NPI registry status
Active
2026 NPPES data Facial Plastic Surgery Physician NPI 1194764712 M.D.
Verify on CMS → John Scheibelhoffer, M.D.
Facial Plastic Surgery Physician in Wayne, New Jersey.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 614 in Facial Plastic 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
511
Medicare Part D claims · 268 beneficiaries · Facial Plastic Surgery Physician avg: 428
Generic prescribing
95%
generic claims · 5% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
91.3/100
▲ 8 pts above national avg 83.1 · Exceptional
Industry payments
$842.59
48 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
John Scheibelhoffer, M.D. reported a CMS MIPS final score of 91.3/100 - above the 83.1 national average - and filed 511 Medicare Part D claims in 2023.
- 91.3/100
- MIPS score · +8 vs avg
- 511
- Part D claims, 2023
- 95%
- 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 Scheibelhoffer, 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
91 Top 37% higher than 63% 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 Scheibelhoffer, M.D. sits
This provider among facial plastic surgery physician peers
Across the 160 facial plastic surgery physician providers who report both Medicare Part D prescribing and a MIPS quality score, John Scheibelhoffer, M.D. writes more Part D claims than 49% of them and scores higher on MIPS quality than 66% - placing this provider in the lower-volume, high-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 facial plastic surgery physician peer from a representative sample of 60; the gold marker is John Scheibelhoffer, 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 Scheibelhoffer, M.D. 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 Scheibelhoffer, M.D.?
High performer (top quartile)Primary specialty
Facial Plastic Surgery Physician
Medicare Part D claims
511 19% vs specialty avg
MIPS final score
91.3/100 8.2 pts vs avg
Specialty distribution in New Jersey
How Facial Plastic Surgery Physician compares to other specialties among New Jersey providers
Medicare quality performance, MIPS
John Scheibelhoffer, M.D.'s 2023 MIPS final score plotted against the Facial Plastic Surgery Physician national average
- MIPS Final Score
- 91.3/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Facial Plastic Surgery Physician) - 91.3/100 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 Scheibelhoffer, M.D. appears in the CMS NPPES registry as a Facial Plastic Surgery Physician provider holding M.D. credentials at 1211 HAMBURG TPKE, Wayne, NJ, 07470, with a listed phone of (973) 633-0808. NPI 1194764712 was issued on 06/06/2006.
Medicare Part D records for calendar year 2023 show 511 prescription claims written by this provider, covering 268 Medicare beneficiaries and totaling roughly $22K in drug spend, split 5% brand-name and 95% generic by claim count. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 91.3/100 for the 2023 performance year (Quality 84.2), compared with the national average of 83.1.
Facial Plastic Surgery Physician is a narrow specialty nationwide, with 614 enrolled providers across 47 states and an average of 428 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 | 1194764712 |
|---|---|
| Specialty | Facial Plastic Surgery Physician |
| Credentials | M.D. |
| Gender | Male |
| NPI Issued | 06/06/2006 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
91.2882
Final Score
Avg: 83.1
84.1603
Quality
100
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where John Scheibelhoffer, M.D. 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.
Ent And Allergy Associates LLP
Wayne, NJ
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 Scheibelhoffer, M.D.. Source: openpaymentsdata.cms.gov.
Total received
$843
Largest payer
GENZYME 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.
Brand vs generic prescribing mix · Generic-heavy
John Scheibelhoffer, M.D. - brand share 5.0%
Facial Plastic Surgery Physician average
5% brand-name claims vs 95% generic, on 511 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.
511
Total Claims
$22K
Total Drug Cost
268
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 648
- Total Day Supply
- 11,670
- Brand vs Generic
- 5% brand / 95% generic
- Brand Drug Cost
- $7K
- Generic Drug Cost
- $15K
- Antibiotic Claims
- 108
Patient Demographics
- Average Patient Age
- 74.0 years
- Avg HCC Risk Score
- 1.03
- Gender Split
- 63% female / 37% male
- Age Distribution
- <65: 13, 65-74: 131, 75-84: 99, 85+: 25
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What John Scheibelhoffer, M.D. prescribes most
Top Medicare Part D drugs by claim count, 2023
- Methylprednisolone
Methylprednisolone
125 claims
- Fluocinolone Aceto… 47
Fluocinolone Acetonide Oil
47 claims
- Prednisone 43
Prednisone
43 claims
- Cefuroxime 40
Cefuroxime
40 claims
- Fluticasone Propio… 28
Fluticasone Propionate
28 claims
- Mometasone Furoate 27
Mometasone Furoate
27 claims
- Azithromycin 26
Azithromycin
26 claims
- Azelastine Hcl 23
Azelastine Hcl
23 claims
| Drug | Claims |
|---|---|
| Methylprednisolone | 125 |
| Fluocinolone Acetonide Oil | 47 |
| Prednisone | 43 |
| Cefuroxime Cefuroxime Axetil | 40 |
| Fluticasone Propionate | 28 |
| Mometasone Furoate | 27 |
| Azithromycin | 26 |
| Azelastine Hcl | 23 |
| Amoxicillin-Clavulanate Potass Amoxicillin/Potassium Clav | 21 |
| Montelukast Sodium | 19 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Facial Plastic Surgery Physician Overview
How John Scheibelhoffer, M.D. fits within the Facial Plastic Surgery Physician landscape nationally.
