2026 NPPES data Pediatrics Physician NPI 1497740203 MD
Verify on CMS →

JOHN O BRIEN, MD

Pediatrics Physician in OSKALOOSA, Iowa. 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.
MIPS score
93.7326/100
▲ 11 pts above national avg 83.1 · [object Object]

What the federal data shows

JOHN O BRIEN, MD reported a CMS MIPS final score of 93.7326/100 — above the 83.1 national average.

93.7326/100
MIPS score · +11 vs avg
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 O BRIEN, MD's MIPS score vs every scored U.S. clinician

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

94 Top 29% higher than 71% 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 O BRIEN, 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 O BRIEN, MD?

High performer (top quartile)

NPI registry status

Active

Issued 09/19/2005

NPI 1497740203

Primary specialty

Pediatrics Physician

High-volume

80,574 US NPIs in this specialty

MIPS final score

93.7326/100 10.63260000000001% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Iowa

How Pediatrics Physician compares to other specialties among Iowa providers

Iowa providers

Pediatrics Physician share within Iowa

1. Pediatrics Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Pediatrics Physician share within Iowa

Medicare quality performance — MIPS

JOHN O BRIEN, MD's 2023 MIPS final score plotted against the Pediatrics Physician national average

High performer (top quartile)
MIPS Final Score
93.7326/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Pediatrics Physician) — 93.7326/100 vs national avg 83.1

0%100%National avg83%93.7%
MIPS final score (Pediatrics Physician) — 93.7326/100 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 O BRIEN, MD appears in the CMS NPPES registry as a Pediatrics Physician provider holding MD credentials at 410 N 12TH ST, OSKALOOSA, IA, 52577, with a listed phone of (641) 672-3360. NPI 1497740203 was issued on 09/19/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what O BRIEN 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 prescribing data is not currently published for this NPI, which typically means the provider either wrote fewer than 11 Part D claims in the most recent reporting year, does not participate in Medicare, or practices in a specialty that rarely prescribes outpatient drugs. Absence of prescribing data is not a quality signal — many Pediatrics Physician providers operate outside Part D entirely. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 93.7326/100 for the 2023 performance year (Quality 82.2678), compared with the national average of 83.1.

Pediatrics Physician is a high-volume specialty nationwide, with 80,574 enrolled providers across 56 states and an average of 762 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

410 N 12TH ST
OSKALOOSA, IA 52577

Provider Details

NPI 1497740203
Specialty Pediatrics Physician
Credentials MD
Gender Male
NPI Issued 09/19/2005

CMS Quality Score (MIPS)

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

93.7326
Final Score
Avg: 83.1
82.2678
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Pediatrics Physician Overview

How JOHN O BRIEN, MD fits within the Pediatrics Physician landscape nationally.

80,574
Pediatrics Physician Providers in US
56
States with Pediatrics Physician
762
Avg Claims per Provider

Nearby Pediatrics Physician Providers in Iowa

Other clinicians with the same primary specialty enrolled in Iowa, drawn from the same CMS NPPES roster as O BRIEN.

Compare Pediatrics Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is JOHN O BRIEN, MD's specialty?
JOHN O BRIEN, MD specializes in Pediatrics Physician and practices in OSKALOOSA, Iowa. Credentials: MD.
What is JOHN O BRIEN, MD's Medicare quality score?
JOHN O BRIEN, MD has a CMS MIPS Final Score of 93.7326/100 (Quality: 82.2678). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is JOHN O BRIEN, MD located?
JOHN O BRIEN, MD is located at 410 N 12TH ST, OSKALOOSA, IA, 52577. Phone: (641) 672-3360.
What is JOHN O BRIEN, MD's NPI number?
JOHN O BRIEN, MD's National Provider Identifier (NPI) is 1497740203, issued on 09/19/2005.
How many Pediatrics Physician providers are there in the US?
There are 80,574 Pediatrics Physician providers across 56 states in the US. The average Pediatrics Physician provider writes 762 Medicare Part D claims per year.
Does JOHN O BRIEN, MD accept Medicare?
JOHN O BRIEN, MD appears in CMS Medicare data. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JOHN O BRIEN, MD's credentials?
JOHN O BRIEN, MD's NPI is 1497740203 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.
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