2026 NPPES data Specialist NPI 1265453617 MD
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John Tompkins, MD

Specialist in Plano, Texas. This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers — including 69,658 in Specialist, 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
138
Medicare Part D claims · 61 beneficiaries · Specialist avg: 1K
MIPS score
100/100
▲ 17 pts above national avg 83.1 · Exceptional
Industry payments
$53.97
2 payments · CMS Open Payments (Sunshine Act)
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

John Tompkins, MD reported a CMS MIPS final score of 100/100 — above the 83.1 national average — and filed 138 Medicare Part D claims in 2023.

100/100
MIPS score · +17 vs avg
138
Part D claims, 2023
$53.97
industry payments (Sunshine Act)

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 Tompkins, MD's MIPS score vs every scored U.S. clinician

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

100 Top 7% higher than 93% 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

Where John Tompkins, MD sits

This provider among specialist peers

Across the 4,869 specialist providers who report both Medicare Part D prescribing and a MIPS quality score, John Tompkins, MD writes more Part D claims than 17% of them and scores higher on MIPS quality than 91% — placing this provider in the lower-volume, high-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 quality0255075100023.947.871.795.5Part D claim volume — percentile in specialtyMIPS quality — percentilePart D claim volume — percentile in specialty: 82 · MIPS quality — percentile: 0Part D claim volume — percentile in specialty: 65 · MIPS quality — percentile: 90Part D claim volume — percentile in specialty: 33 · MIPS quality — percentile: 43Part D claim volume — percentile in specialty: 35 · MIPS quality — percentile: 27Part D claim volume — percentile in specialty: 88 · MIPS quality — percentile: 88Part D claim volume — percentile in specialty: 62 · MIPS quality — percentile: 27Part D claim volume — percentile in specialty: 57 · MIPS quality — percentile: 20Part D claim volume — percentile in specialty: 67 · MIPS quality — percentile: 18Part D claim volume — percentile in specialty: 30 · MIPS quality — percentile: 82Part D claim volume — percentile in specialty: 37 · MIPS quality — percentile: 80Part D claim volume — percentile in specialty: 20 · MIPS quality — percentile: 67Part D claim volume — percentile in specialty: 18 · MIPS quality — percentile: 0Part D claim volume — percentile in specialty: 32 · MIPS quality — percentile: 78Part D claim volume — percentile in specialty: 53 · MIPS quality — percentile: 63Part D claim volume — percentile in specialty: 50 · MIPS quality — percentile: 53Part D claim volume — percentile in specialty: 38 · MIPS quality — percentile: 70Part D claim volume — percentile in specialty: 5 · MIPS quality — percentile: 17Part D claim volume — percentile in specialty: 75 · MIPS quality — percentile: 0Part D claim volume — percentile in specialty: 7 · MIPS quality — percentile: 58Part D claim volume — percentile in specialty: 27 · MIPS quality — percentile: 40Part D claim volume — percentile in specialty: 98 · MIPS quality — percentile: 72Part D claim volume — percentile in specialty: 43 · MIPS quality — percentile: 27Part D claim volume — percentile in specialty: 22 · MIPS quality — percentile: 45Part D claim volume — percentile in specialty: 60 · MIPS quality — percentile: 57Part D claim volume — percentile in specialty: 95 · MIPS quality — percentile: 5Part D claim volume — percentile in specialty: 23 · MIPS quality — percentile: 90Part D claim volume — percentile in specialty: 100 · MIPS quality — percentile: 15Part D claim volume — percentile in specialty: 58 · MIPS quality — percentile: 25Part D claim volume — percentile in specialty: 45 · MIPS quality — percentile: 90Part D claim volume — percentile in specialty: 13 · MIPS quality — percentile: 68Part D claim volume — percentile in specialty: 70 · MIPS quality — percentile: 8Part D claim volume — percentile in specialty: 28 · MIPS quality — percentile: 13Part D claim volume — percentile in specialty: 73 · MIPS quality — percentile: 47Part D claim volume — percentile in specialty: 72 · MIPS quality — percentile: 10Part D claim volume — percentile in specialty: 8 · MIPS quality — percentile: 87Part D claim volume — percentile in specialty: 93 · MIPS quality — percentile: 50Part D claim volume — percentile in specialty: 68 · MIPS quality — percentile: 90Part D claim volume — percentile in specialty: 48 · MIPS quality — percentile: 42Part D claim volume — percentile in specialty: 78 · MIPS quality — percentile: 77Part D claim volume — percentile in specialty: 47 · MIPS quality — percentile: 38Part D claim volume — percentile in specialty: 63 · MIPS quality — percentile: 48Part D claim volume — percentile in specialty: 17 · MIPS quality — percentile: 52Part D claim volume — percentile in specialty: 15 · MIPS quality — percentile: 62Part D claim volume — percentile in specialty: 83 · MIPS quality — percentile: 7Part D claim volume — percentile in specialty: 85 · MIPS quality — percentile: 27Part D claim volume — percentile in specialty: 52 · MIPS quality — percentile: 27Part D claim volume — percentile in specialty: 25 · MIPS quality — percentile: 27Part D claim volume — percentile in specialty: 8 · MIPS quality — percentile: 83Part D claim volume — percentile in specialty: 80 · MIPS quality — percentile: 22Part D claim volume — percentile in specialty: 55 · MIPS quality — percentile: 90Part D claim volume — percentile in specialty: 97 · MIPS quality — percentile: 90Part D claim volume — percentile in specialty: 3 · MIPS quality — percentile: 65Part D claim volume — percentile in specialty: 0 · MIPS quality — percentile: 85Part D claim volume — percentile in specialty: 40 · MIPS quality — percentile: 27Part D claim volume — percentile in specialty: 90 · MIPS quality — percentile: 73Part D claim volume — percentile in specialty: 2 · MIPS quality — percentile: 75Part D claim volume — percentile in specialty: 92 · MIPS quality — percentile: 55Part D claim volume — percentile in specialty: 87 · MIPS quality — percentile: 23Part D claim volume — percentile in specialty: 77 · MIPS quality — percentile: 12Part D claim volume — percentile in specialty: 42 · MIPS quality — percentile: 60John Tompkins, MD — Part D claim volume — percentile in specialty: 17 · MIPS quality — percentile: 91
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one specialist peer from a representative sample of 60; the gold marker is John Tompkins, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

