2026 NPPES data Nurse Practitioner NPI 1164153540
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JOHN CAWLEY

Nurse Practitioner in SACRAMENTO, California. 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 · 13 beneficiaries · Nurse Practitioner avg: 1K
MIPS score
94.6267/100
▲ 12 pts above national avg 83.1 · [object Object]
Industry payments
$117.62
1 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

JOHN CAWLEY reported a CMS MIPS final score of 94.6267/100 — above the 83.1 national average — and filed 51 Medicare Part D claims in 2023.

94.6267/100
MIPS score · +12 vs avg
51
Part D claims, 2023
$117.62
industry payments (Sunshine Act)

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 CAWLEY's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

95 Top 25% higher than 75% 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. 90–100: 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

What does the federal data show about JOHN CAWLEY?

High performer (top quartile)

NPI registry status

Active

Issued 06/17/2022

NPI 1164153540

Primary specialty

Nurse Practitioner

High-volume

87,227 US NPIs in this specialty

Medicare Part D claims

51 95% vs specialty avg

2023 prescription claims

Specialty avg: 1,084

MIPS final score

94.6267/100 11.526700000000005% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in California

How Nurse Practitioner compares to other specialties among California providers

California providers

Nurse Practitioner share within California

1. Nurse Practitioner42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Nurse Practitioner share within California

Medicare quality performance — MIPS

JOHN CAWLEY's 2023 MIPS final score plotted against the Nurse Practitioner national average

High performer (top quartile)
MIPS Final Score
94.6267/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Nurse Practitioner) — 94.6267/100 vs national avg 83.1

0%100%National avg83%94.6%
MIPS final score (Nurse Practitioner) — 94.6267/100 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 CAWLEY appears in the CMS NPPES registry as a Nurse Practitioner provider at 2279 45TH ST, SACRAMENTO, CA, 95817, with a listed phone of (916) 734-5959. NPI 1164153540 was issued on 06/17/2022. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what CAWLEY 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 13 Medicare beneficiaries and totaling roughly $54K in drug spend. 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 94.6267/100 for the 2023 performance year (Quality 76.6789, Cost 97.1443), compared with the national average of 83.1.

Nurse Practitioner is a high-volume specialty nationwide, with 87,227 enrolled providers across 56 states and an average of 1,084 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

2279 45TH ST
SACRAMENTO, CA 95817

Provider Details

NPI 1164153540
Specialty Nurse Practitioner
Gender Male
NPI Issued 06/17/2022

CMS Quality Score (MIPS)

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

94.6267
Final Score
Avg: 83.1
76.6789
Quality
97.1443
Cost

Reporting: Group practice

Hospital and facility affiliations

Facilities where JOHN CAWLEY 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.

REGENTS OF THE UNIV OF CA
SACRAMENTO, CA

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 CAWLEY. Source: openpaymentsdata.cms.gov.

Total received

$118

Largest payer

Kite Pharma, 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 — California MBC 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 ~150K California medical licensees in 2023 — they are NOT specific to JOHN CAWLEY. To verify JOHN CAWLEY's current license status, search the MBC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

576
Total board actions, California 2023
Across 556 cases
3.84
Actions per 1,000 licensees
California statewide rate
probation
Most common action type
186 cases

MBC 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 California disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

51
Total Claims
$54K
Total Drug Cost
13
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
52
Total Day Supply
1,155
Generic Drug Cost
$13K

Patient Demographics

Average Patient Age
69.1 years
Avg HCC Risk Score
2.15

Nurse Practitioner Overview

How JOHN CAWLEY fits within the Nurse Practitioner landscape nationally.

87,227
Nurse Practitioner Providers in US
56
States with Nurse Practitioner
1,084
Avg Claims per Provider

JOHN CAWLEY's 51 claims are below the specialty average of 1,084.

Nearby Nurse Practitioner Providers in California

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

Compare Nurse Practitioner nationally: see state-by-state distribution →

Frequently Asked Questions

What is JOHN CAWLEY's specialty?
JOHN CAWLEY specializes in Nurse Practitioner and practices in SACRAMENTO, California.
How much does JOHN CAWLEY prescribe under Medicare Part D?
In 2023, JOHN CAWLEY wrote 51 Medicare Part D claims totaling $54K in drug costs for 13 beneficiaries.
What is JOHN CAWLEY's Medicare quality score?
JOHN CAWLEY has a CMS MIPS Final Score of 94.6267/100 (Quality: 76.6789, Cost: 97.1443). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is JOHN CAWLEY located?
JOHN CAWLEY is located at 2279 45TH ST, SACRAMENTO, CA, 95817. Phone: (916) 734-5959.
What is JOHN CAWLEY's NPI number?
JOHN CAWLEY's National Provider Identifier (NPI) is 1164153540, issued on 06/17/2022.
How many Nurse Practitioner providers are there in the US?
There are 87,227 Nurse Practitioner providers across 56 states in the US. The average Nurse Practitioner provider writes 1,084 Medicare Part D claims per year.
Does JOHN CAWLEY accept Medicare?
JOHN CAWLEY appears in CMS Medicare data with 51 Part D claims and 13 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JOHN CAWLEY's credentials?
JOHN CAWLEY's NPI is 1164153540. 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