2026 NPPES data Internal Medicine Physician NPI 1427034792 M.D.
Verify on CMS →

John Holden, M.D.

Internal Medicine Physician in Ponca City, Oklahoma. This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 172,858 in Internal Medicine 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.
Prescribing volume
19K
Medicare Part D claims · 1K beneficiaries · Internal Medicine Physician avg: 3K
Generic prescribing
87%
generic claims · 12% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
18.2/100
▼ 65 pts below national avg 83.1 · Penalty band
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

John Holden, M.D. reported a CMS MIPS final score of 18.2/100 - below the 83.1 national average - and filed 18,706 Medicare Part D claims in 2023.

18.2/100
MIPS score · -65 vs avg
19K
Part D claims, 2023
87%
generic prescribing
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 Holden, M.D.'s MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure

18 2nd percentile higher than 2% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). This entry sits in this band. 20–30: 3,069 scored providers (1%). Above this entry. 30–40: 2,746 scored providers (1%). Above this entry. 40–50: 2,928 scored providers (1%). Above this entry. 50–60: 5,882 scored providers (1%). Above this entry. 60–70: 13,906 scored providers (3%). Above this entry. 70–80: 118,074 scored providers (25%). Above this entry. 80–90: 129,887 scored providers (27%). Above this entry. 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

Where John Holden, M.D. sits

This provider among internal medicine physician peers

Across the 36,260 internal medicine physician providers who report both Medicare Part D prescribing and a MIPS quality score, John Holden, M.D. writes more Part D claims than 98% of them and scores higher on MIPS quality than 2% - placing this provider in the high-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Part D claim volume vs MIPS quality, by specialty percentile

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality02550751000255075100Part D claim volume, percentile in specialtyMIPS quality, percentilePart D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 67Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 20Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 48Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 43Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 45Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 85Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 40Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 53Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 93Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 97Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 60Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 27Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 15Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 20Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 92Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 13Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 20Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 28Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 32Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 77Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 97Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 3Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 52Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 55Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 12Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 18Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 35Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 77Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 2Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 50Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 73Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 83Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 33Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 17Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 42Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 37Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 62Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 70Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 7Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 20Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 58Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 30Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 75Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 87Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 10Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 72Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 68Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 47Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 8Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 63Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 95Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 38Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 57Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 82Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 63Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 97Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 80John Holden, M.D.-Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 2
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one internal medicine physician peer from a representative sample of 60; the gold marker is John Holden, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

Board certification likely (heuristic, not verified)

John Holden, M.D. 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 Holden, M.D.?

Below national average

NPI registry status

Active

Issued 12/19/2005

NPI 1427034792

Primary specialty

Internal Medicine Physician

High-volume

172,858 US NPIs in this specialty

Medicare Part D claims

18,706 vs specialty avg

2023 prescription claims

Specialty avg: 2,716

MIPS final score

18.2/100 64.9 pts vs avg

Penalty band band

vs 83.1 national avg

Specialty distribution in Oklahoma

How Internal Medicine Physician compares to other specialties among Oklahoma providers

Oklahoma providers

Largest specialties in Oklahoma (% of in-state providers)

Case Manager/Care Coordinator - 9.7%Case Manager/Care Coordinator9.7%Mental Health Counselor - 7.2%Mental Health Counselor7.2%Behavior Technician - 6.2%Behavior Technician6.2%Peer Specialist - 5.5%Peer Specialist5.5%Counselor - 5%Counselor5%Student in an Organized Health Care Education/Training Program - 4.2%Student in an Organized Health Care Education/Training Program4.2%Internal Medicine Physician - 1.5%Internal Medicine Physician1.5%
Largest specialties in Oklahoma (% of in-state providers)

Medicare quality performance, MIPS

John Holden, M.D.'s 2023 MIPS final score plotted against the Internal Medicine Physician national average

Below national average
MIPS Final Score
18.2/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Internal Medicine Physician) - 18.2/100 vs national avg 83.1

0%100%National avg83%18.2%
MIPS final score (Internal Medicine Physician) - 18.2/100 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 Holden, M.D. appears in the CMS NPPES registry as a Internal Medicine Physician provider holding M.D. credentials at 427 FAIRVIEW AVE, Ponca City, OK, 74601, with a listed phone of (580) 765-9299. NPI 1427034792 was issued on 12/19/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Holden 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 18,706 prescription claims written by this provider, covering 1,001 Medicare beneficiaries and totaling roughly $2.3 million in drug spend, split 12% brand-name and 87% generic by claim count, with an opioid prescribing rate of 3.9%. 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 18.2/100 for the 2023 performance year (Quality 0, Cost 60.7), compared with the national average of 83.1.

