2026 NPPES data General Practice Physician NPI 1235103342 D.O.
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John McCarthy, D.O.

General Practice Physician in Staten Island, New York. This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 16,677 in General Practice Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.

Federal data, no proprietary rating. We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
12K
Medicare Part D claims · 666 beneficiaries · General Practice Physician avg: 3K
Generic prescribing
85%
generic claims · 14% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
90.9/100
▲ 8 pts above national avg 83.1 · Exceptional
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

John McCarthy, D.O. reported a CMS MIPS final score of 90.9/100 - above the 83.1 national average - and filed 12,101 Medicare Part D claims in 2023.

90.9/100
MIPS score · +8 vs avg
12K
Part D claims, 2023
85%
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 McCarthy, D.O.'s MIPS score vs every scored U.S. clinician

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

91 Top 40% higher than 60% 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+: 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

Where John McCarthy, D.O. sits

This provider among general practice physician peers

Across the 783 general practice physician providers who report both Medicare Part D prescribing and a MIPS quality score, John McCarthy, D.O. writes more Part D claims than 91% of them and scores higher on MIPS quality than 71% - placing this provider in the high-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Part D claim volume vs MIPS quality, by specialty percentile

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality02550751000255075100Part D claim volume, percentile in specialtyMIPS quality, percentilePart D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 83Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 43Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 55Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 98Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 92Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 22Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 95Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 17Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 27Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 90Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 55Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 80Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 82Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 42Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 72Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 47Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 25Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 37Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 98Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 45Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 30Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 62Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 23Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 53Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 77Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 52Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 63Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 40Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 30Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 15Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 38Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 30Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 68Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 85Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 48Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 65Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 18Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 60Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 78Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 93Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 58Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 50Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 12Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 72Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 8Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 97Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 30Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 3Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 87Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 75Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 67Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 10Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 7Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 5Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 87Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 20Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 13Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 28John McCarthy, D.O.-Part D claim volume, percentile in specialty: 91 · MIPS quality, percentile: 71
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one general practice physician peer from a representative sample of 60; the gold marker is John McCarthy, D.O.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

Board certification likely (heuristic, not verified)

John McCarthy, D.O. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting - 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 McCarthy, D.O.?

High performer (top quartile)

NPI registry status

Active

Issued 02/15/2006

NPI 1235103342

Primary specialty

General Practice Physician

Mid-sized

16,677 US NPIs in this specialty

Medicare Part D claims

12,101 321% vs specialty avg

2023 prescription claims

Specialty avg: 2,872

MIPS final score

90.9/100 7.8 pts vs avg

Exceptional band

vs 83.1 national avg

Specialty distribution in New York

How General Practice Physician compares to other specialties among New York providers

New York providers
Student in an Organized Health Care Education/Training Program - 7.8%Student in an Organized Health Care Education/Training Program7.8%Registered Nurse - 5.2%Registered Nurse5.2%Clinical Social Worker - 4.9%Clinical Social Worker4.9%Social Worker - 4.5%Social Worker4.5%Speech-Language Pathologist - 4.5%Speech-Language Pathologist4.5%Licensed Practical Nurse - 4.3%Licensed Practical Nurse4.3%General Practice Physician - 0.1%General Practice Physician0.1%
Largest specialties in New York (% of in-state providers)

Medicare quality performance, MIPS

John McCarthy, D.O.'s 2023 MIPS final score plotted against the General Practice Physician national average

High performer (top quartile)
MIPS Final Score
90.9/100
vs 83.1 national avg · 2023 performance year

MIPS final score (General Practice Physician) - 90.9/100 vs national avg 83.1

0%100%National avg83%90.9%
MIPS final score (General Practice Physician) - 90.9/100 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 McCarthy, D.O. appears in the CMS NPPES registry as a General Practice Physician provider holding D.O. credentials at 1776 RICHMOND RD, Staten Island, NY, 10306, with a listed phone of (718) 668-9300. NPI 1235103342 was issued on 02/15/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what McCarthy 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 12,101 prescription claims written by this provider, covering 666 Medicare beneficiaries and totaling roughly $1.2 million in drug spend, split 14% brand-name and 85% generic by claim count, with an opioid prescribing rate of 1.2%. 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 90.9/100 for the 2023 performance year (Quality 74.1), compared with the national average of 83.1.

