NPI registry status
Active
2026 NPPES data Rheumatology Physician NPI 1861428070 MD
Verify on CMS → John Albert, MD
Rheumatology Physician in Glendale, Wisconsin.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 6,377 in Rheumatology 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
2K
Medicare Part D claims · 493 beneficiaries · Rheumatology Physician avg: 2K
MIPS score
75/100
CMS neutral threshold · no category scores published
Industry payments
$94.2K
238 payments · CMS Open Payments (Sunshine Act)
What the federal data shows
John Albert, MD carries the neutral CMS MIPS final score of 75/100, assigned where no category was scored - and filed 2,429 Medicare Part D claims in 2024.
- 75/100
- CMS neutral score · not measured
- 2K
- Part D claims, 2024
- Likely
- board-certified (heuristic)
- ≥86th
- pct by Part D claim volume (lower-bound band)
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 John Albert, MD
Federal records show an active NPI with Medicare Part D prescribing activity — verifiable registry data, not a proprietary rating.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1861428070), first enumerated 06/23/2006.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 2,429 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)
CMS assigned a neutral MIPS final score of 75/100 where no performance category was scored — not a measured quality rank.
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
1 CMS Care Compare hospital affiliation on record — practice footprint from the Doctors and Clinicians file.
Source: CMS Care Compare
- Reported
Industry payment transparency
$94.2K in reported industry payments (238 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 1861428070 · Rheumatology Physician
NPI-10 · ENUM-LEGACY · TAX-MID · MIPS-NEUTRAL · RX-MID · BOOK-THIN · PHOTO-ENUM
- NPI-10 1861428070
- ENUM-LEGACY 2006
- TAX-MID 6K Rheumatology Physician
- MIPS-NEUTRAL 75/100
- RX-MID 2,429
- BOOK-THIN 118 in Wisconsin
- PHOTO-ENUM Geetha Komatireddy · 2006
John Albert, MD's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2024, across all CMS prescribers nationally
2,429 ≥ 86th percentile 86% of 1,416,883 prescribers are in lower value bands
Each bar is a band; taller bars hold more prescribers. 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 100-claim band: it counts only prescribers in lower claim-volume bands. Medicare Part D claim volume is activity context, not a quality measure or recommendation. See methodology § corpus placement.
Source CMS Medicare Part D Prescriber Public Use File · 2024
✓
Board certification likely (heuristic, not verified)
John Albert, 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 John Albert, MD?
CMS neutral score, not measuredPrimary specialty
Rheumatology Physician
Medicare Part D claims
2,429 18% vs specialty avg
MIPS final score
75/100
Specialty distribution in Wisconsin
How Rheumatology Physician compares to other specialties among Wisconsin providers
MIPS score not measured
CMS assigned a neutral 75/100 threshold
CMS did not publish any Quality, Cost, Promoting Interoperability, or Improvement Activities category score for this clinician. This administrative threshold is not comparable with the national average of clinicians whose MIPS score was measured.
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 | 1861428070 |
|---|---|
| Specialty | Rheumatology Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 06/23/2006 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
75
Final Score
CMS neutral threshold · not measured
Reporting: Group practice
Hospital and facility affiliations
Facilities where John Albert, 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.
Rheumatic Disease Center
Glendale, WI
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 John Albert, MD. Source: openpaymentsdata.cms.gov.
Total received
$94.2K
Largest payer
Amgen 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.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2024.
