NPI registry status
Active
2026 NPPES data Rheumatology Physician NPI 1922170836 MD
Verify on CMS → John Goldman, MD
Rheumatology Physician in Atlanta, Georgia.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 6,181 in Rheumatology 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
314
Medicare Part D claims · 97 beneficiaries · Rheumatology Physician avg: 2K
Generic prescribing
78%
generic claims · 22% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
66.6/100
▼ 16 pts below national avg 83.1 · Mid-tier
Industry payments
$1.4K
32 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 Goldman, MD reported a CMS MIPS final score of 66.6/100 - below the 83.1 national average - and filed 314 Medicare Part D claims in 2023.
- 66.6/100
- MIPS score · -16 vs avg
- 314
- Part D claims, 2023
- 78%
- 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 Goldman, MD's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
67 7th percentile higher than 7% 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 Goldman, MD sits
This provider among rheumatology physician peers
Across the 2,181 rheumatology physician providers who report both Medicare Part D prescribing and a MIPS quality score, John Goldman, MD writes more Part D claims than 8% of them and scores higher on MIPS quality than 7% - 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
Each dot is one rheumatology physician peer from a representative sample of 60; the gold marker is John Goldman, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
John Goldman, 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 Goldman, MD?
Below national averagePrimary specialty
Rheumatology Physician
Medicare Part D claims
314 85% vs specialty avg
MIPS final score
66.6/100 16.5 pts vs avg
Specialty distribution in Georgia
How Rheumatology Physician compares to other specialties among Georgia providers
Medicare quality performance, MIPS
John Goldman, MD's 2023 MIPS final score plotted against the Rheumatology Physician national average
- MIPS Final Score
- 66.6/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Rheumatology Physician) - 66.6/100 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 Goldman, MD appears in the CMS NPPES registry as a Rheumatology Physician provider holding MD credentials at 5555 PEACHTREE DUNWOODY ROAD, Atlanta, GA, 30342, with a listed phone of (404) 252-0230. NPI 1922170836 was issued on 11/15/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Goldman 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 314 prescription claims written by this provider, covering 97 Medicare beneficiaries and totaling roughly $393K in drug spend, split 22% brand-name and 78% generic by claim count. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 66.6/100 for the 2023 performance year (Quality 56, Cost 47.5), compared with the national average of 83.1.
Rheumatology Physician is a mid-sized specialty nationwide, with 6,181 enrolled providers across 52 states and an average of 2,054 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 | 1922170836 |
|---|---|
| Specialty | Rheumatology Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 11/15/2006 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
66.6261
Final Score
Avg: 83.1
55.9597
Quality
47.474
Cost
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 Goldman, MD. Source: openpaymentsdata.cms.gov.
Total received
$1.4K
Largest payer
Janssen Biotech, 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.
Brand vs generic prescribing mix · Typical
John Goldman, MD - brand share 22.0%
Rheumatology Physician average
22% brand-name claims vs 78% generic, on 314 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.
314
Total Claims
$393K
Total Drug Cost
97
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 697
- Total Day Supply
- 20,531
- Brand vs Generic
- 22% brand / 78% generic
- Brand Drug Cost
- $378K
- Generic Drug Cost
- $15K
Patient Demographics
- Average Patient Age
- 73.9 years
- Avg HCC Risk Score
- 1.44
- Gender Split
- 73% female / 27% 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 Goldman, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Prednisone
Prednisone
26 claims
- Methotrexate
Methotrexate
23 claims
- Allopurinol
Allopurinol
18 claims
- Celecoxib
Celecoxib
18 claims
- Enbrel Sureclick
Enbrel Sureclick
14 claims
- Ibuprofen
Ibuprofen
14 claims
- Enbrel
Enbrel
13 claims
- Hydroxychloroquine…
Hydroxychloroquine Sulfate
13 claims
| Drug | Claims |
|---|---|
| Prednisone | 26 |
| Methotrexate Methotrexate Sodium | 23 |
| Allopurinol | 18 |
| Celecoxib | 18 |
| Enbrel Sureclick Etanercept | 14 |
| Ibuprofen | 14 |
| Enbrel Etanercept | 13 |
| Hydroxychloroquine Sulfate | 13 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Rheumatology Physician Overview
How John Goldman, MD fits within the Rheumatology Physician landscape nationally.
6,181
Rheumatology Physician Providers in US
52
States with Rheumatology Physician
2,054
Avg Claims per Provider
John Goldman, MD's 314 claims are below the specialty average of 2,054.
Nearby Rheumatology Physician Providers in Georgia
Other clinicians with the same primary specialty enrolled in Georgia, drawn from the same CMS NPPES roster as Goldman.
Dr. Ashley Abbott
MD
Woodstock, GA
Dr. Amir Agha
MD
Decatur, GA
Dr. Huma Ahmed
MD
Columbus, GA
Dr. Naveeda Ahmed
MD
Augusta, GA
Dr. Nilofer Ahsan
MD
Albany, GA
Compare Rheumatology 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 Georgia medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Rheumatology 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.
Healthcare Guides
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Medical Specialties Explained
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Understanding Medicare Claims Data
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How insurance networks affect your costs
Telehealth Guide
Virtual care options and coverage in 2026
Explore Georgia
Frequently Asked Questions
What is John Goldman, MD's specialty? ▼
John Goldman, MD specializes in Rheumatology Physician and practices in Atlanta, Georgia. Credentials: MD.
How much does John Goldman, MD prescribe under Medicare Part D? ▼
In 2023, John Goldman, MD wrote 314 Medicare Part D claims totaling $393K in drug costs for 97 beneficiaries.
What is John Goldman, MD's Medicare quality score? ▼
John Goldman, MD has a CMS MIPS Final Score of 66.6/100 (Quality: 56, Cost: 47.5). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is John Goldman, MD located? ▼
John Goldman, MD is located at 5555 PEACHTREE DUNWOODY ROAD, Atlanta, GA, 30342. Phone: (404) 252-0230.
What is John Goldman, MD's NPI number? ▼
John Goldman, MD's National Provider Identifier (NPI) is 1922170836, issued on 11/15/2006.
Does John Goldman, MD prescribe more brand-name or generic drugs? ▼
John Goldman, MD's prescribing is 22% brand-name and 78% generic drugs by claim count, with $378K in brand drug costs.
How many Rheumatology Physician providers are there in the US? ▼
There are 6,181 Rheumatology Physician providers across 52 states in the US. The average Rheumatology Physician provider writes 2,054 Medicare Part D claims per year.
What drugs does John Goldman, MD prescribe most often? ▼
Based on 2023 Medicare Part D data, John Goldman, MD's most frequently prescribed drugs include Prednisone, Methotrexate, Allopurinol. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does John Goldman, MD accept Medicare? ▼
John Goldman, MD appears in CMS Medicare data with 314 Part D claims and 97 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify John Goldman, MD's credentials? ▼
John Goldman, MD's NPI is 1922170836 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.