What does the federal data show about John Tompkins, MD?

High performer (top quartile)

NPI registry status

Active

Issued 07/21/2006

NPI 1265453617

Primary specialty

Specialist

High-volume

69,658 US NPIs in this specialty

Medicare Part D claims

138 91% vs specialty avg

2023 prescription claims

Specialty avg: 1,474

MIPS final score

100/100 16.9 pts vs avg

Exceptional band

vs 83.1 national avg

Specialty distribution in Texas

How Specialist compares to other specialties among Texas providers

Texas providers

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

Behavior Technician — 5.6%Behavior Technician5.6%Student in an Organized Health Care Education/Training Program — 5.1%Student in an Organized Health Care Education/Training Program5.1%Family Nurse Practitioner — 4.5%Family Nurse Practitioner4.5%Professional Counselor — 4.4%Professional Counselor4.4%Pharmacist — 4.4%Pharmacist4.4%Speech-Language Pathologist — 3.9%Speech-Language Pathologist3.9%Specialist — 0.6%Specialist0.6%
Largest specialties in Texas (% of in-state providers)

Medicare quality performance — MIPS

John Tompkins, MD's 2023 MIPS final score plotted against the Specialist national average

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

MIPS final score (Specialist) — 100/100 vs national avg 83.1

0%100%National avg83%99%
MIPS final score (Specialist) — 100/100 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 Tompkins, MD appears in the CMS NPPES registry as a Specialist provider holding MD credentials at 1600 COIT RD STE 104, Plano, TX, 75075, with a listed phone of (972) 964-8500. NPI 1265453617 was issued on 07/21/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Tompkins 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 138 prescription claims written by this provider, covering 61 Medicare beneficiaries and totaling roughly $2K in drug spend, with an opioid prescribing rate of 20.3%. 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 100/100 for the 2023 performance year, compared with the national average of 83.1.

