2026 NPPES data Cardiovascular Disease Physician NPI 1891748703 M.D.
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John Pickrell, M.D.

Cardiovascular Disease Physician in Casper, Wyoming.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 24,810 in Cardiovascular Disease 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
5K
Medicare Part D claims · 743 beneficiaries · Cardiovascular Disease Physician avg: 3K
Generic prescribing
85%
generic claims · 15% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
76.9/100
▼ 6 pts below national avg 83.1 · Above neutral
Industry payments
$102.45
4 payments · CMS Open Payments (Sunshine Act)
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

John Pickrell, M.D. reported a CMS MIPS final score of 76.9/100 - below the 83.1 national average - and filed 4,855 Medicare Part D claims in 2023.

76.9/100
MIPS score · -6 vs avg
5K
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 Pickrell, M.D.'s MIPS score vs every scored U.S. clinician

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

77 21st percentile higher than 21% 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%). This entry sits in this band. 80–90: 129,887 scored providers (27%). Above this entry. 90+: 189,403 scored providers (40%). Above this entry. 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

Where John Pickrell, M.D. sits

This provider among cardiovascular disease physician peers

Across the 8,753 cardiovascular disease physician providers who report both Medicare Part D prescribing and a MIPS quality score, John Pickrell, M.D. writes more Part D claims than 73% of them and scores higher on MIPS quality than 26% - placing this provider in the high-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

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality0255075100023.146.269.392.4Part D claim volume, percentile in specialtyMIPS quality, percentilePart D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 2Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 30Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 60Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 58Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 40Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 80Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 8Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 7Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 12Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 37Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 22Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 12Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 65Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 42Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 62Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 50Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 70Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 72Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 85Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 27Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 83Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 73Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 12Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 52Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 10Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 63Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 67Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 20Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 68Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 28Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 77Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 35Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 45Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 3Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 12Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 23Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 33Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 87Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 78Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 5Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 47Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 75Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 82Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 12Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 53Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 57Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 55Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 48Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 38Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 43Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 32John Pickrell, M.D.-Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 26
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one cardiovascular disease physician peer from a representative sample of 60; the gold marker is John Pickrell, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

Board certification likely (heuristic, not verified)

John Pickrell, M.D. 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 Pickrell, M.D.?

Below national average

NPI registry status

Active

Issued 05/19/2006

NPI 1891748703

Primary specialty

Cardiovascular Disease Physician

Mid-sized

24,810 US NPIs in this specialty

Medicare Part D claims

4,855 60% vs specialty avg

2023 prescription claims

Specialty avg: 3,033

MIPS final score

76.9/100 6.2 pts vs avg

Above neutral band

vs 83.1 national avg

Specialty distribution in Wyoming

How Cardiovascular Disease Physician compares to other specialties among Wyoming providers

Wyoming providers
Community Health Worker - 10.7%Community Health Worker10.7%Case Manager/Care Coordinator - 10.4%Case Manager/Care Coordinator10.4%Clinical Social Worker - 5.5%Clinical Social Worker5.5%Physical Therapist - 5%Physical Therapist5%Pharmacist - 4.7%Pharmacist4.7%Professional Counselor - 3.5%Professional Counselor3.5%Cardiovascular Disease Physician - 0.2%Cardiovascular Disease Physician0.2%
Largest specialties in Wyoming (% of in-state providers)

Medicare quality performance, MIPS

John Pickrell, M.D.'s 2023 MIPS final score plotted against the Cardiovascular Disease Physician national average

Below national average
MIPS Final Score
76.9/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Cardiovascular Disease Physician) - 76.9/100 vs national avg 83.1

0%100%National avg83%76.9%
MIPS final score (Cardiovascular Disease Physician) - 76.9/100 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 Pickrell, M.D. appears in the CMS NPPES registry as a Cardiovascular Disease Physician provider holding M.D. credentials at 1230 E 1ST ST, Casper, WY, 82601, with a listed phone of (307) 266-3174. NPI 1891748703 was issued on 05/19/2006.

Medicare Part D records for calendar year 2023 show 4,855 prescription claims written by this provider, covering 743 Medicare beneficiaries and totaling roughly $755K in drug spend, split 15% brand-name and 85% generic by claim count. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 76.9/100 for the 2023 performance year (Quality 100, Cost 22.9), compared with the national average of 83.1.

