2026 NPPES data Pain Medicine Physician NPI 1043292188 MD
Verify on CMS →

JOHN ARBUCKLE, MD

Pain Medicine Physician in CARMEL, Indiana. 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
521
Medicare Part D claims · 249 beneficiaries · Pain Medicine Physician avg: 2K
MIPS score
0/100
▼ 83 pts below national avg 83.1 · [object Object]
Industry payments
$170.26
3 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: JOHN ARBUCKLE, MD is a Pain Medicine Physician ([object Object]) practicing in CARMEL, Indiana with a Medicare Part D prescribing footprint of 521 claims across 249 beneficiaries . Their CMS MIPS Final Score of 0/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $170.26 across 3 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: JOHN ARBUCKLE, MD reported a CMS MIPS final score of 0 out of 100, below the 83.1 national average, and filed 521 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 ARBUCKLE, 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).

JOHN ARBUCKLE, MD at a glance

Below national average

NPI registry status

Active

Issued 11/15/2005

NPI 1043292188

Primary specialty

Pain Medicine Physician

Niche

951 US NPIs in this specialty

Medicare Part D claims

521 75% vs specialty avg

2023 prescription claims

Specialty avg: 2,078

MIPS final score

0/100 83.1% pts

Penalty band band

vs 83.1 national avg

Specialty distribution in Indiana

How Pain Medicine Physician compares to other specialties among Indiana providers

Indiana providers

Pain Medicine Physician share within Indiana

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

Medicare quality performance — MIPS

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

Below national average
MIPS Final Score
0/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Pain Medicine Physician) — 0/100 vs national avg 83.1

0%100%National avg83%0%
MIPS final score (Pain Medicine Physician) — 0/100 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 ARBUCKLE, MD is a Pain Medicine Physician provider practicing in CARMEL, Indiana, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1043292188. 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 ARBUCKLE, MD appears in the CMS NPPES registry as a Pain Medicine Physician provider holding MD credentials at 13225 N MERIDIAN ST, CARMEL, IN, 46032, with a listed phone of (317) 228-7000. NPI 1043292188 was issued on 11/15/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what ARBUCKLE 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 521 prescription claims written by this provider, covering 249 Medicare beneficiaries and totaling roughly $6K in drug spend, with an opioid prescribing rate of 35.9%. 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 0/100 for the 2023 performance year (Quality 0), compared with the national average of 83.1.

Pain Medicine Physician is a narrow specialty nationwide, with 951 enrolled providers across 49 states and an average of 2,078 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

13225 N MERIDIAN ST
CARMEL, IN 46032

Provider Details

NPI 1043292188
Specialty Pain Medicine Physician
Credentials MD
Gender Male
NPI Issued 11/15/2005

CMS Quality Score (MIPS)

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

0
Final Score
Avg: 83.1
0
Quality
0
Promoting Interoperability

Reporting: Individual

Hospital and facility affiliations

Facilities where JOHN ARBUCKLE, 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.

INDIANA SPINE GROUP, PC
CARMEL, IN

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

Total received

$170

Largest payer

Boston Scientific Corporation

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 2023.

521
Total Claims
$6K
Total Drug Cost
249
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
732
Total Day Supply
14,417
Generic Drug Cost
$6K
Opioid Claims
187 (35.9% rate)

Patient Demographics

Average Patient Age
75.7 years
Avg HCC Risk Score
1.38
Gender Split
62% female / 38% male
Age Distribution
<65: 14, 65-74: 93, 75-84: 109, 85+: 33

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Methylprednisolone
152
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
72
Oxycodone-Acetaminophen
Oxycodone Hcl/Acetaminophen
71
Gabapentin
57
Meloxicam
44
Tramadol Hcl
44
Diclofenac Sodium
23
Alprazolam
14
Cyclobenzaprine Hcl
13
Diazepam
11

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

Pain Medicine Physician Overview

How JOHN ARBUCKLE, MD fits within the Pain Medicine Physician landscape nationally.

951
Pain Medicine Physician Providers in US
49
States with Pain Medicine Physician
2,078
Avg Claims per Provider

JOHN ARBUCKLE, MD's 521 claims are below the specialty average of 2,078.

Nearby Pain Medicine Physician Providers in Indiana

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

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

Frequently Asked Questions

What is JOHN ARBUCKLE, MD's specialty?
JOHN ARBUCKLE, MD specializes in Pain Medicine Physician and practices in CARMEL, Indiana. Credentials: MD.
How much does JOHN ARBUCKLE, MD prescribe under Medicare Part D?
In 2023, JOHN ARBUCKLE, MD wrote 521 Medicare Part D claims totaling $6K in drug costs for 249 beneficiaries.
What is JOHN ARBUCKLE, MD's Medicare quality score?
JOHN ARBUCKLE, MD has a CMS MIPS Final Score of 0/100 (Quality: 0). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is JOHN ARBUCKLE, MD located?
JOHN ARBUCKLE, MD is located at 13225 N MERIDIAN ST, CARMEL, IN, 46032. Phone: (317) 228-7000.
What is JOHN ARBUCKLE, MD's NPI number?
JOHN ARBUCKLE, MD's National Provider Identifier (NPI) is 1043292188, issued on 11/15/2005.
Does JOHN ARBUCKLE, MD prescribe opioids?
Yes, JOHN ARBUCKLE, MD had 187 opioid claims in 2023 with an opioid prescribing rate of 35.9%.
How many Pain Medicine Physician providers are there in the US?
There are 951 Pain Medicine Physician providers across 49 states in the US. The average Pain Medicine Physician provider writes 2,078 Medicare Part D claims per year.
What drugs does JOHN ARBUCKLE, MD prescribe most often?
Based on 2023 Medicare Part D data, JOHN ARBUCKLE, MD's most frequently prescribed drugs include Methylprednisolone, Hydrocodone-Acetaminophen, Oxycodone-Acetaminophen. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JOHN ARBUCKLE, MD accept Medicare?
JOHN ARBUCKLE, MD appears in CMS Medicare data with 521 Part D claims and 249 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JOHN ARBUCKLE, MD's credentials?
JOHN ARBUCKLE, MD's NPI is 1043292188 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