2026 NPPES data Critical Care Medicine (Internal Medicine) Physician NPI 1497074561 DO
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JOHN SENTZ, DO

Critical Care Medicine (Internal Medicine) Physician in RICHMOND, Virginia. 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
4K
Medicare Part D claims · 561 beneficiaries · Critical Care Medicine (Internal Medicine) Physician avg: 1K
Generic prescribing
49%
generic claims · 51% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
76.5063/100
▼ 7 pts below national avg 83.1 · [object Object]
Industry payments
$6.7K
110 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

JOHN SENTZ, DO reported a CMS MIPS final score of 76.5063/100 — below the 83.1 national average — and filed 3,860 Medicare Part D claims in 2023.

76.5063/100
MIPS score · -7 vs avg
4K
Part D claims, 2023
49%
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 SENTZ, DO's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

77 21st percentile higher than 21% 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%). This entry sits in this band. 80–90: 129,887 scored providers (27%). Above this entry. 90–100: 189,403 scored providers (40%). Above this entry. 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 SENTZ, DO practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 2 hospital affiliations — 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 SENTZ, DO?

Below national average

NPI registry status

Active

Issued 05/27/2010

NPI 1497074561

Primary specialty

Critical Care Medicine (Internal Medicine) Physician

Mid-sized

6,631 US NPIs in this specialty

Medicare Part D claims

3,860 261% vs specialty avg

2023 prescription claims

Specialty avg: 1,069

MIPS final score

76.5063/100 6.593699999999998% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Virginia

How Critical Care Medicine (Internal Medicine) Physician compares to other specialties among Virginia providers

Virginia providers

Critical Care Medicine (Internal Medicine) Physician share within Virginia

1. Critical Care Medicine (Internal Medicine) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Critical Care Medicine (Internal Medicine) Physician share within Virginia

Medicare quality performance — MIPS

JOHN SENTZ, DO's 2023 MIPS final score plotted against the Critical Care Medicine (Internal Medicine) Physician national average

Below national average
MIPS Final Score
76.5063/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Critical Care Medicine (Internal Medicine) Physician) — 76.5063/100 vs national avg 83.1

0%100%National avg83%76.5%
MIPS final score (Critical Care Medicine (Internal Medicine) Physician) — 76.5063/100 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 SENTZ, DO appears in the CMS NPPES registry as a Critical Care Medicine (Internal Medicine) Physician provider holding DO credentials at 6600 W BROAD ST STE 300, RICHMOND, VA, 23230, with a listed phone of (804) 320-4243. NPI 1497074561 was issued on 05/27/2010. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what SENTZ 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 3,860 prescription claims written by this provider, covering 561 Medicare beneficiaries and totaling roughly $1.3 million in drug spend, split 51% brand-name and 49% generic by claim count, with an opioid prescribing rate of 0.4%. 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 76.5063/100 for the 2023 performance year (Quality 67.3173, Cost 56.8703), compared with the national average of 83.1.

Critical Care Medicine (Internal Medicine) Physician is a mid-sized specialty nationwide, with 6,631 enrolled providers across 53 states and an average of 1,069 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

6600 W BROAD ST STE 300
RICHMOND, VA 23230

Provider Details

NPI 1497074561
Specialty Critical Care Medicine (Internal Medicine) Physician
Credentials DO
Gender Male
NPI Issued 05/27/2010

CMS Quality Score (MIPS)

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

76.5063
Final Score
Avg: 83.1
67.3173
Quality
56.8703
Cost
97
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where JOHN SENTZ, DO 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.

INTENSIVE CARE CONSORTIUM INC
RICHMOND, VA
PULMONARY ASSOCIATES OF RICHMOND INC
RICHMOND, VA

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 SENTZ, DO. Source: openpaymentsdata.cms.gov.

Total received

$6.7K

Largest payer

INTUITIVE SURGICAL, 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.

Brand vs generic prescribing mix · Brand-heavy

JOHN SENTZ, DO — brand share 51.0%
Specialty average (est.)

