2026 NPPES data Orthopaedic Surgery Physician NPI 1427016211 MD
Verify on CMS →

JOHN HENRY, MD

Orthopaedic Surgery Physician in MARIETTA, Ohio. 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
887
Medicare Part D claims · 376 beneficiaries · Orthopaedic Surgery Physician avg: 324
Generic prescribing
94%
generic claims · 6% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
75.5366/100
▼ 8 pts below national avg 83.1 · [object Object]
Industry payments
$2.5K
8 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: JOHN HENRY, MD is a Orthopaedic Surgery Physician ([object Object]) practicing in MARIETTA, Ohio with a Medicare Part D prescribing footprint of 887 claims across 376 beneficiaries — 6% brand-name prescribing . Their CMS MIPS Final Score of 75.5366/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $2.5K across 8 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: JOHN HENRY, MD reported a CMS MIPS final score of 75.5366 out of 100, below the 83.1 national average, and filed 887 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 HENRY, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

JOHN HENRY, MD at a glance

Below national average

NPI registry status

Active

Issued 05/02/2006

NPI 1427016211

Primary specialty

Orthopaedic Surgery Physician

Mid-sized

25,781 US NPIs in this specialty

Medicare Part D claims

887 174% vs specialty avg

2023 prescription claims

Specialty avg: 324

MIPS final score

75.5366/100 7.563399999999987% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Ohio

How Orthopaedic Surgery Physician compares to other specialties among Ohio providers

Ohio providers

Orthopaedic Surgery Physician share within Ohio

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

Medicare quality performance — MIPS

JOHN HENRY, MD's 2023 MIPS final score plotted against the Orthopaedic Surgery Physician national average

Below national average
MIPS Final Score
75.5366/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Orthopaedic Surgery Physician) — 75.5366/100 vs national avg 83.1

0%100%National avg83%75.5%
MIPS final score (Orthopaedic Surgery Physician) — 75.5366/100 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 HENRY, MD is a Orthopaedic Surgery Physician provider practicing in MARIETTA, Ohio, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1427016211. 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 HENRY, MD appears in the CMS NPPES registry as a Orthopaedic Surgery Physician provider holding MD credentials at 611 SECOND ST, MARIETTA, OH, 45750, with a listed phone of (740) 373-8756. NPI 1427016211 was issued on 05/02/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what HENRY 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 887 prescription claims written by this provider, covering 376 Medicare beneficiaries and totaling roughly $16K in drug spend, split 6% brand-name and 94% generic by claim count, with an opioid prescribing rate of 60.9%. 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 75.5366/100 for the 2023 performance year (Quality 71.2195), compared with the national average of 83.1.

Orthopaedic Surgery Physician is a mid-sized specialty nationwide, with 25,781 enrolled providers across 56 states and an average of 324 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

611 SECOND ST
MARIETTA, OH 45750

Provider Details

NPI 1427016211
Specialty Orthopaedic Surgery Physician
Credentials MD
Gender Male
NPI Issued 05/02/2006

CMS Quality Score (MIPS)

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

75.5366
Final Score
Avg: 83.1
71.2195
Quality

Reporting: Individual

Hospital and facility affiliations

Facilities where JOHN HENRY, MD bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

MARIETTA MEMORIAL HOSPITAL
★★★☆☆ 3/5
MARIETTA, OH
Acute Care Hospitals
CMS CCN: 360147

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

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 HENRY, MD. Source: openpaymentsdata.cms.gov.

Total received

$2.5K

Largest payer

FX Shoulder Solutions, Inc

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 HENRY, MD. To verify JOHN HENRY, MD'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.

Brand vs generic prescribing mix · Generic-heavy

JOHN HENRY, MD — brand share 6.0%
Specialty average (est.)

6% brand-name claims vs 94% generic, on 887 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.

887
Total Claims
$16K
Total Drug Cost
376
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
915
Total Day Supply
8,955
Brand vs Generic
6% brand / 94% generic
Brand Drug Cost
$9K
Generic Drug Cost
$7K
Opioid Claims
540 (60.9% rate)
Antibiotic Claims
153

Patient Demographics

Average Patient Age
70.9 years
Avg HCC Risk Score
1.19
Gender Split
63% female / 38% male
Age Distribution
<65: 72, 65-74: 168, 75-84: 115, 85+: 21

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
383
Oxycodone-Acetaminophen
Oxycodone Hcl/Acetaminophen
78
Meloxicam
76
Amoxicillin-Clavulanate Potass
Amoxicillin/Potassium Clav
55
Tramadol Hcl
50
Xarelto
Rivaroxaban
49
Clindamycin Hcl
48
Acetaminophen-Codeine
Acetaminophen With Codeine
16
Sulfamethoxazole-Trimethoprim
Sulfamethoxazole/Trimethoprim
14
Ibuprofen
12

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

Orthopaedic Surgery Physician Overview

How JOHN HENRY, MD fits within the Orthopaedic Surgery Physician landscape nationally.

25,781
Orthopaedic Surgery Physician Providers in US
56
States with Orthopaedic Surgery Physician
324
Avg Claims per Provider

JOHN HENRY, MD's 887 claims are above the specialty average of 324.

Nearby Orthopaedic Surgery Physician Providers in Ohio

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

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

Frequently Asked Questions

What is JOHN HENRY, MD's specialty?
JOHN HENRY, MD specializes in Orthopaedic Surgery Physician and practices in MARIETTA, Ohio. Credentials: MD.
How much does JOHN HENRY, MD prescribe under Medicare Part D?
In 2023, JOHN HENRY, MD wrote 887 Medicare Part D claims totaling $16K in drug costs for 376 beneficiaries.
What is JOHN HENRY, MD's Medicare quality score?
JOHN HENRY, MD has a CMS MIPS Final Score of 75.5366/100 (Quality: 71.2195). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is JOHN HENRY, MD located?
JOHN HENRY, MD is located at 611 SECOND ST, MARIETTA, OH, 45750. Phone: (740) 373-8756.
What is JOHN HENRY, MD's NPI number?
JOHN HENRY, MD's National Provider Identifier (NPI) is 1427016211, issued on 05/02/2006.
Does JOHN HENRY, MD prescribe more brand-name or generic drugs?
JOHN HENRY, MD's prescribing is 6% brand-name and 94% generic drugs by claim count, with $9K in brand drug costs.
Does JOHN HENRY, MD prescribe opioids?
Yes, JOHN HENRY, MD had 540 opioid claims in 2023 with an opioid prescribing rate of 60.9%.
How many Orthopaedic Surgery Physician providers are there in the US?
There are 25,781 Orthopaedic Surgery Physician providers across 56 states in the US. The average Orthopaedic Surgery Physician provider writes 324 Medicare Part D claims per year.
What drugs does JOHN HENRY, MD prescribe most often?
Based on 2023 Medicare Part D data, JOHN HENRY, MD's most frequently prescribed drugs include Hydrocodone-Acetaminophen, Oxycodone-Acetaminophen, Meloxicam. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JOHN HENRY, MD accept Medicare?
JOHN HENRY, MD appears in CMS Medicare data with 887 Part D claims and 376 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JOHN HENRY, MD's credentials?
JOHN HENRY, MD's NPI is 1427016211 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