General Practice Physician is a mid-sized specialty nationwide, with 16,677 enrolled providers across 56 states and an average of 2,872 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

1776 RICHMOND RD
Staten Island, NY 10306

Provider Details

NPI 1235103342
Specialty General Practice Physician
Credentials D.O.
Gender Male
NPI Issued 02/15/2006

CMS Quality Score (MIPS)

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

90.8564
Final Score
Avg: 83.1
74.1454
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

License & disciplinary context - New York NYSBPMC 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 ~100K New York medical licensees in 2023 - they are NOT specific to John McCarthy, D.O.. To verify John McCarthy, D.O.'s current license status, search the NYSBPMC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

312
Total board actions, New York 2023
Across 302 cases
3.12
Actions per 1,000 licensees
New York statewide rate
probation
Most common action type
89 cases

NYSBPMC 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 New York disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

John McCarthy, D.O. - brand share 14.0%
General Practice Physician average

14% brand-name claims vs 85% generic, on 12,101 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.

12,101
Total Claims
$1.2M
Total Drug Cost
666
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
18,825
Total Day Supply
495,079
Brand vs Generic
14% brand / 85% generic
Brand Drug Cost
$760K
Generic Drug Cost
$437K
Opioid Claims
143 (1.2% rate)
Antibiotic Claims
598

Patient Demographics

Average Patient Age
73.1 years
Avg HCC Risk Score
1.38
Gender Split
65% female / 35% male
Age Distribution
<65: 80, 65-74: 289, 75-84: 217, 85+: 80

Top Prescribed Drugs (Medicare Part D)

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

What John McCarthy, D.O. 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
Atorvastatin Calcium
552
Amlodipine Besylate
434
Levothyroxine Sodium
332
Metformin Hcl
329
Losartan Potassium
297
Metoprolol Succinate
246
Eliquis
Apixaban
222
Rosuvastatin Calcium
213
Pantoprazole Sodium
206
Lisinopril
189

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

General Practice Physician Overview

How John McCarthy, D.O. fits within the General Practice Physician landscape nationally.

16,677
General Practice Physician Providers in US
56
States with General Practice Physician
2,872
Avg Claims per Provider

John McCarthy, D.O.'s 12,101 claims are above the specialty average of 2,872.

Nearby General Practice Physician Providers in New York

Other clinicians with the same primary specialty enrolled in New York, drawn from the same CMS NPPES roster as McCarthy.

Compare General Practice Physician nationally: see state-by-state distribution →

Before you book an appointment

Use this federal record as your verification checklist, not as a recommendation.

  • Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
  • Check the active license and any disciplinary history with the New York medical board, federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby General Practice Physician peer on Medicare volume and prescribing patterns. Compare providers

Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.

Frequently Asked Questions

What is John McCarthy, D.O.'s specialty?
John McCarthy, D.O. specializes in General Practice Physician and practices in Staten Island, New York. Credentials: D.O..
How much does John McCarthy, D.O. prescribe under Medicare Part D?
In 2023, John McCarthy, D.O. wrote 12,101 Medicare Part D claims totaling $1.2M in drug costs for 666 beneficiaries.
What is John McCarthy, D.O.'s Medicare quality score?
John McCarthy, D.O. has a CMS MIPS Final Score of 90.9/100 (Quality: 74.1). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is John McCarthy, D.O. located?
John McCarthy, D.O. is located at 1776 RICHMOND RD, Staten Island, NY, 10306. Phone: (718) 668-9300.
What is John McCarthy, D.O.'s NPI number?
John McCarthy, D.O.'s National Provider Identifier (NPI) is 1235103342, issued on 02/15/2006.
Does John McCarthy, D.O. prescribe more brand-name or generic drugs?
John McCarthy, D.O.'s prescribing is 14% brand-name and 85% generic drugs by claim count, with $760K in brand drug costs.
Does John McCarthy, D.O. prescribe opioids?
Yes, John McCarthy, D.O. had 143 opioid claims in 2023 with an opioid prescribing rate of 1.2%.
How many General Practice Physician providers are there in the US?
There are 16,677 General Practice Physician providers across 56 states in the US. The average General Practice Physician provider writes 2,872 Medicare Part D claims per year.
What drugs does John McCarthy, D.O. prescribe most often?
Based on 2023 Medicare Part D data, John McCarthy, D.O.'s most frequently prescribed drugs include Atorvastatin Calcium, Amlodipine Besylate, Levothyroxine Sodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does John McCarthy, D.O. accept Medicare?
John McCarthy, D.O. appears in CMS Medicare data with 12,101 Part D claims and 666 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify John McCarthy, D.O.'s credentials?
John McCarthy, D.O.'s NPI is 1235103342 with credentials D.O.. 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

Compiled from official public sources by the PlainDoctor editorial team.