NPI registry status
Active
2026 NPPES data Pain Medicine (Anesthesiology) Physician NPI 1639309388 MD
Verify on CMS → John Birgiolas, MD
Pain Medicine (Anesthesiology) Physician in Ionia, Michigan.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 4,094 in Pain Medicine (Anesthesiology) 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
3K
Medicare Part D claims · 613 beneficiaries · Pain Medicine (Anesthesiology) Physician avg: 2K
Generic prescribing
99%
generic claims · 1% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
75/100
CMS neutral threshold · no category scores published
Industry payments
$400.94
10 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2024
What the federal data shows
John Birgiolas, MD carries the neutral CMS MIPS final score of 75/100, assigned where no category was scored - and filed 3,376 Medicare Part D claims in 2024.
- 75/100
- CMS neutral score · not measured
- 3K
- Part D claims, 2024
- 99%
- 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.
Federal trust snapshot
What official records show about John Birgiolas, MD
Federal records show an active NPI with Medicare Part D prescribing activity — verifiable registry data, not a proprietary rating.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1639309388), first enumerated 07/15/2009.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 3,376 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- Reported
CMS quality reporting (MIPS)
CMS assigned a neutral MIPS final score of 75/100 where no performance category was scored — not a measured quality rank.
Source: CMS Quality Payment Program
- Reported
Board certification signal
Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.
- Reported
Hospital affiliations
1 CMS Care Compare hospital affiliation on record — practice footprint from the Doctors and Clinicians file.
Source: CMS Care Compare
- Reported
Industry payment transparency
$400.94 in reported industry payments (10 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.
Source: CMS Open Payments
- State context
State board disciplinary context
Michigan statewide board action statistics are published annually — these figures describe aggregate state activity, not John Birgiolas, MD's individual license status. Verify directly with the state medical board.
Source: MI-BOM annual report 2023
- Not in federal data
Individual sanction lookup
PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.
Source: State medical board / FSMB
This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.
CMS NPPES provider registry desk
NPI 1639309388 · Pain Medicine (Anesthesiology) Physician
NPI-10 · ENUM-MID · TAX-NARROW · MIPS-NEUTRAL · RX-MID · BOOK-THIN · PHOTO-ENUM
- NPI-10 1639309388
- ENUM-MID 2009
- TAX-NARROW 4,094
- MIPS-NEUTRAL 75/100
- RX-MID 3,376
- BOOK-THIN 84 in Michigan
- PHOTO-ENUM Meredith Kato · 2009
John Birgiolas, MD's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2024, across all CMS prescribers nationally
3,376 ≥ 89th percentile 89% of 1,416,883 prescribers are in lower value bands
Each bar is a band; taller bars hold more prescribers. 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.
The percentile is a conservative 100-claim band: it counts only prescribers in lower claim-volume bands. Medicare Part D claim volume is activity context, not a quality measure or recommendation. See methodology § corpus placement.
Source CMS Medicare Part D Prescriber Public Use File · 2024
✓
Board certification likely (heuristic, not verified)
John Birgiolas, 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).
What does the federal data show about John Birgiolas, MD?
CMS neutral score, not measuredPrimary specialty
Pain Medicine (Anesthesiology) Physician
Medicare Part D claims
3,376 95% vs specialty avg
MIPS final score
75/100
Specialty distribution in Michigan
How Pain Medicine (Anesthesiology) Physician compares to other specialties among Michigan providers
MIPS score not measured
CMS assigned a neutral 75/100 threshold
CMS did not publish any Quality, Cost, Promoting Interoperability, or Improvement Activities category score for this clinician. This administrative threshold is not comparable with the national average of clinicians whose MIPS score was measured.
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).
Practice Address
Provider Details
| NPI | 1639309388 |
|---|---|
| Specialty | Pain Medicine (Anesthesiology) Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 07/15/2009 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
75
Final Score
CMS neutral threshold · not measured
Reporting: Group practice
Hospital and facility affiliations
Facilities where John Birgiolas, 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.
Advanced Pain Solutions PLLC
Ionia, MI
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 Birgiolas, MD. Source: openpaymentsdata.cms.gov.
Total received
$401
Largest payer
Nevro Corp.
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 - Michigan MI-BOM 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 ~41K Michigan medical licensees in 2023 - they are NOT specific to John Birgiolas, MD. To verify John Birgiolas, MD's current license status, search the MI-BOM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
123
Total board actions, Michigan 2023
Across 120 cases
3.00
Actions per 1,000 licensees
Michigan statewide rate
probation
Most common action type
44 cases
MI-BOM 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 Michigan disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Brand vs generic prescribing mix · Generic-heavy
John Birgiolas, MD - brand share 1.0%
Pain Medicine (Anesthesiology) Physician average
1% brand-name claims vs 99% generic, on 3,376 2024 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 2024.
