NPI registry status
Active
2026 NPPES data Family Medicine Physician NPI 1518229525 MD
Verify on CMS → John Novales, MD
Family Medicine Physician in Fayetteville, North Carolina.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 150,125 in 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
480
Medicare Part D claims · 190 beneficiaries · Family Medicine Physician avg: 4K
Generic prescribing
85%
generic claims · 15% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
97.5/100
▲ 14 pts above national avg 83.5 · Exceptional
Source: CMS Medicare Part D Prescriber Public Use File, 2024
What the federal data shows
John Novales, MD reported a CMS MIPS final score of 97.5/100 - above the 83.5 national average - and filed 480 Medicare Part D claims in 2024.
- 97.5/100
- MIPS score · +14 vs avg
- 480
- Part D claims, 2024
- 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.
Federal trust snapshot
What official records show about John Novales, MD
Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1518229525), first enumerated 06/14/2012.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 480 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- Reported
CMS quality reporting (MIPS)
Reported a CMS MIPS final score of 97.5/100 in the Quality Payment Program — a federal quality measure, not a patient review.
Source: CMS Quality Payment Program
- Reported
Board certification signal
Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.
- Reported
Hospital affiliations
1 CMS Care Compare hospital affiliation on record — practice footprint from the Doctors and Clinicians file.
Source: CMS Care Compare
- Not in federal data
Individual sanction lookup
PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.
Source: State medical board / FSMB
This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.
CMS NPPES provider registry desk
NPI 1518229525 · Family Medicine Physician
NPI-10 · ENUM-MID · TAX-MEGA · MIPS-ELITE · RX-LIGHT · BOOK-LIGHT · PHOTO-FINISH
- NPI-10 1518229525
- ENUM-MID 2012
- TAX-MEGA 150K Family Medicine
- MIPS-ELITE 97.5/100
- RX-LIGHT 480
- BOOK-LIGHT 4,736 in North Carolina
- PHOTO-FINISH Monique Bate Akoachere · ±0.0
MIPS final-score neighbourhood
Same-specialty nationwide peers by CMS final score, not geographic proximity
- Novales · this p…
Novales · this provider
97.5 MIPS pts
- Sean Hiett · hig…
Sean Hiett
97.5 MIPS pts
- Monique Bate Ako…
Monique Bate Akoachere
97.5 MIPS pts
- Kartik Iyer · near
Kartik Iyer
97.5 MIPS pts
- Taylor Bachert ·…
Taylor Bachert
97.5 MIPS pts
What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).
John Novales, MD's MIPS score vs every measured U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.
98 ≥ 84th percentile 84% of 454,083 measured providers are in lower value bands
Each bar is a band; taller bars hold more measured 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.
The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where John Novales, MD sits
This provider among family medicine physician peers
Across the 21,266 family medicine physician providers who report both Medicare Part D prescribing and a MIPS quality score, John Novales, MD writes more Part D claims than 24% of them and scores higher on MIPS quality than 88% - placing this provider in the lower-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Each dot is one family medicine physician peer from a representative sample of 60; the gold marker is John Novales, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
John Novales, 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 Novales, MD?
High performer (top quartile)Primary specialty
Family Medicine Physician
Medicare Part D claims
480 86% vs specialty avg
MIPS final score
97.5/100 14 pts vs avg
Specialty distribution in North Carolina
How Family Medicine Physician compares to other specialties among North Carolina providers
Medicare quality performance, MIPS
John Novales, MD's 2023 MIPS final score plotted against the Family Medicine Physician national average
- MIPS Final Score
- 97.5/100
- vs 83.5 national avg · 2023 performance year
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).
Practice Address
Provider Details
| NPI | 1518229525 |
|---|---|
| Specialty | Family Medicine Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 06/14/2012 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
97.5403
Final Score
Measured-score avg: 83.5
98.5832
Quality
85.557
Cost
Reporting: Group practice
Hospital and facility affiliations
Facilities where John Novales, 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.
Apogee Medical Group Inc
Lake Havasu City, AZ
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
Brand vs generic prescribing mix · Typical
John Novales, MD - brand share 15.0%
Family Medicine Physician average
15% brand-name claims vs 85% generic, on 480 2024 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 2024.
