2026 NPPES data Family Medicine Physician NPI 1598727554 MD
Verify on CMS →

JOHN ALLEY, MD

Family Medicine Physician in MARCELLUS, New York. 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
5K
Medicare Part D claims · 313 beneficiaries · Family Medicine Physician avg: 3K
Generic prescribing
90%
generic claims · 10% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
96.0311/100
▲ 13 pts above national avg 83.1 · [object Object]
Industry payments
$1.3K
71 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: JOHN ALLEY, MD is a Family Medicine Physician ([object Object]) practicing in MARCELLUS, New York with a Medicare Part D prescribing footprint of 5K claims across 313 beneficiaries — 10% brand-name prescribing . Their CMS MIPS Final Score of 96.0311/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $1.3K across 71 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: JOHN ALLEY, MD reported a CMS MIPS final score of 96.0311 out of 100, above the 83.1 national average, and filed 5,471 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)

JOHN ALLEY, 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).

JOHN ALLEY, MD at a glance

High performer (top quartile)

NPI registry status

Active

Issued 04/05/2006

NPI 1598727554

Primary specialty

Family Medicine Physician

High-volume

147,640 US NPIs in this specialty

Medicare Part D claims

5,471 60% vs specialty avg

2023 prescription claims

Specialty avg: 3,418

MIPS final score

96.0311/100 12.9311% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in New York

How Family Medicine Physician compares to other specialties among New York providers

New York providers

Family Medicine Physician share within New York

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

Medicare quality performance — MIPS

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

High performer (top quartile)
MIPS Final Score
96.0311/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Family Medicine Physician) — 96.0311/100 vs national avg 83.1

0%100%National avg83%96%
MIPS final score (Family Medicine Physician) — 96.0311/100 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).

JOHN ALLEY, MD is a Family Medicine Physician provider practicing in MARCELLUS, New York, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1598727554. 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.

JOHN ALLEY, MD appears in the CMS NPPES registry as a Family Medicine Physician provider holding MD credentials at 28 1/2 E MAIN ST, MARCELLUS, NY, 13108, with a listed phone of (315) 673-9926. NPI 1598727554 was issued on 04/05/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what ALLEY 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 5,471 prescription claims written by this provider, covering 313 Medicare beneficiaries and totaling roughly $672K in drug spend, split 10% brand-name and 90% generic by claim count, with an opioid prescribing rate of 3.2%. 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 96.0311/100 for the 2023 performance year (Quality 100, Cost 88.437), 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

28 1/2 E MAIN ST
MARCELLUS, NY 13108

Provider Details

NPI 1598727554
Specialty Family Medicine Physician
Credentials MD
Gender Male
NPI Issued 04/05/2006

CMS Quality Score (MIPS)

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

96.0311
Final Score
Avg: 83.1
100
Quality
88.437
Cost
98
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where JOHN ALLEY, 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.

MARCELLUS FAMILY MEDICINE PLLC
MARCELLUS, NY
SELECT PT, OT AND SLP REHABILITATION NY, PLLC
HUDSON, NY

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 ALLEY, MD. Source: openpaymentsdata.cms.gov.

Total received

$1.3K

Largest payer

ABBVIE 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 — New York NYSBPMC 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 ~100K New York medical licensees in 2023 — they are NOT specific to JOHN ALLEY, MD. To verify JOHN ALLEY, MD's current license status, search the NYSBPMC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

312
Total board actions, New York 2023
Across 302 cases
3.12
Actions per 1,000 licensees
New York statewide rate
probation
Most common action type
89 cases

NYSBPMC 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 New York disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

JOHN ALLEY, MD — brand share 10.0%
Specialty average (est.)

10% brand-name claims vs 90% generic, on 5,471 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.

5,471
Total Claims
$672K
Total Drug Cost
313
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
10,497
Total Day Supply
302,675
Brand vs Generic
10% brand / 90% generic
Brand Drug Cost
$534K
Generic Drug Cost
$135K
Opioid Claims
175 (3.2% rate)
Antibiotic Claims
153

Patient Demographics

Average Patient Age
71.7 years
Avg HCC Risk Score
1.00
Gender Split
50% female / 50% male
Age Distribution
<65: 45, 65-74: 162, 75-84: 74, 85+: 32

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Rosuvastatin Calcium
277
Montelukast Sodium
248
Levothyroxine Sodium
220
Amlodipine Besylate
213
Prednisone
174
Gabapentin
170
Atorvastatin Calcium
120
Escitalopram Oxalate
117
Albuterol Sulfate Hfa
Albuterol Sulfate
106
Lisinopril
96

* 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 JOHN ALLEY, 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

JOHN ALLEY, MD's 5,471 claims are above the specialty average of 3,418.

Nearby Family Medicine Physician Providers in New York

Other clinicians with the same primary specialty enrolled in New York, drawn from the same CMS NPPES roster as ALLEY.

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

Frequently Asked Questions

What is JOHN ALLEY, MD's specialty?
JOHN ALLEY, MD specializes in Family Medicine Physician and practices in MARCELLUS, New York. Credentials: MD.
How much does JOHN ALLEY, MD prescribe under Medicare Part D?
In 2023, JOHN ALLEY, MD wrote 5,471 Medicare Part D claims totaling $672K in drug costs for 313 beneficiaries.
What is JOHN ALLEY, MD's Medicare quality score?
JOHN ALLEY, MD has a CMS MIPS Final Score of 96.0311/100 (Quality: 100, Cost: 88.437). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is JOHN ALLEY, MD located?
JOHN ALLEY, MD is located at 28 1/2 E MAIN ST, MARCELLUS, NY, 13108. Phone: (315) 673-9926.
What is JOHN ALLEY, MD's NPI number?
JOHN ALLEY, MD's National Provider Identifier (NPI) is 1598727554, issued on 04/05/2006.
Does JOHN ALLEY, MD prescribe more brand-name or generic drugs?
JOHN ALLEY, MD's prescribing is 10% brand-name and 90% generic drugs by claim count, with $534K in brand drug costs.
Does JOHN ALLEY, MD prescribe opioids?
Yes, JOHN ALLEY, MD had 175 opioid claims in 2023 with an opioid prescribing rate of 3.2%.
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 JOHN ALLEY, MD prescribe most often?
Based on 2023 Medicare Part D data, JOHN ALLEY, MD's most frequently prescribed drugs include Rosuvastatin Calcium, Montelukast Sodium, Levothyroxine Sodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JOHN ALLEY, MD accept Medicare?
JOHN ALLEY, MD appears in CMS Medicare data with 5,471 Part D claims and 313 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JOHN ALLEY, MD's credentials?
JOHN ALLEY, MD's NPI is 1598727554 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