2026 NPPES data Emergency Medicine Physician NPI 1578592820 M.D.
Verify on CMS →

JOHN RUSSO, M.D.

Emergency Medicine Physician in MANKATO, Minnesota. 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
123
Medicare Part D claims · 91 beneficiaries · Emergency Medicine Physician avg: 352
MIPS score
95.0376/100
▲ 12 pts above national avg 83.1 · [object Object]

What the federal data shows

JOHN RUSSO, M.D. reported a CMS MIPS final score of 95.0376/100 — above the 83.1 national average — and filed 123 Medicare Part D claims in 2023.

95.0376/100
MIPS score · +12 vs avg
123
Part D claims, 2023
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 RUSSO, 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

95 Top 21% higher than 79% 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 RUSSO, 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 RUSSO, M.D.?

High performer (top quartile)

NPI registry status

Active

Issued 06/30/2006

NPI 1578592820

Primary specialty

Emergency Medicine Physician

High-volume

64,398 US NPIs in this specialty

Medicare Part D claims

123 65% vs specialty avg

2023 prescription claims

Specialty avg: 352

MIPS final score

95.0376/100 11.937600000000003% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Minnesota

How Emergency Medicine Physician compares to other specialties among Minnesota providers

Minnesota providers

Emergency Medicine Physician share within Minnesota

1. Emergency Medicine Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Emergency Medicine Physician share within Minnesota

Medicare quality performance — MIPS

JOHN RUSSO, M.D.'s 2023 MIPS final score plotted against the Emergency Medicine Physician national average

High performer (top quartile)
MIPS Final Score
95.0376/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Emergency Medicine Physician) — 95.0376/100 vs national avg 83.1

0%100%National avg83%95%
MIPS final score (Emergency Medicine Physician) — 95.0376/100 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 RUSSO, M.D. appears in the CMS NPPES registry as a Emergency Medicine Physician provider holding M.D. credentials at 1025 MARSH ST, MANKATO, MN, 56001, with a listed phone of (507) 625-4031. NPI 1578592820 was issued on 06/30/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what RUSSO 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 123 prescription claims written by this provider, covering 91 Medicare beneficiaries and totaling roughly $2K in drug spend, with an opioid prescribing rate of 17.9%. 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 95.0376/100 for the 2023 performance year (Quality 96.477, Cost 82.5533), compared with the national average of 83.1.

Emergency Medicine Physician is a high-volume specialty nationwide, with 64,398 enrolled providers across 56 states and an average of 352 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

1025 MARSH ST
MANKATO, MN 56001

Provider Details

NPI 1578592820
Specialty Emergency Medicine Physician
Credentials M.D.
Gender Male
NPI Issued 06/30/2006

CMS Quality Score (MIPS)

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

95.0376
Final Score
Avg: 83.1
96.477
Quality
82.5533
Cost

Reporting: Group practice

Medicare Part D Prescribing Data

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

123
Total Claims
$2K
Total Drug Cost
91
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
124
Total Day Supply
1,016
Generic Drug Cost
$1K
Opioid Claims
22 (17.9% rate)
Antibiotic Claims
44

Patient Demographics

Average Patient Age
72.5 years
Avg HCC Risk Score
1.76
Gender Split
62% female / 38% male
Age Distribution
<65: 16, 65-74: 32, 75-84: 26, 85+: 17

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
17

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

Emergency Medicine Physician Overview

How JOHN RUSSO, M.D. fits within the Emergency Medicine Physician landscape nationally.

64,398
Emergency Medicine Physician Providers in US
56
States with Emergency Medicine Physician
352
Avg Claims per Provider

JOHN RUSSO, M.D.'s 123 claims are below the specialty average of 352.

Nearby Emergency Medicine Physician Providers in Minnesota

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

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

Frequently Asked Questions

What is JOHN RUSSO, M.D.'s specialty?
JOHN RUSSO, M.D. specializes in Emergency Medicine Physician and practices in MANKATO, Minnesota. Credentials: M.D..
How much does JOHN RUSSO, M.D. prescribe under Medicare Part D?
In 2023, JOHN RUSSO, M.D. wrote 123 Medicare Part D claims totaling $2K in drug costs for 91 beneficiaries.
What is JOHN RUSSO, M.D.'s Medicare quality score?
JOHN RUSSO, M.D. has a CMS MIPS Final Score of 95.0376/100 (Quality: 96.477, Cost: 82.5533). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is JOHN RUSSO, M.D. located?
JOHN RUSSO, M.D. is located at 1025 MARSH ST, MANKATO, MN, 56001. Phone: (507) 625-4031.
What is JOHN RUSSO, M.D.'s NPI number?
JOHN RUSSO, M.D.'s National Provider Identifier (NPI) is 1578592820, issued on 06/30/2006.
Does JOHN RUSSO, M.D. prescribe opioids?
Yes, JOHN RUSSO, M.D. had 22 opioid claims in 2023 with an opioid prescribing rate of 17.9%.
How many Emergency Medicine Physician providers are there in the US?
There are 64,398 Emergency Medicine Physician providers across 56 states in the US. The average Emergency Medicine Physician provider writes 352 Medicare Part D claims per year.
What drugs does JOHN RUSSO, M.D. prescribe most often?
Based on 2023 Medicare Part D data, JOHN RUSSO, M.D.'s most frequently prescribed drugs include Hydrocodone-Acetaminophen. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JOHN RUSSO, M.D. accept Medicare?
JOHN RUSSO, M.D. appears in CMS Medicare data with 123 Part D claims and 91 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JOHN RUSSO, M.D.'s credentials?
JOHN RUSSO, M.D.'s NPI is 1578592820 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

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