NPPES file of Aug 9, 2026

John Daniel Hales, M.D.

Sports Medicine (Family Medicine) Physician · Franklin, NC

John Daniel Hales, M.D. is a sports medicine (family medicine) physician with a practice address in Franklin, North Carolina, and NPI 1982081766, issued on Apr 30, 2015. Check the license (North Carolina 2018-01079, as entered in NPPES) on the North Carolina Medical Board; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1982081766
Name
John Daniel Hales
Credential
M.D.
Primary taxonomy
Sports Medicine (Family Medicine) Physician 207QS0010X
License number
2018-01079 NC
Self-reported in NPPES; status is on the state search
Practice location
190 Riverview St, Franklin, NC 28734
Phone
(828) 349-8260
Enumerated
Apr 30, 2015
Record last updated
Mar 30, 2021 (not updated in 5 years: call before relying on the address or phone)
Fax
(828) 253-1123
Medicare enrollment
Enrolled (PECOS I20191218000777); accepts Medicare assignment
Medical or professional school
Florida State University College Of Medicine, 2015
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 190 Riverview St

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Stephen Bailey, CSFASurgical Assistant1467029892
  2. Brandy Capotosto, DNP, FNPFamily Nurse Practitioner1649162611
  3. Melaine Causey, NPSpecialist1457484321
  4. Tina Coffey, FNPNurse Practitioner1902227853
  5. Deborah Gregory, ARNPNurse Practitioner1841482874
  6. Elizabeth Hileman, APRNFamily Nurse Practitioner1083321657

Verify John Daniel Hales in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersNorth Carolina Medical Board
    Search for license 2018-01079
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the North Carolina license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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92% fewer Medicare Part D claims than the average sports medicine (family medicine) physician in 2024

66 Medicare Part D claims for 11 beneficiaries, against an average of 855 among the 2,237 providers of this specialty who prescribed in Part D. Brand-name drugs were 23% of claims.

  1. John Hales66
  2. Specialty average855

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

The practice group's MIPS final score for 2023 (Medicare payment program): 100 of 100

The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualitynot scored (reweighted)
  2. Costnot scored (reweighted)
  3. Promoting interoperabilityout of 100 · 25%100.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).

Bills Medicare through one group practice

  1. Henderson County Hospital CorporationFletcher, NC

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

John Daniel Hales among 102 sports medicine (family medicine) physician records in North Carolina

John Daniel Hales, M.D. is one of 102 sports medicine (family medicine) physician records with a practice address in North Carolina. 87% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2015, is newer than 70% of them.

  • NPI issued2015 · 70% of these records are older, 27% newer
  • In a Medicare fileYes · 87% of these records are
  • In the CMS Doctors and Clinicians fileYes · 75% of these records are
  • Graduated2015 · median 2010 among the 77 with a school on file
  • Record last updated2021 · 31% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207QS0010X and a North Carolina practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Sports Medicine (Family Medicine) Physician providers in North Carolina

There are 102 sports medicine (family medicine) physician records in North Carolina.

The 8 sports medicine (family medicine) physician records with the nearest ZIP codes

  1. Craig Burnworth, M.D.Candler, NC 287151609839984
  2. Kerry Fincher, D.O., CAQSMBrevard, NC 287121265965180
  3. Daniel Drechsler, MDMills River, NC 287591114423720
  4. Brent Fisher, M.D.Weaverville, NC 287871215256839
  5. Garrett Burrell, DOAsheville, NC 288011558011304
  6. Rachel Erickson, D.O.Asheville, NC 288011275067605
  7. Michael Shea, M.D.Asheville, NC 288011679677819
  8. Kim Stewart, DO, PHDAsheville, NC 288011124580097

Common questions

What is John Daniel Hales, M.D.'s NPI number?

John Daniel Hales, M.D.'s National Provider Identifier (NPI) is 1982081766, issued on Apr 30, 2015. An NPI identifies a provider in billing; it is not a license.

Where is John Daniel Hales, M.D. located?

The NPPES record lists a practice address at 190 Riverview St, Franklin, NC, 28734. Phone: (828) 349-8260. Providers update this record themselves, so call before visiting.

How can I verify John Daniel Hales, M.D.'s license?

NPPES lists North Carolina license number 2018-01079, as entered by the provider. Search the North Carolina Medical Board at https://portal.ncmedboard.org/verification/search.aspx. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does John Daniel Hales, M.D. prescribe under Medicare Part D?

In 2024, John Daniel Hales, M.D. had 66 Medicare Part D claims for 11 beneficiaries; the average among sports medicine (family medicine) physician prescribers was 855. Part D covers Medicare prescriptions only.

What is John Daniel Hales, M.D.'s MIPS final score?

The 2023 MIPS final score is 100 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.