2026 NPPES data Internal Medicine Physician NPI 1467431155 MD
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JOHN DOOLEY, MD

Internal Medicine Physician in WASHINGTON, District of Columbia. 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
4K
Medicare Part D claims · 420 beneficiaries · Internal Medicine Physician avg: 3K
Generic prescribing
91%
generic claims · 9% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
14.4063/100
▼ 69 pts below national avg 83.1 · [object Object]
Industry payments
$536.47
25 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: JOHN DOOLEY, MD is a Internal Medicine Physician ([object Object]) practicing in WASHINGTON, District of Columbia with a Medicare Part D prescribing footprint of 4K claims across 420 beneficiaries — 9% brand-name prescribing . Their CMS MIPS Final Score of 14.4063/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $536.47 across 25 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: JOHN DOOLEY, MD reported a CMS MIPS final score of 14.4063 out of 100, below the 83.1 national average, and filed 4,374 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 DOOLEY, 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).

JOHN DOOLEY, MD at a glance

Below national average

NPI registry status

Active

Issued 01/11/2006

NPI 1467431155

Primary specialty

Internal Medicine Physician

High-volume

172,858 US NPIs in this specialty

Medicare Part D claims

4,374 61% vs specialty avg

2023 prescription claims

Specialty avg: 2,716

MIPS final score

14.4063/100 68.69369999999999% pts

Penalty band band

vs 83.1 national avg

Specialty distribution in District of Columbia

How Internal Medicine Physician compares to other specialties among District of Columbia providers

District of Columbia providers

Internal Medicine Physician share within District of Columbia

1. Internal Medicine Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Internal Medicine Physician share within District of Columbia

Medicare quality performance — MIPS

JOHN DOOLEY, MD's 2023 MIPS final score plotted against the Internal Medicine Physician national average

Below national average
MIPS Final Score
14.4063/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Internal Medicine Physician) — 14.4063/100 vs national avg 83.1

0%100%National avg83%14.4%
MIPS final score (Internal Medicine Physician) — 14.4063/100 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 DOOLEY, MD is a Internal Medicine Physician provider practicing in WASHINGTON, District of Columbia, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1467431155. 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 DOOLEY, MD appears in the CMS NPPES registry as a Internal Medicine Physician provider holding MD credentials at 3301 NEW MEXICO AVE NW, WASHINGTON, DC, 20016, with a listed phone of (202) 362-4467. NPI 1467431155 was issued on 01/11/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what DOOLEY 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 4,374 prescription claims written by this provider, covering 420 Medicare beneficiaries and totaling roughly $367K in drug spend, split 9% brand-name and 91% generic by claim count, with an opioid prescribing rate of 1.0%. 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 14.4063/100 for the 2023 performance year (Quality 0, Cost 48.021), compared with the national average of 83.1.

Internal Medicine Physician is a high-volume specialty nationwide, with 172,858 enrolled providers across 56 states and an average of 2,716 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

3301 NEW MEXICO AVE NW
WASHINGTON, DC 20016

Provider Details

NPI 1467431155
Specialty Internal Medicine Physician
Credentials MD
Gender Male
NPI Issued 01/11/2006

CMS Quality Score (MIPS)

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

14.4063
Final Score
Avg: 83.1
0
Quality
48.021
Cost

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

Total received

$536

Largest payer

Lilly USA, LLC

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 · Generic-heavy

JOHN DOOLEY, MD — brand share 9.0%
Specialty average (est.)

9% brand-name claims vs 91% generic, on 4,374 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.

4,374
Total Claims
$367K
Total Drug Cost
420
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
10,593
Total Day Supply
309,679
Brand vs Generic
9% brand / 91% generic
Brand Drug Cost
$270K
Generic Drug Cost
$96K
Opioid Claims
44 (1.0% rate)
Antibiotic Claims
159

Patient Demographics

Average Patient Age
78.0 years
Avg HCC Risk Score
0.79
Gender Split
45% female / 55% 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
Atorvastatin Calcium
609
Zolpidem Tartrate
186
Amlodipine Besylate
174
Levothyroxine Sodium
150
Losartan Potassium
124
Rosuvastatin Calcium
117
Eliquis
Apixaban
108
Simvastatin
94
Lisinopril
91
Tamsulosin Hcl
83

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

Internal Medicine Physician Overview

How JOHN DOOLEY, MD fits within the Internal Medicine Physician landscape nationally.

172,858
Internal Medicine Physician Providers in US
56
States with Internal Medicine Physician
2,716
Avg Claims per Provider

JOHN DOOLEY, MD's 4,374 claims are above the specialty average of 2,716.

Nearby Internal Medicine Physician Providers in District of Columbia

Other clinicians with the same primary specialty enrolled in District of Columbia, drawn from the same CMS NPPES roster as DOOLEY.

Compare Internal Medicine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is JOHN DOOLEY, MD's specialty?
JOHN DOOLEY, MD specializes in Internal Medicine Physician and practices in WASHINGTON, District of Columbia. Credentials: MD.
How much does JOHN DOOLEY, MD prescribe under Medicare Part D?
In 2023, JOHN DOOLEY, MD wrote 4,374 Medicare Part D claims totaling $367K in drug costs for 420 beneficiaries.
What is JOHN DOOLEY, MD's Medicare quality score?
JOHN DOOLEY, MD has a CMS MIPS Final Score of 14.4063/100 (Quality: 0, Cost: 48.021). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is JOHN DOOLEY, MD located?
JOHN DOOLEY, MD is located at 3301 NEW MEXICO AVE NW, WASHINGTON, DC, 20016. Phone: (202) 362-4467.
What is JOHN DOOLEY, MD's NPI number?
JOHN DOOLEY, MD's National Provider Identifier (NPI) is 1467431155, issued on 01/11/2006.
Does JOHN DOOLEY, MD prescribe more brand-name or generic drugs?
JOHN DOOLEY, MD's prescribing is 9% brand-name and 91% generic drugs by claim count, with $270K in brand drug costs.
Does JOHN DOOLEY, MD prescribe opioids?
Yes, JOHN DOOLEY, MD had 44 opioid claims in 2023 with an opioid prescribing rate of 1.0%.
How many Internal Medicine Physician providers are there in the US?
There are 172,858 Internal Medicine Physician providers across 56 states in the US. The average Internal Medicine Physician provider writes 2,716 Medicare Part D claims per year.
What drugs does JOHN DOOLEY, MD prescribe most often?
Based on 2023 Medicare Part D data, JOHN DOOLEY, MD's most frequently prescribed drugs include Atorvastatin Calcium, Zolpidem Tartrate, Amlodipine Besylate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JOHN DOOLEY, MD accept Medicare?
JOHN DOOLEY, MD appears in CMS Medicare data with 4,374 Part D claims and 420 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JOHN DOOLEY, MD's credentials?
JOHN DOOLEY, MD's NPI is 1467431155 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