480
Total Claims
$23K
Total Drug Cost
190
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 538.933
- Total Day Supply
- 11,729
- Brand vs Generic
- 15% brand / 85% generic
- Brand Drug Cost
- $18K
- Generic Drug Cost
- $6K
- Opioid Claims
- 21 (4.4% rate)
- Antibiotic Claims
- 85
Patient Demographics
- Average Patient Age
- 74.3 years
- Avg HCC Risk Score
- 2.35
- Gender Split
- 55% female / 45% male
- Age Distribution
- <65: 20, 65-74: 78, 75-84: 66, 85+: 26
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
What John Novales, MD prescribes most
Top Medicare Part D drugs by claim count, 2024
- Albuterol Sulfate …
Albuterol Sulfate Hfa
36 claims
- Prednisone
Prednisone
35 claims
- Cefdinir
Cefdinir
32 claims
- Atorvastatin Calcium
Atorvastatin Calcium
29 claims
- Amlodipine Besylate
Amlodipine Besylate
22 claims
- Eliquis
Eliquis
16 claims
- Levofloxacin 13
Levofloxacin
13 claims
- Metoprolol Succinate 12
Metoprolol Succinate
12 claims
| Drug | Claims |
|---|---|
| Albuterol Sulfate Hfa Albuterol Sulfate | 36 |
| Prednisone | 35 |
| Cefdinir | 32 |
| Atorvastatin Calcium | 29 |
| Amlodipine Besylate | 22 |
| Eliquis Apixaban | 16 |
| Levofloxacin | 13 |
| Metoprolol Succinate | 12 |
| Nitroglycerin | 12 |
| Furosemide | 11 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Family Medicine Physician Overview
How John Novales, MD fits within the Family Medicine Physician landscape nationally.
150,125
Family Medicine Physician Providers in US
56
States with Family Medicine Physician
3,519
Avg Claims per Provider
John Novales, MD's 480 claims are below the specialty average of 3,519.
Nationwide Family Medicine Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Novales, both outside North Carolina so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (97.5 here).
Same NPPES enumeration year (2012)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Family Medicine Physician Providers in North Carolina
Other clinicians with the same primary specialty enrolled in North Carolina, drawn from the same CMS NPPES roster as Novales.
One of 4,736 Family Medicine Physician providers enrolled in North Carolina, 5 are shown here.
Dr. Alvin Abaqueta
M.D.
Charlotte, NC
Dr. Atif Abbasi
M.D
Greenville, NC
Dr. Jennifer Abbott
MD
Asheville, NC
Linda Abbott
FNP
Edenton, NC
Dr. Thomas Abbott
MD
Winston-Salem, NC
Compare Family Medicine Physician nationally: see state-by-state distribution →
Frequently Asked Questions
What is John Novales, MD's specialty? ▼
John Novales, MD specializes in Family Medicine Physician and practices in Fayetteville, North Carolina. Credentials: MD.
How much does John Novales, MD prescribe under Medicare Part D? ▼
In 2024, John Novales, MD wrote 480 Medicare Part D claims totaling $23K in drug costs for 190 beneficiaries.
What is John Novales, MD's Medicare quality score? ▼
John Novales, MD has a CMS MIPS Final Score of 97.5/100 (Quality: 98.6, Cost: 85.6). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is John Novales, MD located? ▼
John Novales, MD is located at 1601 OWEN DR, Fayetteville, NC, 28304. Phone: (910) 323-1152.
What is John Novales, MD's NPI number? ▼
John Novales, MD's National Provider Identifier (NPI) is 1518229525, issued on 06/14/2012.
Does John Novales, MD prescribe more brand-name or generic drugs? ▼
John Novales, MD's prescribing is 15% brand-name and 85% generic drugs by claim count, with $18K in brand drug costs.
Does John Novales, MD prescribe opioids? ▼
Yes, John Novales, MD had 21 opioid claims in 2024 with an opioid prescribing rate of 4.4%.
How many Family Medicine Physician providers are there in the US? ▼
There are 150,125 Family Medicine Physician providers across 56 states in the US. The average Family Medicine Physician provider writes 3,519 Medicare Part D claims per year.
What drugs does John Novales, MD prescribe most often? ▼
Based on 2024 Medicare Part D data, John Novales, MD's most frequently prescribed drugs include Albuterol Sulfate Hfa, Prednisone, Cefdinir. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does John Novales, MD accept Medicare? ▼
John Novales, MD appears in CMS Medicare data with 480 Part D claims and 190 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify John Novales, MD's credentials? ▼
John Novales, MD's NPI is 1518229525 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 (2024). 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 August 2026 (NPPES) / 2024 (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
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 August 2026.