51% brand-name claims vs 49% generic, on 3,860 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.

3,860
Total Claims
$1.3M
Total Drug Cost
561
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
5,391
Total Day Supply
146,078
Brand vs Generic
51% brand / 49% generic
Brand Drug Cost
$1.2M
Opioid Claims
17 (0.4% rate)
Antibiotic Claims
500

Patient Demographics

Average Patient Age
73.3 years
Avg HCC Risk Score
1.73
Gender Split
66% female / 34% male
Age Distribution
<65: 64, 65-74: 245, 75-84: 199, 85+: 53

Top Prescribed Drugs (Medicare Part D)

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

What JOHN SENTZ, DO 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
Trelegy Ellipta
Fluticasone/Umeclidin/Vilanter
629
Albuterol Sulfate Hfa
Albuterol Sulfate
458
Montelukast Sodium
426
Prednisone
405
Azithromycin
329
Breo Ellipta
Fluticasone/Vilanterol
210
Symbicort
Budesonide/Formoterol Fumarate
136
Breztri Aerosphere
Budesonide/Glycopyr/Formoterol
106
Stiolto Respimat
Tiotropium Br/Olodaterol Hcl
77
Anoro Ellipta
Umeclidinium Brm/Vilanterol Tr
70

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

Critical Care Medicine (Internal Medicine) Physician Overview

How JOHN SENTZ, DO fits within the Critical Care Medicine (Internal Medicine) Physician landscape nationally.

6,631
Critical Care Medicine (Internal Medicine) Physician Providers in US
53
States with Critical Care Medicine (Internal Medicine) Physician
1,069
Avg Claims per Provider

JOHN SENTZ, DO's 3,860 claims are above the specialty average of 1,069.

Nearby Critical Care Medicine (Internal Medicine) Physician Providers in Virginia

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

Compare Critical Care Medicine (Internal Medicine) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is JOHN SENTZ, DO's specialty?
JOHN SENTZ, DO specializes in Critical Care Medicine (Internal Medicine) Physician and practices in RICHMOND, Virginia. Credentials: DO.
How much does JOHN SENTZ, DO prescribe under Medicare Part D?
In 2023, JOHN SENTZ, DO wrote 3,860 Medicare Part D claims totaling $1.3M in drug costs for 561 beneficiaries.
What is JOHN SENTZ, DO's Medicare quality score?
JOHN SENTZ, DO has a CMS MIPS Final Score of 76.5063/100 (Quality: 67.3173, Cost: 56.8703). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is JOHN SENTZ, DO located?
JOHN SENTZ, DO is located at 6600 W BROAD ST STE 300, RICHMOND, VA, 23230. Phone: (804) 320-4243.
What is JOHN SENTZ, DO's NPI number?
JOHN SENTZ, DO's National Provider Identifier (NPI) is 1497074561, issued on 05/27/2010.
Does JOHN SENTZ, DO prescribe more brand-name or generic drugs?
JOHN SENTZ, DO's prescribing is 51% brand-name and 49% generic drugs by claim count, with $1.2M in brand drug costs.
Does JOHN SENTZ, DO prescribe opioids?
Yes, JOHN SENTZ, DO had 17 opioid claims in 2023 with an opioid prescribing rate of 0.4%.
How many Critical Care Medicine (Internal Medicine) Physician providers are there in the US?
There are 6,631 Critical Care Medicine (Internal Medicine) Physician providers across 53 states in the US. The average Critical Care Medicine (Internal Medicine) Physician provider writes 1,069 Medicare Part D claims per year.
What drugs does JOHN SENTZ, DO prescribe most often?
Based on 2023 Medicare Part D data, JOHN SENTZ, DO's most frequently prescribed drugs include Trelegy Ellipta, Albuterol Sulfate Hfa, Montelukast Sodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JOHN SENTZ, DO accept Medicare?
JOHN SENTZ, DO appears in CMS Medicare data with 3,860 Part D claims and 561 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JOHN SENTZ, DO's credentials?
JOHN SENTZ, DO's NPI is 1497074561 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

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