2026 NPPES data Emergency Medicine Physician NPI 1396793980 MD
Verify on CMS →

JOHN MORGAN, MD

Emergency Medicine Physician in LEESBURG, Virginia. 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
27
Medicare Part D claims · 17 beneficiaries · Emergency Medicine Physician avg: 352
MIPS score
90.0793/100
▲ 7 pts above national avg 83.1 · [object Object]

What the federal data shows

JOHN MORGAN, MD reported a CMS MIPS final score of 90.0793/100 — above the 83.1 national average — and filed 27 Medicare Part D claims in 2023.

90.0793/100
MIPS score · +7 vs avg
27
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 MORGAN, MD's MIPS score vs every scored U.S. clinician

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

90 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. 90–100: 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 MORGAN, 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 MORGAN, MD?

High performer (top quartile)

NPI registry status

Active

Issued 05/05/2006

NPI 1396793980

Primary specialty

Emergency Medicine Physician

High-volume

64,398 US NPIs in this specialty

Medicare Part D claims

27 92% vs specialty avg

2023 prescription claims

Specialty avg: 352

MIPS final score

90.0793/100 6.979300000000009% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Virginia

How Emergency Medicine Physician compares to other specialties among Virginia providers

Virginia providers

Emergency Medicine Physician share within Virginia

1. Emergency Medicine Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Emergency Medicine Physician share within Virginia

Medicare quality performance — MIPS

JOHN MORGAN, MD's 2023 MIPS final score plotted against the Emergency Medicine Physician national average

High performer (top quartile)
MIPS Final Score
90.0793/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Emergency Medicine Physician) — 90.0793/100 vs national avg 83.1

0%100%National avg83%90.1%
MIPS final score (Emergency Medicine Physician) — 90.0793/100 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 MORGAN, MD appears in the CMS NPPES registry as a Emergency Medicine Physician provider holding MD credentials at 44045 RIVERSIDE PARKWAY, LEESBURG, VA, 20176, with a listed phone of (703) 858-6040. NPI 1396793980 was issued on 05/05/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what MORGAN 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 27 prescription claims written by this provider, covering 17 Medicare beneficiaries and totaling roughly $947 in drug spend. 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 90.0793/100 for the 2023 performance year (Quality 81.9623), compared with the national average of 83.1.

Emergency Medicine Physician is a high-volume specialty nationwide, with 64,398 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

44045 RIVERSIDE PARKWAY
LEESBURG, VA 20176

Provider Details

NPI 1396793980
Specialty Emergency Medicine Physician
Credentials MD
Gender Male
NPI Issued 05/05/2006

CMS Quality Score (MIPS)

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

90.0793
Final Score
Avg: 83.1
81.9623
Quality
100
Promoting Interoperability

Reporting: Group practice

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

27
Total Claims
$947
Total Drug Cost
17
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
27
Total Day Supply
254
Generic Drug Cost
$173
Antibiotic Claims
13

Patient Demographics

Average Patient Age
77.3 years
Avg HCC Risk Score
1.87

Emergency Medicine Physician Overview

How JOHN MORGAN, MD fits within the Emergency Medicine Physician landscape nationally.

64,398
Emergency Medicine Physician Providers in US
56
States with Emergency Medicine Physician
352
Avg Claims per Provider

JOHN MORGAN, MD's 27 claims are below the specialty average of 352.

Nearby Emergency Medicine Physician Providers in Virginia

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

Compare Emergency Medicine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is JOHN MORGAN, MD's specialty?
JOHN MORGAN, MD specializes in Emergency Medicine Physician and practices in LEESBURG, Virginia. Credentials: MD.
How much does JOHN MORGAN, MD prescribe under Medicare Part D?
In 2023, JOHN MORGAN, MD wrote 27 Medicare Part D claims totaling $947 in drug costs for 17 beneficiaries.
What is JOHN MORGAN, MD's Medicare quality score?
JOHN MORGAN, MD has a CMS MIPS Final Score of 90.0793/100 (Quality: 81.9623). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is JOHN MORGAN, MD located?
JOHN MORGAN, MD is located at 44045 RIVERSIDE PARKWAY, LEESBURG, VA, 20176. Phone: (703) 858-6040.
What is JOHN MORGAN, MD's NPI number?
JOHN MORGAN, MD's National Provider Identifier (NPI) is 1396793980, issued on 05/05/2006.
How many Emergency Medicine Physician providers are there in the US?
There are 64,398 Emergency Medicine Physician providers across 56 states in the US. The average Emergency Medicine Physician provider writes 352 Medicare Part D claims per year.
Does JOHN MORGAN, MD accept Medicare?
JOHN MORGAN, MD appears in CMS Medicare data with 27 Part D claims and 17 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JOHN MORGAN, MD's credentials?
JOHN MORGAN, MD's NPI is 1396793980 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