2026 NPPES data Family Medicine Physician NPI 1093882409 M.D.
Verify on CMS →

John Rumbaugh, M.D.

Family Medicine Physician in Augusta, Georgia.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 147,760 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
497
Medicare Part D claims · 173 beneficiaries · Family Medicine Physician avg: 3K
MIPS score
92.9/100
▲ 9 pts above national avg 83.5 · Exceptional
Industry payments
$303.73
14 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

John Rumbaugh, M.D. reported a CMS MIPS final score of 92.9/100 - above the 83.5 national average - and filed 497 Medicare Part D claims in 2023.

92.9/100
MIPS score · +9 vs avg
497
Part D claims, 2023
Likely
board-certified (heuristic)
≥66th
pct among measured MIPS (lower-bound band)

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.

CMS NPPES provider registry desk

NPI 1093882409 · Family Medicine Physician

NPI-10 · ENUM-LEGACY · TAX-MEGA · MIPS-ABOVE · RX-LIGHT · BOOK-LIGHT · PHOTO-FINISH

  • NPI-10 1093882409
  • ENUM-LEGACY 2006
  • TAX-MEGA 148K Family Medicine
  • MIPS-ABOVE 92.9/100
  • RX-LIGHT 497
  • BOOK-LIGHT 3,727 in Georgia
  • PHOTO-FINISH Muhammad Aamer · ±0.0

MIPS final-score neighbourhood

Same-specialty nationwide peers by CMS final score, not geographic proximity

MIPS pts

What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).

Source CMS Quality Payment Program (MIPS) As of 2023

John Rumbaugh, M.D.'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.

93 ≥ 66th percentile 66% of 454,083 measured providers are in lower value bands

0–10: 8,684 measured providers (2%). Below this entry. 10–20: 3,008 measured providers (1%). Below this entry. 20–30: 3,069 measured providers (1%). Below this entry. 30–40: 2,746 measured providers (1%). Below this entry. 40–50: 2,928 measured providers (1%). Below this entry. 50–60: 5,882 measured providers (1%). Below this entry. 60–70: 13,906 measured providers (3%). Below this entry. 70–80: 94,570 measured providers (21%). Below this entry. 80–90: 129,887 measured providers (29%). Below this entry. 90+: 189,403 measured providers (42%). This entry sits in this band. This provider 0 100 every measured MIPS clinician, bucketed by value

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 Rumbaugh, M.D. 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 Rumbaugh, M.D. writes more Part D claims than 24% of them and scores higher on MIPS quality than 68% - placing this provider in the lower-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality02550751000255075100Part D claim volume, percentile in specialtyMIPS quality, percentilePoint, Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 82Point, Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 45Point, Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 68Point, Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 58Point, Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 77Point, Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 33Point, Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 80Point, Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 90Point, Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 37Point, Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 62Point, Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 57Point, Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 40Point, Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 20Point, Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 13Point, Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 98Point, Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 18Point, Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 12Point, Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 32Point, Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 42Point, Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 10Point, Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 72Point, Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 15Point, Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 2Point, Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 8Point, Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 73Point, Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 87Point, Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 3Point, Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 38Point, Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 23Point, Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 97Point, Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 48Point, Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 78Point, Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 5Point, Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 60Point, Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 25Point, Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 28Point, Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 22Point, Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 48Point, Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 15Point, Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 47Point, Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 30Point, Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 7Point, Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 27Point, Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 43Point, Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 82Point, Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 98Point, Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 68Point, Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 73Point, Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 48Point, Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 53Point, Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 62Point, Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 87Point, Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 55Point, Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 67Point, Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 35John Rumbaugh, M.D., Part D claim volume, percentile in specialty: 24 · MIPS quality, percentile: 68
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 Rumbaugh, 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 Rumbaugh, M.D. 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 Rumbaugh, M.D.?

High performer (top quartile)

NPI registry status

Active

Issued 11/29/2006

NPI 1093882409

Primary specialty

Family Medicine Physician

High-volume

147,760 US NPIs in this specialty

Medicare Part D claims

497 85% vs specialty avg

2023 prescription claims

Specialty avg: 3,418

MIPS final score

92.9/100 9.4 pts vs avg

Exceptional band

vs 83.5 national avg

Specialty distribution in Georgia

How Family Medicine Physician compares to other specialties among Georgia providers

Georgia providers
Behavior Technician7.3%Pharmacist5.1%Student in an Organized Heal…5%Family Nurse Practitioner4.8%Physical Therapist3.9%Professional Counselor3.6%Family Medicine Physician2.3%
Largest specialties in Georgia (% of in-state providers)

