2026 NPPES data Otolaryngic Allergy Physician NPI 1518910272 MD
Verify on CMS →

JOHN MCMAHAN, MD

Otolaryngic Allergy Physician in APPLETON, Wisconsin. 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
1K
Medicare Part D claims · 241 beneficiaries · Otolaryngic Allergy Physician avg: 788
Generic prescribing
98%
generic claims · 2% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
63.8038/100
▼ 19 pts below national avg 83.1 · [object Object]

What the federal data shows

JOHN MCMAHAN, MD reported a CMS MIPS final score of 63.8038/100 — below the 83.1 national average — and filed 1,004 Medicare Part D claims in 2023.

63.8038/100
MIPS score · -19 vs avg
1K
Part D claims, 2023
98%
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 MCMAHAN, MD's MIPS score vs every scored U.S. clinician

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

64 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 MCMAHAN, MD 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 MCMAHAN, MD?

Below national average

NPI registry status

Active

Issued 05/17/2006

NPI 1518910272

Primary specialty

Otolaryngic Allergy Physician

Rare

151 US NPIs in this specialty

Medicare Part D claims

1,004 27% vs specialty avg

2023 prescription claims

Specialty avg: 788

MIPS final score

63.8038/100 19.296199999999992% pts

Mid-tier band

vs 83.1 national avg

Specialty distribution in Wisconsin

How Otolaryngic Allergy Physician compares to other specialties among Wisconsin providers

Wisconsin providers

Otolaryngic Allergy Physician share within Wisconsin

1. Otolaryngic Allergy Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Otolaryngic Allergy Physician share within Wisconsin

Medicare quality performance — MIPS

JOHN MCMAHAN, MD's 2023 MIPS final score plotted against the Otolaryngic Allergy Physician national average

Below national average
MIPS Final Score
63.8038/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Otolaryngic Allergy Physician) — 63.8038/100 vs national avg 83.1

0%100%National avg83%63.8%
MIPS final score (Otolaryngic Allergy Physician) — 63.8038/100 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 MCMAHAN, MD is a Otolaryngic Allergy Physician provider practicing in APPLETON, Wisconsin, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1518910272. 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 MCMAHAN, MD appears in the CMS NPPES registry as a Otolaryngic Allergy Physician provider holding MD credentials at 247 S NICOLET RD, APPLETON, WI, 54914, with a listed phone of (888) 938-3838. NPI 1518910272 was issued on 05/17/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what MCMAHAN 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 1,004 prescription claims written by this provider, covering 241 Medicare beneficiaries and totaling roughly $31K in drug spend, split 2% brand-name and 98% generic by claim count. 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 63.8038/100 for the 2023 performance year (Quality 55.9047, Cost 32.608), compared with the national average of 83.1.

Otolaryngic Allergy Physician is a narrow specialty nationwide, with 151 enrolled providers across 38 states and an average of 788 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

247 S NICOLET RD
APPLETON, WI 54914

Provider Details

NPI 1518910272
Specialty Otolaryngic Allergy Physician
Credentials MD
Gender Male
NPI Issued 05/17/2006

CMS Quality Score (MIPS)

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

63.8038
Final Score
Avg: 83.1
55.9047
Quality
32.608
Cost
89
Promoting Interoperability

Reporting: Group practice

Brand vs generic prescribing mix · Generic-heavy

JOHN MCMAHAN, MD — brand share 2.0%
Specialty average (est.)

2% brand-name claims vs 98% generic, on 1,004 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.

1,004
Total Claims
$31K
Total Drug Cost
241
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,572
Total Day Supply
38,921
Brand vs Generic
2% brand / 98% generic
Brand Drug Cost
$4K
Generic Drug Cost
$27K
Antibiotic Claims
169

Patient Demographics

Average Patient Age
74.4 years
Avg HCC Risk Score
0.95
Gender Split
55% female / 45% male

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Montelukast Sodium
187
Omeprazole
169
Prednisone
123
Fluticasone Propionate
109
Azelastine Hcl
78
Cefdinir
56
Amoxicillin-Clavulanate Potass
Amoxicillin/Potassium Clav
50
Pantoprazole Sodium
46
Ipratropium Bromide
34
Clindamycin Hcl
27

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

Otolaryngic Allergy Physician Overview

How JOHN MCMAHAN, MD fits within the Otolaryngic Allergy Physician landscape nationally.

151
Otolaryngic Allergy Physician Providers in US
38
States with Otolaryngic Allergy Physician
788
Avg Claims per Provider

JOHN MCMAHAN, MD's 1,004 claims are above the specialty average of 788.

Frequently Asked Questions

What is JOHN MCMAHAN, MD's specialty?
JOHN MCMAHAN, MD specializes in Otolaryngic Allergy Physician and practices in APPLETON, Wisconsin. Credentials: MD.
How much does JOHN MCMAHAN, MD prescribe under Medicare Part D?
In 2023, JOHN MCMAHAN, MD wrote 1,004 Medicare Part D claims totaling $31K in drug costs for 241 beneficiaries.
What is JOHN MCMAHAN, MD's Medicare quality score?
JOHN MCMAHAN, MD has a CMS MIPS Final Score of 63.8038/100 (Quality: 55.9047, Cost: 32.608). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is JOHN MCMAHAN, MD located?
JOHN MCMAHAN, MD is located at 247 S NICOLET RD, APPLETON, WI, 54914. Phone: (888) 938-3838.
What is JOHN MCMAHAN, MD's NPI number?
JOHN MCMAHAN, MD's National Provider Identifier (NPI) is 1518910272, issued on 05/17/2006.
Does JOHN MCMAHAN, MD prescribe more brand-name or generic drugs?
JOHN MCMAHAN, MD's prescribing is 2% brand-name and 98% generic drugs by claim count, with $4K in brand drug costs.
How many Otolaryngic Allergy Physician providers are there in the US?
There are 151 Otolaryngic Allergy Physician providers across 38 states in the US. The average Otolaryngic Allergy Physician provider writes 788 Medicare Part D claims per year.
What drugs does JOHN MCMAHAN, MD prescribe most often?
Based on 2023 Medicare Part D data, JOHN MCMAHAN, MD's most frequently prescribed drugs include Montelukast Sodium, Omeprazole, Prednisone. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JOHN MCMAHAN, MD accept Medicare?
JOHN MCMAHAN, MD appears in CMS Medicare data with 1,004 Part D claims and 241 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JOHN MCMAHAN, MD's credentials?
JOHN MCMAHAN, MD's NPI is 1518910272 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