NPI registry status
Active
2026 NPPES data Emergency Medicine Physician NPI 1265430193
Verify on CMS → John McDonagh
Emergency Medicine Physician in Torrington, Connecticut.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 64,463 in Emergency Medicine 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
527
Medicare Part D claims · 98 beneficiaries · Emergency Medicine Physician avg: 352
Generic prescribing
76%
generic claims · 21% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$56.33
1 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
John McDonagh filed 527 Medicare Part D claims in 2023 as an Emergency Medicine Physician in Torrington, Connecticut, prescribing 76% generic.
- 527
- Part D claims, 2023
- 76%
- 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 McDonagh's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023, across all CMS prescribers nationally
527 Top 34% higher than 66% of 1,370,886 prescribers
Each bar is a band; taller bars hold more prescribers. 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 Medicare Part D Prescriber Public Use File · 2023
✓
Board certification likely (heuristic, not verified)
John McDonagh practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 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 McDonagh?
Quality data not reportedPrimary specialty
Emergency Medicine Physician
Medicare Part D claims
527 50% vs specialty avg
Specialty distribution in Connecticut
How Emergency Medicine Physician compares to other specialties among Connecticut providers
Board certification
Not published by CMS
CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Emergency Medicine Physician. Verify directly:
How MIPS and board certification work
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 McDonagh appears in the CMS NPPES registry as an Emergency Medicine Physician provider at 469 MIGEON AVE, Torrington, CT, 06790, with a listed phone of (860) 489-0931. NPI 1265430193 was issued on 07/13/2005.
Medicare Part D records for calendar year 2023 show 527 prescription claims written by this provider, covering 98 Medicare beneficiaries and totaling roughly $110K in drug spend, split 21% brand-name and 76% generic by claim count, with an opioid prescribing rate of 6.6%.
Emergency Medicine Physician is a high-volume specialty nationwide, with 64,463 enrolled providers across 56 states and an average of 352 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
Provider Details
| NPI | 1265430193 |
|---|---|
| Specialty | Emergency Medicine Physician |
| Gender | Male |
| NPI Issued | 07/13/2005 |
Hospital and facility affiliations
Facilities where John McDonagh 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.
Fair Haven Community Health Clinic Inc
New Haven, CT
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 McDonagh. Source: openpaymentsdata.cms.gov.
Total received
$56
Largest payer
Abbott Laboratories
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.
Brand vs generic prescribing mix · Typical
John McDonagh - brand share 21.0%
Emergency Medicine Physician average
21% brand-name claims vs 76% generic, on 527 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.
527
Total Claims
$110K
Total Drug Cost
98
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 681
- Total Day Supply
- 17,542
- Brand vs Generic
- 21% brand / 76% generic
- Brand Drug Cost
- $81K
- Generic Drug Cost
- $29K
- Opioid Claims
- 35 (6.6% rate)
- Antibiotic Claims
- 16
Patient Demographics
- Average Patient Age
- 65.1 years
- Avg HCC Risk Score
- 1.86
- Gender Split
- 56% female / 44% male
- Age Distribution
- <65: 40, 65-74: 41, 75-84: N/A, 85+: N/A
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What John McDonagh prescribes most
Top Medicare Part D drugs by claim count, 2023
- Buprenorphine-Nalo…
Buprenorphine-Naloxone
129 claims
- Suboxone
Suboxone
60 claims
- Atorvastatin Calcium 20
Atorvastatin Calcium
20 claims
- Buprenorphine Hcl 14
Buprenorphine Hcl
14 claims
- Morphine Sulfate Er 13
Morphine Sulfate Er
13 claims
- Morphine Sulfate 11
Morphine Sulfate
11 claims
- Quetiapine Fumarate 11
Quetiapine Fumarate
11 claims
| Drug | Claims |
|---|---|
| Buprenorphine-Naloxone Buprenorphine Hcl/Naloxone Hcl | 129 |
| Suboxone Buprenorphine Hcl/Naloxone Hcl | 60 |
| Atorvastatin Calcium | 20 |
| Buprenorphine Hcl | 14 |
| Morphine Sulfate Er Morphine Sulfate | 13 |
| Morphine Sulfate | 11 |
| Quetiapine Fumarate | 11 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Emergency Medicine Physician Overview
How John McDonagh fits within the Emergency Medicine Physician landscape nationally.
64,463
Emergency Medicine Physician Providers in US
56
States with Emergency Medicine Physician
352
Avg Claims per Provider
John McDonagh's 527 claims are above the specialty average of 352.
Nearby Emergency Medicine Physician Providers in Connecticut
Other clinicians with the same primary specialty enrolled in Connecticut, drawn from the same CMS NPPES roster as McDonagh.
Dr. Carol Abbatiello
D.O.
Hartford, CT
Dr. Lincoln Abbott
MD
Hartford, CT
Dr. Clayton Abeln
MD
New Haven, CT
Dr. Wayne Abrahams
MD
Waterbury, CT
Dr. Theresa Adams
M.D.
New London, CT
Compare Emergency Medicine 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 Connecticut medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Emergency Medicine 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.
Healthcare Guides
Learn more about finding, verifying, and understanding healthcare providers.
How to Find a Doctor
Step-by-step guide to choosing a provider
Verify Credentials
Check NPI, board certification & license status
Medical Specialties Explained
Who treats what and how specialties differ
Understanding Medicare Claims Data
What prescribing data reveals about a provider
In-Network vs Out-of-Network
How insurance networks affect your costs
Telehealth Guide
Virtual care options and coverage in 2026
Explore Connecticut
Frequently Asked Questions
What is John McDonagh's specialty? ▼
John McDonagh specializes in Emergency Medicine Physician and practices in Torrington, Connecticut.
How much does John McDonagh prescribe under Medicare Part D? ▼
In 2023, John McDonagh wrote 527 Medicare Part D claims totaling $110K in drug costs for 98 beneficiaries.
Where is John McDonagh located? ▼
John McDonagh is located at 469 MIGEON AVE, Torrington, CT, 06790. Phone: (860) 489-0931.
What is John McDonagh's NPI number? ▼
John McDonagh's National Provider Identifier (NPI) is 1265430193, issued on 07/13/2005.
Does John McDonagh prescribe more brand-name or generic drugs? ▼
John McDonagh's prescribing is 21% brand-name and 76% generic drugs by claim count, with $81K in brand drug costs.
Does John McDonagh prescribe opioids? ▼
Yes, John McDonagh had 35 opioid claims in 2023 with an opioid prescribing rate of 6.6%.
How many Emergency Medicine Physician providers are there in the US? ▼
There are 64,463 Emergency Medicine Physician providers across 56 states in the US. The average Emergency Medicine Physician provider writes 352 Medicare Part D claims per year.
What drugs does John McDonagh prescribe most often? ▼
Based on 2023 Medicare Part D data, John McDonagh's most frequently prescribed drugs include Buprenorphine-Naloxone, Suboxone, Atorvastatin Calcium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does John McDonagh accept Medicare? ▼
John McDonagh appears in CMS Medicare data with 527 Part D claims and 98 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify John McDonagh's credentials? ▼
John McDonagh's NPI is 1265430193. 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
View source datasets and methodology notes
- 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.
- 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.
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of May 2026.