2026 NPPES data Clinical Cardiac Electrophysiology Physician NPI 1346280229 MD
Verify on CMS →

JOHN MERILLAT, MD

Clinical Cardiac Electrophysiology Physician in MODESTO, California. 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
4K
Medicare Part D claims · 427 beneficiaries · Clinical Cardiac Electrophysiology Physician avg: 2K
Generic prescribing
85%
generic claims · 15% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
100/100
▲ 17 pts above national avg 83.1 · [object Object]
Industry payments
$711.81
21 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

JOHN MERILLAT, MD reported a CMS MIPS final score of 100/100 — above the 83.1 national average — and filed 3,667 Medicare Part D claims in 2023.

100/100
MIPS score · +17 vs avg
4K
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 MERILLAT, MD's MIPS score vs every scored U.S. clinician

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

100 Top 7% higher than 93% 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 MERILLAT, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 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 MERILLAT, MD?

High performer (top quartile)

NPI registry status

Active

Issued 06/07/2006

NPI 1346280229

Primary specialty

Clinical Cardiac Electrophysiology Physician

Niche

1,570 US NPIs in this specialty

Medicare Part D claims

3,667 130% vs specialty avg

2023 prescription claims

Specialty avg: 1,596

MIPS final score

100/100 16.900000000000006% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in California

How Clinical Cardiac Electrophysiology Physician compares to other specialties among California providers

California providers

Clinical Cardiac Electrophysiology Physician share within California

1. Clinical Cardiac Electrophysiology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Clinical Cardiac Electrophysiology Physician share within California

Medicare quality performance — MIPS

JOHN MERILLAT, MD's 2023 MIPS final score plotted against the Clinical Cardiac Electrophysiology Physician national average

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

MIPS final score (Clinical Cardiac Electrophysiology Physician) — 100/100 vs national avg 83.1

0%100%National avg83%99%
MIPS final score (Clinical Cardiac Electrophysiology Physician) — 100/100 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 MERILLAT, MD appears in the CMS NPPES registry as a Clinical Cardiac Electrophysiology Physician provider holding MD credentials at 1540 FLORIDA AVE STE 100, MODESTO, CA, 95350, with a listed phone of (209) 577-5557. NPI 1346280229 was issued on 06/07/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what MERILLAT 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 3,667 prescription claims written by this provider, covering 427 Medicare beneficiaries and totaling roughly $519K in drug spend, split 15% brand-name and 85% generic by claim count, with an opioid prescribing rate of 1.0%. 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 100/100 for the 2023 performance year (Quality 85.2903), compared with the national average of 83.1.

Clinical Cardiac Electrophysiology Physician is a narrow specialty nationwide, with 1,570 enrolled providers across 52 states and an average of 1,596 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

1540 FLORIDA AVE STE 100
MODESTO, CA 95350

Provider Details

NPI 1346280229
Specialty Clinical Cardiac Electrophysiology Physician
Credentials MD
Gender Male
NPI Issued 06/07/2006

CMS Quality Score (MIPS)

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

100
Final Score
Avg: 83.1
85.2903
Quality

Reporting: Group practice

Hospital and facility affiliations

Facilities where JOHN MERILLAT, 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.

VALLEY HEART ASSOCIATES MEDICAL GROUP INC
TURLOCK, CA

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 MERILLAT, MD. Source: openpaymentsdata.cms.gov.

Total received

$712

Largest payer

Medtronic, Inc.

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.

License & disciplinary context — California MBC 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 ~150K California medical licensees in 2023 — they are NOT specific to JOHN MERILLAT, MD. To verify JOHN MERILLAT, MD's current license status, search the MBC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

576
Total board actions, California 2023
Across 556 cases
3.84
Actions per 1,000 licensees
California statewide rate
probation
Most common action type
186 cases

MBC 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 California disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

JOHN MERILLAT, MD — brand share 15.0%
Specialty average (est.)

15% brand-name claims vs 85% generic, on 3,667 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.

3,667
Total Claims
$519K
Total Drug Cost
427
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
8,002
Total Day Supply
237,448
Brand vs Generic
15% brand / 85% generic
Brand Drug Cost
$416K
Generic Drug Cost
$103K
Opioid Claims
38 (1.0% rate)
Antibiotic Claims
49

Patient Demographics

Average Patient Age
75.6 years
Avg HCC Risk Score
1.39
Gender Split
44% female / 56% male
Age Distribution
<65: 19, 65-74: 172, 75-84: 175, 85+: 61

Top Prescribed Drugs (Medicare Part D)

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

What JOHN MERILLAT, MD 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
297
Lisinopril
284
Eliquis
Apixaban
223
Furosemide
220
Amiodarone Hcl
192
Losartan Potassium
182
Metoprolol Succinate
178
Carvedilol
151
Flecainide Acetate
117
Clopidogrel
Clopidogrel Bisulfate
116

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

Clinical Cardiac Electrophysiology Physician Overview

How JOHN MERILLAT, MD fits within the Clinical Cardiac Electrophysiology Physician landscape nationally.

1,570
Clinical Cardiac Electrophysiology Physician Providers in US
52
States with Clinical Cardiac Electrophysiology Physician
1,596
Avg Claims per Provider

JOHN MERILLAT, MD's 3,667 claims are above the specialty average of 1,596.

Nearby Clinical Cardiac Electrophysiology Physician Providers in California

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

Compare Clinical Cardiac Electrophysiology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is JOHN MERILLAT, MD's specialty?
JOHN MERILLAT, MD specializes in Clinical Cardiac Electrophysiology Physician and practices in MODESTO, California. Credentials: MD.
How much does JOHN MERILLAT, MD prescribe under Medicare Part D?
In 2023, JOHN MERILLAT, MD wrote 3,667 Medicare Part D claims totaling $519K in drug costs for 427 beneficiaries.
What is JOHN MERILLAT, MD's Medicare quality score?
JOHN MERILLAT, MD has a CMS MIPS Final Score of 100/100 (Quality: 85.2903). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is JOHN MERILLAT, MD located?
JOHN MERILLAT, MD is located at 1540 FLORIDA AVE STE 100, MODESTO, CA, 95350. Phone: (209) 577-5557.
What is JOHN MERILLAT, MD's NPI number?
JOHN MERILLAT, MD's National Provider Identifier (NPI) is 1346280229, issued on 06/07/2006.
Does JOHN MERILLAT, MD prescribe more brand-name or generic drugs?
JOHN MERILLAT, MD's prescribing is 15% brand-name and 85% generic drugs by claim count, with $416K in brand drug costs.
Does JOHN MERILLAT, MD prescribe opioids?
Yes, JOHN MERILLAT, MD had 38 opioid claims in 2023 with an opioid prescribing rate of 1.0%.
How many Clinical Cardiac Electrophysiology Physician providers are there in the US?
There are 1,570 Clinical Cardiac Electrophysiology Physician providers across 52 states in the US. The average Clinical Cardiac Electrophysiology Physician provider writes 1,596 Medicare Part D claims per year.
What drugs does JOHN MERILLAT, MD prescribe most often?
Based on 2023 Medicare Part D data, JOHN MERILLAT, MD's most frequently prescribed drugs include Atorvastatin Calcium, Lisinopril, Eliquis. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JOHN MERILLAT, MD accept Medicare?
JOHN MERILLAT, MD appears in CMS Medicare data with 3,667 Part D claims and 427 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JOHN MERILLAT, MD's credentials?
JOHN MERILLAT, MD's NPI is 1346280229 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