2026 NPPES data Cornea and External Diseases Specialist Physician NPI 1891796462 MD
Verify on CMS →

JOHN SUTPHIN, MD

Cornea and External Diseases Specialist Physician in PRAIRIE VILLAGE, Kansas. 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
310
Medicare Part D claims · 119 beneficiaries · Cornea and External Diseases Specialist Physician avg: 1K
Generic prescribing
59%
generic claims · 41% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
91.8902/100
▲ 9 pts above national avg 83.1 · [object Object]

What the federal data shows

JOHN SUTPHIN, MD reported a CMS MIPS final score of 91.8902/100 — above the 83.1 national average — and filed 310 Medicare Part D claims in 2023.

91.8902/100
MIPS score · +9 vs avg
310
Part D claims, 2023
59%
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 SUTPHIN, MD's MIPS score vs every scored U.S. clinician

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

92 Top 37% higher than 63% 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

Board certification likely (heuristic — not verified)

JOHN SUTPHIN, MD 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 SUTPHIN, MD?

High performer (top quartile)

NPI registry status

Active

Issued 08/09/2005

NPI 1891796462

Primary specialty

Cornea and External Diseases Specialist Physician

Rare

294 US NPIs in this specialty

Medicare Part D claims

310 75% vs specialty avg

2023 prescription claims

Specialty avg: 1,232

MIPS final score

91.8902/100 8.790199999999999% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Kansas

How Cornea and External Diseases Specialist Physician compares to other specialties among Kansas providers

Kansas providers

Cornea and External Diseases Specialist Physician share within Kansas

1. Cornea and External Diseases Specialist Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Cornea and External Diseases Specialist Physician share within Kansas

Medicare quality performance — MIPS

JOHN SUTPHIN, MD's 2023 MIPS final score plotted against the Cornea and External Diseases Specialist Physician national average

High performer (top quartile)
MIPS Final Score
91.8902/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Cornea and External Diseases Specialist Physician) — 91.8902/100 vs national avg 83.1

0%100%National avg83%91.9%
MIPS final score (Cornea and External Diseases Specialist Physician) — 91.8902/100 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 SUTPHIN, MD appears in the CMS NPPES registry as a Cornea and External Diseases Specialist Physician provider holding MD credentials at 7400 STATE LINE RD, PRAIRIE VILLAGE, KS, 66208, with a listed phone of (913) 588-6600. NPI 1891796462 was issued on 08/09/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what SUTPHIN 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 310 prescription claims written by this provider, covering 119 Medicare beneficiaries and totaling roughly $60K in drug spend, split 41% brand-name and 59% 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 91.8902/100 for the 2023 performance year (Quality 75.1734), compared with the national average of 83.1.

Cornea and External Diseases Specialist Physician is a narrow specialty nationwide, with 294 enrolled providers across 43 states and an average of 1,232 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

7400 STATE LINE RD
PRAIRIE VILLAGE, KS 66208

Provider Details

NPI 1891796462
Specialty Cornea and External Diseases Specialist Physician
Credentials MD
Gender Male
NPI Issued 08/09/2005

CMS Quality Score (MIPS)

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

91.8902
Final Score
Avg: 83.1
75.1734
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Brand vs generic prescribing mix · Above average

JOHN SUTPHIN, MD — brand share 41.0%
Specialty average (est.)

41% brand-name claims vs 59% generic, on 310 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.

310
Total Claims
$60K
Total Drug Cost
119
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
535
Total Day Supply
15,386
Brand vs Generic
41% brand / 59% generic
Brand Drug Cost
$50K
Generic Drug Cost
$10K
Antibiotic Claims
20

Patient Demographics

Average Patient Age
72.2 years
Avg HCC Risk Score
1.48
Gender Split
61% female / 39% male
Age Distribution
<65: 21, 65-74: 37, 75-84: 45, 85+: 16

Top Prescribed Drugs (Medicare Part D)

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

What JOHN SUTPHIN, 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
Latanoprost
65
Restasis
Cyclosporine
37
Prednisolone Acetate
28
Timolol Maleate
23
Doxycycline Hyclate
19
Dorzolamide Hcl
17
Loteprednol Etabonate
14
Dorzolamide-Timolol
Dorzolamide Hcl/Timolol Maleat
13
Lumigan
Bimatoprost
12
Combigan
Brimonidine Tartrate/Timolol
11

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

Cornea and External Diseases Specialist Physician Overview

How JOHN SUTPHIN, MD fits within the Cornea and External Diseases Specialist Physician landscape nationally.

294
Cornea and External Diseases Specialist Physician Providers in US
43
States with Cornea and External Diseases Specialist Physician
1,232
Avg Claims per Provider

JOHN SUTPHIN, MD's 310 claims are below the specialty average of 1,232.

Nearby Cornea and External Diseases Specialist Physician Providers in Kansas

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

Compare Cornea and External Diseases Specialist Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is JOHN SUTPHIN, MD's specialty?
JOHN SUTPHIN, MD specializes in Cornea and External Diseases Specialist Physician and practices in PRAIRIE VILLAGE, Kansas. Credentials: MD.
How much does JOHN SUTPHIN, MD prescribe under Medicare Part D?
In 2023, JOHN SUTPHIN, MD wrote 310 Medicare Part D claims totaling $60K in drug costs for 119 beneficiaries.
What is JOHN SUTPHIN, MD's Medicare quality score?
JOHN SUTPHIN, MD has a CMS MIPS Final Score of 91.8902/100 (Quality: 75.1734). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is JOHN SUTPHIN, MD located?
JOHN SUTPHIN, MD is located at 7400 STATE LINE RD, PRAIRIE VILLAGE, KS, 66208. Phone: (913) 588-6600.
What is JOHN SUTPHIN, MD's NPI number?
JOHN SUTPHIN, MD's National Provider Identifier (NPI) is 1891796462, issued on 08/09/2005.
Does JOHN SUTPHIN, MD prescribe more brand-name or generic drugs?
JOHN SUTPHIN, MD's prescribing is 41% brand-name and 59% generic drugs by claim count, with $50K in brand drug costs.
How many Cornea and External Diseases Specialist Physician providers are there in the US?
There are 294 Cornea and External Diseases Specialist Physician providers across 43 states in the US. The average Cornea and External Diseases Specialist Physician provider writes 1,232 Medicare Part D claims per year.
What drugs does JOHN SUTPHIN, MD prescribe most often?
Based on 2023 Medicare Part D data, JOHN SUTPHIN, MD's most frequently prescribed drugs include Latanoprost, Restasis, Prednisolone Acetate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JOHN SUTPHIN, MD accept Medicare?
JOHN SUTPHIN, MD appears in CMS Medicare data with 310 Part D claims and 119 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JOHN SUTPHIN, MD's credentials?
JOHN SUTPHIN, MD's NPI is 1891796462 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