2026 NPPES data Ophthalmology Physician NPI 1972589992 MD
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JOHN MARTIN, MD

Ophthalmology Physician in FALLS CHURCH, 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
424
Medicare Part D claims · 123 beneficiaries · Ophthalmology Physician avg: 1K
Generic prescribing
65%
generic claims · 35% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
95.5731/100
▲ 12 pts above national avg 83.1 · [object Object]

What the federal data shows

JOHN MARTIN, MD reported a CMS MIPS final score of 95.5731/100 — above the 83.1 national average — and filed 424 Medicare Part D claims in 2023.

95.5731/100
MIPS score · +12 vs avg
424
Part D claims, 2023
65%
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 MARTIN, MD's MIPS score vs every scored U.S. clinician

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

96 Top 21% higher than 79% 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%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). Below this entry. 90–100: 189,403 scored providers (40%). This entry sits in this band. 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 MARTIN, 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).

What does the federal data show about JOHN MARTIN, MD?

High performer (top quartile)

NPI registry status

Active

Issued 12/21/2005

NPI 1972589992

Primary specialty

Ophthalmology Physician

Mid-sized

22,090 US NPIs in this specialty

Medicare Part D claims

424 70% vs specialty avg

2023 prescription claims

Specialty avg: 1,420

MIPS final score

95.5731/100 12.473100000000002% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Virginia

How Ophthalmology Physician compares to other specialties among Virginia providers

Virginia providers

Ophthalmology Physician share within Virginia

1. Ophthalmology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Ophthalmology Physician share within Virginia

Medicare quality performance — MIPS

JOHN MARTIN, MD's 2023 MIPS final score plotted against the Ophthalmology Physician national average

High performer (top quartile)
MIPS Final Score
95.5731/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Ophthalmology Physician) — 95.5731/100 vs national avg 83.1

0%100%National avg83%95.6%
MIPS final score (Ophthalmology Physician) — 95.5731/100 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 MARTIN, MD appears in the CMS NPPES registry as a Ophthalmology Physician provider holding MD credentials at 6231 LEESBURG PIKE, FALLS CHURCH, VA, 22044, with a listed phone of (703) 534-3900. NPI 1972589992 was issued on 12/21/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what MARTIN 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 424 prescription claims written by this provider, covering 123 Medicare beneficiaries and totaling roughly $61K in drug spend, split 35% brand-name and 65% generic by claim count. 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 95.5731/100 for the 2023 performance year (Quality 93.0448, Cost 92.1988), compared with the national average of 83.1.

Ophthalmology Physician is a mid-sized specialty nationwide, with 22,090 enrolled providers across 56 states and an average of 1,420 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

6231 LEESBURG PIKE
FALLS CHURCH, VA 22044

Provider Details

NPI 1972589992
Specialty Ophthalmology Physician
Credentials MD
Gender Male
NPI Issued 12/21/2005

CMS Quality Score (MIPS)

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

95.5731
Final Score
Avg: 83.1
93.0448
Quality
92.1988
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where JOHN MARTIN, 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.

NORTHERN VIRGINIA OPHTHALMOLOGY ASSOC PC
FAIRFAX, 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).

Brand vs generic prescribing mix · Above average

JOHN MARTIN, MD — brand share 35.0%
Specialty average (est.)

35% brand-name claims vs 65% generic, on 424 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.

424
Total Claims
$61K
Total Drug Cost
123
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
843
Total Day Supply
23,860
Brand vs Generic
35% brand / 65% generic
Brand Drug Cost
$54K
Generic Drug Cost
$8K

Patient Demographics

Average Patient Age
77.3 years
Avg HCC Risk Score
1.02
Gender Split
51% female / 49% male

Top Prescribed Drugs (Medicare Part D)

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

What JOHN MARTIN, 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
Latanoprost
133
Timolol Maleate
103
Dorzolamide-Timolol
Dorzolamide Hcl/Timolol Maleat
35
Brimonidine Tartrate
32
Restasis
Cyclosporine
19
Neomycin-Polymyxin-Dexameth
Neomycin/Polymyxin B/Dexametha
14

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

Ophthalmology Physician Overview

How JOHN MARTIN, MD fits within the Ophthalmology Physician landscape nationally.

22,090
Ophthalmology Physician Providers in US
56
States with Ophthalmology Physician
1,420
Avg Claims per Provider

JOHN MARTIN, MD's 424 claims are below the specialty average of 1,420.

Nearby Ophthalmology Physician Providers in Virginia

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

Compare Ophthalmology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is JOHN MARTIN, MD's specialty?
JOHN MARTIN, MD specializes in Ophthalmology Physician and practices in FALLS CHURCH, Virginia. Credentials: MD.
How much does JOHN MARTIN, MD prescribe under Medicare Part D?
In 2023, JOHN MARTIN, MD wrote 424 Medicare Part D claims totaling $61K in drug costs for 123 beneficiaries.
What is JOHN MARTIN, MD's Medicare quality score?
JOHN MARTIN, MD has a CMS MIPS Final Score of 95.5731/100 (Quality: 93.0448, Cost: 92.1988). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is JOHN MARTIN, MD located?
JOHN MARTIN, MD is located at 6231 LEESBURG PIKE, FALLS CHURCH, VA, 22044. Phone: (703) 534-3900.
What is JOHN MARTIN, MD's NPI number?
JOHN MARTIN, MD's National Provider Identifier (NPI) is 1972589992, issued on 12/21/2005.
Does JOHN MARTIN, MD prescribe more brand-name or generic drugs?
JOHN MARTIN, MD's prescribing is 35% brand-name and 65% generic drugs by claim count, with $54K in brand drug costs.
How many Ophthalmology Physician providers are there in the US?
There are 22,090 Ophthalmology Physician providers across 56 states in the US. The average Ophthalmology Physician provider writes 1,420 Medicare Part D claims per year.
What drugs does JOHN MARTIN, MD prescribe most often?
Based on 2023 Medicare Part D data, JOHN MARTIN, MD's most frequently prescribed drugs include Latanoprost, Timolol Maleate, Dorzolamide-Timolol. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JOHN MARTIN, MD accept Medicare?
JOHN MARTIN, MD appears in CMS Medicare data with 424 Part D claims and 123 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JOHN MARTIN, MD's credentials?
JOHN MARTIN, MD's NPI is 1972589992 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