NPI registry status
Active
2026 NPPES data Urology Physician NPI 1568465680 M.D.
Verify on CMS → John Horgan, M.D.
Urology Physician in Omaha, Nebraska.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 13,606 in Urology 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
3K
Medicare Part D claims · 755 beneficiaries · Urology Physician avg: 1K
Generic prescribing
90%
generic claims · 10% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
45/100
▼ 38 pts below national avg 83.5 · Below average
Industry payments
$1.1K
51 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2024
What the federal data shows
John Horgan, M.D. reported a CMS MIPS final score of 45/100 - below the 83.5 national average - and filed 3,406 Medicare Part D claims in 2024.
- 45/100
- MIPS score · -38 vs avg
- 3K
- Part D claims, 2024
- 90%
- 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.
Federal trust snapshot
What official records show about John Horgan, M.D.
Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1568465680), first enumerated 05/23/2005.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 3,406 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- Reported
CMS quality reporting (MIPS)
Reported a CMS MIPS final score of 45/100 in the Quality Payment Program — a federal quality measure, not a patient review.
Source: CMS Quality Payment Program
- Reported
Board certification signal
Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.
- Reported
Hospital affiliations
2 CMS Care Compare hospital affiliations on record — practice footprint from the Doctors and Clinicians file.
Source: CMS Care Compare
- Reported
Industry payment transparency
$1.1K in reported industry payments (51 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.
Source: CMS Open Payments
- Not in federal data
Individual sanction lookup
PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.
Source: State medical board / FSMB
This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.
CMS NPPES provider registry desk
NPI 1568465680 · Urology Physician
NPI-10 · ENUM-LEGACY · TAX-MID · MIPS-LOW · RX-MID · BOOK-THIN · PHOTO-FINISH
- NPI-10 1568465680
- ENUM-LEGACY 2005
- TAX-MID 14K Urology Physician
- MIPS-LOW 45/100
- RX-MID 3,406
- BOOK-THIN 76 in Nebraska
- PHOTO-FINISH Andrew Arther · ±0.0
MIPS final-score neighbourhood
Same-specialty nationwide peers by CMS final score, not geographic proximity
- Horgan · this pr…
Horgan · this provider
45 MIPS pts
- Andrew Arther · …
Andrew Arther
45 MIPS pts
- Gary Carl · near
Gary Carl
46.4 MIPS pts
- Marc Rose · near
Marc Rose
47 MIPS pts
- Michael Kozminsk…
Michael Kozminski
47.2 MIPS pts
What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).
John Horgan, M.D.'s MIPS score vs every measured U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.
45 ≥ 4th percentile 4% of 454,083 measured providers are in lower value bands
Each bar is a band; taller bars hold more measured 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.
The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where John Horgan, M.D. sits
This provider among urology physician peers
Across the 4,091 urology physician providers who report both Medicare Part D prescribing and a MIPS quality score, John Horgan, M.D. writes more Part D claims than 92% of them and scores higher on MIPS quality than 5% - placing this provider in the high-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Each dot is one urology physician peer from a representative sample of 60; the gold marker is John Horgan, 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 Horgan, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 2 hospital affiliations - 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 Horgan, M.D.?
Below national averagePrimary specialty
Urology Physician
Medicare Part D claims
3,406 152% vs specialty avg
MIPS final score
45/100 38.5 pts vs avg
Specialty distribution in Nebraska
How Urology Physician compares to other specialties among Nebraska providers
Medicare quality performance, MIPS
John Horgan, M.D.'s 2023 MIPS final score plotted against the Urology Physician national average
- MIPS Final Score
- 45/100
- vs 83.5 national avg · 2023 performance year
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).
Practice Address
Provider Details
| NPI | 1568465680 |
|---|---|
| Specialty | Urology Physician |
| Credentials | M.D. |
| Gender | Male |
| NPI Issued | 05/23/2005 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
45.0174
Final Score
Measured-score avg: 83.5
51.3208
Quality
48.737
Cost
0
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where John Horgan, M.D. 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.
Adult And Pediatric Urology PC
Omaha, NE
Urology Center PC
Omaha, NE
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 Horgan, M.D.. Source: openpaymentsdata.cms.gov.
Total received
$1.1K
Largest payer
Sumitomo Pharma America, 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.
Brand vs generic prescribing mix · Typical
John Horgan, M.D. - brand share 10.0%
Urology Physician average
10% brand-name claims vs 90% generic, on 3,406 2024 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 2024.