Internal Medicine Physician is a high-volume specialty nationwide, with 172,858 enrolled providers across 56 states and an average of 2,716 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

427 FAIRVIEW AVE
Ponca City, OK 74601

Provider Details

NPI 1427034792
Specialty Internal Medicine Physician
Credentials M.D.
Gender Male
NPI Issued 12/19/2005

CMS Quality Score (MIPS)

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

18.1957
Final Score
Avg: 83.1
0
Quality
60.6523
Cost

Reporting: Individual

Brand vs generic prescribing mix · Typical

John Holden, M.D. - brand share 12.0%
Internal Medicine Physician average

12% brand-name claims vs 87% generic, on 18,706 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.

18,706
Total Claims
$2.3M
Total Drug Cost
1,001
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
40,436
Total Day Supply
1,171,971
Brand vs Generic
12% brand / 87% generic
Brand Drug Cost
$1.9M
Generic Drug Cost
$397K
Opioid Claims
725 (3.9% rate)
Antibiotic Claims
429

Patient Demographics

Average Patient Age
75.1 years
Avg HCC Risk Score
1.09
Gender Split
53% female / 47% male
Age Distribution
<65: 85, 65-74: 380, 75-84: 353, 85+: 183

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

What John Holden, M.D. prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Atorvastatin Calcium
784
Levothyroxine Sodium
775
Omeprazole
638
Gabapentin
566
Amlodipine Besylate
563
Furosemide
458
Metformin Hcl
448
Lisinopril
436
Alendronate Sodium
393
Metoprolol Tartrate
357

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

Internal Medicine Physician Overview

How John Holden, M.D. fits within the Internal Medicine Physician landscape nationally.

172,858
Internal Medicine Physician Providers in US
56
States with Internal Medicine Physician
2,716
Avg Claims per Provider

John Holden, M.D.'s 18,706 claims are above the specialty average of 2,716.

Nearby Internal Medicine Physician Providers in Oklahoma

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

Compare Internal Medicine 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 Oklahoma medical board, federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Internal Medicine 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 Holden, M.D.'s specialty?
John Holden, M.D. specializes in Internal Medicine Physician and practices in Ponca City, Oklahoma. Credentials: M.D..
How much does John Holden, M.D. prescribe under Medicare Part D?
In 2023, John Holden, M.D. wrote 18,706 Medicare Part D claims totaling $2.3M in drug costs for 1,001 beneficiaries.
What is John Holden, M.D.'s Medicare quality score?
John Holden, M.D. has a CMS MIPS Final Score of 18.2/100 (Quality: 0, Cost: 60.7). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is John Holden, M.D. located?
John Holden, M.D. is located at 427 FAIRVIEW AVE, Ponca City, OK, 74601. Phone: (580) 765-9299.
What is John Holden, M.D.'s NPI number?
John Holden, M.D.'s National Provider Identifier (NPI) is 1427034792, issued on 12/19/2005.
Does John Holden, M.D. prescribe more brand-name or generic drugs?
John Holden, M.D.'s prescribing is 12% brand-name and 87% generic drugs by claim count, with $1.9M in brand drug costs.
Does John Holden, M.D. prescribe opioids?
Yes, John Holden, M.D. had 725 opioid claims in 2023 with an opioid prescribing rate of 3.9%.
How many Internal Medicine Physician providers are there in the US?
There are 172,858 Internal Medicine Physician providers across 56 states in the US. The average Internal Medicine Physician provider writes 2,716 Medicare Part D claims per year.
What drugs does John Holden, M.D. prescribe most often?
Based on 2023 Medicare Part D data, John Holden, M.D.'s most frequently prescribed drugs include Atorvastatin Calcium, Levothyroxine Sodium, Omeprazole. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does John Holden, M.D. accept Medicare?
John Holden, M.D. appears in CMS Medicare data with 18,706 Part D claims and 1,001 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify John Holden, M.D.'s credentials?
John Holden, M.D.'s NPI is 1427034792 with credentials M.D.. 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

Compiled from official public sources by the PlainDoctor editorial team.