2026 NPPES data Surgery Physician NPI 1417957085 DO
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JOHN GOULART, DO

Surgery Physician in ENID, Oklahoma. 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
128
Medicare Part D claims · 107 beneficiaries · Surgery Physician avg: 169
Generic prescribing
78%
generic claims · 22% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
77.6983/100
▼ 5 pts below national avg 83.1 · [object Object]
What the federal data reveals: JOHN GOULART, DO is a Surgery Physician ([object Object]) practicing in ENID, Oklahoma with a Medicare Part D prescribing footprint of 128 claims across 107 beneficiaries — 22% brand-name prescribing . Their CMS MIPS Final Score of 77.6983/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities .

What stands out: JOHN GOULART, DO reported a CMS MIPS final score of 77.6983 out of 100, below the 83.1 national average, and filed 128 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 GOULART, DO 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 GOULART, DO at a glance

Below national average

NPI registry status

Active

Issued 07/26/2005

NPI 1417957085

Primary specialty

Surgery Physician

Mid-sized

36,191 US NPIs in this specialty

Medicare Part D claims

128 24% vs specialty avg

2023 prescription claims

Specialty avg: 169

MIPS final score

77.6983/100 5.401699999999991% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Oklahoma

How Surgery Physician compares to other specialties among Oklahoma providers

Oklahoma providers

Surgery Physician share within Oklahoma

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

Medicare quality performance — MIPS

JOHN GOULART, DO's 2023 MIPS final score plotted against the Surgery Physician national average

Below national average
MIPS Final Score
77.6983/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Surgery Physician) — 77.6983/100 vs national avg 83.1

0%100%National avg83%77.7%
MIPS final score (Surgery Physician) — 77.6983/100 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 GOULART, DO is a Surgery Physician provider practicing in ENID, Oklahoma, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: DO. NPI: 1417957085. 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 GOULART, DO appears in the CMS NPPES registry as a Surgery Physician provider holding DO credentials at 620 S MADISON ST, ENID, OK, 73701, with a listed phone of (580) 234-2289. NPI 1417957085 was issued on 07/26/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what GOULART 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 128 prescription claims written by this provider, covering 107 Medicare beneficiaries and totaling roughly $5K in drug spend, split 22% brand-name and 78% generic by claim count, with an opioid prescribing rate of 48.4%. 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 77.6983/100 for the 2023 performance year (Quality 82.5298, Cost 43.1313), compared with the national average of 83.1.

Surgery Physician is a mid-sized specialty nationwide, with 36,191 enrolled providers across 56 states and an average of 169 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

620 S MADISON ST
ENID, OK 73701

Provider Details

NPI 1417957085
Specialty Surgery Physician
Credentials DO
Gender Male
NPI Issued 07/26/2005

CMS Quality Score (MIPS)

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

77.6983
Final Score
Avg: 83.1
82.5298
Quality
43.1313
Cost
100
Promoting Interoperability

Reporting: Group practice

Brand vs generic prescribing mix · Typical

JOHN GOULART, DO — brand share 22.0%
Specialty average (est.)

22% brand-name claims vs 78% generic, on 128 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.

128
Total Claims
$5K
Total Drug Cost
107
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
128
Total Day Supply
778
Brand vs Generic
22% brand / 78% generic
Brand Drug Cost
$5K
Generic Drug Cost
$666
Opioid Claims
62 (48.4% rate)
Antibiotic Claims
23

Patient Demographics

Average Patient Age
70.7 years
Avg HCC Risk Score
1.29
Gender Split
54% female / 46% 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
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
50
Sutab
Sod Sulf/Pot Chloride/Mag Sulf
27

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

Surgery Physician Overview

How JOHN GOULART, DO fits within the Surgery Physician landscape nationally.

36,191
Surgery Physician Providers in US
56
States with Surgery Physician
169
Avg Claims per Provider

JOHN GOULART, DO's 128 claims are below the specialty average of 169.

Nearby Surgery Physician Providers in Oklahoma

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

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

Frequently Asked Questions

What is JOHN GOULART, DO's specialty?
JOHN GOULART, DO specializes in Surgery Physician and practices in ENID, Oklahoma. Credentials: DO.
How much does JOHN GOULART, DO prescribe under Medicare Part D?
In 2023, JOHN GOULART, DO wrote 128 Medicare Part D claims totaling $5K in drug costs for 107 beneficiaries.
What is JOHN GOULART, DO's Medicare quality score?
JOHN GOULART, DO has a CMS MIPS Final Score of 77.6983/100 (Quality: 82.5298, Cost: 43.1313). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is JOHN GOULART, DO located?
JOHN GOULART, DO is located at 620 S MADISON ST, ENID, OK, 73701. Phone: (580) 234-2289.
What is JOHN GOULART, DO's NPI number?
JOHN GOULART, DO's National Provider Identifier (NPI) is 1417957085, issued on 07/26/2005.
Does JOHN GOULART, DO prescribe more brand-name or generic drugs?
JOHN GOULART, DO's prescribing is 22% brand-name and 78% generic drugs by claim count, with $5K in brand drug costs.
Does JOHN GOULART, DO prescribe opioids?
Yes, JOHN GOULART, DO had 62 opioid claims in 2023 with an opioid prescribing rate of 48.4%.
How many Surgery Physician providers are there in the US?
There are 36,191 Surgery Physician providers across 56 states in the US. The average Surgery Physician provider writes 169 Medicare Part D claims per year.
What drugs does JOHN GOULART, DO prescribe most often?
Based on 2023 Medicare Part D data, JOHN GOULART, DO's most frequently prescribed drugs include Hydrocodone-Acetaminophen, Sutab. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JOHN GOULART, DO accept Medicare?
JOHN GOULART, DO appears in CMS Medicare data with 128 Part D claims and 107 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JOHN GOULART, DO's credentials?
JOHN GOULART, DO's NPI is 1417957085 with credentials DO. 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