine Physician in SIOUX FALLS, South Dakota. 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
11K
Medicare Part D claims · 509 beneficiaries · Family Medicine Physician avg: 3K
Generic prescribing
88%
generic claims · 12% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
94.0008/100
▲ 11 pts above national avg 83.1 · [object Object]
Industry payments
$67.56
4 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: JAY ALLISON, MD is a Family Medicine Physician ([object Object]) practicing in SIOUX FALLS, South Dakota with a Medicare Part D prescribing footprint of 11K claims across 509 beneficiaries — 12% brand-name prescribing . Their CMS MIPS Final Score of 94.0008/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $67.56 across 4 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: JAY ALLISON, MD reported a CMS MIPS final score of 94.0008 out of 100, above the 83.1 national average, and filed 10,687 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)

JAY ALLISON, MD 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).

JAY ALLISON, MD at a glance

High performer (top quartile)

NPI registry status

Active

Issued 04/21/2006

NPI 1235195041

Primary specialty

Family Medicine Physician

High-volume

147,640 US NPIs in this specialty

Medicare Part D claims

10,687 213% vs specialty avg

2023 prescription claims

Specialty avg: 3,418

MIPS final score

94.0008/100 10.900800000000004% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in South Dakota

How Family Medicine Physician compares to other specialties among South Dakota providers

South Dakota providers

Family Medicine Physician share within South Dakota

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

Medicare quality performance — MIPS

JAY ALLISON, MD's 2023 MIPS final score plotted against the Family Medicine Physician national average

High performer (top quartile)
MIPS Final Score
94.0008/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Family Medicine Physician) — 94.0008/100 vs national avg 83.1

0%100%National avg83%94%
MIPS final score (Family Medicine Physician) — 94.0008/100 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).

JAY ALLISON, MD is a Family Medicine Physician provider practicing in SIOUX FALLS, South Dakota, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1235195041. 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.

JAY ALLISON, MD appears in the CMS NPPES registry as a Family Medicine Physician provider holding MD credentials at 1115 E 20TH ST, SIOUX FALLS, SD, 57105, with a listed phone of (605) 339-1783. NPI 1235195041 was issued on 04/21/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what ALLISON 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 10,687 prescription claims written by this provider, covering 509 Medicare beneficiaries and totaling roughly $790K in drug spend, split 12% brand-name and 88% generic by claim count, with an opioid prescribing rate of 2.4%. 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 94.0008/100 for the 2023 performance year (Quality 84.7985), compared with the national average of 83.1.

Family Medicine Physician is a high-volume specialty nationwide, with 147,640 enrolled providers across 56 states and an average of 3,418 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

1115 E 20TH ST
SIOUX FALLS, SD 57105

Provider Details

NPI 1235195041
Specialty Family Medicine Physician
Credentials MD
Gender Male
NPI Issued 04/21/2006

CMS Quality Score (MIPS)

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

94.0008
Final Score
Avg: 83.1
84.7985
Quality
98.2244
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where JAY ALLISON, 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.

FREEMAN REGIONAL HEALTH SERVICES
FREEMAN, SD
ROCK COUNTY HOSPITAL
BASSETT, NE
Critical Access Hospitals
CMS CCN: 281333

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 JAY ALLISON, MD. Source: openpaymentsdata.cms.gov.

Total received

$68

Largest payer

Medtronic, 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.

Brand vs generic prescribing mix · Typical

JAY ALLISON, MD — brand share 12.0%
Specialty average (est.)

12% brand-name claims vs 88% generic, on 10,687 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.

10,687
Total Claims
$790K
Total Drug Cost
509
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
14,949
Total Day Supply
425,408
Brand vs Generic
12% brand / 88% generic
Brand Drug Cost
$630K
Generic Drug Cost
$156K
Opioid Claims
254 (2.4% rate)
Antibiotic Claims
135

Patient Demographics

Average Patient Age
78.7 years
Avg HCC Risk Score
1.21
Gender Split
58% female / 42% male
Age Distribution
<65: 25, 65-74: 172, 75-84: 150, 85+: 162

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Furosemide
489
Levothyroxine Sodium
476
Potassium Chloride
448
Atorvastatin Calcium
306
Rosuvastatin Calcium
299
Amlodipine Besylate
297
Omeprazole
286
Pantoprazole Sodium
268
Tamsulosin Hcl
260
Metoprolol Succinate
252

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

Family Medicine Physician Overview

How JAY ALLISON, MD fits within the Family Medicine Physician landscape nationally.

147,640
Family Medicine Physician Providers in US
56
States with Family Medicine Physician
3,418
Avg Claims per Provider

JAY ALLISON, MD's 10,687 claims are above the specialty average of 3,418.

Nearby Family Medicine Physician Providers in South Dakota

Other clinicians with the same primary specialty enrolled in South Dakota, drawn from the same CMS NPPES roster as ALLISON.

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

Frequently Asked Questions

What is JAY ALLISON, MD's specialty?
JAY ALLISON, MD specializes in Family Medicine Physician and practices in SIOUX FALLS, South Dakota. Credentials: MD.
How much does JAY ALLISON, MD prescribe under Medicare Part D?
In 2023, JAY ALLISON, MD wrote 10,687 Medicare Part D claims totaling $790K in drug costs for 509 beneficiaries.
What is JAY ALLISON, MD's Medicare quality score?
JAY ALLISON, MD has a CMS MIPS Final Score of 94.0008/100 (Quality: 84.7985). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is JAY ALLISON, MD located?
JAY ALLISON, MD is located at 1115 E 20TH ST, SIOUX FALLS, SD, 57105. Phone: (605) 339-1783.
What is JAY ALLISON, MD's NPI number?
JAY ALLISON, MD's National Provider Identifier (NPI) is 1235195041, issued on 04/21/2006.
Does JAY ALLISON, MD prescribe more brand-name or generic drugs?
JAY ALLISON, MD's prescribing is 12% brand-name and 88% generic drugs by claim count, with $630K in brand drug costs.
Does JAY ALLISON, MD prescribe opioids?
Yes, JAY ALLISON, MD had 254 opioid claims in 2023 with an opioid prescribing rate of 2.4%.
How many Family Medicine Physician providers are there in the US?
There are 147,640 Family Medicine Physician providers across 56 states in the US. The average Family Medicine Physician provider writes 3,418 Medicare Part D claims per year.
What drugs does JAY ALLISON, MD prescribe most often?
Based on 2023 Medicare Part D data, JAY ALLISON, MD's most frequently prescribed drugs include Furosemide, Levothyroxine Sodium, Potassium Chloride. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JAY ALLISON, MD accept Medicare?
JAY ALLISON, MD appears in CMS Medicare data with 10,687 Part D claims and 509 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JAY ALLISON, MD's credentials?
JAY ALLISON, MD's NPI is 1235195041 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