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.
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.
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 averagePrimary specialty
Medicare Part D claims
MIPS final score
Specialty distribution in Oklahoma
How Surgery Physician compares to other specialties among Oklahoma providers
Surgery Physician share within Oklahoma
Surgery Physician is one of the more visible NUCC categories in Oklahoma
Each bar reflects the share of in-state providers whose primary NUCC taxonomy matches the specialty. Long tail of ~690 NUCC codes folded into "Other" to keep the comparison legible.
Medicare quality performance — MIPS
JOHN GOULART, DO's 2023 MIPS final score plotted against the Surgery Physician 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
Quality benchmarks
- National MIPS avg 2023 reporting year
- Quality dim CMS Quality category
- Cost dim CMS Cost category
- Specialty volume Surgery Physician US NPIs
77.6983/100 MIPS final score — 5.4 pts below the 83.1 national average
Quality, Cost, Promoting Interoperability, and Improvement Activities composite score for the 2023 performance year. Specialty: Surgery Physician. Quality dim: 82.5298. Cost dim: 43.1313.
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
Provider Details
| NPI | 1417957085 |
|---|---|
| Specialty | Surgery Physician |
| Credentials | DO |
| Gender | Male |
| NPI Issued | 07/26/2005 |
Verify this provider's license
PlainDoctor pulls this profile from the CMS NPPES public registry. Confirm JOHN GOULART, DO's current license status, disciplinary history, and board certifications with the Oklahoma State Board of Medical Licensure in Oklahoma before relying on this page for a clinical or care decision.
How we sourced this profile
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
Reporting: Group practice
Brand vs generic prescribing mix · Typical
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.
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.
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 →
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Frequently Asked Questions
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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