2026 NPPES data Orthopaedic Surgery Physician NPI 1962496802 M.D.
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JOHN MACILWAINE, M.D.

Orthopaedic Surgery Physician in CHARLESTON, South Carolina. 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
39
Medicare Part D claims · 26 beneficiaries · Orthopaedic Surgery Physician avg: 324
What the federal data reveals: JOHN MACILWAINE, M.D. is a Orthopaedic Surgery Physician ([object Object]) practicing in CHARLESTON, South Carolina with a Medicare Part D prescribing footprint of 39 claims across 26 beneficiaries .

What stands out: JOHN MACILWAINE, M.D. filed 39 Medicare Part D claims in 2023 across CHARLESTON, South Carolina. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board-eligible specialty (heuristic — not verified)

JOHN MACILWAINE, M.D. practices in an ABMS-board-eligible specialty but we don't have enough CMS-participation signals to confirm active board-certified status. Consult CertificationMatters.org (the official ABMS public lookup).

JOHN MACILWAINE, M.D. at a glance

Quality data not reported

NPI registry status

Active

Issued 09/07/2005

NPI 1962496802

Primary specialty

Orthopaedic Surgery Physician

Mid-sized

25,781 US NPIs in this specialty

Medicare Part D claims

39 88% vs specialty avg

2023 prescription claims

Specialty avg: 324

Specialty distribution in South Carolina

How Orthopaedic Surgery Physician compares to other specialties among South Carolina providers

South Carolina providers

Orthopaedic Surgery Physician share within South Carolina

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

Specialty board-certification context

Estimated specialty board-certified rate — Orthopaedic Surgery Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Orthopaedic Surgery Physician ABMS/AOA estimate

Est. board-certified rate (Orthopaedic Surgery Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Orthopaedic Surgery Physician) — ABMS / AOA estimate

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 MACILWAINE, M.D. is a Orthopaedic Surgery Physician provider practicing in CHARLESTON, South Carolina, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1962496802. 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 MACILWAINE, M.D. appears in the CMS NPPES registry as a Orthopaedic Surgery Physician provider holding M.D. credentials at 125 DOUGHTY ST, CHARLESTON, SC, 29403, with a listed phone of (843) 769-9450. NPI 1962496802 was issued on 09/07/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what MACILWAINE 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 39 prescription claims written by this provider, covering 26 Medicare beneficiaries and totaling roughly $266 in drug spend, with an opioid prescribing rate of 41.0%. 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.

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

125 DOUGHTY ST
CHARLESTON, SC 29403

Provider Details

NPI 1962496802
Specialty Orthopaedic Surgery Physician
Credentials M.D.
Gender Male
NPI Issued 09/07/2005

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

39
Total Claims
$266
Total Drug Cost
26
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
39
Total Day Supply
200
Brand Drug Cost
$0
Generic Drug Cost
$266
Opioid Claims
16 (41.0% rate)
Antibiotic Claims
16

Patient Demographics

Average Patient Age
71.7 years
Avg HCC Risk Score
1.31
Gender Split
54% female / 46% 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
Oxycodone-Acetaminophen
Oxycodone Hcl/Acetaminophen
16

* 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 MACILWAINE, M.D. 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 MACILWAINE, M.D.'s 39 claims are below the specialty average of 324.

Nearby Orthopaedic Surgery Physician Providers in South Carolina

Other clinicians with the same primary specialty enrolled in South Carolina, drawn from the same CMS NPPES roster as MACILWAINE.

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

Frequently Asked Questions

What is JOHN MACILWAINE, M.D.'s specialty?
JOHN MACILWAINE, M.D. specializes in Orthopaedic Surgery Physician and practices in CHARLESTON, South Carolina. Credentials: M.D..
How much does JOHN MACILWAINE, M.D. prescribe under Medicare Part D?
In 2023, JOHN MACILWAINE, M.D. wrote 39 Medicare Part D claims totaling $266 in drug costs for 26 beneficiaries.
Where is JOHN MACILWAINE, M.D. located?
JOHN MACILWAINE, M.D. is located at 125 DOUGHTY ST, CHARLESTON, SC, 29403. Phone: (843) 769-9450.
What is JOHN MACILWAINE, M.D.'s NPI number?
JOHN MACILWAINE, M.D.'s National Provider Identifier (NPI) is 1962496802, issued on 09/07/2005.
Does JOHN MACILWAINE, M.D. prescribe opioids?
Yes, JOHN MACILWAINE, M.D. had 16 opioid claims in 2023 with an opioid prescribing rate of 41.0%.
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 MACILWAINE, M.D. prescribe most often?
Based on 2023 Medicare Part D data, JOHN MACILWAINE, M.D.'s most frequently prescribed drugs include Oxycodone-Acetaminophen. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JOHN MACILWAINE, M.D. accept Medicare?
JOHN MACILWAINE, M.D. appears in CMS Medicare data with 39 Part D claims and 26 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JOHN MACILWAINE, M.D.'s credentials?
JOHN MACILWAINE, M.D.'s NPI is 1962496802 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.
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