2026 NPPES data Family Medicine Physician NPI 1497725709 DO
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John Riccardo, DO

Family Medicine Physician in Downingtown, Pennsylvania. 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
13K
Medicare Part D claims · 541 beneficiaries · Family Medicine Physician avg: 3K
Generic prescribing
85%
generic claims · 14% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
76.7/100
▼ 6 pts below national avg 83.1 · Above neutral
Industry payments
$926.72
43 payments · CMS Open Payments (Sunshine Act)
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

John Riccardo, DO reported a CMS MIPS final score of 76.7/100 — below the 83.1 national average — and filed 13,282 Medicare Part D claims in 2023.

76.7/100
MIPS score · -6 vs avg
13K
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 Riccardo, DO'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. 90–100: 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 Riccardo, DO sits

This provider among family medicine physician peers

Across the 22,040 family medicine physician providers who report both Medicare Part D prescribing and a MIPS quality score, John Riccardo, DO writes more Part D claims than 94% of them and scores higher on MIPS quality than 23% — 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 quality02550751000255075100Part D claim volume — percentile in specialtyMIPS quality — percentile
Part D claim volume vs MIPS quality, by specialty percentile

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

Board certification likely (heuristic — not verified)

John Riccardo, DO 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 Riccardo, DO?

Below national average

NPI registry status

Active

Issued 01/26/2006

NPI 1497725709

Primary specialty

Family Medicine Physician

High-volume

147,640 US NPIs in this specialty

Medicare Part D claims

13,282 289% vs specialty avg

2023 prescription claims

Specialty avg: 3,418

MIPS final score

76.7/100 6.4 pts vs avg

Above neutral band

vs 83.1 national avg

Specialty distribution in Pennsylvania

How Family Medicine Physician compares to other specialties among Pennsylvania providers

Pennsylvania providers

Largest specialties in Pennsylvania (% of in-state providers)

Student in an Organized Health Care Education/Training Program5.6%Pharmacist5%Physical Therapist4.9%Mental Health Counselor3.9%Internal Medicine Physician3.3%Professional Counselor3.2%Family Medicine Physician2.8%
Largest specialties in Pennsylvania (% of in-state providers)

Medicare quality performance — MIPS

John Riccardo, DO's 2023 MIPS final score plotted against the Family Medicine Physician national average

Below national average
MIPS Final Score
76.7/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Family Medicine Physician) — 76.7/100 vs national avg 83.1

0%100%National avg83%76.7%
MIPS final score (Family Medicine Physician) — 76.7/100 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 Riccardo, DO appears in the CMS NPPES registry as a Family Medicine Physician provider holding DO credentials at 363 E LANCASTER AVE, Downingtown, PA, 19335, with a listed phone of (610) 910-9888. NPI 1497725709 was issued on 01/26/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Riccardo 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 13,282 prescription claims written by this provider, covering 541 Medicare beneficiaries and totaling roughly $1.2 million in drug spend, split 14% brand-name and 85% generic by claim count, with an opioid prescribing rate of 3.6%. 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 76.7/100 for the 2023 performance year (Quality 72.3, Cost 49.7), compared with the national average of 83.1.

Family Medicine Physician is a high-volume specialty nationwide, with 147,640 enrolled providers across 56 states and an average of 3,418 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

363 E LANCASTER AVE
Downingtown, PA 19335

Provider Details

NPI 1497725709
Specialty Family Medicine Physician
Credentials DO
Gender Male
NPI Issued 01/26/2006

CMS Quality Score (MIPS)

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

76.7165
Final Score
Avg: 83.1
72.3237
Quality
49.6787
Cost
97
Promoting Interoperability

Reporting: Individual

Hospital and facility affiliations

Facilities where John Riccardo, DO 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.

Milltown Family Medicine, LLC
Downingtown, PA

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 Riccardo, DO. Source: openpaymentsdata.cms.gov.

