2026 NPPES data Urology Physician NPI 1013154384 M.D.
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JOHN BOON, M.D.

Urology Physician in SUGAR LAND, Texas. 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
3K
Medicare Part D claims · 643 beneficiaries · Urology Physician avg: 1K
Generic prescribing
99%
generic claims · 1% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
75/100
▼ 8 pts below national avg 83.1 · [object Object]
Industry payments
$536.59
3 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: JOHN BOON, M.D. is a Urology Physician ([object Object]) practicing in SUGAR LAND, Texas with a Medicare Part D prescribing footprint of 3K claims across 643 beneficiaries — 1% brand-name prescribing . Their CMS MIPS Final Score of 75/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $536.59 across 3 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: JOHN BOON, M.D. reported a CMS MIPS final score of 75 out of 100, below the 83.1 national average, and filed 2,748 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

JOHN BOON, M.D. 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).

JOHN BOON, M.D. at a glance

Below national average

NPI registry status

Active

Issued 01/08/2009

NPI 1013154384

Primary specialty

Urology Physician

Mid-sized

13,350 US NPIs in this specialty

Medicare Part D claims

2,748 115% vs specialty avg

2023 prescription claims

Specialty avg: 1,280

MIPS final score

75/100 8.099999999999994% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Texas

How Urology Physician compares to other specialties among Texas providers

Texas providers

Urology Physician share within Texas

1. Urology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Urology Physician share within Texas

Medicare quality performance — MIPS

JOHN BOON, M.D.'s 2023 MIPS final score plotted against the Urology Physician national average

Below national average
MIPS Final Score
75/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Urology Physician) — 75/100 vs national avg 83.1

0%100%National avg83%75%
MIPS final score (Urology Physician) — 75/100 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 BOON, M.D. is a Urology Physician provider practicing in SUGAR LAND, Texas, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1013154384. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

JOHN BOON, M.D. appears in the CMS NPPES registry as a Urology Physician provider holding M.D. credentials at 16651 SOUTHWEST FWY, SUGAR LAND, TX, 77479, with a listed phone of (281) 565-1250. NPI 1013154384 was issued on 01/08/2009. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BOON 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 2,748 prescription claims written by this provider, covering 643 Medicare beneficiaries and totaling roughly $217K in drug spend, split 1% brand-name and 99% generic by claim count, with an opioid prescribing rate of 1.2%. 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 75/100 for the 2023 performance year, compared with the national average of 83.1.

Urology Physician is a mid-sized specialty nationwide, with 13,350 enrolled providers across 54 states and an average of 1,280 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

16651 SOUTHWEST FWY
SUGAR LAND, TX 77479

Provider Details

NPI 1013154384
Specialty Urology Physician
Credentials M.D.
Gender Male
NPI Issued 01/08/2009

CMS Quality Score (MIPS)

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

75
Final Score
Avg: 83.1

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

Total received

$537

Largest payer

Axonics, 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.

License & disciplinary context — Texas TMB 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 ~77K Texas medical licensees in 2023 — they are NOT specific to JOHN BOON, M.D.. To verify JOHN BOON, M.D.'s current license status, search the TMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

344
Total board actions, Texas 2023
Across 334 cases
4.47
Actions per 1,000 licensees
Texas statewide rate
probation
Most common action type
94 cases

TMB 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 Texas disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Generic-heavy

JOHN BOON, M.D. — brand share 1.0%
Specialty average (est.)

1% brand-name claims vs 99% generic, on 2,748 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.

2,748
Total Claims
$217K
Total Drug Cost
643
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
7,174
Total Day Supply
210,171
Brand vs Generic
1% brand / 99% generic
Brand Drug Cost
$155K
Generic Drug Cost
$62K
Opioid Claims
33 (1.2% rate)
Antibiotic Claims
171

Patient Demographics

Average Patient Age
74.0 years
Avg HCC Risk Score
0.98
Gender Split
3% female / 97% male

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Finasteride
1,682
Tamsulosin Hcl
489
Ciprofloxacin Hcl
60
Oxybutynin Chloride Er
Oxybutynin Chloride
49
Sulfamethoxazole-Trimethoprim
Sulfamethoxazole/Trimethoprim
37
Cephalexin
35
Solifenacin Succinate
32
Doxazosin Mesylate
26
Testosterone
25
Testosterone Cypionate
24

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

Urology Physician Overview

How JOHN BOON, M.D. fits within the Urology Physician landscape nationally.

13,350
Urology Physician Providers in US
54
States with Urology Physician
1,280
Avg Claims per Provider

JOHN BOON, M.D.'s 2,748 claims are above the specialty average of 1,280.

Nearby Urology Physician Providers in Texas

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

Compare Urology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is JOHN BOON, M.D.'s specialty?
JOHN BOON, M.D. specializes in Urology Physician and practices in SUGAR LAND, Texas. Credentials: M.D..
How much does JOHN BOON, M.D. prescribe under Medicare Part D?
In 2023, JOHN BOON, M.D. wrote 2,748 Medicare Part D claims totaling $217K in drug costs for 643 beneficiaries.
What is JOHN BOON, M.D.'s Medicare quality score?
JOHN BOON, M.D. has a CMS MIPS Final Score of 75/100. The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is JOHN BOON, M.D. located?
JOHN BOON, M.D. is located at 16651 SOUTHWEST FWY, SUGAR LAND, TX, 77479. Phone: (281) 565-1250.
What is JOHN BOON, M.D.'s NPI number?
JOHN BOON, M.D.'s National Provider Identifier (NPI) is 1013154384, issued on 01/08/2009.
Does JOHN BOON, M.D. prescribe more brand-name or generic drugs?
JOHN BOON, M.D.'s prescribing is 1% brand-name and 99% generic drugs by claim count, with $155K in brand drug costs.
Does JOHN BOON, M.D. prescribe opioids?
Yes, JOHN BOON, M.D. had 33 opioid claims in 2023 with an opioid prescribing rate of 1.2%.
How many Urology Physician providers are there in the US?
There are 13,350 Urology Physician providers across 54 states in the US. The average Urology Physician provider writes 1,280 Medicare Part D claims per year.
What drugs does JOHN BOON, M.D. prescribe most often?
Based on 2023 Medicare Part D data, JOHN BOON, M.D.'s most frequently prescribed drugs include Finasteride, Tamsulosin Hcl, Ciprofloxacin Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JOHN BOON, M.D. accept Medicare?
JOHN BOON, M.D. appears in CMS Medicare data with 2,748 Part D claims and 643 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JOHN BOON, M.D.'s credentials?
JOHN BOON, M.D.'s NPI is 1013154384 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