2026 NPPES data Specialist NPI 1508952318 MD
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JOHN SCALLY, MD

Specialist in O FALLON, Illinois. 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
5K
Medicare Part D claims · 726 beneficiaries · Specialist avg: 1K
Generic prescribing
84%
generic claims · 16% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
94.6154/100
▲ 12 pts above national avg 83.1 · [object Object]
Industry payments
$2.3K
20 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

JOHN SCALLY, MD reported a CMS MIPS final score of 94.6154/100 — above the 83.1 national average — and filed 5,079 Medicare Part D claims in 2023.

94.6154/100
MIPS score · +12 vs avg
5K
Part D claims, 2023
84%
generic prescribing
$2.3K
industry payments (Sunshine Act)

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 SCALLY, MD'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 25% higher than 75% 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

What does the federal data show about JOHN SCALLY, MD?

High performer (top quartile)

NPI registry status

Active

Issued 10/05/2006

NPI 1508952318

Primary specialty

Specialist

High-volume

69,658 US NPIs in this specialty

Medicare Part D claims

5,079 245% vs specialty avg

2023 prescription claims

Specialty avg: 1,474

MIPS final score

94.6154/100 11.5154% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Illinois

How Specialist compares to other specialties among Illinois providers

Illinois providers

Specialist share within Illinois

1. Specialist42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Specialist share within Illinois

Medicare quality performance — MIPS

JOHN SCALLY, MD's 2023 MIPS final score plotted against the Specialist national average

High performer (top quartile)
MIPS Final Score
94.6154/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Specialist) — 94.6154/100 vs national avg 83.1

0%100%National avg83%94.6%
MIPS final score (Specialist) — 94.6154/100 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 SCALLY, MD appears in the CMS NPPES registry as a Specialist provider holding MD credentials at THREE SAINT ELIZABETH BLVD STE 2800, O FALLON, IL, 62269, with a listed phone of (618) 233-6044. NPI 1508952318 was issued on 10/05/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what SCALLY 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 5,079 prescription claims written by this provider, covering 726 Medicare beneficiaries and totaling roughly $839K in drug spend, split 16% brand-name and 84% generic by claim count. 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 94.6154/100 for the 2023 performance year (Quality 85.1795), compared with the national average of 83.1.

Specialist is a high-volume specialty nationwide, with 69,658 enrolled providers across 55 states and an average of 1,474 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

THREE SAINT ELIZABETH BLVD STE 2800
O FALLON, IL 62269

Provider Details

NPI 1508952318
Specialty Specialist
Credentials MD
Gender Male
NPI Issued 10/05/2006

CMS Quality Score (MIPS)

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

94.6154
Final Score
Avg: 83.1
85.1795
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where JOHN SCALLY, MD 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.

HSHS HOLY FAMILY HOSPITAL INC
★★★☆☆ 3/5
GREENVILLE, IL
Acute Care Hospitals
CMS CCN: 140137
PRAIRIE CARDIOVASCULAR CONSULTANTS LTD
O FALLON, IL
ST ELIZABETHS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER
O FALLON, IL
ST JOSEPHS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST F
HIGHLAND, IL

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 SCALLY, MD. Source: openpaymentsdata.cms.gov.

Total received

$2.3K

Largest payer

Edwards Lifesciences 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.

License & disciplinary context — Illinois IDFPR 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 ~42K Illinois medical licensees in 2023 — they are NOT specific to JOHN SCALLY, MD. To verify JOHN SCALLY, MD's current license status, search the IDFPR public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

106
Total board actions, Illinois 2023
Across 103 cases
2.52
Actions per 1,000 licensees
Illinois statewide rate
probation
Most common action type
38 cases

IDFPR 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 Illinois disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

JOHN SCALLY, MD — brand share 16.0%
Specialty average (est.)

16% brand-name claims vs 84% generic, on 5,079 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.

5,079
Total Claims
$839K
Total Drug Cost
726
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
12,073
Total Day Supply
358,149
Brand vs Generic
16% brand / 84% generic
Brand Drug Cost
$738K
Generic Drug Cost
$101K

Patient Demographics

Average Patient Age
74.2 years
Avg HCC Risk Score
1.63
Gender Split
46% female / 54% male
Age Distribution
<65: 59, 65-74: 324, 75-84: 243, 85+: 100

Top Prescribed Drugs (Medicare Part D)

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

What JOHN SCALLY, MD 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
411
Atorvastatin Calcium
393
Metoprolol Succinate
377
Metoprolol Tartrate
310
Warfarin Sodium
299
Rosuvastatin Calcium
282
Furosemide
269
Carvedilol
266
Losartan Potassium
233
Lisinopril
230

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

Specialist Overview

How JOHN SCALLY, MD fits within the Specialist landscape nationally.

69,658
Specialist Providers in US
55
States with Specialist
1,474
Avg Claims per Provider

JOHN SCALLY, MD's 5,079 claims are above the specialty average of 1,474.

Nearby Specialist Providers in Illinois

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

Compare Specialist nationally: see state-by-state distribution →

Frequently Asked Questions

What is JOHN SCALLY, MD's specialty?
JOHN SCALLY, MD specializes in Specialist and practices in O FALLON, Illinois. Credentials: MD.
How much does JOHN SCALLY, MD prescribe under Medicare Part D?
In 2023, JOHN SCALLY, MD wrote 5,079 Medicare Part D claims totaling $839K in drug costs for 726 beneficiaries.
What is JOHN SCALLY, MD's Medicare quality score?
JOHN SCALLY, MD has a CMS MIPS Final Score of 94.6154/100 (Quality: 85.1795). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is JOHN SCALLY, MD located?
JOHN SCALLY, MD is located at THREE SAINT ELIZABETH BLVD STE 2800, O FALLON, IL, 62269. Phone: (618) 233-6044.
What is JOHN SCALLY, MD's NPI number?
JOHN SCALLY, MD's National Provider Identifier (NPI) is 1508952318, issued on 10/05/2006.
Does JOHN SCALLY, MD prescribe more brand-name or generic drugs?
JOHN SCALLY, MD's prescribing is 16% brand-name and 84% generic drugs by claim count, with $738K in brand drug costs.
How many Specialist providers are there in the US?
There are 69,658 Specialist providers across 55 states in the US. The average Specialist provider writes 1,474 Medicare Part D claims per year.
What drugs does JOHN SCALLY, MD prescribe most often?
Based on 2023 Medicare Part D data, JOHN SCALLY, MD's most frequently prescribed drugs include Eliquis, Atorvastatin Calcium, Metoprolol Succinate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JOHN SCALLY, MD accept Medicare?
JOHN SCALLY, MD appears in CMS Medicare data with 5,079 Part D claims and 726 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JOHN SCALLY, MD's credentials?
JOHN SCALLY, MD's NPI is 1508952318 with credentials MD. 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