2026 NPPES data Sports Medicine (Orthopaedic Surgery) Physician NPI 1578544912 MD
Verify on CMS →

JOHN MAHONEY, MD

Sports Medicine (Orthopaedic Surgery) Physician in DANVILLE, Virginia. 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
999
Medicare Part D claims · 343 beneficiaries · Sports Medicine (Orthopaedic Surgery) Physician avg: 278
Generic prescribing
97%
generic claims · 3% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
68.318/100
▼ 15 pts below national avg 83.1 · [object Object]
Industry payments
$71.35
4 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

JOHN MAHONEY, MD reported a CMS MIPS final score of 68.318/100 — below the 83.1 national average — and filed 999 Medicare Part D claims in 2023.

68.318/100
MIPS score · -15 vs avg
999
Part D claims, 2023
97%
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 MAHONEY, MD's MIPS score vs every scored U.S. clinician

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

68 7th percentile higher than 7% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). This entry sits in this band. 70–80: 118,074 scored providers (25%). Above this entry. 80–90: 129,887 scored providers (27%). Above this entry. 90–100: 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

Board certification likely (heuristic — not verified)

JOHN MAHONEY, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 3 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 MAHONEY, MD?

Below national average

NPI registry status

Active

Issued 11/11/2005

NPI 1578544912

Primary specialty

Sports Medicine (Orthopaedic Surgery) Physician

Niche

2,681 US NPIs in this specialty

Medicare Part D claims

999 259% vs specialty avg

2023 prescription claims

Specialty avg: 278

MIPS final score

68.318/100 14.781999999999996% pts

Mid-tier band

vs 83.1 national avg

Specialty distribution in Virginia

How Sports Medicine (Orthopaedic Surgery) Physician compares to other specialties among Virginia providers

Virginia providers

Sports Medicine (Orthopaedic Surgery) Physician share within Virginia

1. Sports Medicine (Orthopaedic Surgery) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Sports Medicine (Orthopaedic Surgery) Physician share within Virginia

Medicare quality performance — MIPS

JOHN MAHONEY, MD's 2023 MIPS final score plotted against the Sports Medicine (Orthopaedic Surgery) Physician national average

Below national average
MIPS Final Score
68.318/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Sports Medicine (Orthopaedic Surgery) Physician) — 68.318/100 vs national avg 83.1

0%100%National avg83%68.3%
MIPS final score (Sports Medicine (Orthopaedic Surgery) Physician) — 68.318/100 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 MAHONEY, MD appears in the CMS NPPES registry as a Sports Medicine (Orthopaedic Surgery) Physician provider holding MD credentials at 109 BRIDGE STREET SUITE 300, DANVILLE, VA, 24541, with a listed phone of (434) 793-4711. NPI 1578544912 was issued on 11/11/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what MAHONEY 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 999 prescription claims written by this provider, covering 343 Medicare beneficiaries and totaling roughly $22K in drug spend, split 3% brand-name and 97% generic by claim count, with an opioid prescribing rate of 17.1%. 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 68.318/100 for the 2023 performance year (Quality 53.387, Cost 47.673), compared with the national average of 83.1.

Sports Medicine (Orthopaedic Surgery) Physician is a narrow specialty nationwide, with 2,681 enrolled providers across 53 states and an average of 278 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

109 BRIDGE STREET SUITE 300
DANVILLE, VA 24541

Provider Details

NPI 1578544912
Specialty Sports Medicine (Orthopaedic Surgery) Physician
Credentials MD
Gender Male
NPI Issued 11/11/2005

CMS Quality Score (MIPS)

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

68.318
Final Score
Avg: 83.1
53.387
Quality
47.673
Cost
92
Promoting Interoperability

Reporting: Individual

Hospital and facility affiliations

Facilities where JOHN MAHONEY, 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.

DANVILLE PHYSICIAN PRACTICES LLC
DANVILLE, VA
OANDW ENTERPRISES
STANLEYTOWN, VA
SPECTRUM MEDICAL INC
DANVILLE, VA

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

Total received

$71

Largest payer

Amgen 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 · Generic-heavy

JOHN MAHONEY, MD — brand share 3.0%
Specialty average (est.)

