NPI registry status
Active
2026 NPPES data Hematology & Oncology Physician NPI 1568424356 MD
Verify on CMS → John Bagwell, MD
Hematology & Oncology Physician in Raton, New Mexico.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 11,215 in Hematology & Oncology 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
30
Medicare Part D claims · 15 beneficiaries · Hematology & Oncology Physician avg: 847
Generic prescribing
0%
generic claims · 50% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
85.3/100
▲ 2 pts above national avg 83.1 · Above neutral
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
John Bagwell, MD reported a CMS MIPS final score of 85.3/100 - above the 83.1 national average - and filed 30 Medicare Part D claims in 2023.
- 85.3/100
- MIPS score · +2 vs avg
- 30
- Part D claims, 2023
- 0%
- generic prescribing
- Likely
- board-certified (heuristic)
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.
John Bagwell, MD's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
85 49th percentile higher than 49% of 477,587 scored providers
Each bar is a band; taller bars hold more scored 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.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where John Bagwell, MD sits
This provider among hematology & oncology physician peers
Across the 4,233 hematology & oncology physician providers who report both Medicare Part D prescribing and a MIPS quality score, John Bagwell, MD writes more Part D claims than 2% of them and scores higher on MIPS quality than 46% - placing this provider in the lower-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Part D claim volume vs MIPS quality, by specialty percentile
Each dot is one hematology & oncology physician peer from a representative sample of 60; the gold marker is John Bagwell, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
John Bagwell, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting - 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 Bagwell, MD?
High performer (top quartile)Primary specialty
Hematology & Oncology Physician
Medicare Part D claims
30 96% vs specialty avg
MIPS final score
85.3/100 2.2 pts vs avg
Specialty distribution in New Mexico
How Hematology & Oncology Physician compares to other specialties among New Mexico providers
Medicare quality performance, MIPS
John Bagwell, MD's 2023 MIPS final score plotted against the Hematology & Oncology Physician national average
- MIPS Final Score
- 85.3/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Hematology & Oncology Physician) - 85.3/100 vs national avg 83.1
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).
John Bagwell, MD appears in the CMS NPPES registry as a Hematology & Oncology Physician provider holding MD credentials at 203 HOSPITAL DR, Raton, NM, 87740, with a listed phone of (575) 445-7739. NPI 1568424356 was issued on 04/05/2006.
Medicare Part D records for calendar year 2023 show 30 prescription claims written by this provider, covering 15 Medicare beneficiaries and totaling roughly $162K in drug spend, split 50% brand-name and 0% generic by claim count. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 85.3/100 for the 2023 performance year (Quality 79.7, Cost 76.2), compared with the national average of 83.1.
Hematology & Oncology Physician is a mid-sized specialty nationwide, with 11,215 enrolled providers across 54 states and an average of 847 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
Provider Details
| NPI | 1568424356 |
|---|---|
| Specialty | Hematology & Oncology 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.
85.2794
Final Score
Avg: 83.1
79.7481
Quality
76.1833
Cost
94
Promoting Interoperability
Reporting: Group practice
Brand vs generic prescribing mix · Brand-heavy
John Bagwell, MD - brand share 50.0%
Hematology & Oncology Physician average
50% brand-name claims vs 0% generic, on 30 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.
30
Total Claims
$162K
Total Drug Cost
15
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 56
- Total Day Supply
- 1,622
- Brand vs Generic
- 50% brand / 0% generic
- Brand Drug Cost
- $161K
Patient Demographics
- Average Patient Age
- 71.2 years
- Avg HCC Risk Score
- 2.49
Hematology & Oncology Physician Overview
How John Bagwell, MD fits within the Hematology & Oncology Physician landscape nationally.
11,215
Hematology & Oncology Physician Providers in US
54
States with Hematology & Oncology Physician
847
Avg Claims per Provider
John Bagwell, MD's 30 claims are below the specialty average of 847.
Nearby Hematology & Oncology Physician Providers in New Mexico
Other clinicians with the same primary specialty enrolled in New Mexico, drawn from the same CMS NPPES roster as Bagwell.
Dr. Bernard Agbemadzo
MD
Albuquerque, NM
Dr. Amyn Alidina
MD
Albuquerque, NM
Dr. Jacob Amir
M.D.
Santa Fe, NM
Dr. Ankit Anand
M.D
Farmington, NM
Dr. Wadih Arap
M.D., PHD
Albuquerque, NM
Compare Hematology & Oncology Physician nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the New Mexico medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Hematology & Oncology Physician peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
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Frequently Asked Questions
What is John Bagwell, MD's specialty? ▼
John Bagwell, MD specializes in Hematology & Oncology Physician and practices in Raton, New Mexico. Credentials: MD.
How much does John Bagwell, MD prescribe under Medicare Part D? ▼
In 2023, John Bagwell, MD wrote 30 Medicare Part D claims totaling $162K in drug costs for 15 beneficiaries.
What is John Bagwell, MD's Medicare quality score? ▼
John Bagwell, MD has a CMS MIPS Final Score of 85.3/100 (Quality: 79.7, Cost: 76.2). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is John Bagwell, MD located? ▼
John Bagwell, MD is located at 203 HOSPITAL DR, Raton, NM, 87740. Phone: (575) 445-7739.
What is John Bagwell, MD's NPI number? ▼
John Bagwell, MD's National Provider Identifier (NPI) is 1568424356, issued on 04/05/2006.
Does John Bagwell, MD prescribe more brand-name or generic drugs? ▼
John Bagwell, MD's prescribing is 50% brand-name and 0% generic drugs by claim count, with $161K in brand drug costs.
How many Hematology & Oncology Physician providers are there in the US? ▼
There are 11,215 Hematology & Oncology Physician providers across 54 states in the US. The average Hematology & Oncology Physician provider writes 847 Medicare Part D claims per year.
Does John Bagwell, MD accept Medicare? ▼
John Bagwell, MD appears in CMS Medicare data with 30 Part D claims and 15 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify John Bagwell, MD's credentials? ▼
John Bagwell, MD's NPI is 1568424356 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 (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
Compiled from official public sources by the PlainDoctor editorial team.