2,429
Total Claims
$3.4M
Total Drug Cost
493
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 4,648.133
- Total Day Supply
- 135,881
- Generic Drug Cost
- $52K
- Opioid Claims
- 191 (7.9% rate)
- Antibiotic Claims
- 13
Patient Demographics
- Average Patient Age
- 71.6 years
- Avg HCC Risk Score
- 1.50
- Gender Split
- 62% female / 38% male
- Age Distribution
- <65: 67, 65-74: 254, 75-84: 137, 85+: 35
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
What John Albert, MD prescribes most
Top Medicare Part D drugs by claim count, 2024
- Prednisone
Prednisone
460 claims
- Methotrexate
Methotrexate
350 claims
- Allopurinol
Allopurinol
314 claims
- Hydroxychloroquine…
Hydroxychloroquine Sulfate
243 claims
- Humira(Cf) Pen 104
Humira(Cf) Pen
104 claims
- Folic Acid 81
Folic Acid
81 claims
- Hydrocodone-Acetam… 80
Hydrocodone-Acetaminophen
80 claims
- Febuxostat 77
Febuxostat
77 claims
| Drug | Claims |
|---|---|
| Prednisone | 460 |
| Methotrexate Methotrexate Sodium | 350 |
| Allopurinol | 314 |
| Hydroxychloroquine Sulfate | 243 |
| Humira(Cf) Pen Adalimumab | 104 |
| Folic Acid | 81 |
| Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen | 80 |
| Febuxostat | 77 |
| Rinvoq Upadacitinib | 61 |
| Tramadol Hcl | 57 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Rheumatology Physician Overview
How John Albert, MD fits within the Rheumatology Physician landscape nationally.
6,377
Rheumatology Physician Providers in US
52
States with Rheumatology Physician
2,058
Avg Claims per Provider
John Albert, MD's 2,429 claims are above the specialty average of 2,058.
Nationwide Rheumatology Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Albert, both outside Wisconsin so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (75 here).
Same NPPES enumeration year (2006)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Rheumatology Physician Providers in Wisconsin
Other clinicians with the same primary specialty enrolled in Wisconsin, drawn from the same CMS NPPES roster as Albert.
One of 118 Rheumatology Physician providers enrolled in Wisconsin, 5 are shown here.
Dr. Safiyya Abdulkadir
MD
Madison, WI
Dr. Gina Adel
MD
Eau Claire, WI
Dr. Suraiya Afroz
D.O.
Manitowoc, WI
Dr. Isabelle Amigues
MD
Green Bay, WI
Dr. Jon Arnason
MD
Madison, WI
Compare Rheumatology Physician nationally: see state-by-state distribution →
Frequently Asked Questions
What is John Albert, MD's specialty? ▼
John Albert, MD specializes in Rheumatology Physician and practices in Glendale, Wisconsin. Credentials: MD.
How much does John Albert, MD prescribe under Medicare Part D? ▼
In 2024, John Albert, MD wrote 2,429 Medicare Part D claims totaling $3.4M in drug costs for 493 beneficiaries.
What is John Albert, MD's Medicare quality score? ▼
John Albert, MD has a CMS MIPS Final Score of 75/100. CMS published no Quality, Promoting Interoperability, Improvement Activity or Cost score for this clinician, so the final score is the neutral performance threshold CMS assigns rather than a measured result. 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 John Albert, MD located? ▼
John Albert, MD is located at 7080 N PORT WASHINGTON RD, Glendale, WI, 53217. Phone: (414) 351-4009.
What is John Albert, MD's NPI number? ▼
John Albert, MD's National Provider Identifier (NPI) is 1861428070, issued on 06/23/2006.
Does John Albert, MD prescribe opioids? ▼
Yes, John Albert, MD had 191 opioid claims in 2024 with an opioid prescribing rate of 7.9%.
How many Rheumatology Physician providers are there in the US? ▼
There are 6,377 Rheumatology Physician providers across 52 states in the US. The average Rheumatology Physician provider writes 2,058 Medicare Part D claims per year.
What drugs does John Albert, MD prescribe most often? ▼
Based on 2024 Medicare Part D data, John Albert, MD's most frequently prescribed drugs include Prednisone, Methotrexate, Allopurinol. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does John Albert, MD accept Medicare? ▼
John Albert, MD appears in CMS Medicare data with 2,429 Part D claims and 493 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify John Albert, MD's credentials? ▼
John Albert, MD's NPI is 1861428070 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
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.