2026 NPPES data Pain Medicine (Physical Medicine & Rehabilitation) Physician NPI 1316026560 MD
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JOHN MCCAIN, MD

Pain Medicine (Physical Medicine & Rehabilitation) Physician in HOUMA, Louisiana. 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
513
Medicare Part D claims · 265 beneficiaries · Pain Medicine (Physical Medicine & Rehabilitation) Physician avg: 1K
MIPS score
91.9676/100
▲ 9 pts above national avg 83.1 · [object Object]

What the federal data shows

JOHN MCCAIN, MD reported a CMS MIPS final score of 91.9676/100 — above the 83.1 national average — and filed 513 Medicare Part D claims in 2023.

91.9676/100
MIPS score · +9 vs avg
513
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 MCCAIN, MD's MIPS score vs every scored U.S. clinician

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

92 Top 37% higher than 63% 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 MCCAIN, MD 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 MCCAIN, MD?

High performer (top quartile)

NPI registry status

Active

Issued 11/06/2006

NPI 1316026560

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) Physician

Niche

1,626 US NPIs in this specialty

Medicare Part D claims

513 63% vs specialty avg

2023 prescription claims

Specialty avg: 1,401

MIPS final score

91.9676/100 8.86760000000001% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Louisiana

How Pain Medicine (Physical Medicine & Rehabilitation) Physician compares to other specialties among Louisiana providers

Louisiana providers

Pain Medicine (Physical Medicine & Rehabilitation) Physician share within Louisiana

1. Pain Medicine (Physical Medicine & Rehabilitation) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Pain Medicine (Physical Medicine & Rehabilitation) Physician share within Louisiana

Medicare quality performance — MIPS

JOHN MCCAIN, MD's 2023 MIPS final score plotted against the Pain Medicine (Physical Medicine & Rehabilitation) Physician national average

High performer (top quartile)
MIPS Final Score
91.9676/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Pain Medicine (Physical Medicine & Rehabilitation) Physician) — 91.9676/100 vs national avg 83.1

0%100%National avg83%92%
MIPS final score (Pain Medicine (Physical Medicine & Rehabilitation) Physician) — 91.9676/100 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 MCCAIN, MD is a Pain Medicine (Physical Medicine & Rehabilitation) Physician provider practicing in HOUMA, Louisiana, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1316026560. 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 MCCAIN, MD appears in the CMS NPPES registry as a Pain Medicine (Physical Medicine & Rehabilitation) Physician provider holding MD credentials at 459 CORPORATE DR, HOUMA, LA, 70360, with a listed phone of (985) 868-4333. NPI 1316026560 was issued on 11/06/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what MCCAIN 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 513 prescription claims written by this provider, covering 265 Medicare beneficiaries and totaling roughly $4K in drug spend, with an opioid prescribing rate of 15.2%. 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 91.9676/100 for the 2023 performance year (Quality 69.9672), compared with the national average of 83.1.

Pain Medicine (Physical Medicine & Rehabilitation) Physician is a narrow specialty nationwide, with 1,626 enrolled providers across 50 states and an average of 1,401 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

459 CORPORATE DR
HOUMA, LA 70360

Provider Details

NPI 1316026560
Specialty Pain Medicine (Physical Medicine & Rehabilitation) Physician
Credentials MD
Gender Male
NPI Issued 11/06/2006

CMS Quality Score (MIPS)

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

91.9676
Final Score
Avg: 83.1
69.9672
Quality

Reporting: Group practice

Hospital and facility affiliations

Facilities where JOHN MCCAIN, 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.

CORRECT CARE, INC.
DONALDSONVILLE, LA
TECHE EMERGENCY GROUP LLC
FRANKLIN, LA

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Medicare Part D Prescribing Data

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

513
Total Claims
$4K
Total Drug Cost
265
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
513
Total Day Supply
3,634
Generic Drug Cost
$3K
Opioid Claims
78 (15.2% rate)
Antibiotic Claims
97

Patient Demographics

Average Patient Age
66.7 years
Avg HCC Risk Score
1.93
Gender Split
63% female / 37% male
Age Distribution
<65: 97, 65-74: 97, 75-84: 46, 85+: 25

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Sulindac
88
Dexamethasone
48
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
39
Tramadol Hcl
25
Promethazine Hcl
24
Dicyclomine Hcl
20
Ondansetron Odt
Ondansetron
19
Sulfamethoxazole-Trimethoprim
Sulfamethoxazole/Trimethoprim
18
Amoxicillin-Clavulanate Potass
Amoxicillin/Potassium Clav
16
Levofloxacin
14

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

Pain Medicine (Physical Medicine & Rehabilitation) Physician Overview

How JOHN MCCAIN, MD fits within the Pain Medicine (Physical Medicine & Rehabilitation) Physician landscape nationally.

1,626
Pain Medicine (Physical Medicine & Rehabilitation) Physician Providers in US
50
States with Pain Medicine (Physical Medicine & Rehabilitation) Physician
1,401
Avg Claims per Provider

JOHN MCCAIN, MD's 513 claims are below the specialty average of 1,401.

Nearby Pain Medicine (Physical Medicine & Rehabilitation) Physician Providers in Louisiana

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

Compare Pain Medicine (Physical Medicine & Rehabilitation) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is JOHN MCCAIN, MD's specialty?
JOHN MCCAIN, MD specializes in Pain Medicine (Physical Medicine & Rehabilitation) Physician and practices in HOUMA, Louisiana. Credentials: MD.
How much does JOHN MCCAIN, MD prescribe under Medicare Part D?
In 2023, JOHN MCCAIN, MD wrote 513 Medicare Part D claims totaling $4K in drug costs for 265 beneficiaries.
What is JOHN MCCAIN, MD's Medicare quality score?
JOHN MCCAIN, MD has a CMS MIPS Final Score of 91.9676/100 (Quality: 69.9672). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is JOHN MCCAIN, MD located?
JOHN MCCAIN, MD is located at 459 CORPORATE DR, HOUMA, LA, 70360. Phone: (985) 868-4333.
What is JOHN MCCAIN, MD's NPI number?
JOHN MCCAIN, MD's National Provider Identifier (NPI) is 1316026560, issued on 11/06/2006.
Does JOHN MCCAIN, MD prescribe opioids?
Yes, JOHN MCCAIN, MD had 78 opioid claims in 2023 with an opioid prescribing rate of 15.2%.
How many Pain Medicine (Physical Medicine & Rehabilitation) Physician providers are there in the US?
There are 1,626 Pain Medicine (Physical Medicine & Rehabilitation) Physician providers across 50 states in the US. The average Pain Medicine (Physical Medicine & Rehabilitation) Physician provider writes 1,401 Medicare Part D claims per year.
What drugs does JOHN MCCAIN, MD prescribe most often?
Based on 2023 Medicare Part D data, JOHN MCCAIN, MD's most frequently prescribed drugs include Sulindac, Dexamethasone, Hydrocodone-Acetaminophen. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JOHN MCCAIN, MD accept Medicare?
JOHN MCCAIN, MD appears in CMS Medicare data with 513 Part D claims and 265 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JOHN MCCAIN, MD's credentials?
JOHN MCCAIN, MD's NPI is 1316026560 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