2026 NPPES data Orthopaedic Surgery Physician NPI 1831505197 M.D.
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John Thomas, M.D.

Orthopaedic Surgery Physician in Sarasota, Florida. This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers — including 25,781 in Orthopaedic 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
2K
Medicare Part D claims · 619 beneficiaries · Orthopaedic Surgery Physician avg: 324
Generic prescribing
>99%
generic claims · <1% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
75/100
▼ 8 pts below national avg 83.1 · Above neutral
Industry payments
$2.0K
21 payments · CMS Open Payments (Sunshine Act)
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

John Thomas, M.D. reported a CMS MIPS final score of 75/100 — below the 83.1 national average — and filed 1,974 Medicare Part D claims in 2023.

75/100
MIPS score · -8 vs avg
2K
Part D claims, 2023
>99%
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 Thomas, 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

75 15th percentile higher than 15% 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

Where John Thomas, M.D. sits

This provider among orthopaedic surgery physician peers

Across the 8,194 orthopaedic surgery physician providers who report both Medicare Part D prescribing and a MIPS quality score, John Thomas, M.D. writes more Part D claims than 98% of them and scores higher on MIPS quality than 23% — placing this provider in the high-volume, lower-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

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality02550751000255075100Part D claim volume — percentile in specialtyMIPS quality — percentilePart D claim volume — percentile in specialty: 78 · MIPS quality — percentile: 90Part D claim volume — percentile in specialty: 13 · MIPS quality — percentile: 90Part D claim volume — percentile in specialty: 82 · MIPS quality — percentile: 20Part D claim volume — percentile in specialty: 87 · MIPS quality — percentile: 77Part D claim volume — percentile in specialty: 10 · MIPS quality — percentile: 87Part D claim volume — percentile in specialty: 55 · MIPS quality — percentile: 85Part D claim volume — percentile in specialty: 42 · MIPS quality — percentile: 83Part D claim volume — percentile in specialty: 40 · MIPS quality — percentile: 25Part D claim volume — percentile in specialty: 45 · MIPS quality — percentile: 97Part D claim volume — percentile in specialty: 83 · MIPS quality — percentile: 73Part D claim volume — percentile in specialty: 35 · MIPS quality — percentile: 0Part D claim volume — percentile in specialty: 5 · MIPS quality — percentile: 27Part D claim volume — percentile in specialty: 92 · MIPS quality — percentile: 82Part D claim volume — percentile in specialty: 37 · MIPS quality — percentile: 95Part D claim volume — percentile in specialty: 8 · MIPS quality — percentile: 65Part D claim volume — percentile in specialty: 93 · MIPS quality — percentile: 42Part D claim volume — percentile in specialty: 95 · MIPS quality — percentile: 62Part D claim volume — percentile in specialty: 63 · MIPS quality — percentile: 35Part D claim volume — percentile in specialty: 65 · MIPS quality — percentile: 5Part D claim volume — percentile in specialty: 75 · MIPS quality — percentile: 32Part D claim volume — percentile in specialty: 80 · MIPS quality — percentile: 68Part D claim volume — percentile in specialty: 25 · MIPS quality — percentile: 97Part D claim volume — percentile in specialty: 77 · MIPS quality — percentile: 15Part D claim volume — percentile in specialty: 13 · MIPS quality — percentile: 70Part D claim volume — percentile in specialty: 58 · MIPS quality — percentile: 12Part D claim volume — percentile in specialty: 52 · MIPS quality — percentile: 67Part D claim volume — percentile in specialty: 28 · MIPS quality — percentile: 50Part D claim volume — percentile in specialty: 72 · MIPS quality — percentile: 93Part D claim volume — percentile in specialty: 48 · MIPS quality — percentile: 17Part D claim volume — percentile in specialty: 10 · MIPS quality — percentile: 63Part D claim volume — percentile in specialty: 0 · MIPS quality — percentile: 20Part D claim volume — percentile in specialty: 5 · MIPS quality — percentile: 80Part D claim volume — percentile in specialty: 23 · MIPS quality — percentile: 58Part D claim volume — percentile in specialty: 17 · MIPS quality — percentile: 18Part D claim volume — percentile in specialty: 20 · MIPS quality — percentile: 40Part D claim volume — percentile in specialty: 53 · MIPS quality — percentile: 8Part D claim volume — percentile in specialty: 68 · MIPS quality — percentile: 52Part D claim volume — percentile in specialty: 85 · MIPS quality — percentile: 10Part D claim volume — percentile in specialty: 18 · MIPS quality — percentile: 57Part D claim volume — percentile in specialty: 47 · MIPS quality — percentile: 0Part D claim volume — percentile in specialty: 22 · MIPS quality — percentile: 88Part D claim volume — percentile in specialty: 50 · MIPS quality — percentile: 97Part D claim volume — percentile in specialty: 57 · MIPS quality — percentile: 45Part D claim volume — percentile in specialty: 43 · MIPS quality — percentile: 53Part D claim volume — percentile in specialty: 60 · MIPS quality — percentile: 78Part D claim volume — percentile in specialty: 30 · MIPS quality — percentile: 28Part D claim volume — percentile in specialty: 97 · MIPS quality — percentile: 3Part D claim volume — percentile in specialty: 90 · MIPS quality — percentile: 28Part D claim volume — percentile in specialty: 70 · MIPS quality — percentile: 43Part D claim volume — percentile in specialty: 67 · MIPS quality — percentile: 33Part D claim volume — percentile in specialty: 33 · MIPS quality — percentile: 55Part D claim volume — percentile in specialty: 3 · MIPS quality — percentile: 60Part D claim volume — percentile in specialty: 88 · MIPS quality — percentile: 13Part D claim volume — percentile in specialty: 62 · MIPS quality — percentile: 7Part D claim volume — percentile in specialty: 98 · MIPS quality — percentile: 47Part D claim volume — percentile in specialty: 27 · MIPS quality — percentile: 72Part D claim volume — percentile in specialty: 0 · MIPS quality — percentile: 37Part D claim volume — percentile in specialty: 32 · MIPS quality — percentile: 48Part D claim volume — percentile in specialty: 73 · MIPS quality — percentile: 75Part D claim volume — percentile in specialty: 38 · MIPS quality — percentile: 38John Thomas, M.D. — Part D claim volume — percentile in specialty: 98 · MIPS quality — percentile: 23
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one orthopaedic surgery physician peer from a representative sample of 60; the gold marker is John Thomas, 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 Thomas, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 3 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 Thomas, M.D.?

