John H. Upshaw, MD
Urology Physician · Lake Charles, LA
John H. Upshaw, MD is a urology physician with a practice address in Lake Charles, Louisiana, and NPI 1598770869, issued on Jul 29, 2006. Check the license (Louisiana MD.023910.R, as entered in NPPES) on the Louisiana State Board of Medical Examiners; the Medicare figures below come from public CMS files.
- Name
- John H. Upshaw
- Credential
- MD
- Primary taxonomy
- Urology Physician 208800000X
- License number
- MD.023910.R LA
Self-reported in NPPES; status is on the state search - Practice location
- 2770 3RD Ave Ste 240, Lake Charles, LA 70601
- Phone
- (337) 494-4656
- Enumerated
- Jul 29, 2006
- Record last updated
- Apr 28, 2022
- Fax
- (337) 494-4657
- Medicaid ID
- 1577731 LA
- Medicare enrollment
- Enrolled (PECOS I20070316000211); accepts Medicare assignment
- Medical or professional school
- Louisiana State University School Of Medicine In New Orleans, 1997
- Entity
- Type 1 · individual
8 nearest urology physician records → All 200 in Louisiana → Look up another NPI →
Verify John H. Upshaw in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersLouisiana State Board of Medical Examiners
Search for license MD.023910.RCheck the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
3.1 times the Medicare Part D claims of the average urology physician in 2024
4,102 Medicare Part D claims for 865 beneficiaries, against an average of 1,340 among the 10,782 providers of this specialty who prescribed in Part D. 74 claims were for opioids.
Most prescribed
- Tamsulosin Hcl1,272 claims
- Finasteride858 claims
- Alfuzosin Hcl Er213 claims
- Sulfamethoxazole-Trimethoprim159 claims
- Solifenacin Succinate137 claims
- Gemtesa124 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The MIPS final score for 2023 (Medicare payment program): 94.6 of 100
The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $264.96
11 payments; by number, the most common kind was food and beverage; the largest payer was Procept BioRobotics Corporation. The 9,340 providers of this specialty with any payment received $3,800.04 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through one group practice
- Lake Charles Medical Services Urology LLCLake Charles, LA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
John H. Upshaw among 200 urology physician records in Louisiana
John H. Upshaw, MD is one of 200 urology physician records with a practice address in Louisiana. 80% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 20% of them.
- NPI issued2006 · 20% of these records are older, 44% newer
- In a Medicare fileYes · 80% of these records are
- In the CMS Doctors and Clinicians fileYes · 67% of these records are
- Graduated1997 · median 2003 among the 134 with a school on file
- Record last updated2022 · 68% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 208800000X and a Louisiana practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Urology Physician providers in Louisiana
There are 200 urology physician records in Louisiana.
All 200 in Louisiana → Every provider in Lake Charles → Urology Physician nationwide →
The 8 urology physician records with the nearest ZIP codes
- Reed Fontenot, MDLake Charles, LA 706011417934373
- Stacy McBroom, DOLake Charles, LA 706011346267077
- Kenneth Verheeck, M.D.Lake Charles, LA 706011205827094
- Farjaad Siddiq, M.D.Lake Charles, LA 706051346231065
- Marcellus Lahaye, M.D.Ville Platte, LA 705861073584744
- Laura Owens, MDOpelousas, LA 705701912263385
- Frederick Rodosta, M.D.Opelousas, LA 705701609859156
- John Vallee, MDOpelousas, LA 705701750356317
Common questions
What is John H. Upshaw, MD's NPI number?
John H. Upshaw, MD's National Provider Identifier (NPI) is 1598770869, issued on Jul 29, 2006. An NPI identifies a provider in billing; it is not a license.
Where is John H. Upshaw, MD located?
The NPPES record lists a practice address at 2770 3RD Ave Ste 240, Lake Charles, LA, 70601. Phone: (337) 494-4656. Providers update this record themselves, so call before visiting.
How can I verify John H. Upshaw, MD's license?
NPPES lists Louisiana license number MD.023910.R, as entered by the provider. Search the Louisiana State Board of Medical Examiners at https://www.lsbme.la.gov/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does John H. Upshaw, MD prescribe under Medicare Part D?
In 2024, John H. Upshaw, MD had 4,102 Medicare Part D claims for 865 beneficiaries; the average among urology physician prescribers was 1,340. Part D covers Medicare prescriptions only.
What is John H. Upshaw, MD's MIPS final score?
The 2023 MIPS final score is 94.6 of 100. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.