2026 NPPES data Pulmonary Disease Physician NPI 1194798595 MD
Verify on CMS →

JOHN CLARK, MD

Pulmonary Disease Physician in SPARTANBURG, South Carolina. 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
2K
Medicare Part D claims · 442 beneficiaries · Pulmonary Disease Physician avg: 1K
Generic prescribing
35%
generic claims · 65% 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
$2.8K
107 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

JOHN CLARK, MD reported a CMS MIPS final score of 75/100 — below the 83.1 national average — and filed 2,472 Medicare Part D claims in 2023.

75/100
MIPS score · -8 vs avg
2K
Part D claims, 2023
35%
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 CLARK, MD's MIPS score vs every scored U.S. clinician

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

75 15th percentile higher than 15% 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%). This entry sits in this band. 80–90: 129,887 scored providers (27%). Above this entry. 90–100: 189,403 scored providers (40%). Above this entry. 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 CLARK, MD 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).

What does the federal data show about JOHN CLARK, MD?

Below national average

NPI registry status

Active

Issued 02/08/2006

NPI 1194798595

Primary specialty

Pulmonary Disease Physician

Mid-sized

9,271 US NPIs in this specialty

Medicare Part D claims

2,472 70% vs specialty avg

2023 prescription claims

Specialty avg: 1,457

MIPS final score

75/100 8.099999999999994% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in South Carolina

How Pulmonary Disease Physician compares to other specialties among South Carolina providers

South Carolina providers

Pulmonary Disease Physician share within South Carolina

1. Pulmonary Disease Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Pulmonary Disease Physician share within South Carolina

Medicare quality performance — MIPS

JOHN CLARK, MD's 2023 MIPS final score plotted against the Pulmonary Disease Physician national average

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

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

0%100%National avg83%75%
MIPS final score (Pulmonary Disease 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 CLARK, MD appears in the CMS NPPES registry as a Pulmonary Disease Physician provider holding MD credentials at 2030 NORTH CHURCH PLACE, SPARTANBURG, SC, 29303, with a listed phone of (864) 582-6858. NPI 1194798595 was issued on 02/08/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what CLARK 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 2,472 prescription claims written by this provider, covering 442 Medicare beneficiaries and totaling roughly $1.3 million in drug spend, split 65% brand-name and 35% 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 75/100 for the 2023 performance year, compared with the national average of 83.1.

Pulmonary Disease Physician is a mid-sized specialty nationwide, with 9,271 enrolled providers across 53 states and an average of 1,457 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

2030 NORTH CHURCH PLACE
SPARTANBURG, SC 29303

Provider Details

NPI 1194798595
Specialty Pulmonary Disease Physician
Credentials MD
Gender Male
NPI Issued 02/08/2006

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

Total received

$2.8K

Largest payer

AstraZeneca Pharmaceuticals LP

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 CLARK, MD — brand share 65.0%
Specialty average (est.)

65% brand-name claims vs 35% generic, on 2,472 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.

2,472
Total Claims
$1.3M
Total Drug Cost
442
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
3,409
Total Day Supply
98,372
Brand vs Generic
65% brand / 35% generic
Brand Drug Cost
$1.2M
Antibiotic Claims
89

Patient Demographics

Average Patient Age
71.7 years
Avg HCC Risk Score
2.02
Gender Split
58% female / 42% male
Age Distribution
<65: 77, 65-74: 201, 75-84: 129, 85+: 35

Top Prescribed Drugs (Medicare Part D)

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

What JOHN CLARK, MD prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Trelegy Ellipta
Fluticasone/Umeclidin/Vilanter
530
Albuterol Sulfate Hfa
Albuterol Sulfate
427
Prednisone
307
Breztri Aerosphere
Budesonide/Glycopyr/Formoterol
141
Breo Ellipta
Fluticasone/Vilanterol
130
Symbicort
Budesonide/Formoterol Fumarate
125
Montelukast Sodium
74
Anoro Ellipta
Umeclidinium Brm/Vilanterol Tr
71
Stiolto Respimat
Tiotropium Br/Olodaterol Hcl
59
Azithromycin
43

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

Pulmonary Disease Physician Overview

How JOHN CLARK, MD fits within the Pulmonary Disease Physician landscape nationally.

9,271
Pulmonary Disease Physician Providers in US
53
States with Pulmonary Disease Physician
1,457
Avg Claims per Provider

JOHN CLARK, MD's 2,472 claims are above the specialty average of 1,457.

Nearby Pulmonary Disease Physician Providers in South Carolina

Other clinicians with the same primary specialty enrolled in South Carolina, drawn from the same CMS NPPES roster as CLARK.

Compare Pulmonary Disease Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is JOHN CLARK, MD's specialty?
JOHN CLARK, MD specializes in Pulmonary Disease Physician and practices in SPARTANBURG, South Carolina. Credentials: MD.
How much does JOHN CLARK, MD prescribe under Medicare Part D?
In 2023, JOHN CLARK, MD wrote 2,472 Medicare Part D claims totaling $1.3M in drug costs for 442 beneficiaries.
What is JOHN CLARK, MD's Medicare quality score?
JOHN CLARK, MD 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 CLARK, MD located?
JOHN CLARK, MD is located at 2030 NORTH CHURCH PLACE, SPARTANBURG, SC, 29303. Phone: (864) 582-6858.
What is JOHN CLARK, MD's NPI number?
JOHN CLARK, MD's National Provider Identifier (NPI) is 1194798595, issued on 02/08/2006.
Does JOHN CLARK, MD prescribe more brand-name or generic drugs?
JOHN CLARK, MD's prescribing is 65% brand-name and 35% generic drugs by claim count, with $1.2M in brand drug costs.
How many Pulmonary Disease Physician providers are there in the US?
There are 9,271 Pulmonary Disease Physician providers across 53 states in the US. The average Pulmonary Disease Physician provider writes 1,457 Medicare Part D claims per year.
What drugs does JOHN CLARK, MD prescribe most often?
Based on 2023 Medicare Part D data, JOHN CLARK, MD's most frequently prescribed drugs include Trelegy Ellipta, Albuterol Sulfate Hfa, Prednisone. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JOHN CLARK, MD accept Medicare?
JOHN CLARK, MD appears in CMS Medicare data with 2,472 Part D claims and 442 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JOHN CLARK, MD's credentials?
JOHN CLARK, MD's NPI is 1194798595 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