2026 NPPES data Orthopaedic Surgery of the Spine Physician NPI 1912919119 M.D.
Verify on CMS →

JOHN MASCIALE, M.D.

Orthopaedic Surgery of the Spine Physician in CORPUS CHRISTI, Texas. 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
3K
Medicare Part D claims · 529 beneficiaries · Orthopaedic Surgery of the Spine Physician avg: 362
Generic prescribing
99%
generic claims · 1% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
63.3772/100
▼ 20 pts below national avg 83.1 · [object Object]
Industry payments
$120.8K
23 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

JOHN MASCIALE, M.D. reported a CMS MIPS final score of 63.3772/100 — below the 83.1 national average — and filed 3,132 Medicare Part D claims in 2023.

63.3772/100
MIPS score · -20 vs avg
3K
Part D claims, 2023
99%
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 MASCIALE, 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

63 6th percentile higher than 6% 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 MASCIALE, 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 MASCIALE, M.D.?

Below national average

NPI registry status

Active

Issued 08/13/2006

NPI 1912919119

Primary specialty

Orthopaedic Surgery of the Spine Physician

Niche

1,773 US NPIs in this specialty

Medicare Part D claims

3,132 765% vs specialty avg

2023 prescription claims

Specialty avg: 362

MIPS final score

63.3772/100 19.722799999999992% pts

Mid-tier band

vs 83.1 national avg

Specialty distribution in Texas

How Orthopaedic Surgery of the Spine Physician compares to other specialties among Texas providers

Texas providers

Orthopaedic Surgery of the Spine Physician share within Texas

1. Orthopaedic Surgery of the Spine Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Orthopaedic Surgery of the Spine Physician share within Texas

Medicare quality performance — MIPS

JOHN MASCIALE, M.D.'s 2023 MIPS final score plotted against the Orthopaedic Surgery of the Spine Physician national average

Below national average
MIPS Final Score
63.3772/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Orthopaedic Surgery of the Spine Physician) — 63.3772/100 vs national avg 83.1

0%100%National avg83%63.4%
MIPS final score (Orthopaedic Surgery of the Spine Physician) — 63.3772/100 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 MASCIALE, M.D. appears in the CMS NPPES registry as a Orthopaedic Surgery of the Spine Physician provider holding M.D. credentials at 5917 CROSSTOWN EXPRESSWAY SH 286, CORPUS CHRISTI, TX, 78417, with a listed phone of (361) 854-0811. NPI 1912919119 was issued on 08/13/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what MASCIALE 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 3,132 prescription claims written by this provider, covering 529 Medicare beneficiaries and totaling roughly $53K in drug spend, split 1% brand-name and 99% generic by claim count, with an opioid prescribing rate of 40.5%. 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 63.3772/100 for the 2023 performance year (Quality 63.6889, Cost 27.5684), compared with the national average of 83.1.

Orthopaedic Surgery of the Spine Physician is a narrow specialty nationwide, with 1,773 enrolled providers across 51 states and an average of 362 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

5917 CROSSTOWN EXPRESSWAY SH 286
CORPUS CHRISTI, TX 78417

Provider Details

NPI 1912919119
Specialty Orthopaedic Surgery of the Spine Physician
Credentials M.D.
Gender Male
NPI Issued 08/13/2006

CMS Quality Score (MIPS)

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

63.3772
Final Score
Avg: 83.1
63.6889
Quality
27.5684
Cost
84
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where JOHN MASCIALE, 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.

ORTHOPEDIC ASSOCIATES OF CORPUS CHRISTI
CORPUS CHRISTI, TX
SHEA PHYSICAL THERAPY SPECIALISTS LLC
CORPUS CHRISTI, TX

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 MASCIALE, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$120.8K

Largest payer

IKON SPINE LLC

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.

License & disciplinary context — Texas TMB 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~77K Texas medical licensees in 2023 — they are NOT specific to JOHN MASCIALE, M.D.. To verify JOHN MASCIALE, M.D.'s current license status, search the TMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

344
Total board actions, Texas 2023
Across 334 cases
4.47
Actions per 1,000 licensees
Texas statewide rate
probation
Most common action type
94 cases

TMB publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Texas disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Generic-heavy

JOHN MASCIALE, M.D. — brand share 1.0%
Specialty average (est.)

