2026 NPPES data Cardiovascular Disease Physician NPI 1972613420 MD
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JOHN HAYES, MD

Cardiovascular Disease Physician in MARSHFIELD, Wisconsin. 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
277
Medicare Part D claims · 80 beneficiaries · Cardiovascular Disease Physician avg: 3K
Generic prescribing
64%
generic claims · 36% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
100/100
▲ 17 pts above national avg 83.1 · [object Object]
What the federal data reveals: JOHN HAYES, MD is a Cardiovascular Disease Physician ([object Object]) practicing in MARSHFIELD, Wisconsin with a Medicare Part D prescribing footprint of 277 claims across 80 beneficiaries — 36% brand-name prescribing . Their CMS MIPS Final Score of 100/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities .

What stands out: JOHN HAYES, MD reported a CMS MIPS final score of 100 out of 100, above the 83.1 national average, and filed 277 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 HAYES, 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).

JOHN HAYES, MD at a glance

High performer (top quartile)

NPI registry status

Active

Issued 08/30/2006

NPI 1972613420

Primary specialty

Cardiovascular Disease Physician

Mid-sized

24,795 US NPIs in this specialty

Medicare Part D claims

277 91% vs specialty avg

2023 prescription claims

Specialty avg: 3,033

MIPS final score

100/100 16.900000000000006% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Wisconsin

How Cardiovascular Disease Physician compares to other specialties among Wisconsin providers

Wisconsin providers

Cardiovascular Disease Physician share within Wisconsin

1. Cardiovascular Disease Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Cardiovascular Disease Physician share within Wisconsin

Medicare quality performance — MIPS

JOHN HAYES, MD's 2023 MIPS final score plotted against the Cardiovascular Disease Physician national average

High performer (top quartile)
MIPS Final Score
100/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Cardiovascular Disease Physician) — 100/100 vs national avg 83.1

0%100%National avg83%99%
MIPS final score (Cardiovascular Disease Physician) — 100/100 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 HAYES, MD is a Cardiovascular Disease Physician provider practicing in MARSHFIELD, Wisconsin, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1972613420. 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 HAYES, MD appears in the CMS NPPES registry as a Cardiovascular Disease Physician provider holding MD credentials at 1000 N OAK AVE, MARSHFIELD, WI, 54449, with a listed phone of (715) 387-5511. NPI 1972613420 was issued on 08/30/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what HAYES 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 277 prescription claims written by this provider, covering 80 Medicare beneficiaries and totaling roughly $102K in drug spend, split 36% brand-name and 64% generic by claim count. 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 100/100 for the 2023 performance year (Quality 95.256), compared with the national average of 83.1.

Cardiovascular Disease Physician is a mid-sized specialty nationwide, with 24,795 enrolled providers across 54 states and an average of 3,033 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

1000 N OAK AVE
MARSHFIELD, WI 54449

Provider Details

NPI 1972613420
Specialty Cardiovascular Disease Physician
Credentials MD
Gender Male
NPI Issued 08/30/2006

CMS Quality Score (MIPS)

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

100
Final Score
Avg: 83.1
95.256
Quality
100
Promoting Interoperability

Reporting: Group practice

Brand vs generic prescribing mix · Above average

JOHN HAYES, MD — brand share 36.0%
Specialty average (est.)

36% brand-name claims vs 64% generic, on 277 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.

277
Total Claims
$102K
Total Drug Cost
80
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
635
Total Day Supply
18,944
Brand vs Generic
36% brand / 64% generic
Brand Drug Cost
$95K
Generic Drug Cost
$7K

Patient Demographics

Average Patient Age
73.2 years
Avg HCC Risk Score
1.45
Gender Split
41% female / 59% 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
Eliquis
Apixaban
53
Metoprolol Succinate
33
Multaq
Dronedarone Hcl
26
Diltiazem 24hr Er (Cd)
Diltiazem Hcl
18
Amiodarone Hcl
12
Sotalol
Sotalol Hcl
12

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

Cardiovascular Disease Physician Overview

How JOHN HAYES, MD fits within the Cardiovascular Disease Physician landscape nationally.

24,795
Cardiovascular Disease Physician Providers in US
54
States with Cardiovascular Disease Physician
3,033
Avg Claims per Provider

JOHN HAYES, MD's 277 claims are below the specialty average of 3,033.

Nearby Cardiovascular Disease Physician Providers in Wisconsin

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

Compare Cardiovascular Disease Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is JOHN HAYES, MD's specialty?
JOHN HAYES, MD specializes in Cardiovascular Disease Physician and practices in MARSHFIELD, Wisconsin. Credentials: MD.
How much does JOHN HAYES, MD prescribe under Medicare Part D?
In 2023, JOHN HAYES, MD wrote 277 Medicare Part D claims totaling $102K in drug costs for 80 beneficiaries.
What is JOHN HAYES, MD's Medicare quality score?
JOHN HAYES, MD has a CMS MIPS Final Score of 100/100 (Quality: 95.256). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is JOHN HAYES, MD located?
JOHN HAYES, MD is located at 1000 N OAK AVE, MARSHFIELD, WI, 54449. Phone: (715) 387-5511.
What is JOHN HAYES, MD's NPI number?
JOHN HAYES, MD's National Provider Identifier (NPI) is 1972613420, issued on 08/30/2006.
Does JOHN HAYES, MD prescribe more brand-name or generic drugs?
JOHN HAYES, MD's prescribing is 36% brand-name and 64% generic drugs by claim count, with $95K in brand drug costs.
How many Cardiovascular Disease Physician providers are there in the US?
There are 24,795 Cardiovascular Disease Physician providers across 54 states in the US. The average Cardiovascular Disease Physician provider writes 3,033 Medicare Part D claims per year.
What drugs does JOHN HAYES, MD prescribe most often?
Based on 2023 Medicare Part D data, JOHN HAYES, MD's most frequently prescribed drugs include Eliquis, Metoprolol Succinate, Multaq. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JOHN HAYES, MD accept Medicare?
JOHN HAYES, MD appears in CMS Medicare data with 277 Part D claims and 80 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JOHN HAYES, MD's credentials?
JOHN HAYES, MD's NPI is 1972613420 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

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