614
Facial Plastic Surgery Physician Providers in US
47
States with Facial Plastic Surgery Physician
428
Avg Claims per Provider
John Scheibelhoffer, M.D.'s 511 claims are above the specialty average of 428.
Nearby Facial Plastic Surgery Physician Providers in New Jersey
Other clinicians with the same primary specialty enrolled in New Jersey, drawn from the same CMS NPPES roster as Scheibelhoffer.
Dr. Thomas Brandeisky
D.O.
Brick, NJ
Dr. Anthony Corrado
D.O.
Cherry Hill, NJ
Dr. Michael D'Anton
M.D.
Wayne, NJ
Dr. David Folk
M.D.
Paramus, NJ
Dr. Wayne Foster
M.D., F.A.C.S.
Toms River, NJ
Compare Facial Plastic Surgery 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 New Jersey medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Facial Plastic 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.
Healthcare Guides
Learn more about finding, verifying, and understanding healthcare providers.
How to Find a Doctor
Step-by-step guide to choosing a provider
Verify Credentials
Check NPI, board certification & license status
Medical Specialties Explained
Who treats what and how specialties differ
Understanding Medicare Claims Data
What prescribing data reveals about a provider
In-Network vs Out-of-Network
How insurance networks affect your costs
Telehealth Guide
Virtual care options and coverage in 2026
Explore New Jersey
Frequently Asked Questions
What is John Scheibelhoffer, M.D.'s specialty? ▼
John Scheibelhoffer, M.D. specializes in Facial Plastic Surgery Physician and practices in Wayne, New Jersey. Credentials: M.D..
How much does John Scheibelhoffer, M.D. prescribe under Medicare Part D? ▼
In 2023, John Scheibelhoffer, M.D. wrote 511 Medicare Part D claims totaling $22K in drug costs for 268 beneficiaries.
What is John Scheibelhoffer, M.D.'s Medicare quality score? ▼
John Scheibelhoffer, M.D. has a CMS MIPS Final Score of 91.3/100 (Quality: 84.2). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is John Scheibelhoffer, M.D. located? ▼
John Scheibelhoffer, M.D. is located at 1211 HAMBURG TPKE, Wayne, NJ, 07470. Phone: (973) 633-0808.
What is John Scheibelhoffer, M.D.'s NPI number? ▼
John Scheibelhoffer, M.D.'s National Provider Identifier (NPI) is 1194764712, issued on 06/06/2006.
Does John Scheibelhoffer, M.D. prescribe more brand-name or generic drugs? ▼
John Scheibelhoffer, M.D.'s prescribing is 5% brand-name and 95% generic drugs by claim count, with $7K in brand drug costs.
How many Facial Plastic Surgery Physician providers are there in the US? ▼
There are 614 Facial Plastic Surgery Physician providers across 47 states in the US. The average Facial Plastic Surgery Physician provider writes 428 Medicare Part D claims per year.
What drugs does John Scheibelhoffer, M.D. prescribe most often? ▼
Based on 2023 Medicare Part D data, John Scheibelhoffer, M.D.'s most frequently prescribed drugs include Methylprednisolone, Fluocinolone Acetonide Oil, Prednisone. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does John Scheibelhoffer, M.D. accept Medicare? ▼
John Scheibelhoffer, M.D. appears in CMS Medicare data with 511 Part D claims and 268 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify John Scheibelhoffer, M.D.'s credentials? ▼
John Scheibelhoffer, M.D.'s NPI is 1194764712 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
Compiled from official public sources by the PlainDoctor editorial team.