NPI registry status
Active
2026 NPPES data Pulmonary Disease Physician NPI 1174575047 MD
Verify on CMS → John Fouts, MD
Pulmonary Disease Physician in Fort Wayne, Indiana.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 9,271 in Pulmonary Disease Physician, 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
1K
Medicare Part D claims · 179 beneficiaries · Pulmonary Disease Physician avg: 1K
Generic prescribing
20%
generic claims · 80% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
81.2/100
▼ 2 pts below national avg 83.1 · Above neutral
Industry payments
$13.08
1 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
John Fouts, MD reported a CMS MIPS final score of 81.2/100 - below the 83.1 national average - and filed 1,103 Medicare Part D claims in 2023.
- 81.2/100
- MIPS score · -2 vs avg
- 1K
- Part D claims, 2023
- 20%
- 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 Fouts, MD's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
81 36th percentile higher than 36% of 477,587 scored providers
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 Fouts, MD sits
This provider among pulmonary disease physician peers
Across the 2,676 pulmonary disease physician providers who report both Medicare Part D prescribing and a MIPS quality score, John Fouts, MD writes more Part D claims than 50% of them and scores higher on MIPS quality than 41% - placing this provider in the high-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
Each dot is one pulmonary disease physician peer from a representative sample of 60; the gold marker is John Fouts, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
John Fouts, 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 Fouts, MD?
Near national averagePrimary specialty
Pulmonary Disease Physician
Medicare Part D claims
1,103 24% vs specialty avg
MIPS final score
81.2/100 1.9 pts vs avg
Specialty distribution in Indiana
How Pulmonary Disease Physician compares to other specialties among Indiana providers
Medicare quality performance, MIPS
John Fouts, MD's 2023 MIPS final score plotted against the Pulmonary Disease Physician national average
- MIPS Final Score
- 81.2/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Pulmonary Disease Physician) - 81.2/100 vs national avg 83.1
How MIPS and board certification work
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 Fouts, MD appears in the CMS NPPES registry as a Pulmonary Disease Physician provider holding MD credentials at 11104 PARKVIEW CIRCLE DR STE 10, Fort Wayne, IN, 46845, with a listed phone of (260) 266-7856. NPI 1174575047 was issued on 05/17/2006.
Medicare Part D records for calendar year 2023 show 1,103 prescription claims written by this provider, covering 179 Medicare beneficiaries and totaling roughly $593K in drug spend, split 80% brand-name and 20% generic by claim count. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 81.2/100 for the 2023 performance year (Quality 69, Cost 68.5), 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
Provider Details
| NPI | 1174575047 |
|---|---|
| Specialty | Pulmonary Disease Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 05/17/2006 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
81.234
Final Score
Avg: 83.1
68.9532
Quality
68.4936
Cost
100
Promoting Interoperability
Reporting: Group practice
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 Fouts, MD. Source: openpaymentsdata.cms.gov.
Total received
$13
Largest payer
GlaxoSmithKline, 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 · Brand-heavy
John Fouts, MD - brand share 80.0%
Pulmonary Disease Physician average
80% brand-name claims vs 20% generic, on 1,103 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.
1,103
Total Claims
$593K
Total Drug Cost
179
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 1,523
- Total Day Supply
- 44,197
- Brand vs Generic
- 80% brand / 20% generic
- Brand Drug Cost
- $576K
- Generic Drug Cost
- $17K
Patient Demographics
- Average Patient Age
- 72.8 years
- Avg HCC Risk Score
- 1.60
- Gender Split
- 52% female / 48% male
- Age Distribution
- <65: 27, 65-74: 80, 75-84: 49, 85+: 23
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What John Fouts, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Trelegy Ellipta
Trelegy Ellipta
302 claims
- Albuterol Sulfate …
Albuterol Sulfate Hfa
194 claims
- Breo Ellipta
Breo Ellipta
121 claims
- Symbicort 56
Symbicort
56 claims
- Anoro Ellipta 53
Anoro Ellipta
53 claims
- Montelukast Sodium 51
Montelukast Sodium
51 claims
- Pantoprazole Sodium 33
Pantoprazole Sodium
33 claims
- Arnuity Ellipta 27
Arnuity Ellipta
27 claims
| Drug | Claims |
|---|---|
| Trelegy Ellipta Fluticasone/Umeclidin/Vilanter | 302 |
| Albuterol Sulfate Hfa Albuterol Sulfate | 194 |
| Breo Ellipta Fluticasone/Vilanterol | 121 |
| Symbicort Budesonide/Formoterol Fumarate | 56 |
| Anoro Ellipta Umeclidinium Brm/Vilanterol Tr | 53 |
| Montelukast Sodium | 51 |
| Pantoprazole Sodium | 33 |
| Arnuity Ellipta Fluticasone Furoate | 27 |
| Wixela Inhub Fluticasone Propion/Salmeterol | 22 |
| Spiriva Respimat Tiotropium Bromide | 21 |
* 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 Fouts, 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 Fouts, MD's 1,103 claims are below the specialty average of 1,457.
Nearby Pulmonary Disease Physician Providers in Indiana
Other clinicians with the same primary specialty enrolled in Indiana, drawn from the same CMS NPPES roster as Fouts.
Dr. Mohamed Abou-Rayan
MD
Bloomington, IN
Dr. Shahid Ahsan
M.D.
West Lafayette, IN
Dr. Ismail Al-Ani
MD
South Bend, IN
Dr. Mazen Alakhras
MD
Lafayette, IN
Dr. Muhammad Ali
MD
Lafayette, IN
Compare Pulmonary Disease Physician 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 Indiana medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Pulmonary Disease Physician 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.
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Frequently Asked Questions
What is John Fouts, MD's specialty? ▼
John Fouts, MD specializes in Pulmonary Disease Physician and practices in Fort Wayne, Indiana. Credentials: MD.
How much does John Fouts, MD prescribe under Medicare Part D? ▼
In 2023, John Fouts, MD wrote 1,103 Medicare Part D claims totaling $593K in drug costs for 179 beneficiaries.
What is John Fouts, MD's Medicare quality score? ▼
John Fouts, MD has a CMS MIPS Final Score of 81.2/100 (Quality: 69, Cost: 68.5). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is John Fouts, MD located? ▼
John Fouts, MD is located at 11104 PARKVIEW CIRCLE DR STE 10, Fort Wayne, IN, 46845. Phone: (260) 266-7856.
What is John Fouts, MD's NPI number? ▼
John Fouts, MD's National Provider Identifier (NPI) is 1174575047, issued on 05/17/2006.
Does John Fouts, MD prescribe more brand-name or generic drugs? ▼
John Fouts, MD's prescribing is 80% brand-name and 20% generic drugs by claim count, with $576K 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 Fouts, MD prescribe most often? ▼
Based on 2023 Medicare Part D data, John Fouts, MD's most frequently prescribed drugs include Trelegy Ellipta, Albuterol Sulfate Hfa, Breo Ellipta. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does John Fouts, MD accept Medicare? ▼
John Fouts, MD appears in CMS Medicare data with 1,103 Part D claims and 179 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify John Fouts, MD's credentials? ▼
John Fouts, MD's NPI is 1174575047 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
View source datasets and methodology notes
- 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.