2026 NPPES data Neurology with Special Qualifications in Child Neurology Physician NPI 1275889792 MD
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JOHN BRANDSEMA, MD

Neurology with Special Qualifications in Child Neurology Physician in PHILADELPHIA, Pennsylvania. 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
51
Medicare Part D claims · Neurology with Special Qualifications in Child Neurology Physician avg: 359
Generic prescribing
33%
generic claims · 67% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
85.4852/100
▲ 2 pts above national avg 83.1 · [object Object]
Industry payments
$47.1K
48 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: JOHN BRANDSEMA, MD is a Neurology with Special Qualifications in Child Neurology Physician ([object Object]) practicing in PHILADELPHIA, Pennsylvania with a Medicare Part D prescribing footprint of 51 claims — 67% brand-name prescribing . Their CMS MIPS Final Score of 85.4852/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $47.1K across 48 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: JOHN BRANDSEMA, MD reported a CMS MIPS final score of 85.4852 out of 100, above the 83.1 national average, and filed 51 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 BRANDSEMA, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 2 hospital affiliations — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

JOHN BRANDSEMA, MD at a glance

High performer (top quartile)

NPI registry status

Active

Issued 08/02/2012

NPI 1275889792

Primary specialty

Neurology with Special Qualifications in Child Neurology Physician

Niche

1,803 US NPIs in this specialty

Medicare Part D claims

51 86% vs specialty avg

2023 prescription claims

Specialty avg: 359

MIPS final score

85.4852/100 2.3852000000000118% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Pennsylvania

How Neurology with Special Qualifications in Child Neurology Physician compares to other specialties among Pennsylvania providers

Pennsylvania providers

Neurology with Special Qualifications in Child Neurology Physician share within Pennsylvania

1. Neurology with Special Qualifications in Child Neurology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Neurology with Special Qualifications in Child Neurology Physician share within Pennsylvania

Medicare quality performance — MIPS

JOHN BRANDSEMA, MD's 2023 MIPS final score plotted against the Neurology with Special Qualifications in Child Neurology Physician national average

High performer (top quartile)
MIPS Final Score
85.4852/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Neurology with Special Qualifications in Child Neurology Physician) — 85.4852/100 vs national avg 83.1

0%100%National avg83%85.5%
MIPS final score (Neurology with Special Qualifications in Child Neurology Physician) — 85.4852/100 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 BRANDSEMA, MD is a Neurology with Special Qualifications in Child Neurology Physician provider practicing in PHILADELPHIA, Pennsylvania, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1275889792. 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 BRANDSEMA, MD appears in the CMS NPPES registry as a Neurology with Special Qualifications in Child Neurology Physician provider holding MD credentials at 3401 CIVIC CENTER BLVD, PHILADELPHIA, PA, 19104, with a listed phone of (215) 590-1719. NPI 1275889792 was issued on 08/02/2012. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BRANDSEMA 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 51 prescription claims written by this provider, covering N/A Medicare beneficiaries and totaling roughly $1.1 million in drug spend, split 67% brand-name and 33% 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 85.4852/100 for the 2023 performance year (Quality 73.6095), compared with the national average of 83.1.

Neurology with Special Qualifications in Child Neurology Physician is a narrow specialty nationwide, with 1,803 enrolled providers across 51 states and an average of 359 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

3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104

Provider Details

NPI 1275889792
Specialty Neurology with Special Qualifications in Child Neurology Physician
Credentials MD
Gender Male
NPI Issued 08/02/2012

CMS Quality Score (MIPS)

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

85.4852
Final Score
Avg: 83.1
73.6095
Quality
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where JOHN BRANDSEMA, 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.

CHILDRENS HEALTH CARE ASSOCIATES INC
PHILADELPHIA, PA
UNIVERSITY OF PENN-MEDICAL GROUP
PHILADELPHIA, PA

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 BRANDSEMA, MD. Source: openpaymentsdata.cms.gov.

Total received

$47.1K

Largest payer

Genentech USA, 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 — Pennsylvania PA-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 ~45K Pennsylvania medical licensees in 2023 — they are NOT specific to JOHN BRANDSEMA, MD. To verify JOHN BRANDSEMA, MD's current license status, search the PA-BOM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

133
Total board actions, Pennsylvania 2023
Across 129 cases
2.96
Actions per 1,000 licensees
Pennsylvania statewide rate
probation
Most common action type
48 cases

PA-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 Pennsylvania disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Brand-heavy

JOHN BRANDSEMA, MD — brand share 67.0%
Specialty average (est.)

67% brand-name claims vs 33% generic, on 51 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.

51
Total Claims
$1.1M
Total Drug Cost
N/A
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
60
Total Day Supply
1,782
Brand vs Generic
67% brand / 33% generic
Brand Drug Cost
$1.1M
Generic Drug Cost
$839

Patient Demographics

Average Patient Age
23.6 years
Avg HCC Risk Score
2.18

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Evrysdi
Risdiplam
27

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

Neurology with Special Qualifications in Child Neurology Physician Overview

How JOHN BRANDSEMA, MD fits within the Neurology with Special Qualifications in Child Neurology Physician landscape nationally.

1,803
Neurology with Special Qualifications in Child Neurology Physician Providers in US
51
States with Neurology with Special Qualifications in Child Neurology Physician
359
Avg Claims per Provider

JOHN BRANDSEMA, MD's 51 claims are below the specialty average of 359.

Nearby Neurology with Special Qualifications in Child Neurology Physician Providers in Pennsylvania

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

Compare Neurology with Special Qualifications in Child Neurology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is JOHN BRANDSEMA, MD's specialty?
JOHN BRANDSEMA, MD specializes in Neurology with Special Qualifications in Child Neurology Physician and practices in PHILADELPHIA, Pennsylvania. Credentials: MD.
How much does JOHN BRANDSEMA, MD prescribe under Medicare Part D?
In 2023, JOHN BRANDSEMA, MD wrote 51 Medicare Part D claims totaling $1.1M in drug costs for N/A beneficiaries.
What is JOHN BRANDSEMA, MD's Medicare quality score?
JOHN BRANDSEMA, MD has a CMS MIPS Final Score of 85.4852/100 (Quality: 73.6095). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is JOHN BRANDSEMA, MD located?
JOHN BRANDSEMA, MD is located at 3401 CIVIC CENTER BLVD, PHILADELPHIA, PA, 19104. Phone: (215) 590-1719.
What is JOHN BRANDSEMA, MD's NPI number?
JOHN BRANDSEMA, MD's National Provider Identifier (NPI) is 1275889792, issued on 08/02/2012.
Does JOHN BRANDSEMA, MD prescribe more brand-name or generic drugs?
JOHN BRANDSEMA, MD's prescribing is 67% brand-name and 33% generic drugs by claim count, with $1.1M in brand drug costs.
How many Neurology with Special Qualifications in Child Neurology Physician providers are there in the US?
There are 1,803 Neurology with Special Qualifications in Child Neurology Physician providers across 51 states in the US. The average Neurology with Special Qualifications in Child Neurology Physician provider writes 359 Medicare Part D claims per year.
What drugs does JOHN BRANDSEMA, MD prescribe most often?
Based on 2023 Medicare Part D data, JOHN BRANDSEMA, MD's most frequently prescribed drugs include Evrysdi. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JOHN BRANDSEMA, MD accept Medicare?
JOHN BRANDSEMA, MD appears in CMS Medicare data with 51 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 BRANDSEMA, MD's credentials?
JOHN BRANDSEMA, MD's NPI is 1275889792 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

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