2026 NPPES data Trauma Surgery Physician NPI 1821105628 MD
Verify on CMS →

JOHN CULHANE, MD

Trauma Surgery Physician in SAINT LOUIS, Missouri. 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
11
Medicare Part D claims · Trauma Surgery Physician avg: 70
MIPS score
81.5711/100
▼ 2 pts below national avg 83.1 · [object Object]
Industry payments
$336.61
6 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: JOHN CULHANE, MD is a Trauma Surgery Physician ([object Object]) practicing in SAINT LOUIS, Missouri with a Medicare Part D prescribing footprint of 11 claims . Their CMS MIPS Final Score of 81.5711/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $336.61 across 6 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: JOHN CULHANE, MD reported a CMS MIPS final score of 81.5711 out of 100, below the 83.1 national average, and filed 11 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 CULHANE, MD 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).

JOHN CULHANE, MD at a glance

Near national average

NPI registry status

Active

Issued 08/25/2006

NPI 1821105628

Primary specialty

Trauma Surgery Physician

Niche

959 US NPIs in this specialty

Medicare Part D claims

11 84% vs specialty avg

2023 prescription claims

Specialty avg: 70

MIPS final score

81.5711/100 1.528899999999993% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Missouri

How Trauma Surgery Physician compares to other specialties among Missouri providers

Missouri providers

Trauma Surgery Physician share within Missouri

1. Trauma Surgery Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Trauma Surgery Physician share within Missouri

Medicare quality performance — MIPS

JOHN CULHANE, MD's 2023 MIPS final score plotted against the Trauma Surgery Physician national average

Near national average
MIPS Final Score
81.5711/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Trauma Surgery Physician) — 81.5711/100 vs national avg 83.1

0%100%National avg83%81.6%
MIPS final score (Trauma Surgery Physician) — 81.5711/100 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 CULHANE, MD is a Trauma Surgery Physician provider practicing in SAINT LOUIS, Missouri, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1821105628. 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 CULHANE, MD appears in the CMS NPPES registry as a Trauma Surgery Physician provider holding MD credentials at 1225 S GRAND BLVD, SAINT LOUIS, MO, 63104, with a listed phone of (314) 977-4440. NPI 1821105628 was issued on 08/25/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what CULHANE 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 11 prescription claims written by this provider, covering N/A Medicare beneficiaries and totaling roughly $162 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 81.5711/100 for the 2023 performance year (Quality 76.0913, Cost 54.2831), compared with the national average of 83.1.

Trauma Surgery Physician is a narrow specialty nationwide, with 959 enrolled providers across 49 states and an average of 70 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

1225 S GRAND BLVD
SAINT LOUIS, MO 63104

Provider Details

NPI 1821105628
Specialty Trauma Surgery Physician
Credentials MD
Gender Male
NPI Issued 08/25/2006

CMS Quality Score (MIPS)

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

81.5711
Final Score
Avg: 83.1
76.0913
Quality
54.2831
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where JOHN CULHANE, 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.

SSM HEALTH CARE GROUP
SAINT LOUIS, MO

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

Total received

$337

Largest payer

Penumbra, 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.

Medicare Part D Prescribing Data

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

11
Total Claims
$162
Total Drug Cost
N/A
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
11
Total Day Supply
139
Brand Drug Cost
$0

Patient Demographics

Average Patient Age
62.9 years
Avg HCC Risk Score
2.78

Trauma Surgery Physician Overview

How JOHN CULHANE, MD fits within the Trauma Surgery Physician landscape nationally.

959
Trauma Surgery Physician Providers in US
49
States with Trauma Surgery Physician
70
Avg Claims per Provider

JOHN CULHANE, MD's 11 claims are below the specialty average of 70.

Nearby Trauma Surgery Physician Providers in Missouri

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

Compare Trauma Surgery Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is JOHN CULHANE, MD's specialty?
JOHN CULHANE, MD specializes in Trauma Surgery Physician and practices in SAINT LOUIS, Missouri. Credentials: MD.
How much does JOHN CULHANE, MD prescribe under Medicare Part D?
In 2023, JOHN CULHANE, MD wrote 11 Medicare Part D claims totaling $162 in drug costs for N/A beneficiaries.
What is JOHN CULHANE, MD's Medicare quality score?
JOHN CULHANE, MD has a CMS MIPS Final Score of 81.5711/100 (Quality: 76.0913, Cost: 54.2831). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is JOHN CULHANE, MD located?
JOHN CULHANE, MD is located at 1225 S GRAND BLVD, SAINT LOUIS, MO, 63104. Phone: (314) 977-4440.
What is JOHN CULHANE, MD's NPI number?
JOHN CULHANE, MD's National Provider Identifier (NPI) is 1821105628, issued on 08/25/2006.
How many Trauma Surgery Physician providers are there in the US?
There are 959 Trauma Surgery Physician providers across 49 states in the US. The average Trauma Surgery Physician provider writes 70 Medicare Part D claims per year.
Does JOHN CULHANE, MD accept Medicare?
JOHN CULHANE, MD appears in CMS Medicare data with 11 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 CULHANE, MD's credentials?
JOHN CULHANE, MD's NPI is 1821105628 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