2026 NPPES data Gastroenterology Physician NPI 1427051341 M.D.
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JOHN MATHIS, M.D.

Gastroenterology Physician in SOUTH BEND, Indiana. 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
2K
Medicare Part D claims · 754 beneficiaries · Gastroenterology Physician avg: 833
MIPS score
66.2574/100
▼ 17 pts below national avg 83.1 · [object Object]
Industry payments
$3.2K
178 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

JOHN MATHIS, M.D. reported a CMS MIPS final score of 66.2574/100 — below the 83.1 national average — and filed 1,978 Medicare Part D claims in 2023.

66.2574/100
MIPS score · -17 vs avg
2K
Part D claims, 2023
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 MATHIS, 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

66 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 MATHIS, M.D. 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 MATHIS, M.D.?

Below national average

NPI registry status

Active

Issued 05/24/2005

NPI 1427051341

Primary specialty

Gastroenterology Physician

Mid-sized

16,567 US NPIs in this specialty

Medicare Part D claims

1,978 137% vs specialty avg

2023 prescription claims

Specialty avg: 833

MIPS final score

66.2574/100 16.84259999999999% pts

Mid-tier band

vs 83.1 national avg

Specialty distribution in Indiana

How Gastroenterology Physician compares to other specialties among Indiana providers

Indiana providers

Gastroenterology Physician share within Indiana

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

Medicare quality performance — MIPS

JOHN MATHIS, M.D.'s 2023 MIPS final score plotted against the Gastroenterology Physician national average

Below national average
MIPS Final Score
66.2574/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Gastroenterology Physician) — 66.2574/100 vs national avg 83.1

0%100%National avg83%66.3%
MIPS final score (Gastroenterology Physician) — 66.2574/100 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 MATHIS, M.D. appears in the CMS NPPES registry as a Gastroenterology Physician provider holding M.D. credentials at 17501 GENERATIONS DR, SOUTH BEND, IN, 46635, with a listed phone of (574) 234-0049. NPI 1427051341 was issued on 05/24/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what MATHIS 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 1,978 prescription claims written by this provider, covering 754 Medicare beneficiaries and totaling roughly $988K in drug spend. 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 66.2574/100 for the 2023 performance year (Quality 52.9335, Cost 50.28), compared with the national average of 83.1.

Gastroenterology Physician is a mid-sized specialty nationwide, with 16,567 enrolled providers across 54 states and an average of 833 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

17501 GENERATIONS DR
SOUTH BEND, IN 46635

Provider Details

NPI 1427051341
Specialty Gastroenterology Physician
Credentials M.D.
Gender Male
NPI Issued 05/24/2005

CMS Quality Score (MIPS)

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

66.2574
Final Score
Avg: 83.1
52.9335
Quality
50.28
Cost

Reporting: Individual

Hospital and facility affiliations

Facilities where JOHN MATHIS, 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.

MICHIANA GASTROENTEROLOGY, INC
SOUTH BEND, IN

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

Total received

$3.2K

Largest payer

ABBVIE 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.

Medicare Part D Prescribing Data

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

1,978
Total Claims
$988K
Total Drug Cost
754
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
3,922
Total Day Supply
102,733
Generic Drug Cost
$166K
Antibiotic Claims
40

Patient Demographics

Average Patient Age
73.0 years
Avg HCC Risk Score
1.14
Gender Split
57% female / 43% male
Age Distribution
<65: 53, 65-74: 401, 75-84: 258, 85+: 42

Top Prescribed Drugs (Medicare Part D)

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

What JOHN MATHIS, 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
Omeprazole
303
Pantoprazole Sodium
267
Dicyclomine Hcl
88
Mesalamine
71
Azathioprine
53
Esomeprazole Magnesium
44
Budesonide Ec
Budesonide
41
Ursodiol
33
Dexlansoprazole Dr
Dexlansoprazole
31
Budesonide Dr
Budesonide
28

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

Gastroenterology Physician Overview

How JOHN MATHIS, M.D. fits within the Gastroenterology Physician landscape nationally.

16,567
Gastroenterology Physician Providers in US
54
States with Gastroenterology Physician
833
Avg Claims per Provider

JOHN MATHIS, M.D.'s 1,978 claims are above the specialty average of 833.

Nearby Gastroenterology Physician Providers in Indiana

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

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

Frequently Asked Questions

What is JOHN MATHIS, M.D.'s specialty?
JOHN MATHIS, M.D. specializes in Gastroenterology Physician and practices in SOUTH BEND, Indiana. Credentials: M.D..
How much does JOHN MATHIS, M.D. prescribe under Medicare Part D?
In 2023, JOHN MATHIS, M.D. wrote 1,978 Medicare Part D claims totaling $988K in drug costs for 754 beneficiaries.
What is JOHN MATHIS, M.D.'s Medicare quality score?
JOHN MATHIS, M.D. has a CMS MIPS Final Score of 66.2574/100 (Quality: 52.9335, Cost: 50.28). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is JOHN MATHIS, M.D. located?
JOHN MATHIS, M.D. is located at 17501 GENERATIONS DR, SOUTH BEND, IN, 46635. Phone: (574) 234-0049.
What is JOHN MATHIS, M.D.'s NPI number?
JOHN MATHIS, M.D.'s National Provider Identifier (NPI) is 1427051341, issued on 05/24/2005.
How many Gastroenterology Physician providers are there in the US?
There are 16,567 Gastroenterology Physician providers across 54 states in the US. The average Gastroenterology Physician provider writes 833 Medicare Part D claims per year.
What drugs does JOHN MATHIS, M.D. prescribe most often?
Based on 2023 Medicare Part D data, JOHN MATHIS, M.D.'s most frequently prescribed drugs include Omeprazole, Pantoprazole Sodium, Dicyclomine Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JOHN MATHIS, M.D. accept Medicare?
JOHN MATHIS, M.D. appears in CMS Medicare data with 1,978 Part D claims and 754 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JOHN MATHIS, M.D.'s credentials?
JOHN MATHIS, M.D.'s NPI is 1427051341 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