2026 NPPES data Pediatric Surgery Physician NPI 1134329402 M.D.
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John Birknes, M.D.

Pediatric Surgery Physician in Scarborough, Maine.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 1,132 in Pediatric Surgery 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.
MIPS score
98.1/100
▲ 15 pts above national avg 83.1 · Exceptional
Industry payments
$100.33
2 payments · CMS Open Payments (Sunshine Act)
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

John Birknes, M.D. reported a CMS MIPS final score of 98.1/100 - above the 83.1 national average.

98.1/100
MIPS score · +15 vs avg
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 Birknes, 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

98 Top 11% higher than 89% 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+: 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

Board certification likely (heuristic, not verified)

John Birknes, M.D. 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 Birknes, M.D.?

High performer (top quartile)

NPI registry status

Active

Issued 07/24/2007

NPI 1134329402

Primary specialty

Pediatric Surgery Physician

Niche

1,132 US NPIs in this specialty

MIPS final score

98.1/100 15 pts vs avg

Exceptional band

vs 83.1 national avg

Specialty distribution in Maine

How Pediatric Surgery Physician compares to other specialties among Maine providers

Maine providers
Clinical Social Worker - 10.2%Clinical Social Worker10.2%Physical Therapist - 5%Physical Therapist5%Pharmacist - 4.1%Pharmacist4.1%Occupational Therapist - 3.8%Occupational Therapist3.8%Family Medicine Physician - 3.5%Family Medicine Physician3.5%Speech-Language Pathologist - 3.5%Speech-Language Pathologist3.5%Pediatric Surgery Physician - 0%Pediatric Surgery Physician0%
Largest specialties in Maine (% of in-state providers)

Medicare quality performance, MIPS

John Birknes, M.D.'s 2023 MIPS final score plotted against the Pediatric Surgery Physician national average

High performer (top quartile)
MIPS Final Score
98.1/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Pediatric Surgery Physician) - 98.1/100 vs national avg 83.1

0%100%National avg83%98.1%
MIPS final score (Pediatric Surgery Physician) - 98.1/100 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 Birknes, M.D. appears in the CMS NPPES registry as a Pediatric Surgery Physician provider holding M.D. credentials at 49 SPRING ST, Scarborough, ME, 04074, with a listed phone of (207) 885-0011. NPI 1134329402 was issued on 07/24/2007.

Medicare Part D prescribing data is not currently published for this NPI, which typically means the provider either wrote fewer than 11 Part D claims in the most recent reporting year, does not participate in Medicare, or practices in a specialty that rarely prescribes outpatient drugs. Absence of prescribing data is not a quality signal, many Pediatric Surgery Physician providers operate outside Part D entirely. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 98.1/100 for the 2023 performance year (Quality 86.1), compared with the national average of 83.1.

Pediatric Surgery Physician is a narrow specialty nationwide, with 1,132 enrolled providers across 52 states and an average of 272 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

49 SPRING ST
Scarborough, ME 04074

Provider Details

NPI 1134329402
Specialty Pediatric Surgery Physician
Credentials M.D.
Gender Male
NPI Issued 07/24/2007

CMS Quality Score (MIPS)

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

98.0699
Final Score
Avg: 83.1
86.1398
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where John Birknes, M.D. 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.

Mainehealth
Portland, ME

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

Total received

$100

Largest payer

Stryker 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.

Pediatric Surgery Physician Overview

How John Birknes, M.D. fits within the Pediatric Surgery Physician landscape nationally.

1,132
Pediatric Surgery Physician Providers in US
52
States with Pediatric Surgery Physician
272
Avg Claims per Provider

Nearby Pediatric Surgery Physician Providers in Maine

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

Compare Pediatric Surgery 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 Maine medical board, federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Pediatric Surgery 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.

Frequently Asked Questions

What is John Birknes, M.D.'s specialty?
John Birknes, M.D. specializes in Pediatric Surgery Physician and practices in Scarborough, Maine. Credentials: M.D..
What is John Birknes, M.D.'s Medicare quality score?
John Birknes, M.D. has a CMS MIPS Final Score of 98.1/100 (Quality: 86.1). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is John Birknes, M.D. located?
John Birknes, M.D. is located at 49 SPRING ST, Scarborough, ME, 04074. Phone: (207) 885-0011.
What is John Birknes, M.D.'s NPI number?
John Birknes, M.D.'s National Provider Identifier (NPI) is 1134329402, issued on 07/24/2007.
How many Pediatric Surgery Physician providers are there in the US?
There are 1,132 Pediatric Surgery Physician providers across 52 states in the US. The average Pediatric Surgery Physician provider writes 272 Medicare Part D claims per year.
Does John Birknes, M.D. accept Medicare?
John Birknes, M.D. appears in CMS Medicare data. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify John Birknes, M.D.'s credentials?
John Birknes, M.D.'s NPI is 1134329402 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

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.
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.