Total received

$927

Largest payer

AstraZeneca Pharmaceuticals LP

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 — Pennsylvania PA-BOM 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 ~45K Pennsylvania medical licensees in 2023 — they are NOT specific to John Riccardo, DO. To verify John Riccardo, DO's current license status, search the PA-BOM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

133
Total board actions, Pennsylvania 2023
Across 129 cases
2.96
Actions per 1,000 licensees
Pennsylvania statewide rate
probation
Most common action type
48 cases

PA-BOM 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 Pennsylvania disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

John Riccardo, DO — brand share 14.0%
Family Medicine Physician average

14% brand-name claims vs 85% generic, on 13,282 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.

13,282
Total Claims
$1.2M
Total Drug Cost
541
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
20,164
Total Day Supply
551,847
Brand vs Generic
14% brand / 85% generic
Brand Drug Cost
$942K
Generic Drug Cost
$289K
Opioid Claims
483 (3.6% rate)
Antibiotic Claims
458

Patient Demographics

Average Patient Age
75.8 years
Avg HCC Risk Score
1.42
Gender Split
56% female / 44% male
Age Distribution
<65: 57, 65-74: 182, 75-84: 187, 85+: 115

Top Prescribed Drugs (Medicare Part D)

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

What John Riccardo, DO 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
557
Levothyroxine Sodium
420
Amlodipine Besylate
354
Furosemide
324
Metoprolol Succinate
280
Eliquis
Apixaban
275
Pantoprazole Sodium
272
Gabapentin
264
Losartan Potassium
248
Lisinopril
222

* 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 Riccardo, DO fits within the Family Medicine Physician landscape nationally.

147,640
Family Medicine Physician Providers in US
56
States with Family Medicine Physician
3,418
Avg Claims per Provider

John Riccardo, DO's 13,282 claims are above the specialty average of 3,418.

Nearby Family Medicine Physician Providers in Pennsylvania

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

Compare Family Medicine 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 Pennsylvania medical board — federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Family Medicine 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 Riccardo, DO's specialty?
John Riccardo, DO specializes in Family Medicine Physician and practices in Downingtown, Pennsylvania. Credentials: DO.
How much does John Riccardo, DO prescribe under Medicare Part D?
In 2023, John Riccardo, DO wrote 13,282 Medicare Part D claims totaling $1.2M in drug costs for 541 beneficiaries.
What is John Riccardo, DO's Medicare quality score?
John Riccardo, DO has a CMS MIPS Final Score of 76.7/100 (Quality: 72.3, Cost: 49.7). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is John Riccardo, DO located?
John Riccardo, DO is located at 363 E LANCASTER AVE, Downingtown, PA, 19335. Phone: (610) 910-9888.
What is John Riccardo, DO's NPI number?
John Riccardo, DO's National Provider Identifier (NPI) is 1497725709, issued on 01/26/2006.
Does John Riccardo, DO prescribe more brand-name or generic drugs?
John Riccardo, DO's prescribing is 14% brand-name and 85% generic drugs by claim count, with $942K in brand drug costs.
Does John Riccardo, DO prescribe opioids?
Yes, John Riccardo, DO had 483 opioid claims in 2023 with an opioid prescribing rate of 3.6%.
How many Family Medicine Physician providers are there in the US?
There are 147,640 Family Medicine Physician providers across 56 states in the US. The average Family Medicine Physician provider writes 3,418 Medicare Part D claims per year.
What drugs does John Riccardo, DO prescribe most often?
Based on 2023 Medicare Part D data, John Riccardo, DO's most frequently prescribed drugs include Atorvastatin Calcium, Levothyroxine Sodium, Amlodipine Besylate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does John Riccardo, DO accept Medicare?
John Riccardo, DO appears in CMS Medicare data with 13,282 Part D claims and 541 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify John Riccardo, DO's credentials?
John Riccardo, DO's NPI is 1497725709 with credentials DO. 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

Compiled from official public sources by the PlainDoctor editorial team.