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2026 NPPES data Specialist NPI 1255471181 M.D.
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Jerome Magolan, M.D.

Specialist in Raleigh, North Carolina.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 69,567 in Specialist, 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
211
Medicare Part D claims · 56 beneficiaries · Specialist avg: 2K
Generic prescribing
41%
generic claims · 59% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
85.2/100
▲ 2 pts above national avg 83.5 · Above neutral
Industry payments
$1.1K
47 payments · CMS Open Payments (Sunshine Act)
Verify NPI on CMS Methodology
Compiled from official public sources by the editorial process.

What the federal data shows

Jerome Magolan, M.D. reported a CMS MIPS final score of 85.2/100 - above the 83.5 national average - and filed 211 Medicare Part D claims in 2024.

85.2/100
MIPS score · +2 vs avg
211
Part D claims, 2024
41%
generic prescribing
$1.1K
industry payments (Sunshine Act)

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 Jerome Magolan, M.D.

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 1255471181), first enumerated 02/08/2007.

    Source: CMS NPPES

  • Reported

    Medicare Part D participation

    Filed 211 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 85.2/100 in the Quality Payment Program — a federal quality measure, not a patient review.

    Source: CMS Quality Payment Program

  • Reported

    Industry payment transparency

    $1.1K in reported industry payments (47 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.

    Source: CMS Open Payments

  • 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 1255471181 · Specialist

NPI-10 · ENUM-MID · TAX-MEGA · MIPS-INLINE · RX-LIGHT · BOOK-LIGHT · PHOTO-FINISH

  • NPI-10 1255471181
  • ENUM-MID 2007
  • TAX-MEGA 70K Specialist
  • MIPS-INLINE 85.2/100
  • RX-LIGHT 211
  • BOOK-LIGHT 1,130 in North Carolina
  • PHOTO-FINISH Natalia Filipof · ±0.0

MIPS final-score neighbourhood

Same-specialty nationwide peers by CMS final score, not geographic proximity

MIPS pts

What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).

Source CMS Quality Payment Program (MIPS) As of 2023

Jerome Magolan, M.D.'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.

85 ≥ 46th percentile 46% of 454,083 measured providers are in lower value bands

0–10: 8,684 measured providers (2%). Below this entry. 10–20: 3,008 measured providers (1%). Below this entry. 20–30: 3,069 measured providers (1%). Below this entry. 30–40: 2,746 measured providers (1%). Below this entry. 40–50: 2,928 measured providers (1%). Below this entry. 50–60: 5,882 measured providers (1%). Below this entry. 60–70: 13,906 measured providers (3%). Below this entry. 70–80: 94,570 measured providers (21%). Below this entry. 80–90: 129,887 measured providers (29%). This entry sits in this band. 90+: 189,403 measured providers (42%). Above this entry. This provider 0 100 every measured MIPS clinician, bucketed by value

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 Jerome Magolan, M.D. sits

This provider among specialist peers

Across the 4,261 specialist providers who report both Medicare Part D prescribing and a MIPS quality score, Jerome Magolan, M.D. writes more Part D claims than 24% of them and scores higher on MIPS quality than 54% - placing this provider in the lower-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality0255075100024.148.372.496.6Part D claim volume, percentile in specialtyMIPS quality, percentilePoint, Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 37Point, Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 90Point, Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 25Point, Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 23Point, Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 82Point, Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 80Point, Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 63Point, Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 78Point, Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 57Point, Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 47Point, Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 68Point, Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 22Point, Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 52Point, Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 33Point, Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 70Point, Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 38Point, Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 50Point, Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 8Point, Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 20Point, Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 30Point, Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 67Point, Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 12Point, Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 17Point, Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 40Point, Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 13Point, Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 88Point, Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 43Point, Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 35Point, Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 75Point, Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 32Point, Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 42Point, Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 45Point, Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 55Point, Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 10Point, Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 83Point, Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 27Point, Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 58Point, Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 87Point, Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 72Point, Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 73Point, Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 48Point, Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 28Point, Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 15Point, Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 53Point, Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 65Point, Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 77Point, Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 60Point, Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 7Point, Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 18Point, Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 0Jerome Magolan, M.D., Part D claim volume, percentile in specialty: 24 · MIPS quality, percentile: 54
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one specialist peer from a representative sample of 60; the gold marker is Jerome Magolan, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

What does the federal data show about Jerome Magolan, M.D.?

High performer (top quartile)

NPI registry status

Active

Issued 02/08/2007

NPI 1255471181

Primary specialty

Specialist

High-volume

69,567 US NPIs in this specialty

Medicare Part D claims

211 86% vs specialty avg

2024 prescription claims

Specialty avg: 1,524

MIPS final score

85.2/100 1.7 pts vs avg

Above neutral band

vs 83.5 national avg

Specialty distribution in North Carolina

How Specialist compares to other specialties among North Carolina providers

North Carolina providers
Clinical Social Worker7.1%Behavior Technician6.8%Pharmacist4.9%Student in an Organized Heal…4.7%Physical Therapist4.2%Mental Health Counselor4.2%Specialist0.6%
Largest specialties in North Carolina (% of in-state providers)

Medicare quality performance, MIPS

Jerome Magolan, M.D.'s 2023 MIPS final score plotted against the Specialist national average