Below national average

NPI registry status

Active

Issued 07/08/2014

NPI 1831505197

Primary specialty

Orthopaedic Surgery Physician

Mid-sized

25,781 US NPIs in this specialty

Medicare Part D claims

1,974 vs specialty avg

2023 prescription claims

Specialty avg: 324

MIPS final score

75/100 8.1 pts vs avg

Above neutral band

vs 83.1 national avg

Specialty distribution in Florida

How Orthopaedic Surgery Physician compares to other specialties among Florida providers

Florida providers

Largest specialties in Florida (% of in-state providers)

Behavior Technician — 16.1%Behavior Technician16.1%Mental Health Counselor — 4.8%Mental Health Counselor4.8%Family Nurse Practitioner — 4.5%Family Nurse Practitioner4.5%Pharmacist — 4.2%Pharmacist4.2%Student in an Organized Health Care Education/Training Program — 3.8%Student in an Organized Health Care Education/Training Program3.8%Physical Therapist — 3.1%Physical Therapist3.1%Orthopaedic Surgery Physician — 0.3%Orthopaedic Surgery Physician0.3%
Largest specialties in Florida (% of in-state providers)

Medicare quality performance — MIPS

John Thomas, M.D.'s 2023 MIPS final score plotted against the Orthopaedic Surgery Physician national average

Below national average
MIPS Final Score
75/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Orthopaedic Surgery Physician) — 75/100 vs national avg 83.1

0%100%National avg83%75%
MIPS final score (Orthopaedic Surgery Physician) — 75/100 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 Thomas, M.D. appears in the CMS NPPES registry as a Orthopaedic Surgery Physician provider holding M.D. credentials at 943 S BENEVA RD STE 106, Sarasota, FL, 34232, with a listed phone of (419) 556-7489. NPI 1831505197 was issued on 07/08/2014. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Thomas 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 1,974 prescription claims written by this provider, covering 619 Medicare beneficiaries and totaling roughly $23K in drug spend, split <1% brand-name and >99% generic by claim count, with an opioid prescribing rate of 18.2%. 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 75/100 for the 2023 performance year, compared with the national average of 83.1.

Orthopaedic Surgery Physician is a mid-sized specialty nationwide, with 25,781 enrolled providers across 56 states and an average of 324 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

943 S BENEVA RD STE 106
Sarasota, FL 34232

Provider Details

NPI 1831505197
Specialty Orthopaedic Surgery Physician
Credentials M.D.
Gender Male
NPI Issued 07/08/2014

CMS Quality Score (MIPS)

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

75
Final Score
Avg: 83.1

Reporting: Individual

Hospital and facility affiliations

Facilities where John Thomas, 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.

