2026 NPPES data Specialist NPI 1538129580 MD
Verify on CMS →

John Fisch, MD

Specialist in Monroeville, Pennsylvania. This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 69,658 in Specialist, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.

Federal data, no proprietary rating. We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
292
Medicare Part D claims · 108 beneficiaries · Specialist avg: 1K
Generic prescribing
74%
generic claims · 26% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
77.5/100
▼ 6 pts below national avg 83.1 · Above neutral
Industry payments
$37.37
2 payments · CMS Open Payments (Sunshine Act)
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

John Fisch, MD reported a CMS MIPS final score of 77.5/100 - below the 83.1 national average - and filed 292 Medicare Part D claims in 2023.

77.5/100
MIPS score · -6 vs avg
292
Part D claims, 2023
74%
generic prescribing
$37.37
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 Fisch, MD's MIPS score vs every scored U.S. clinician

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

78 24th percentile higher than 24% 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+: 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

Where John Fisch, MD sits

This provider among specialist peers

Across the 4,869 specialist providers who report both Medicare Part D prescribing and a MIPS quality score, John Fisch, MD writes more Part D claims than 27% of them and scores higher on MIPS quality than 40% - placing this provider in the lower-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Part D claim volume vs MIPS quality, by specialty percentile

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality0255075100024.148.372.496.6Part D claim volume, percentile in specialtyMIPS quality, percentilePart D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 92Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 43Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 27Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 90Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 27Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 20Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 18Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 83Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 82Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 68Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 80Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 65Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 55Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 72Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 17Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 60Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 40Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 73Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 27Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 45Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 58Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 5Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 92Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 15Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 25Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 92Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 70Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 8Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 13Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 47Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 10Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 52Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 92Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 42Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 78Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 38Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 50Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 53Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 63Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 7Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 27Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 27Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 27Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 85Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 22Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 92Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 92Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 67Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 87Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 27Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 75Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 77Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 57Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 23Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 12Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 62John Fisch, MD-Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 40
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one specialist peer from a representative sample of 60; the gold marker is John Fisch, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

What does the federal data show about John Fisch, MD?

Below national average

NPI registry status

Active

Issued 03/24/2006

NPI 1538129580

Primary specialty

Specialist

High-volume

69,658 US NPIs in this specialty

Medicare Part D claims

292 80% vs specialty avg

2023 prescription claims

Specialty avg: 1,474

MIPS final score

77.5/100 5.6 pts vs avg

Above neutral band

vs 83.1 national avg

Specialty distribution in Pennsylvania

How Specialist compares to other specialties among Pennsylvania providers

Pennsylvania providers

Largest specialties in Pennsylvania (% of in-state providers)

Student in an Organized Health Care Education/Training Program - 5.6%Student in an Organized Health Care Education/Training Program5.6%Pharmacist - 5%Pharmacist5%Physical Therapist - 4.9%Physical Therapist4.9%Mental Health Counselor - 3.9%Mental Health Counselor3.9%Internal Medicine Physician - 3.3%Internal Medicine Physician3.3%Professional Counselor - 3.2%Professional Counselor3.2%Specialist - 1%Specialist1%
Largest specialties in Pennsylvania (% of in-state providers)

Medicare quality performance, MIPS

John Fisch, MD's 2023 MIPS final score plotted against the Specialist national average

Below national average
MIPS Final Score
77.5/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Specialist) - 77.5/100 vs national avg 83.1

0%100%National avg83%77.5%
MIPS final score (Specialist) - 77.5/100 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 Fisch, MD appears in the CMS NPPES registry as a Specialist provider holding MD credentials at 3824 NORTHERN PIKE, Monroeville, PA, 15146, with a listed phone of (412) 372-0645. NPI 1538129580 was issued on 03/24/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Fisch 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 292 prescription claims written by this provider, covering 108 Medicare beneficiaries and totaling roughly $40K in drug spend, split 26% brand-name and 74% 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 77.5/100 for the 2023 performance year (Quality 68.6, Cost 56.4), compared with the national average of 83.1.

