2026 NPPES data Hospice and Palliative Medicine (Internal Medicine) Physician NPI 1962856013 MD
Verify on CMS →

JOHN ARCE, MD

Hospice and Palliative Medicine (Internal Medicine) Physician in MADISON, Wisconsin. 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
271
Medicare Part D claims · 89 beneficiaries · Hospice and Palliative Medicine (Internal Medicine) Physician avg: 1K
MIPS score
89.2694/100
▲ 6 pts above national avg 83.1 · [object Object]
What the federal data reveals: JOHN ARCE, MD is a Hospice and Palliative Medicine (Internal Medicine) Physician ([object Object]) practicing in MADISON, Wisconsin with a Medicare Part D prescribing footprint of 271 claims across 89 beneficiaries . Their CMS MIPS Final Score of 89.2694/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities .

What stands out: JOHN ARCE, MD reported a CMS MIPS final score of 89.2694 out of 100, above the 83.1 national average, and filed 271 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 ARCE, 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 ARCE, MD at a glance

High performer (top quartile)

NPI registry status

Active

Issued 04/14/2016

NPI 1962856013

Primary specialty

Hospice and Palliative Medicine (Internal Medicine) Physician

Niche

1,524 US NPIs in this specialty

Medicare Part D claims

271 79% vs specialty avg

2023 prescription claims

Specialty avg: 1,275

MIPS final score

89.2694/100 6.16940000000001% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Wisconsin

How Hospice and Palliative Medicine (Internal Medicine) Physician compares to other specialties among Wisconsin providers

Wisconsin providers

Hospice and Palliative Medicine (Internal Medicine) Physician share within Wisconsin

1. Hospice and Palliative Medicine (Internal Medicine) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Hospice and Palliative Medicine (Internal Medicine) Physician share within Wisconsin

Medicare quality performance — MIPS

JOHN ARCE, MD's 2023 MIPS final score plotted against the Hospice and Palliative Medicine (Internal Medicine) Physician national average

High performer (top quartile)
MIPS Final Score
89.2694/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Hospice and Palliative Medicine (Internal Medicine) Physician) — 89.2694/100 vs national avg 83.1

0%100%National avg83%89.3%
MIPS final score (Hospice and Palliative Medicine (Internal Medicine) Physician) — 89.2694/100 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 ARCE, MD is a Hospice and Palliative Medicine (Internal Medicine) Physician provider practicing in MADISON, Wisconsin, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1962856013. 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 ARCE, MD appears in the CMS NPPES registry as a Hospice and Palliative Medicine (Internal Medicine) Physician provider holding MD credentials at 202 S PARK ST, MADISON, WI, 53715, with a listed phone of (608) 417-5695. NPI 1962856013 was issued on 04/14/2016. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what ARCE 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 271 prescription claims written by this provider, covering 89 Medicare beneficiaries and totaling roughly $20K in drug spend, with an opioid prescribing rate of 4.8%. 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 89.2694/100 for the 2023 performance year (Quality 90.114, Cost 81.6172), compared with the national average of 83.1.

Hospice and Palliative Medicine (Internal Medicine) Physician is a narrow specialty nationwide, with 1,524 enrolled providers across 51 states and an average of 1,275 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

202 S PARK ST
MADISON, WI 53715

Provider Details

NPI 1962856013
Specialty Hospice and Palliative Medicine (Internal Medicine) Physician
Credentials MD
Gender Male
NPI Issued 04/14/2016

CMS Quality Score (MIPS)

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

89.2694
Final Score
Avg: 83.1
90.114
Quality
81.6172
Cost
91
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where JOHN ARCE, 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.

MERITER HOSPITAL INC
MADISON, 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).

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

271
Total Claims
$20K
Total Drug Cost
89
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
300
Total Day Supply
6,606
Generic Drug Cost
$5K
Opioid Claims
13 (4.8% rate)
Antibiotic Claims
36

Patient Demographics

Average Patient Age
71.1 years
Avg HCC Risk Score
3.17
Gender Split
56% female / 44% male
Age Distribution
<65: 22, 65-74: 28, 75-84: 25, 85+: 14

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Myrbetriq
Mirabegron
15
Trazodone Hcl
13
Cefdinir
12
Mirtazapine
12
Sertraline Hcl
12
Furosemide
11
Latanoprost
11

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

Hospice and Palliative Medicine (Internal Medicine) Physician Overview

How JOHN ARCE, MD fits within the Hospice and Palliative Medicine (Internal Medicine) Physician landscape nationally.

1,524
Hospice and Palliative Medicine (Internal Medicine) Physician Providers in US
51
States with Hospice and Palliative Medicine (Internal Medicine) Physician
1,275
Avg Claims per Provider

JOHN ARCE, MD's 271 claims are below the specialty average of 1,275.

Nearby Hospice and Palliative Medicine (Internal Medicine) Physician Providers in Wisconsin

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

Compare Hospice and Palliative Medicine (Internal Medicine) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is JOHN ARCE, MD's specialty?
JOHN ARCE, MD specializes in Hospice and Palliative Medicine (Internal Medicine) Physician and practices in MADISON, Wisconsin. Credentials: MD.
How much does JOHN ARCE, MD prescribe under Medicare Part D?
In 2023, JOHN ARCE, MD wrote 271 Medicare Part D claims totaling $20K in drug costs for 89 beneficiaries.
What is JOHN ARCE, MD's Medicare quality score?
JOHN ARCE, MD has a CMS MIPS Final Score of 89.2694/100 (Quality: 90.114, Cost: 81.6172). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is JOHN ARCE, MD located?
JOHN ARCE, MD is located at 202 S PARK ST, MADISON, WI, 53715. Phone: (608) 417-5695.
What is JOHN ARCE, MD's NPI number?
JOHN ARCE, MD's National Provider Identifier (NPI) is 1962856013, issued on 04/14/2016.
Does JOHN ARCE, MD prescribe opioids?
Yes, JOHN ARCE, MD had 13 opioid claims in 2023 with an opioid prescribing rate of 4.8%.
How many Hospice and Palliative Medicine (Internal Medicine) Physician providers are there in the US?
There are 1,524 Hospice and Palliative Medicine (Internal Medicine) Physician providers across 51 states in the US. The average Hospice and Palliative Medicine (Internal Medicine) Physician provider writes 1,275 Medicare Part D claims per year.
What drugs does JOHN ARCE, MD prescribe most often?
Based on 2023 Medicare Part D data, JOHN ARCE, MD's most frequently prescribed drugs include Myrbetriq, Trazodone Hcl, Cefdinir. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JOHN ARCE, MD accept Medicare?
JOHN ARCE, MD appears in CMS Medicare data with 271 Part D claims and 89 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JOHN ARCE, MD's credentials?
JOHN ARCE, MD's NPI is 1962856013 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