According to CMS billing records, John Thomas, M.D. is affiliated with 3 Medicare-billing facilities.

Cora Health Services Inc
Lakewood Ranch, FL
Intercoastal Medical Group Inc
Bradenton, FL
Nokomis Physical Therapy LLC
Nokomis, FL

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 Thomas, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$2.0K

Largest payer

MEDACTA USA, 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.

License & disciplinary context — Florida FLDOH 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~75K Florida medical licensees in 2023 — they are NOT specific to John Thomas, M.D.. To verify John Thomas, M.D.'s current license status, search the FLDOH public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

480
Total board actions, Florida 2023
Across 467 cases
6.40
Actions per 1,000 licensees
Florida statewide rate
monetary fine
Most common action type
138 cases

FLDOH publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Florida disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Generic-heavy

John Thomas, M.D. — brand share 1.0%
Orthopaedic Surgery Physician average

<1% brand-name claims vs >99% generic, on 1,974 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.

1,974
Total Claims
$23K
Total Drug Cost
619
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
2,194
Total Day Supply
52,938
Brand vs Generic
<1% brand / >99% generic
Brand Drug Cost
$5K
Generic Drug Cost
$18K
Opioid Claims
360 (18.2% rate)
Antibiotic Claims
108

Patient Demographics

Average Patient Age
74.1 years
Avg HCC Risk Score
0.98
Gender Split
61% female / 39% male
Age Distribution
<65: 16, 65-74: 327, 75-84: 228, 85+: 48

Top Prescribed Drugs (Medicare Part D)

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

What John Thomas, M.D. 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
Meloxicam
974
Diclofenac Sodium
165
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
160
Tramadol Hcl
152
Ibuprofen
126
Methocarbamol
82
Amoxicillin
76
Celecoxib
69
Oxycodone-Acetaminophen
Oxycodone Hcl/Acetaminophen
31
Methylprednisolone
25

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

Orthopaedic Surgery Physician Overview

How John Thomas, M.D. fits within the Orthopaedic Surgery Physician landscape nationally.

25,781
Orthopaedic Surgery Physician Providers in US
56
States with Orthopaedic Surgery Physician
324
Avg Claims per Provider

John Thomas, M.D.'s 1,974 claims are above the specialty average of 324.

Nearby Orthopaedic Surgery Physician Providers in Florida

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

Compare Orthopaedic 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 Florida medical board — federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Orthopaedic 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.

Frequently Asked Questions

What is John Thomas, M.D.'s specialty?
John Thomas, M.D. specializes in Orthopaedic Surgery Physician and practices in Sarasota, Florida. Credentials: M.D..
How much does John Thomas, M.D. prescribe under Medicare Part D?
In 2023, John Thomas, M.D. wrote 1,974 Medicare Part D claims totaling $23K in drug costs for 619 beneficiaries.
What is John Thomas, M.D.'s Medicare quality score?
John Thomas, M.D. has a CMS MIPS Final Score of 75/100. The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is John Thomas, M.D. located?
John Thomas, M.D. is located at 943 S BENEVA RD STE 106, Sarasota, FL, 34232. Phone: (419) 556-7489.
What is John Thomas, M.D.'s NPI number?
John Thomas, M.D.'s National Provider Identifier (NPI) is 1831505197, issued on 07/08/2014.
Does John Thomas, M.D. prescribe more brand-name or generic drugs?
John Thomas, M.D.'s prescribing is <1% brand-name and >99% generic drugs by claim count, with $5K in brand drug costs.
Does John Thomas, M.D. prescribe opioids?
Yes, John Thomas, M.D. had 360 opioid claims in 2023 with an opioid prescribing rate of 18.2%.
How many Orthopaedic Surgery Physician providers are there in the US?
There are 25,781 Orthopaedic Surgery Physician providers across 56 states in the US. The average Orthopaedic Surgery Physician provider writes 324 Medicare Part D claims per year.
What drugs does John Thomas, M.D. prescribe most often?
Based on 2023 Medicare Part D data, John Thomas, M.D.'s most frequently prescribed drugs include Meloxicam, Diclofenac Sodium, Hydrocodone-Acetaminophen. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does John Thomas, M.D. accept Medicare?
John Thomas, M.D. appears in CMS Medicare data with 1,974 Part D claims and 619 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify John Thomas, M.D.'s credentials?
John Thomas, M.D.'s NPI is 1831505197 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

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.