1% brand-name claims vs 99% generic, on 3,132 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.

3,132
Total Claims
$53K
Total Drug Cost
529
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
3,265
Total Day Supply
71,244
Brand vs Generic
1% brand / 99% generic
Brand Drug Cost
$3K
Generic Drug Cost
$50K
Opioid Claims
1,270 (40.5% rate)
Antibiotic Claims
175

Patient Demographics

Average Patient Age
70.1 years
Avg HCC Risk Score
1.71
Gender Split
58% female / 42% male
Age Distribution
<65: 105, 65-74: 266, 75-84: 130, 85+: 28

Top Prescribed Drugs (Medicare Part D)

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

What JOHN MASCIALE, 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
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
622
Gabapentin
440
Cyclobenzaprine Hcl
352
Tramadol Hcl
258
Acetaminophen-Codeine
Acetaminophen With Codeine
211
Meloxicam
116
Celecoxib
109
Methylprednisolone
98
Doxycycline Hyclate
79
Tizanidine Hcl
59

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

Orthopaedic Surgery of the Spine Physician Overview

How JOHN MASCIALE, M.D. fits within the Orthopaedic Surgery of the Spine Physician landscape nationally.

1,773
Orthopaedic Surgery of the Spine Physician Providers in US
51
States with Orthopaedic Surgery of the Spine Physician
362
Avg Claims per Provider

JOHN MASCIALE, M.D.'s 3,132 claims are above the specialty average of 362.

Nearby Orthopaedic Surgery of the Spine Physician Providers in Texas

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

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

Frequently Asked Questions

What is JOHN MASCIALE, M.D.'s specialty?
JOHN MASCIALE, M.D. specializes in Orthopaedic Surgery of the Spine Physician and practices in CORPUS CHRISTI, Texas. Credentials: M.D..
How much does JOHN MASCIALE, M.D. prescribe under Medicare Part D?
In 2023, JOHN MASCIALE, M.D. wrote 3,132 Medicare Part D claims totaling $53K in drug costs for 529 beneficiaries.
What is JOHN MASCIALE, M.D.'s Medicare quality score?
JOHN MASCIALE, M.D. has a CMS MIPS Final Score of 63.3772/100 (Quality: 63.6889, Cost: 27.5684). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is JOHN MASCIALE, M.D. located?
JOHN MASCIALE, M.D. is located at 5917 CROSSTOWN EXPRESSWAY SH 286, CORPUS CHRISTI, TX, 78417. Phone: (361) 854-0811.
What is JOHN MASCIALE, M.D.'s NPI number?
JOHN MASCIALE, M.D.'s National Provider Identifier (NPI) is 1912919119, issued on 08/13/2006.
Does JOHN MASCIALE, M.D. prescribe more brand-name or generic drugs?
JOHN MASCIALE, M.D.'s prescribing is 1% brand-name and 99% generic drugs by claim count, with $3K in brand drug costs.
Does JOHN MASCIALE, M.D. prescribe opioids?
Yes, JOHN MASCIALE, M.D. had 1,270 opioid claims in 2023 with an opioid prescribing rate of 40.5%.
How many Orthopaedic Surgery of the Spine Physician providers are there in the US?
There are 1,773 Orthopaedic Surgery of the Spine Physician providers across 51 states in the US. The average Orthopaedic Surgery of the Spine Physician provider writes 362 Medicare Part D claims per year.
What drugs does JOHN MASCIALE, M.D. prescribe most often?
Based on 2023 Medicare Part D data, JOHN MASCIALE, M.D.'s most frequently prescribed drugs include Hydrocodone-Acetaminophen, Gabapentin, Cyclobenzaprine Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JOHN MASCIALE, M.D. accept Medicare?
JOHN MASCIALE, M.D. appears in CMS Medicare data with 3,132 Part D claims and 529 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JOHN MASCIALE, M.D.'s credentials?
JOHN MASCIALE, M.D.'s NPI is 1912919119 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