NPI registry status
Active
2026 NPPES data Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician NPI 1649274259 DO
Verify on CMS → John Royalty, DO
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Beverly Hills, Florida.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 5,070 in Thoracic Surgery (Cardiothoracic Vascular Surgery) 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
795
Medicare Part D claims · 208 beneficiaries · Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician avg: 128
Generic prescribing
78%
generic claims · 22% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
84.5/100
▲ 1 pts above national avg 83.1 · Above neutral
Industry payments
$2.2K
21 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2023
What the federal data shows
John Royalty, DO reported a CMS MIPS final score of 84.5/100 - above the 83.1 national average - and filed 795 Medicare Part D claims in 2023.
- 84.5/100
- MIPS score · +1 vs avg
- 795
- Part D claims, 2023
- 78%
- 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 Royalty, DO's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
85 45th percentile higher than 45% of 477,587 scored providers
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 Royalty, DO sits
This provider among thoracic surgery (cardiothoracic vascular surgery) physician peers
Across the 820 thoracic surgery (cardiothoracic vascular surgery) physician providers who report both Medicare Part D prescribing and a MIPS quality score, John Royalty, DO writes more Part D claims than 98% of them and scores higher on MIPS quality than 43% - 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
Each dot is one thoracic surgery (cardiothoracic vascular surgery) physician peer from a representative sample of 60; the gold marker is John Royalty, DO. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
John Royalty, DO 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 Royalty, DO?
Near national averagePrimary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Medicare Part D claims
795 6× vs specialty avg
MIPS final score
84.5/100 1.4 pts vs avg
Specialty distribution in Florida
How Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician compares to other specialties among Florida providers
Medicare quality performance, MIPS
John Royalty, DO's 2023 MIPS final score plotted against the Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician national average
- MIPS Final Score
- 84.5/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician) - 84.5/100 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 Royalty, DO appears in the CMS NPPES registry as a Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician provider holding DO credentials at 3402 N LECANTO HWY, Beverly Hills, FL, 34465, with a listed phone of (352) 563-5488. NPI 1649274259 was issued on 06/10/2005.
Medicare Part D records for calendar year 2023 show 795 prescription claims written by this provider, covering 208 Medicare beneficiaries and totaling roughly $149K in drug spend, split 22% brand-name and 78% generic by claim count, with an opioid prescribing rate of 1.6%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 84.5/100 for the 2023 performance year (Quality 67), compared with the national average of 83.1.
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician is a mid-sized specialty nationwide, with 5,070 enrolled providers across 52 states and an average of 128 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
Provider Details
| NPI | 1649274259 |
|---|---|
| Specialty | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
| Credentials | DO |
| Gender | Male |
| NPI Issued | 06/10/2005 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
84.4704
Final Score
Avg: 83.1
67.037
Quality
92
Promoting Interoperability
Reporting: Individual
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 Royalty, DO. Source: openpaymentsdata.cms.gov.
Total received
$2.2K
Largest payer
Silk Road Medical, Inc.
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 - Florida FLDOH 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 ~75K Florida medical licensees in 2023 - they are NOT specific to John Royalty, DO. To verify John Royalty, DO's current license status, search the FLDOH public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
480
Total board actions, Florida 2023
Across 467 cases
6.40
Actions per 1,000 licensees
Florida statewide rate
monetary fine
Most common action type
138 cases
FLDOH 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 Florida disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Brand vs generic prescribing mix · Typical
John Royalty, DO - brand share 22.0%
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician average
22% brand-name claims vs 78% generic, on 795 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.
795
Total Claims
$149K
Total Drug Cost
208
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 1,500
- Total Day Supply
- 43,768
- Brand vs Generic
- 22% brand / 78% generic
- Brand Drug Cost
- $140K
- Generic Drug Cost
- $9K
- Opioid Claims
- 13 (1.6% rate)
- Antibiotic Claims
- 17
Patient Demographics
- Average Patient Age
- 74.6 years
- Avg HCC Risk Score
- 2.31
- Gender Split
- 44% female / 56% male
- Age Distribution
- <65: 13, 65-74: 95, 75-84: 77, 85+: 23
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What John Royalty, DO prescribes most
Top Medicare Part D drugs by claim count, 2023
- Clopidogrel
Clopidogrel
362 claims
- Xarelto 111
Xarelto
111 claims
- Pentoxifylline 78
Pentoxifylline
78 claims
- Eliquis 61
Eliquis
61 claims
- Rosuvastatin Calcium 35
Rosuvastatin Calcium
35 claims
- Gabapentin 29
Gabapentin
29 claims
- Atorvastatin Calcium 23
Atorvastatin Calcium
23 claims
- Furosemide 20
Furosemide
20 claims
| Drug | Claims |
|---|---|
| Clopidogrel Clopidogrel Bisulfate | 362 |
| Xarelto Rivaroxaban | 111 |
| Pentoxifylline | 78 |
| Eliquis Apixaban | 61 |
| Rosuvastatin Calcium | 35 |
| Gabapentin | 29 |
| Atorvastatin Calcium | 23 |
| Furosemide | 20 |
| Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen | 12 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
More Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in FL →
All providers in Florida →
Compare specialties →
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Overview
How John Royalty, DO fits within the Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician landscape nationally.
5,070
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Providers in US
52
States with Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
128
Avg Claims per Provider
John Royalty, DO's 795 claims are above the specialty average of 128.
Nearby Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Providers in Florida
Other clinicians with the same primary specialty enrolled in Florida, drawn from the same CMS NPPES roster as Royalty.
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 Florida medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Thoracic Surgery (Cardiothoracic Vascular Surgery) 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.
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Frequently Asked Questions
What is John Royalty, DO's specialty? ▼
John Royalty, DO specializes in Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician and practices in Beverly Hills, Florida. Credentials: DO.
How much does John Royalty, DO prescribe under Medicare Part D? ▼
In 2023, John Royalty, DO wrote 795 Medicare Part D claims totaling $149K in drug costs for 208 beneficiaries.
What is John Royalty, DO's Medicare quality score? ▼
John Royalty, DO has a CMS MIPS Final Score of 84.5/100 (Quality: 67). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is John Royalty, DO located? ▼
John Royalty, DO is located at 3402 N LECANTO HWY, Beverly Hills, FL, 34465. Phone: (352) 563-5488.
What is John Royalty, DO's NPI number? ▼
John Royalty, DO's National Provider Identifier (NPI) is 1649274259, issued on 06/10/2005.
Does John Royalty, DO prescribe more brand-name or generic drugs? ▼
John Royalty, DO's prescribing is 22% brand-name and 78% generic drugs by claim count, with $140K in brand drug costs.
Does John Royalty, DO prescribe opioids? ▼
Yes, John Royalty, DO had 13 opioid claims in 2023 with an opioid prescribing rate of 1.6%.
How many Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician providers are there in the US? ▼
There are 5,070 Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician providers across 52 states in the US. The average Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician provider writes 128 Medicare Part D claims per year.
What drugs does John Royalty, DO prescribe most often? ▼
Based on 2023 Medicare Part D data, John Royalty, DO's most frequently prescribed drugs include Clopidogrel, Xarelto, Pentoxifylline. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does John Royalty, DO accept Medicare? ▼
John Royalty, DO appears in CMS Medicare data with 795 Part D claims and 208 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify John Royalty, DO's credentials? ▼
John Royalty, DO's NPI is 1649274259 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
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
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.