NPI registry status
Active
2026 NPPES data Pediatric Pulmonology Physician NPI 1891008033 D.O.
Verify on CMS → John Bishara, D.O.
Pediatric Pulmonology Physician in Charleston, West Virginia.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 1,055 in Pediatric Pulmonology 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
43
Medicare Part D claims · Pediatric Pulmonology Physician avg: 130
Generic prescribing
49%
generic claims · 51% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
90.1/100
▲ 7 pts above national avg 83.1 · Exceptional
Industry payments
$16.92
1 payments · CMS Open Payments (Sunshine Act)
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 Bishara, D.O. reported a CMS MIPS final score of 90.1/100 - above the 83.1 national average - and filed 43 Medicare Part D claims in 2023.
- 90.1/100
- MIPS score · +7 vs avg
- 43
- Part D claims, 2023
- 49%
- 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 Bishara, D.O.'s MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
90 Top 40% higher than 60% 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 Bishara, D.O. sits
This provider among pediatric pulmonology physician peers
Across the 31 pediatric pulmonology physician providers who report both Medicare Part D prescribing and a MIPS quality score, John Bishara, D.O. writes more Part D claims than 52% of them and scores higher on MIPS quality than 61% - placing this provider in the high-volume, high-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 pediatric pulmonology physician peer from a representative sample of 30; the gold marker is John Bishara, D.O.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
John Bishara, D.O. 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 Bishara, D.O.?
High performer (top quartile)Primary specialty
Pediatric Pulmonology Physician
Medicare Part D claims
43 67% vs specialty avg
MIPS final score
90.1/100 7 pts vs avg
Specialty distribution in West Virginia
How Pediatric Pulmonology Physician compares to other specialties among West Virginia providers
Medicare quality performance, MIPS
John Bishara, D.O.'s 2023 MIPS final score plotted against the Pediatric Pulmonology Physician national average
- MIPS Final Score
- 90.1/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Pediatric Pulmonology Physician) - 90.1/100 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 Bishara, D.O. appears in the CMS NPPES registry as a Pediatric Pulmonology Physician provider holding D.O. credentials at 830 PENNSYLVANIA AVE STE 408, Charleston, WV, 25302, with a listed phone of (304) 388-1552. NPI 1891008033 was issued on 07/16/2010.
Medicare Part D records for calendar year 2023 show 43 prescription claims written by this provider, covering N/A Medicare beneficiaries and totaling roughly $371K in drug spend, split 51% brand-name and 49% generic by claim count. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 90.1/100 for the 2023 performance year (Quality 67), compared with the national average of 83.1.
Pediatric Pulmonology Physician is a narrow specialty nationwide, with 1,055 enrolled providers across 51 states and an average of 130 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 | 1891008033 |
|---|---|
| Specialty | Pediatric Pulmonology Physician |
| Credentials | D.O. |
| Gender | Male |
| NPI Issued | 07/16/2010 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
90.1191
Final Score
Avg: 83.1
66.9698
Quality
100
Promoting Interoperability
Reporting: Alternative Payment Model
Hospital and facility affiliations
Facilities where John Bishara, D.O. 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.
Charleston Area Medical Center Inc
Charleston, WV
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 Bishara, D.O.. Source: openpaymentsdata.cms.gov.
Total received
$17
Largest payer
GENZYME 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.
Brand vs generic prescribing mix · Brand-heavy
John Bishara, D.O. - brand share 51.0%
Pediatric Pulmonology Physician average
51% brand-name claims vs 49% generic, on 43 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.
43
Total Claims
$371K
Total Drug Cost
N/A
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 58
- Total Day Supply
- 1,732
- Brand vs Generic
- 51% brand / 49% generic
- Brand Drug Cost
- $371K
- Generic Drug Cost
- $692
Patient Demographics
- Average Patient Age
- 38.7 years
- Avg HCC Risk Score
- 2.62
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
| Drug | Claims |
|---|---|
| Trikafta Elexacaftor/Tezacaftor/Ivacaft | 13 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Pediatric Pulmonology Physician Overview
How John Bishara, D.O. fits within the Pediatric Pulmonology Physician landscape nationally.
1,055
Pediatric Pulmonology Physician Providers in US
51
States with Pediatric Pulmonology Physician
130
Avg Claims per Provider
John Bishara, D.O.'s 43 claims are below the specialty average of 130.
Nearby Pediatric Pulmonology Physician Providers in West Virginia
Other clinicians with the same primary specialty enrolled in West Virginia, drawn from the same CMS NPPES roster as Bishara.
Compare Pediatric Pulmonology 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 West Virginia medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Pediatric Pulmonology 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.
Healthcare Guides
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Medical Specialties Explained
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Understanding Medicare Claims Data
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How insurance networks affect your costs
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Explore West Virginia
Frequently Asked Questions
What is John Bishara, D.O.'s specialty? ▼
John Bishara, D.O. specializes in Pediatric Pulmonology Physician and practices in Charleston, West Virginia. Credentials: D.O..
How much does John Bishara, D.O. prescribe under Medicare Part D? ▼
In 2023, John Bishara, D.O. wrote 43 Medicare Part D claims totaling $371K in drug costs for N/A beneficiaries.
What is John Bishara, D.O.'s Medicare quality score? ▼
John Bishara, D.O. has a CMS MIPS Final Score of 90.1/100 (Quality: 67). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is John Bishara, D.O. located? ▼
John Bishara, D.O. is located at 830 PENNSYLVANIA AVE STE 408, Charleston, WV, 25302. Phone: (304) 388-1552.
What is John Bishara, D.O.'s NPI number? ▼
John Bishara, D.O.'s National Provider Identifier (NPI) is 1891008033, issued on 07/16/2010.
Does John Bishara, D.O. prescribe more brand-name or generic drugs? ▼
John Bishara, D.O.'s prescribing is 51% brand-name and 49% generic drugs by claim count, with $371K in brand drug costs.
How many Pediatric Pulmonology Physician providers are there in the US? ▼
There are 1,055 Pediatric Pulmonology Physician providers across 51 states in the US. The average Pediatric Pulmonology Physician provider writes 130 Medicare Part D claims per year.
What drugs does John Bishara, D.O. prescribe most often? ▼
Based on 2023 Medicare Part D data, John Bishara, D.O.'s most frequently prescribed drugs include Trikafta. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does John Bishara, D.O. accept Medicare? ▼
John Bishara, D.O. appears in CMS Medicare data with 43 Part D claims and N/A Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify John Bishara, D.O.'s credentials? ▼
John Bishara, D.O.'s NPI is 1891008033 with credentials D.O.. 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.