High performer (top quartile)
MIPS Final Score
85.2/100
vs 83.5 national avg · 2023 performance year
0%100%National avg84%85.2%
MIPS final score (Specialist) - 85.2/100 vs national avg 83.5
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

3320 EXECUTIVE DR
Raleigh, NC 27609
(919) 876-2427

Provider Details

NPI 1255471181
Specialty Specialist
Credentials M.D.
Gender Male
NPI Issued 02/08/2007

CMS Quality Score (MIPS)

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

85.2362
Final Score
Measured-score avg: 83.5
99.4016
Quality
51.585
Cost

Reporting: Group practice

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 Jerome Magolan, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$1.1K

Largest payer

BIOTISSUE HOLDINGS 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 · Brand-heavy

Jerome Magolan, M.D. - brand share 59.0%
Specialist average

59% brand-name claims vs 41% generic, on 211 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.

211
Total Claims
$35K
Total Drug Cost
56
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
345.8
Total Day Supply
9,717
Brand vs Generic
59% brand / 41% generic
Brand Drug Cost
$33K
Generic Drug Cost
$2K

Patient Demographics

Average Patient Age
76.9 years
Avg HCC Risk Score
1.69
Gender Split
52% female / 48% male

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.

What Jerome Magolan, M.D. prescribes most

Top Medicare Part D drugs by claim count, 2024

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2024
Drug Claims
Prednisolone Acetate
 49
Latanoprost
 42
Lumigan
Bimatoprost
34
Dorzolamide Hcl
 23
Timolol Maleate
 13

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

More Specialist in NC → All providers in North Carolina → Compare specialties →

Specialist Overview

How Jerome Magolan, M.D. fits within the Specialist landscape nationally.

69,567
Specialist Providers in US
55
States with Specialist
1,524
Avg Claims per Provider

Jerome Magolan, M.D.'s 211 claims are below the specialty average of 1,524.

Nationwide Specialist peers with similar MIPS or enrollment year

Two federal-record peer sets for Magolan, both outside North Carolina so the neighborhoods are not geographic containment.

Similar MIPS final score

Nearest same-specialty clinicians by CMS MIPS final score (85.2 here).

Omar Awad 85.2 MN Natalia Filipof 85.2 MI Lisa Manz Dulac 85.2 MI Richard Horbal 85.3 MI

Same NPPES enumeration year (2007)

Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.

Anne Sotelo Los Angeles, CA Celeste Riley Winchester, VA Seymour Fradin New York, NY Nina Ingham Nashville, TN

Nearby Specialist Providers in North Carolina

Other clinicians with the same primary specialty enrolled in North Carolina, drawn from the same CMS NPPES roster as Magolan.

One of 1,130 Specialist providers enrolled in North Carolina, 5 are shown here.

Bernadette Abadiano
PT
Winston Salem, NC
Kimberly Abraham
TRICHOLOGIST
Fayetteville, NC
Dr. Robert Abram
M.D.
Whittier, NC
Dr. Jeffrey Acree
MD
Shelby, NC
Donna Bryan Adair
COTA
Zebulon, NC

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

Frequently Asked Questions

What is Jerome Magolan, M.D.'s specialty? ▼
Jerome Magolan, M.D. specializes in Specialist and practices in Raleigh, North Carolina. Credentials: M.D..
How much does Jerome Magolan, M.D. prescribe under Medicare Part D? ▼
In 2024, Jerome Magolan, M.D. wrote 211 Medicare Part D claims totaling $35K in drug costs for 56 beneficiaries.
What is Jerome Magolan, M.D.'s Medicare quality score? ▼
Jerome Magolan, M.D. has a CMS MIPS Final Score of 85.2/100 (Quality: 99.4, Cost: 51.6). 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 Jerome Magolan, M.D. located? ▼
Jerome Magolan, M.D. is located at 3320 EXECUTIVE DR, Raleigh, NC, 27609. Phone: (919) 876-2427.
What is Jerome Magolan, M.D.'s NPI number? ▼
Jerome Magolan, M.D.'s National Provider Identifier (NPI) is 1255471181, issued on 02/08/2007.
Does Jerome Magolan, M.D. prescribe more brand-name or generic drugs? ▼
Jerome Magolan, M.D.'s prescribing is 59% brand-name and 41% generic drugs by claim count, with $33K in brand drug costs.
How many Specialist providers are there in the US? ▼
There are 69,567 Specialist providers across 55 states in the US. The average Specialist provider writes 1,524 Medicare Part D claims per year.
What drugs does Jerome Magolan, M.D. prescribe most often? ▼
Based on 2024 Medicare Part D data, Jerome Magolan, M.D.'s most frequently prescribed drugs include Prednisolone Acetate, Latanoprost, Lumigan. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Jerome Magolan, M.D. accept Medicare? ▼
Jerome Magolan, M.D. appears in CMS Medicare data with 211 Part D claims and 56 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Jerome Magolan, M.D.'s credentials? ▼
Jerome Magolan, M.D.'s NPI is 1255471181 with credentials M.D.. 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

Compiled from official public sources by the editorial process.

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.