Specialist is a high-volume specialty nationwide, with 69,658 enrolled providers across 55 states and an average of 1,474 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

1600 COIT RD STE 104
Plano, TX 75075

Provider Details

NPI 1265453617
Specialty Specialist
Credentials MD
Gender Male
NPI Issued 07/21/2006

CMS Quality Score (MIPS)

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

100
Final Score
Avg: 83.1
100
Promoting Interoperability

Reporting: Individual

Hospital and facility affiliations

Facilities where John Tompkins, MD 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.

Neurosurgical Associates OF North Texas PLLC
Plano, TX

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 Tompkins, MD. Source: openpaymentsdata.cms.gov.

Total received

$54

Largest payer

BIOTRONIK NRO, 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 — Texas TMB 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 ~77K Texas medical licensees in 2023 — they are NOT specific to John Tompkins, MD. To verify John Tompkins, MD's current license status, search the TMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

344
Total board actions, Texas 2023
Across 334 cases
4.47
Actions per 1,000 licensees
Texas statewide rate
probation
Most common action type
94 cases

TMB 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 Texas disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

138
Total Claims
$2K
Total Drug Cost
61
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
162
Total Day Supply
3,853
Generic Drug Cost
$2K
Opioid Claims
28 (20.3% rate)

Patient Demographics

Average Patient Age
71.7 years
Avg HCC Risk Score
1.43
Gender Split
57% female / 43% male

Top Prescribed Drugs (Medicare Part D)

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

What John Tompkins, 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
Gabapentin
46
Tizanidine Hcl
25
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
14
Methocarbamol
14

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

Specialist Overview

How John Tompkins, MD fits within the Specialist landscape nationally.

69,658
Specialist Providers in US
55
States with Specialist
1,474
Avg Claims per Provider

John Tompkins, MD's 138 claims are below the specialty average of 1,474.

Nearby Specialist Providers in Texas

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

Compare Specialist 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 Texas medical board — federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Specialist 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 Tompkins, MD's specialty?
John Tompkins, MD specializes in Specialist and practices in Plano, Texas. Credentials: MD.
How much does John Tompkins, MD prescribe under Medicare Part D?
In 2023, John Tompkins, MD wrote 138 Medicare Part D claims totaling $2K in drug costs for 61 beneficiaries.
What is John Tompkins, MD's Medicare quality score?
John Tompkins, MD has a CMS MIPS Final Score of 100/100. The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is John Tompkins, MD located?
John Tompkins, MD is located at 1600 COIT RD STE 104, Plano, TX, 75075. Phone: (972) 964-8500.
What is John Tompkins, MD's NPI number?
John Tompkins, MD's National Provider Identifier (NPI) is 1265453617, issued on 07/21/2006.
Does John Tompkins, MD prescribe opioids?
Yes, John Tompkins, MD had 28 opioid claims in 2023 with an opioid prescribing rate of 20.3%.
How many Specialist providers are there in the US?
There are 69,658 Specialist providers across 55 states in the US. The average Specialist provider writes 1,474 Medicare Part D claims per year.
What drugs does John Tompkins, MD prescribe most often?
Based on 2023 Medicare Part D data, John Tompkins, MD's most frequently prescribed drugs include Gabapentin, Tizanidine Hcl, Hydrocodone-Acetaminophen. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does John Tompkins, MD accept Medicare?
John Tompkins, MD appears in CMS Medicare data with 138 Part D claims and 61 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify John Tompkins, MD's credentials?
John Tompkins, MD's NPI is 1265453617 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

Compiled from official public sources by the PlainDoctor editorial team.