3,406
Total Claims
$1.7M
Total Drug Cost
755
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 6,520.067
- Total Day Supply
- 183,679
- Brand vs Generic
- 10% brand / 90% generic
- Brand Drug Cost
- $1.6M
- Generic Drug Cost
- $79K
- Opioid Claims
- 23 (0.7% rate)
- Antibiotic Claims
- 415
Patient Demographics
- Average Patient Age
- 74.5 years
- Avg HCC Risk Score
- 1.34
- Gender Split
- 16% female / 84% male
- Age Distribution
- <65: 53, 65-74: 319, 75-84: 284, 85+: 99
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
What John Horgan, M.D. prescribes most
Top Medicare Part D drugs by claim count, 2024
- Tamsulosin Hcl
Tamsulosin Hcl
1,528 claims
- Finasteride 529
Finasteride
529 claims
- Myrbetriq 144
Myrbetriq
144 claims
- Sulfamethoxazole-T… 117
Sulfamethoxazole-Trimethoprim
117 claims
- Oxybutynin Chlorid… 101
Oxybutynin Chloride Er
101 claims
- Ciprofloxacin Hcl 100
Ciprofloxacin Hcl
100 claims
- Xtandi 56
Xtandi
56 claims
- Levofloxacin 51
Levofloxacin
51 claims
| Drug | Claims |
|---|---|
| Tamsulosin Hcl | 1,528 |
| Finasteride | 529 |
| Myrbetriq Mirabegron | 144 |
| Sulfamethoxazole-Trimethoprim Sulfamethoxazole/Trimethoprim | 117 |
| Oxybutynin Chloride Er Oxybutynin Chloride | 101 |
| Ciprofloxacin Hcl | 100 |
| Xtandi Enzalutamide | 56 |
| Levofloxacin | 51 |
| Alfuzosin Hcl Er Alfuzosin Hcl | 50 |
| Allopurinol | 49 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Urology Physician Overview
How John Horgan, M.D. fits within the Urology Physician landscape nationally.
13,606
Urology Physician Providers in US
54
States with Urology Physician
1,354
Avg Claims per Provider
John Horgan, M.D.'s 3,406 claims are above the specialty average of 1,354.
Nationwide Urology Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Horgan, both outside Nebraska so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (45 here).
Same NPPES enumeration year (2005)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Urology Physician Providers in Nebraska
Other clinicians with the same primary specialty enrolled in Nebraska, drawn from the same CMS NPPES roster as Horgan.
One of 76 Urology Physician providers enrolled in Nebraska, 5 are shown here.
Dr. Gregory Alberts
M.D.
Grand Island, NE
Dr. John Bishay
M.D.
Omaha, NE
Dr. Andrew Blazek
MD
Omaha, NE
Stefanie Bolte
Omaha, NE
Dr. Cole Bowdino
MD
Omaha, NE
Compare Urology Physician nationally: see state-by-state distribution →
Frequently Asked Questions
What is John Horgan, M.D.'s specialty? ▼
John Horgan, M.D. specializes in Urology Physician and practices in Omaha, Nebraska. Credentials: M.D..
How much does John Horgan, M.D. prescribe under Medicare Part D? ▼
In 2024, John Horgan, M.D. wrote 3,406 Medicare Part D claims totaling $1.7M in drug costs for 755 beneficiaries.
What is John Horgan, M.D.'s Medicare quality score? ▼
John Horgan, M.D. has a CMS MIPS Final Score of 45/100 (Quality: 51.3, Cost: 48.7). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is John Horgan, M.D. located? ▼
John Horgan, M.D. is located at 10707 PACIFIC ST, Omaha, NE, 68114. Phone: (402) 397-7989.
What is John Horgan, M.D.'s NPI number? ▼
John Horgan, M.D.'s National Provider Identifier (NPI) is 1568465680, issued on 05/23/2005.
Does John Horgan, M.D. prescribe more brand-name or generic drugs? ▼
John Horgan, M.D.'s prescribing is 10% brand-name and 90% generic drugs by claim count, with $1.6M in brand drug costs.
Does John Horgan, M.D. prescribe opioids? ▼
Yes, John Horgan, M.D. had 23 opioid claims in 2024 with an opioid prescribing rate of 0.7%.
How many Urology Physician providers are there in the US? ▼
There are 13,606 Urology Physician providers across 54 states in the US. The average Urology Physician provider writes 1,354 Medicare Part D claims per year.
What drugs does John Horgan, M.D. prescribe most often? ▼
Based on 2024 Medicare Part D data, John Horgan, M.D.'s most frequently prescribed drugs include Tamsulosin Hcl, Finasteride, Myrbetriq. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does John Horgan, M.D. accept Medicare? ▼
John Horgan, M.D. appears in CMS Medicare data with 3,406 Part D claims and 755 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify John Horgan, M.D.'s credentials? ▼
John Horgan, M.D.'s NPI is 1568465680 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
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.
- Prescribing Data
- CMS Medicare Part D Prescriber Public Use File (2024). 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 August 2026 (NPPES) / 2024 (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
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of August 2026.