2026 NPPES data Family Medicine Physician NPI 1861574451 D.O.
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JOHN SMART, D.O.

Family Medicine Physician in LIBERTY, Kentucky. 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
2K
Medicare Part D claims · 228 beneficiaries · Family Medicine Physician avg: 3K
Generic prescribing
87%
generic claims · 13% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
45.0385/100
▼ 38 pts below national avg 83.1 · [object Object]
Industry payments
$577.72
36 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

JOHN SMART, D.O. reported a CMS MIPS final score of 45.0385/100 — below the 83.1 national average — and filed 2,348 Medicare Part D claims in 2023.

45.0385/100
MIPS score · -38 vs avg
2K
Part D claims, 2023
87%
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 SMART, D.O.'s MIPS score vs every scored U.S. clinician

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

45 4th percentile higher than 4% 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%). This entry sits in this band. 50–60: 5,882 scored providers (1%). Above this entry. 60–70: 13,906 scored providers (3%). Above this entry. 70–80: 118,074 scored providers (25%). Above this entry. 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 SMART, D.O. 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 SMART, D.O.?

Below national average

NPI registry status

Active

Issued 10/20/2006

NPI 1861574451

Primary specialty

Family Medicine Physician

High-volume

147,640 US NPIs in this specialty

Medicare Part D claims

2,348 31% vs specialty avg

2023 prescription claims

Specialty avg: 3,418

MIPS final score

45.0385/100 38.061499999999995% pts

Below average band

vs 83.1 national avg

Specialty distribution in Kentucky

How Family Medicine Physician compares to other specialties among Kentucky providers

Kentucky providers

Family Medicine Physician share within Kentucky

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

Medicare quality performance — MIPS

JOHN SMART, D.O.'s 2023 MIPS final score plotted against the Family Medicine Physician national average

Below national average
MIPS Final Score
45.0385/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Family Medicine Physician) — 45.0385/100 vs national avg 83.1

0%100%National avg83%45%
MIPS final score (Family Medicine Physician) — 45.0385/100 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 SMART, D.O. appears in the CMS NPPES registry as a Family Medicine Physician provider holding D.O. credentials at 187 WOLFORD AVE, LIBERTY, KY, 42539, with a listed phone of (606) 787-6275. NPI 1861574451 was issued on 10/20/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what SMART 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 2,348 prescription claims written by this provider, covering 228 Medicare beneficiaries and totaling roughly $144K in drug spend, split 13% brand-name and 87% generic by claim count, with an opioid prescribing rate of 3.7%. 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 45.0385/100 for the 2023 performance year (Quality 30.6037, Cost 27.355), compared with the national average of 83.1.

Family Medicine Physician is a high-volume specialty nationwide, with 147,640 enrolled providers across 56 states and an average of 3,418 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

187 WOLFORD AVE
LIBERTY, KY 42539

Provider Details

NPI 1861574451
Specialty Family Medicine Physician
Credentials D.O.
Gender Male
NPI Issued 10/20/2006

CMS Quality Score (MIPS)

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

45.0385
Final Score
Avg: 83.1
30.6037
Quality
27.355
Cost

Reporting: Group practice

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 SMART, D.O.. Source: openpaymentsdata.cms.gov.

Total received

$578

Largest payer

Novartis Pharmaceuticals 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 · Typical

JOHN SMART, D.O. — brand share 13.0%
Specialty average (est.)

13% brand-name claims vs 87% generic, on 2,348 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.

2,348
Total Claims
$144K
Total Drug Cost
228
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
2,964
Total Day Supply
82,075
Brand vs Generic
13% brand / 87% generic
Brand Drug Cost
$109K
Generic Drug Cost
$34K
Opioid Claims
86 (3.7% rate)
Antibiotic Claims
126

Patient Demographics

Average Patient Age
69.8 years
Avg HCC Risk Score
1.38
Gender Split
64% female / 36% male
Age Distribution
<65: 68, 65-74: 83, 75-84: 48, 85+: 29

Top Prescribed Drugs (Medicare Part D)

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

What JOHN SMART, D.O. 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
Gabapentin
111
Atorvastatin Calcium
102
Pantoprazole Sodium
75
Amlodipine Besylate
72
Levothyroxine Sodium
71
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
69
Lisinopril
60
Omeprazole
60
Amoxicillin-Clavulanate Potass
Amoxicillin/Potassium Clav
54
Metoprolol Succinate
46

* 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 SMART, D.O. fits within the Family Medicine Physician landscape nationally.

147,640
Family Medicine Physician Providers in US
56
States with Family Medicine Physician
3,418
Avg Claims per Provider

JOHN SMART, D.O.'s 2,348 claims are below the specialty average of 3,418.

Nearby Family Medicine Physician Providers in Kentucky

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

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

Frequently Asked Questions

What is JOHN SMART, D.O.'s specialty?
JOHN SMART, D.O. specializes in Family Medicine Physician and practices in LIBERTY, Kentucky. Credentials: D.O..
How much does JOHN SMART, D.O. prescribe under Medicare Part D?
In 2023, JOHN SMART, D.O. wrote 2,348 Medicare Part D claims totaling $144K in drug costs for 228 beneficiaries.
What is JOHN SMART, D.O.'s Medicare quality score?
JOHN SMART, D.O. has a CMS MIPS Final Score of 45.0385/100 (Quality: 30.6037, Cost: 27.355). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is JOHN SMART, D.O. located?
JOHN SMART, D.O. is located at 187 WOLFORD AVE, LIBERTY, KY, 42539. Phone: (606) 787-6275.
What is JOHN SMART, D.O.'s NPI number?
JOHN SMART, D.O.'s National Provider Identifier (NPI) is 1861574451, issued on 10/20/2006.
Does JOHN SMART, D.O. prescribe more brand-name or generic drugs?
JOHN SMART, D.O.'s prescribing is 13% brand-name and 87% generic drugs by claim count, with $109K in brand drug costs.
Does JOHN SMART, D.O. prescribe opioids?
Yes, JOHN SMART, D.O. had 86 opioid claims in 2023 with an opioid prescribing rate of 3.7%.
How many Family Medicine Physician providers are there in the US?
There are 147,640 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 SMART, D.O. prescribe most often?
Based on 2023 Medicare Part D data, JOHN SMART, D.O.'s most frequently prescribed drugs include Gabapentin, Atorvastatin Calcium, Pantoprazole Sodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JOHN SMART, D.O. accept Medicare?
JOHN SMART, D.O. appears in CMS Medicare data with 2,348 Part D claims and 228 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JOHN SMART, D.O.'s credentials?
JOHN SMART, D.O.'s NPI is 1861574451 with credentials D.O.. 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