Medicare quality performance, MIPS

John Rumbaugh, M.D.'s 2023 MIPS final score plotted against the Family Medicine Physician national average

High performer (top quartile)
MIPS Final Score
92.9/100
vs 83.5 national avg · 2023 performance year
0%100%National avg84%92.9%
MIPS final score (Family Medicine Physician) - 92.9/100 vs national avg 83.5
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

3675 J DEWEY GRAY CIR STE 300
Augusta, GA 30909

Provider Details

NPI 1093882409
Specialty Family Medicine Physician
Credentials M.D.
Gender Male
NPI Issued 11/29/2006

CMS Quality Score (MIPS)

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

92.9348
Final Score
Measured-score avg: 83.5
80.3814
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

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

Total received

$304

Largest payer

Smith+Nephew, 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.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

497
Total Claims
$6K
Total Drug Cost
173
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
503
Total Day Supply
6,567
Generic Drug Cost
$4K
Opioid Claims
215 (43.3% rate)
Antibiotic Claims
139

Patient Demographics

Average Patient Age
67.8 years
Avg HCC Risk Score
3.69
Gender Split
51% female / 49% male
Age Distribution
<65: 63, 65-74: 53, 75-84: 40, 85+: 17

Top Prescribed Drugs (Medicare Part D)

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

What John Rumbaugh, 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
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
81
Oxycodone-Acetaminophen
Oxycodone Hcl/Acetaminophen
49
Tramadol Hcl
45
Oxycodone Hcl
34
Ciprofloxacin Hcl
33
Mupirocin
28
Amoxicillin-Clavulanate Potass
Amoxicillin/Potassium Clav
26
Triamcinolone Acetonide
24
Doxycycline Hyclate
23
Clindamycin Hcl
22

* 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 Rumbaugh, M.D. fits within the Family Medicine Physician landscape nationally.

147,760
Family Medicine Physician Providers in US
56
States with Family Medicine Physician
3,418
Avg Claims per Provider

John Rumbaugh, M.D.'s 497 claims are below the specialty average of 3,418.

Nationwide Family Medicine Physician peers with similar MIPS or enrollment year

Two federal-record peer sets for Rumbaugh, both outside Georgia so the neighborhoods are not geographic containment.

Similar MIPS final score

Nearest same-specialty clinicians by CMS MIPS final score (92.9 here).

Same NPPES enumeration year (2006)

Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.

Nearby Family Medicine Physician Providers in Georgia

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

One of 3,727 Family Medicine Physician providers enrolled in Georgia, 5 are shown here.

Compare Family Medicine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is John Rumbaugh, M.D.'s specialty?
John Rumbaugh, M.D. specializes in Family Medicine Physician and practices in Augusta, Georgia. Credentials: M.D..
How much does John Rumbaugh, M.D. prescribe under Medicare Part D?
In 2023, John Rumbaugh, M.D. wrote 497 Medicare Part D claims totaling $6K in drug costs for 173 beneficiaries.
What is John Rumbaugh, M.D.'s Medicare quality score?
John Rumbaugh, M.D. has a CMS MIPS Final Score of 92.9/100 (Quality: 80.4). 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 Rumbaugh, M.D. located?
John Rumbaugh, M.D. is located at 3675 J DEWEY GRAY CIR STE 300, Augusta, GA, 30909. Phone: (706) 863-9595.
What is John Rumbaugh, M.D.'s NPI number?
John Rumbaugh, M.D.'s National Provider Identifier (NPI) is 1093882409, issued on 11/29/2006.
Does John Rumbaugh, M.D. prescribe opioids?
Yes, John Rumbaugh, M.D. had 215 opioid claims in 2023 with an opioid prescribing rate of 43.3%.
How many Family Medicine Physician providers are there in the US?
There are 147,760 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 Rumbaugh, M.D. prescribe most often?
Based on 2023 Medicare Part D data, John Rumbaugh, M.D.'s most frequently prescribed drugs include Hydrocodone-Acetaminophen, Oxycodone-Acetaminophen, Tramadol Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does John Rumbaugh, M.D. accept Medicare?
John Rumbaugh, M.D. appears in CMS Medicare data with 497 Part D claims and 173 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify John Rumbaugh, M.D.'s credentials?
John Rumbaugh, M.D.'s NPI is 1093882409 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

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.