Cardiovascular Disease Physician is a mid-sized specialty nationwide, with 24,810 enrolled providers across 54 states and an average of 3,033 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

1230 E 1ST ST
Casper, WY 82601

Provider Details

NPI 1891748703
Specialty Cardiovascular Disease Physician
Credentials M.D.
Gender Male
NPI Issued 05/19/2006

CMS Quality Score (MIPS)

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

76.8675
Final Score
Avg: 83.1
100
Quality
22.8915
Cost
100
Promoting Interoperability

Reporting: Individual

Hospital and facility affiliations

Facilities where John Pickrell, M.D. 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.

Wyoming Cardiopulmonary Services PC
Casper, WY

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 Pickrell, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$102

Largest payer

Boston Scientific Corporation

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.

Brand vs generic prescribing mix · Typical

John Pickrell, M.D. - brand share 15.0%
Cardiovascular Disease Physician average

15% brand-name claims vs 85% generic, on 4,855 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.

4,855
Total Claims
$755K
Total Drug Cost
743
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
10,705
Total Day Supply
318,868
Brand vs Generic
15% brand / 85% generic
Brand Drug Cost
$676K
Generic Drug Cost
$79K

Patient Demographics

Average Patient Age
75.2 years
Avg HCC Risk Score
1.23
Gender Split
47% female / 53% male
Age Distribution
<65: 37, 65-74: 328, 75-84: 277, 85+: 101

Top Prescribed Drugs (Medicare Part D)

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

What John Pickrell, M.D. 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
Eliquis
Apixaban
447
Atorvastatin Calcium
446
Carvedilol
389
Lisinopril
289
Amlodipine Besylate
276
Losartan Potassium
273
Metoprolol Succinate
259
Furosemide
251
Metoprolol Tartrate
225
Potassium Chloride
150

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

Cardiovascular Disease Physician Overview

How John Pickrell, M.D. fits within the Cardiovascular Disease Physician landscape nationally.

24,810
Cardiovascular Disease Physician Providers in US
54
States with Cardiovascular Disease Physician
3,033
Avg Claims per Provider

John Pickrell, M.D.'s 4,855 claims are above the specialty average of 3,033.

Nearby Cardiovascular Disease Physician Providers in Wyoming

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

Compare Cardiovascular Disease 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 Wyoming medical board, federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Cardiovascular Disease 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.

Frequently Asked Questions

What is John Pickrell, M.D.'s specialty?
John Pickrell, M.D. specializes in Cardiovascular Disease Physician and practices in Casper, Wyoming. Credentials: M.D..
How much does John Pickrell, M.D. prescribe under Medicare Part D?
In 2023, John Pickrell, M.D. wrote 4,855 Medicare Part D claims totaling $755K in drug costs for 743 beneficiaries.
What is John Pickrell, M.D.'s Medicare quality score?
John Pickrell, M.D. has a CMS MIPS Final Score of 76.9/100 (Quality: 100, Cost: 22.9). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is John Pickrell, M.D. located?
John Pickrell, M.D. is located at 1230 E 1ST ST, Casper, WY, 82601. Phone: (307) 266-3174.
What is John Pickrell, M.D.'s NPI number?
John Pickrell, M.D.'s National Provider Identifier (NPI) is 1891748703, issued on 05/19/2006.
Does John Pickrell, M.D. prescribe more brand-name or generic drugs?
John Pickrell, M.D.'s prescribing is 15% brand-name and 85% generic drugs by claim count, with $676K in brand drug costs.
How many Cardiovascular Disease Physician providers are there in the US?
There are 24,810 Cardiovascular Disease Physician providers across 54 states in the US. The average Cardiovascular Disease Physician provider writes 3,033 Medicare Part D claims per year.
What drugs does John Pickrell, M.D. prescribe most often?
Based on 2023 Medicare Part D data, John Pickrell, M.D.'s most frequently prescribed drugs include Eliquis, Atorvastatin Calcium, Carvedilol. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does John Pickrell, M.D. accept Medicare?
John Pickrell, M.D. appears in CMS Medicare data with 4,855 Part D claims and 743 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify John Pickrell, M.D.'s credentials?
John Pickrell, M.D.'s NPI is 1891748703 with credentials M.D.. 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.

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 May 2026.