2026 NPPES data Specialist NPI 1467596080 M.D.
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JOHN BINHLAM, M.D.

Specialist in BRENTWOOD, Tennessee. 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
838
Medicare Part D claims · 301 beneficiaries · Specialist avg: 1K
Generic prescribing
91%
generic claims · 9% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
97.4615/100
▲ 14 pts above national avg 83.1 · [object Object]
Industry payments
$2.0K
89 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

JOHN BINHLAM, M.D. reported a CMS MIPS final score of 97.4615/100 — above the 83.1 national average — and filed 838 Medicare Part D claims in 2023.

97.4615/100
MIPS score · +14 vs avg
838
Part D claims, 2023
91%
generic prescribing
$2.0K
industry payments (Sunshine Act)

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 BINHLAM, M.D.'s MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

97 Top 15% higher than 85% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). Below this entry. 90–100: 189,403 scored providers (40%). This entry sits in this band. This provider 0 100 every MIPS-scored clinician, bucketed by value

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

What does the federal data show about JOHN BINHLAM, M.D.?

High performer (top quartile)

NPI registry status

Active

Issued 02/16/2007

NPI 1467596080

Primary specialty

Specialist

High-volume

69,658 US NPIs in this specialty

Medicare Part D claims

838 43% vs specialty avg

2023 prescription claims

Specialty avg: 1,474

MIPS final score

97.4615/100 14.361500000000007% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Tennessee

How Specialist compares to other specialties among Tennessee providers

Tennessee providers

Specialist share within Tennessee

1. Specialist42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Specialist share within Tennessee

Medicare quality performance — MIPS

JOHN BINHLAM, M.D.'s 2023 MIPS final score plotted against the Specialist national average

High performer (top quartile)
MIPS Final Score
97.4615/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Specialist) — 97.4615/100 vs national avg 83.1

0%100%National avg83%97.5%
MIPS final score (Specialist) — 97.4615/100 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 BINHLAM, M.D. appears in the CMS NPPES registry as a Specialist provider holding M.D. credentials at 1649 WESTGATE CIR, BRENTWOOD, TN, 37027, with a listed phone of (615) 843-7546. NPI 1467596080 was issued on 02/16/2007. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BINHLAM 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 838 prescription claims written by this provider, covering 301 Medicare beneficiaries and totaling roughly $235K in drug spend, split 9% brand-name and 91% generic by claim count. 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 97.4615/100 for the 2023 performance year (Quality 95.3846), compared with the national average of 83.1.

Specialist is a high-volume specialty nationwide, with 69,658 enrolled providers across 55 states and an average of 1,474 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

1649 WESTGATE CIR
BRENTWOOD, TN 37027

Provider Details

NPI 1467596080
Specialty Specialist
Credentials M.D.
Gender Male
NPI Issued 02/16/2007

CMS Quality Score (MIPS)

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

97.4615
Final Score
Avg: 83.1
95.3846
Quality
100
Promoting Interoperability

Reporting: Individual

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 BINHLAM, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$2.0K

Largest payer

Janssen Biotech, 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.

Brand vs generic prescribing mix · Generic-heavy

JOHN BINHLAM, M.D. — brand share 9.0%
Specialty average (est.)

9% brand-name claims vs 91% generic, on 838 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.

838
Total Claims
$235K
Total Drug Cost
301
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
974
Total Day Supply
21,246
Brand vs Generic
9% brand / 91% generic
Brand Drug Cost
$213K
Generic Drug Cost
$22K
Antibiotic Claims
146

Patient Demographics

Average Patient Age
74.8 years
Avg HCC Risk Score
0.95
Gender Split
50% female / 50% male

Top Prescribed Drugs (Medicare Part D)

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

What JOHN BINHLAM, M.D. prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Mupirocin
101
Methylprednisolone
57
Triamcinolone Acetonide
55
Clobetasol Propionate
53
Prednisone
51
Ketoconazole
50
Doxycycline Monohydrate
49
Cephalexin
34
Dupixent Pen
Dupilumab
34
Minoxidil
34

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

Specialist Overview

How JOHN BINHLAM, M.D. fits within the Specialist landscape nationally.

69,658
Specialist Providers in US
55
States with Specialist
1,474
Avg Claims per Provider

JOHN BINHLAM, M.D.'s 838 claims are below the specialty average of 1,474.

Nearby Specialist Providers in Tennessee

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

Compare Specialist nationally: see state-by-state distribution →

Frequently Asked Questions

What is JOHN BINHLAM, M.D.'s specialty?
JOHN BINHLAM, M.D. specializes in Specialist and practices in BRENTWOOD, Tennessee. Credentials: M.D..
How much does JOHN BINHLAM, M.D. prescribe under Medicare Part D?
In 2023, JOHN BINHLAM, M.D. wrote 838 Medicare Part D claims totaling $235K in drug costs for 301 beneficiaries.
What is JOHN BINHLAM, M.D.'s Medicare quality score?
JOHN BINHLAM, M.D. has a CMS MIPS Final Score of 97.4615/100 (Quality: 95.3846). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is JOHN BINHLAM, M.D. located?
JOHN BINHLAM, M.D. is located at 1649 WESTGATE CIR, BRENTWOOD, TN, 37027. Phone: (615) 843-7546.
What is JOHN BINHLAM, M.D.'s NPI number?
JOHN BINHLAM, M.D.'s National Provider Identifier (NPI) is 1467596080, issued on 02/16/2007.
Does JOHN BINHLAM, M.D. prescribe more brand-name or generic drugs?
JOHN BINHLAM, M.D.'s prescribing is 9% brand-name and 91% generic drugs by claim count, with $213K in brand drug costs.
How many Specialist providers are there in the US?
There are 69,658 Specialist providers across 55 states in the US. The average Specialist provider writes 1,474 Medicare Part D claims per year.
What drugs does JOHN BINHLAM, M.D. prescribe most often?
Based on 2023 Medicare Part D data, JOHN BINHLAM, M.D.'s most frequently prescribed drugs include Mupirocin, Methylprednisolone, Triamcinolone Acetonide. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JOHN BINHLAM, M.D. accept Medicare?
JOHN BINHLAM, M.D. appears in CMS Medicare data with 838 Part D claims and 301 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JOHN BINHLAM, M.D.'s credentials?
JOHN BINHLAM, M.D.'s NPI is 1467596080 with credentials M.D.. 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