NPI registry status
Active
2026 NPPES data Sports Medicine (Family Medicine) Physician NPI 1932216637 MD
Verify on CMS → John McShane, MD
Sports Medicine (Family Medicine) Physician in Villanova, Pennsylvania.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 2,087 in Sports Medicine (Family 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
58
Medicare Part D claims · 39 beneficiaries · Sports Medicine (Family Medicine) Physician avg: 1K
MIPS score
5.2/100
▼ 78 pts below national avg 83.1 · Penalty band
Industry payments
$1.8K
12 payments · CMS Open Payments (Sunshine Act)
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
John McShane, MD reported a CMS MIPS final score of 5.2/100 - below the 83.1 national average - and filed 58 Medicare Part D claims in 2023.
- 5.2/100
- MIPS score · -78 vs avg
- 58
- 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 McShane, MD's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
5 2nd percentile higher than 2% of 477,587 scored providers
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 McShane, MD sits
This provider among sports medicine (family medicine) physician peers
Across the 571 sports medicine (family medicine) physician providers who report both Medicare Part D prescribing and a MIPS quality score, John McShane, MD writes more Part D claims than 12% of them and scores higher on MIPS quality than 1% - placing this provider in the lower-volume, lower-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
Each dot is one sports medicine (family medicine) physician peer from a representative sample of 60; the gold marker is John McShane, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
John McShane, 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 McShane, MD?
Below national averagePrimary specialty
Sports Medicine (Family Medicine) Physician
Medicare Part D claims
58 95% vs specialty avg
MIPS final score
5.2/100 77.9 pts vs avg
Specialty distribution in Pennsylvania
How Sports Medicine (Family Medicine) Physician compares to other specialties among Pennsylvania providers
Medicare quality performance, MIPS
John McShane, MD's 2023 MIPS final score plotted against the Sports Medicine (Family Medicine) Physician national average
- MIPS Final Score
- 5.2/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Sports Medicine (Family Medicine) Physician) - 5.2/100 vs national avg 83.1
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 McShane, MD appears in the CMS NPPES registry as a Sports Medicine (Family Medicine) Physician provider holding MD credentials at 734 E LANCASTER AVE, Villanova, PA, 19085, with a listed phone of (610) 254-8001. NPI 1932216637 was issued on 08/25/2006.
Medicare Part D records for calendar year 2023 show 58 prescription claims written by this provider, covering 39 Medicare beneficiaries and totaling roughly $275 in drug spend, with an opioid prescribing rate of 37.9%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 5.2/100 for the 2023 performance year (Quality 0, Cost 17.4), compared with the national average of 83.1.
Sports Medicine (Family Medicine) Physician is a narrow specialty nationwide, with 2,087 enrolled providers across 52 states and an average of 1,242 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 | 1932216637 |
|---|---|
| Specialty | Sports Medicine (Family Medicine) Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 08/25/2006 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
5.2153
Final Score
Avg: 83.1
0
Quality
17.3842
Cost
Reporting: Individual
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 McShane, MD. Source: openpaymentsdata.cms.gov.
Total received
$1.8K
Largest payer
DJO, LLC
Most common payment type
Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program
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.
License & disciplinary context - Pennsylvania PA-BOM 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 ~45K Pennsylvania medical licensees in 2023 - they are NOT specific to John McShane, MD. To verify John McShane, MD's current license status, search the PA-BOM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
133
Total board actions, Pennsylvania 2023
Across 129 cases
2.96
Actions per 1,000 licensees
Pennsylvania statewide rate
probation
Most common action type
48 cases
PA-BOM 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 Pennsylvania disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
58
Total Claims
$275
Total Drug Cost
39
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 58
- Total Day Supply
- 208
- Generic Drug Cost
- $273
- Opioid Claims
- 22 (37.9% rate)
Patient Demographics
- Average Patient Age
- 75.1 years
- Avg HCC Risk Score
- 0.77
- Gender Split
- 51% female / 49% 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 |
|---|---|
| Alprazolam | 32 |
| Tramadol Hcl-Acetaminophen Tramadol Hcl/Acetaminophen | 19 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
More Sports Medicine (Family Medicine) Physician in PA →
All providers in Pennsylvania →
Compare specialties →
Sports Medicine (Family Medicine) Physician Overview
How John McShane, MD fits within the Sports Medicine (Family Medicine) Physician landscape nationally.
2,087
Sports Medicine (Family Medicine) Physician Providers in US
52
States with Sports Medicine (Family Medicine) Physician
1,242
Avg Claims per Provider
John McShane, MD's 58 claims are below the specialty average of 1,242.
Nearby Sports Medicine (Family Medicine) Physician Providers in Pennsylvania
Other clinicians with the same primary specialty enrolled in Pennsylvania, drawn from the same CMS NPPES roster as McShane.
Dr. Faisal Al-Alim
M.D
Bethlehem, PA
Dr. Marco Alcala
M.D.
Canonsburg, PA
Dr. Kunal Anandpara
DO
Philadelphia, PA
Dr. Kelley Anderson
DO
Pittsburgh, PA
Dr. Joseph Andrie
M.D.
Camp Hill, PA
Compare Sports Medicine (Family 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 Pennsylvania medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Sports Medicine (Family 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.
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Medical Specialties Explained
Who treats what and how specialties differ
Understanding Medicare Claims Data
What prescribing data reveals about a provider
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How insurance networks affect your costs
Telehealth Guide
Virtual care options and coverage in 2026
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Frequently Asked Questions
What is John McShane, MD's specialty? ▼
John McShane, MD specializes in Sports Medicine (Family Medicine) Physician and practices in Villanova, Pennsylvania. Credentials: MD.
How much does John McShane, MD prescribe under Medicare Part D? ▼
In 2023, John McShane, MD wrote 58 Medicare Part D claims totaling $275 in drug costs for 39 beneficiaries.
What is John McShane, MD's Medicare quality score? ▼
John McShane, MD has a CMS MIPS Final Score of 5.2/100 (Quality: 0, Cost: 17.4). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is John McShane, MD located? ▼
John McShane, MD is located at 734 E LANCASTER AVE, Villanova, PA, 19085. Phone: (610) 254-8001.
What is John McShane, MD's NPI number? ▼
John McShane, MD's National Provider Identifier (NPI) is 1932216637, issued on 08/25/2006.
Does John McShane, MD prescribe opioids? ▼
Yes, John McShane, MD had 22 opioid claims in 2023 with an opioid prescribing rate of 37.9%.
How many Sports Medicine (Family Medicine) Physician providers are there in the US? ▼
There are 2,087 Sports Medicine (Family Medicine) Physician providers across 52 states in the US. The average Sports Medicine (Family Medicine) Physician provider writes 1,242 Medicare Part D claims per year.
What drugs does John McShane, MD prescribe most often? ▼
Based on 2023 Medicare Part D data, John McShane, MD's most frequently prescribed drugs include Alprazolam, Tramadol Hcl-Acetaminophen. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does John McShane, MD accept Medicare? ▼
John McShane, MD appears in CMS Medicare data with 58 Part D claims and 39 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify John McShane, MD's credentials? ▼
John McShane, MD's NPI is 1932216637 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
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.
- 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.