Specialist is a high-volume specialty nationwide, with 69,658 enrolled providers across 55 states and an average of 1,474 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

3824 NORTHERN PIKE
Monroeville, PA 15146

Provider Details

NPI 1538129580
Specialty Specialist
Credentials MD
Gender Male
NPI Issued 03/24/2006

CMS Quality Score (MIPS)

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

77.5068
Final Score
Avg: 83.1
68.6144
Quality
56.4081
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where John Fisch, 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.

University OF Pittsburgh Physicians
Monroeville, 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 Fisch, MD. Source: openpaymentsdata.cms.gov.

Total received

$37

Largest payer

Applied Medical Resources Corporation

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 Fisch, MD. To verify John Fisch, 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 · Above average

John Fisch, MD - brand share 26.0%
Specialist average

26% brand-name claims vs 74% generic, on 292 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.

292
Total Claims
$40K
Total Drug Cost
108
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
606
Total Day Supply
16,293
Brand vs Generic
26% brand / 74% generic
Brand Drug Cost
$29K
Generic Drug Cost
$12K
Antibiotic Claims
18

Patient Demographics

Average Patient Age
67.2 years
Avg HCC Risk Score
0.90
Gender Split
100% female / 0% male

Top Prescribed Drugs (Medicare Part D)

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

What John Fisch, 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
Clotrimazole-Betamethasone
Clotrimazole/Betamethasone Dip
26
Estradiol
24
Medroxyprogesterone Acetate
23
Clindamycin Phosphate
19
Fluconazole
18
Myrbetriq
Mirabegron
13
Estradiol-Norethindrone Acetat
Estradiol/Norethindrone Acet
12
Premarin
"Estrogens
N/A

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

Specialist Overview

How John Fisch, MD fits within the Specialist landscape nationally.

69,658
Specialist Providers in US
55
States with Specialist
1,474
Avg Claims per Provider

John Fisch, MD's 292 claims are below the specialty average of 1,474.

Nearby Specialist Providers in Pennsylvania

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

Compare Specialist nationally: see state-by-state distribution →

Before you book an appointment

Use this federal record as your verification checklist, not as a recommendation.

  • Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
  • Check the active license and any disciplinary history with the Pennsylvania medical board, federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Specialist peer on Medicare volume and prescribing patterns. Compare providers

Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.

Frequently Asked Questions

What is John Fisch, MD's specialty?
John Fisch, MD specializes in Specialist and practices in Monroeville, Pennsylvania. Credentials: MD.
How much does John Fisch, MD prescribe under Medicare Part D?
In 2023, John Fisch, MD wrote 292 Medicare Part D claims totaling $40K in drug costs for 108 beneficiaries.
What is John Fisch, MD's Medicare quality score?
John Fisch, MD has a CMS MIPS Final Score of 77.5/100 (Quality: 68.6, Cost: 56.4). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is John Fisch, MD located?
John Fisch, MD is located at 3824 NORTHERN PIKE, Monroeville, PA, 15146. Phone: (412) 372-0645.
What is John Fisch, MD's NPI number?
John Fisch, MD's National Provider Identifier (NPI) is 1538129580, issued on 03/24/2006.
Does John Fisch, MD prescribe more brand-name or generic drugs?
John Fisch, MD's prescribing is 26% brand-name and 74% generic drugs by claim count, with $29K in brand drug costs.
How many Specialist providers are there in the US?
There are 69,658 Specialist providers across 55 states in the US. The average Specialist provider writes 1,474 Medicare Part D claims per year.
What drugs does John Fisch, MD prescribe most often?
Based on 2023 Medicare Part D data, John Fisch, MD's most frequently prescribed drugs include Clotrimazole-Betamethasone, Estradiol, Medroxyprogesterone Acetate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does John Fisch, MD accept Medicare?
John Fisch, MD appears in CMS Medicare data with 292 Part D claims and 108 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify John Fisch, MD's credentials?
John Fisch, MD's NPI is 1538129580 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

Compiled from official public sources by the PlainDoctor editorial team.