3,376
Total Claims
$75K
Total Drug Cost
613
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 3,674.767
- Total Day Supply
- 100,118
- Brand vs Generic
- 1% brand / 99% generic
- Brand Drug Cost
- $16K
- Generic Drug Cost
- $59K
- Opioid Claims
- 1,824 (54.0% rate)
Patient Demographics
- Average Patient Age
- 68.4 years
- Avg HCC Risk Score
- 1.60
- Gender Split
- 66% female / 34% male
- Age Distribution
- <65: 184, 65-74: 258, 75-84: 136, 85+: 35
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
What John Birgiolas, MD prescribes most
Top Medicare Part D drugs by claim count, 2024
- Hydrocodone-Acetam…
Hydrocodone-Acetaminophen
1,049 claims
- Gabapentin 359
Gabapentin
359 claims
- Tizanidine Hcl 224
Tizanidine Hcl
224 claims
- Oxycodone-Acetamin… 194
Oxycodone-Acetaminophen
194 claims
- Morphine Sulfate Er 193
Morphine Sulfate Er
193 claims
- Baclofen 148
Baclofen
148 claims
- Tramadol Hcl 148
Tramadol Hcl
148 claims
- Pregabalin 142
Pregabalin
142 claims
| Drug | Claims |
|---|---|
| Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen | 1,049 |
| Gabapentin | 359 |
| Tizanidine Hcl | 224 |
| Oxycodone-Acetaminophen Oxycodone Hcl/Acetaminophen | 194 |
| Morphine Sulfate Er Morphine Sulfate | 193 |
| Baclofen | 148 |
| Tramadol Hcl | 148 |
| Pregabalin | 142 |
| Cyclobenzaprine Hcl | 76 |
| Methylprednisolone | 60 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
More Pain Medicine (Anesthesiology) Physician in MI →
All providers in Michigan →
Compare specialties →
Pain Medicine (Anesthesiology) Physician Overview
How John Birgiolas, MD fits within the Pain Medicine (Anesthesiology) Physician landscape nationally.
4,094
Pain Medicine (Anesthesiology) Physician Providers in US
53
States with Pain Medicine (Anesthesiology) Physician
1,731
Avg Claims per Provider
John Birgiolas, MD's 3,376 claims are above the specialty average of 1,731.
Nationwide Pain Medicine (Anesthesiology) Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Birgiolas, both outside Michigan so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (75 here).
Same NPPES enumeration year (2009)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Pain Medicine (Anesthesiology) Physician Providers in Michigan
Other clinicians with the same primary specialty enrolled in Michigan, drawn from the same CMS NPPES roster as Birgiolas.
One of 84 Pain Medicine (Anesthesiology) Physician providers enrolled in Michigan, 5 are shown here.
Dr. Alexander Ajlouni
M.D.
Saint Clair Shores, MI
Haydar Al-Sadkhan
Trenton, MI
Andrew Alshab
MD MPH
Sault Sainte Marie, MI
Dr. Douglas Anderson
MD
Ann Arbor, MI
Dr. Ihsan Asbahi
M.D.
Lake Orion, MI
Compare Pain Medicine (Anesthesiology) Physician nationally: see state-by-state distribution →
Frequently Asked Questions
What is John Birgiolas, MD's specialty? ▼
John Birgiolas, MD specializes in Pain Medicine (Anesthesiology) Physician and practices in Ionia, Michigan. Credentials: MD.
How much does John Birgiolas, MD prescribe under Medicare Part D? ▼
In 2024, John Birgiolas, MD wrote 3,376 Medicare Part D claims totaling $75K in drug costs for 613 beneficiaries.
What is John Birgiolas, MD's Medicare quality score? ▼
John Birgiolas, MD has a CMS MIPS Final Score of 75/100. CMS published no Quality, Promoting Interoperability, Improvement Activity or Cost score for this clinician, so the final score is the neutral performance threshold CMS assigns rather than a measured result. The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is John Birgiolas, MD located? ▼
John Birgiolas, MD is located at 431 SWARTZ CT STE 200, Ionia, MI, 48846. Phone: (616) 841-2615.
What is John Birgiolas, MD's NPI number? ▼
John Birgiolas, MD's National Provider Identifier (NPI) is 1639309388, issued on 07/15/2009.
Does John Birgiolas, MD prescribe more brand-name or generic drugs? ▼
John Birgiolas, MD's prescribing is 1% brand-name and 99% generic drugs by claim count, with $16K in brand drug costs.
Does John Birgiolas, MD prescribe opioids? ▼
Yes, John Birgiolas, MD had 1,824 opioid claims in 2024 with an opioid prescribing rate of 54.0%.
How many Pain Medicine (Anesthesiology) Physician providers are there in the US? ▼
There are 4,094 Pain Medicine (Anesthesiology) Physician providers across 53 states in the US. The average Pain Medicine (Anesthesiology) Physician provider writes 1,731 Medicare Part D claims per year.
What drugs does John Birgiolas, MD prescribe most often? ▼
Based on 2024 Medicare Part D data, John Birgiolas, MD's most frequently prescribed drugs include Hydrocodone-Acetaminophen, Gabapentin, Tizanidine Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does John Birgiolas, MD accept Medicare? ▼
John Birgiolas, MD appears in CMS Medicare data with 3,376 Part D claims and 613 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify John Birgiolas, MD's credentials? ▼
John Birgiolas, MD's NPI is 1639309388 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 (2024). 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 August 2026 (NPPES) / 2024 (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
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of August 2026.