3% brand-name claims vs 97% generic, on 999 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.

999
Total Claims
$22K
Total Drug Cost
343
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,210
Total Day Supply
26,889
Brand vs Generic
3% brand / 97% generic
Brand Drug Cost
$12K
Generic Drug Cost
$10K
Opioid Claims
171 (17.1% rate)
Antibiotic Claims
61

Patient Demographics

Average Patient Age
71.1 years
Avg HCC Risk Score
1.05
Gender Split
66% female / 34% male
Age Distribution
<65: 48, 65-74: 178, 75-84: 98, 85+: 19

Top Prescribed Drugs (Medicare Part D)

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

What JOHN MAHONEY, MD 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
Meloxicam
177
Prednisone
137
Baclofen
100
Diclofenac Sodium
96
Oxycodone-Acetaminophen
Oxycodone Hcl/Acetaminophen
69
Ibuprofen
61
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
56
Tramadol Hcl
45
Amoxicillin-Clavulanate Potass
Amoxicillin/Potassium Clav
39
Gabapentin
35

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

Sports Medicine (Orthopaedic Surgery) Physician Overview

How JOHN MAHONEY, MD fits within the Sports Medicine (Orthopaedic Surgery) Physician landscape nationally.

2,681
Sports Medicine (Orthopaedic Surgery) Physician Providers in US
53
States with Sports Medicine (Orthopaedic Surgery) Physician
278
Avg Claims per Provider

JOHN MAHONEY, MD's 999 claims are above the specialty average of 278.

Nearby Sports Medicine (Orthopaedic Surgery) Physician Providers in Virginia

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

Compare Sports Medicine (Orthopaedic Surgery) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is JOHN MAHONEY, MD's specialty?
JOHN MAHONEY, MD specializes in Sports Medicine (Orthopaedic Surgery) Physician and practices in DANVILLE, Virginia. Credentials: MD.
How much does JOHN MAHONEY, MD prescribe under Medicare Part D?
In 2023, JOHN MAHONEY, MD wrote 999 Medicare Part D claims totaling $22K in drug costs for 343 beneficiaries.
What is JOHN MAHONEY, MD's Medicare quality score?
JOHN MAHONEY, MD has a CMS MIPS Final Score of 68.318/100 (Quality: 53.387, Cost: 47.673). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is JOHN MAHONEY, MD located?
JOHN MAHONEY, MD is located at 109 BRIDGE STREET SUITE 300, DANVILLE, VA, 24541. Phone: (434) 793-4711.
What is JOHN MAHONEY, MD's NPI number?
JOHN MAHONEY, MD's National Provider Identifier (NPI) is 1578544912, issued on 11/11/2005.
Does JOHN MAHONEY, MD prescribe more brand-name or generic drugs?
JOHN MAHONEY, MD's prescribing is 3% brand-name and 97% generic drugs by claim count, with $12K in brand drug costs.
Does JOHN MAHONEY, MD prescribe opioids?
Yes, JOHN MAHONEY, MD had 171 opioid claims in 2023 with an opioid prescribing rate of 17.1%.
How many Sports Medicine (Orthopaedic Surgery) Physician providers are there in the US?
There are 2,681 Sports Medicine (Orthopaedic Surgery) Physician providers across 53 states in the US. The average Sports Medicine (Orthopaedic Surgery) Physician provider writes 278 Medicare Part D claims per year.
What drugs does JOHN MAHONEY, MD prescribe most often?
Based on 2023 Medicare Part D data, JOHN MAHONEY, MD's most frequently prescribed drugs include Meloxicam, Prednisone, Baclofen. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JOHN MAHONEY, MD accept Medicare?
JOHN MAHONEY, MD appears in CMS Medicare data with 999 Part D claims and 343 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JOHN MAHONEY, MD's credentials?
JOHN MAHONEY, MD's NPI is 1578544912 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