2026 NPPES data Rheumatology Physician NPI 1619939295 MD, PHD
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John Harley, MD, PHD

Rheumatology Physician in Cincinnati, Ohio.

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.
MIPS score
81.4/100
▼ 2 pts below national avg 83.1 · Above neutral
Industry payments
$17.41
1 payments · CMS Open Payments (Sunshine Act)
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

John Harley, MD, PHD reported a CMS MIPS final score of 81.4/100 - below the 83.1 national average.

81.4/100
MIPS score · -2 vs avg
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 Harley, MD, PHD'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

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). This entry sits in this band. 90+: 189,403 scored providers (40%). Above this entry. This provider 0 100 every MIPS-scored clinician, bucketed by value

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

Board certification likely (heuristic, not verified)

John Harley, MD, PHD 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 Harley, MD, PHD?

Near national average

NPI registry status

Active

Issued 04/06/2006

NPI 1619939295

Primary specialty

Rheumatology Physician

Mid-sized

6,181 US NPIs in this specialty

MIPS final score

81.4/100 1.7 pts vs avg

Above neutral band

vs 83.1 national avg

Specialty distribution in Ohio

How Rheumatology Physician compares to other specialties among Ohio providers

Ohio providers
Case Manager/Care Coordinator - 10.9%Case Manager/Care Coordinator10.9%Student in an Organized Health Care Education/Training Program - 4.7%Student in an Organized Health Care Education/Training Program4.7%Licensed Practical Nurse - 4%Licensed Practical Nurse4%Addiction (Substance Use Disorder) Counselor - 3.5%Addiction (Substance Use Disorder) Counselor3.5%Registered Nurse - 3.4%Registered Nurse3.4%Pharmacist - 3.4%Pharmacist3.4%Rheumatology Physician - 0.1%Rheumatology Physician0.1%
Largest specialties in Ohio (% of in-state providers)

Medicare quality performance, MIPS

John Harley, MD, PHD's 2023 MIPS final score plotted against the Rheumatology Physician national average

Near national average
MIPS Final Score
81.4/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Rheumatology Physician) - 81.4/100 vs national avg 83.1

0%100%National avg83%81.4%
MIPS final score (Rheumatology Physician) - 81.4/100 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 Harley, MD, PHD appears in the CMS NPPES registry as a Rheumatology Physician provider holding MD, PHD credentials at 3333 BURNET AVENUE, ML 2000, Cincinnati, OH, 45229, with a listed phone of (513) 636-6771. NPI 1619939295 was issued on 04/06/2006.

Medicare Part D prescribing data is not currently published for this NPI, which typically means the provider either wrote fewer than 11 Part D claims in the most recent reporting year, does not participate in Medicare, or practices in a specialty that rarely prescribes outpatient drugs. Absence of prescribing data is not a quality signal, many Rheumatology Physician providers operate outside Part D entirely. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 81.4/100 for the 2023 performance year (Quality 69.3, Cost 58), 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

3333 BURNET AVENUE, ML 2000
Cincinnati, OH 45229

Provider Details

NPI 1619939295
Specialty Rheumatology Physician
Credentials MD, PHD
Gender Male
NPI Issued 04/06/2006

CMS Quality Score (MIPS)

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

81.4298
Final Score
Avg: 83.1
69.2848
Quality
57.964
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 Harley, MD, PHD. Source: openpaymentsdata.cms.gov.

Total received

$17

Largest payer

Fresenius Kabi USA, 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.

License & disciplinary context - Ohio OMB 2023 annual report

Aggregate state board data only, NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~48K Ohio medical licensees in 2023 - they are NOT specific to John Harley, MD, PHD. To verify John Harley, MD, PHD's current license status, search the OMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

158
Total board actions, Ohio 2023
Across 154 cases
3.29
Actions per 1,000 licensees
Ohio statewide rate
probation
Most common action type
56 cases

OMB publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Ohio disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Rheumatology Physician Overview

How John Harley, MD, PHD 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

Nearby Rheumatology Physician Providers in Ohio

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

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 Ohio 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.

Frequently Asked Questions

What is John Harley, MD, PHD's specialty?
John Harley, MD, PHD specializes in Rheumatology Physician and practices in Cincinnati, Ohio. Credentials: MD, PHD.
What is John Harley, MD, PHD's Medicare quality score?
John Harley, MD, PHD has a CMS MIPS Final Score of 81.4/100 (Quality: 69.3, Cost: 58). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is John Harley, MD, PHD located?
John Harley, MD, PHD is located at 3333 BURNET AVENUE, ML 2000, Cincinnati, OH, 45229. Phone: (513) 636-6771.
What is John Harley, MD, PHD's NPI number?
John Harley, MD, PHD's National Provider Identifier (NPI) is 1619939295, issued on 04/06/2006.
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.
Does John Harley, MD, PHD accept Medicare?
John Harley, MD, PHD appears in CMS Medicare data. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify John Harley, MD, PHD's credentials?
John Harley, MD, PHD's NPI is 1619939295 with credentials MD, PHD. 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.
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.