2026 NPPES data Gynecologic Oncology Physician NPI 1043262777
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JOHN STRAUGHN

Gynecologic Oncology Physician in BIRMINGHAM, Alabama. 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
306
Medicare Part D claims · 77 beneficiaries · Gynecologic Oncology Physician avg: 188
Generic prescribing
65%
generic claims · 35% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
93.1001/100
▲ 10 pts above national avg 83.1 · [object Object]
Industry payments
$18.23
1 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: JOHN STRAUGHN is a Gynecologic Oncology Physician ([object Object]) practicing in BIRMINGHAM, Alabama with a Medicare Part D prescribing footprint of 306 claims across 77 beneficiaries — 35% brand-name prescribing . Their CMS MIPS Final Score of 93.1001/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $18.23 across 1 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: JOHN STRAUGHN reported a CMS MIPS final score of 93.1001 out of 100, above the 83.1 national average, and filed 306 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

JOHN STRAUGHN 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).

JOHN STRAUGHN at a glance

High performer (top quartile)

NPI registry status

Active

Issued 05/17/2006

NPI 1043262777

Primary specialty

Gynecologic Oncology Physician

Niche

1,360 US NPIs in this specialty

Medicare Part D claims

306 63% vs specialty avg

2023 prescription claims

Specialty avg: 188

MIPS final score

93.1001/100 10.000100000000003% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Alabama

How Gynecologic Oncology Physician compares to other specialties among Alabama providers

Alabama providers

Gynecologic Oncology Physician share within Alabama

1. Gynecologic Oncology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Gynecologic Oncology Physician share within Alabama

Medicare quality performance — MIPS

JOHN STRAUGHN's 2023 MIPS final score plotted against the Gynecologic Oncology Physician national average

High performer (top quartile)
MIPS Final Score
93.1001/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Gynecologic Oncology Physician) — 93.1001/100 vs national avg 83.1

0%100%National avg83%93.1%
MIPS final score (Gynecologic Oncology Physician) — 93.1001/100 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 STRAUGHN is a Gynecologic Oncology Physician provider practicing in BIRMINGHAM, Alabama, according to the CMS National Plan and Provider Enumeration System (NPPES). NPI: 1043262777. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

JOHN STRAUGHN appears in the CMS NPPES registry as a Gynecologic Oncology Physician provider at 1717 6TH AVE S, BIRMINGHAM, AL, 35233, with a listed phone of (800) 822-8816. NPI 1043262777 was issued on 05/17/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what STRAUGHN 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 306 prescription claims written by this provider, covering 77 Medicare beneficiaries and totaling roughly $1.5 million in drug spend, split 35% brand-name and 65% generic by claim count, with an opioid prescribing rate of 14.1%. 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 93.1001/100 for the 2023 performance year (Quality 83.0821), compared with the national average of 83.1.

Gynecologic Oncology Physician is a narrow specialty nationwide, with 1,360 enrolled providers across 49 states and an average of 188 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

1717 6TH AVE S
BIRMINGHAM, AL 35233

Provider Details

NPI 1043262777
Specialty Gynecologic Oncology Physician
Gender Male
NPI Issued 05/17/2006

CMS Quality Score (MIPS)

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

93.1001
Final Score
Avg: 83.1
83.0821
Quality
88
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where JOHN STRAUGHN 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.

NORTH MISSISSIPPI MEDICAL CENTER, INC.
TUPELO, MS
UNIVERSITY OF ALABAMA HEALTH SERVICES FOUNDATION, PC
BIRMINGHAM, AL

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 STRAUGHN. Source: openpaymentsdata.cms.gov.

Total received

$18

Largest payer

GlaxoSmithKline, LLC.

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 · Above average

JOHN STRAUGHN — brand share 35.0%
Specialty average (est.)

35% brand-name claims vs 65% generic, on 306 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.

306
Total Claims
$1.5M
Total Drug Cost
77
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
335
Total Day Supply
8,446
Brand vs Generic
35% brand / 65% generic
Brand Drug Cost
$1.3M
Generic Drug Cost
$222K
Opioid Claims
43 (14.1% rate)

Patient Demographics

Average Patient Age
68.8 years
Avg HCC Risk Score
1.95

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Lynparza
Olaparib
54
Oxycodone Hcl
30
Gabapentin
25
Letrozole
25
Everolimus
23
Rubraca
Rucaparib Camsylate
22
Alprazolam
13
Mekinist
Trametinib Dimethyl Sulfoxide
11
Premarin
"Estrogens
N/A

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

Gynecologic Oncology Physician Overview

How JOHN STRAUGHN fits within the Gynecologic Oncology Physician landscape nationally.

1,360
Gynecologic Oncology Physician Providers in US
49
States with Gynecologic Oncology Physician
188
Avg Claims per Provider

JOHN STRAUGHN's 306 claims are above the specialty average of 188.

Nearby Gynecologic Oncology Physician Providers in Alabama

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

Compare Gynecologic Oncology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is JOHN STRAUGHN's specialty?
JOHN STRAUGHN specializes in Gynecologic Oncology Physician and practices in BIRMINGHAM, Alabama.
How much does JOHN STRAUGHN prescribe under Medicare Part D?
In 2023, JOHN STRAUGHN wrote 306 Medicare Part D claims totaling $1.5M in drug costs for 77 beneficiaries.
What is JOHN STRAUGHN's Medicare quality score?
JOHN STRAUGHN has a CMS MIPS Final Score of 93.1001/100 (Quality: 83.0821). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is JOHN STRAUGHN located?
JOHN STRAUGHN is located at 1717 6TH AVE S, BIRMINGHAM, AL, 35233. Phone: (800) 822-8816.
What is JOHN STRAUGHN's NPI number?
JOHN STRAUGHN's National Provider Identifier (NPI) is 1043262777, issued on 05/17/2006.
Does JOHN STRAUGHN prescribe more brand-name or generic drugs?
JOHN STRAUGHN's prescribing is 35% brand-name and 65% generic drugs by claim count, with $1.3M in brand drug costs.
Does JOHN STRAUGHN prescribe opioids?
Yes, JOHN STRAUGHN had 43 opioid claims in 2023 with an opioid prescribing rate of 14.1%.
How many Gynecologic Oncology Physician providers are there in the US?
There are 1,360 Gynecologic Oncology Physician providers across 49 states in the US. The average Gynecologic Oncology Physician provider writes 188 Medicare Part D claims per year.
What drugs does JOHN STRAUGHN prescribe most often?
Based on 2023 Medicare Part D data, JOHN STRAUGHN's most frequently prescribed drugs include Lynparza, Oxycodone Hcl, Gabapentin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JOHN STRAUGHN accept Medicare?
JOHN STRAUGHN appears in CMS Medicare data with 306 Part D claims and 77 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JOHN STRAUGHN's credentials?
JOHN STRAUGHN's NPI is 1043262777. 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