2026 NPPES data Emergency Medicine Physician NPI 1528498557 D.O.
Verify on CMS →

JOHN URBANEK, D.O.

Emergency Medicine Physician in SOUTHWEST HARBOR, Maine. 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
395
Medicare Part D claims · 156 beneficiaries · Emergency Medicine Physician avg: 352
MIPS score
88.0043/100
▲ 5 pts above national avg 83.1 · [object Object]

What the federal data shows

JOHN URBANEK, D.O. reported a CMS MIPS final score of 88.0043/100 — above the 83.1 national average — and filed 395 Medicare Part D claims in 2023.

88.0043/100
MIPS score · +5 vs avg
395
Part D claims, 2023
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 URBANEK, D.O.'s MIPS score vs every scored U.S. clinician

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

88 Top 44% higher than 56% 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%). This entry sits in this band. 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

Board certification likely (heuristic — not verified)

JOHN URBANEK, D.O. 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 URBANEK, D.O.?

High performer (top quartile)

NPI registry status

Active

Issued 11/12/2013

NPI 1528498557

Primary specialty

Emergency Medicine Physician

High-volume

64,398 US NPIs in this specialty

Medicare Part D claims

395 12% vs specialty avg

2023 prescription claims

Specialty avg: 352

MIPS final score

88.0043/100 4.904300000000006% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Maine

How Emergency Medicine Physician compares to other specialties among Maine providers

Maine providers

Emergency Medicine Physician share within Maine

1. Emergency Medicine Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Emergency Medicine Physician share within Maine

Medicare quality performance — MIPS

JOHN URBANEK, D.O.'s 2023 MIPS final score plotted against the Emergency Medicine Physician national average

High performer (top quartile)
MIPS Final Score
88.0043/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Emergency Medicine Physician) — 88.0043/100 vs national avg 83.1

0%100%National avg83%88%
MIPS final score (Emergency Medicine Physician) — 88.0043/100 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 URBANEK, D.O. appears in the CMS NPPES registry as a Emergency Medicine Physician provider holding D.O. credentials at 16 COMMUNITY LN, SOUTHWEST HARBOR, ME, 04679, with a listed phone of (207) 244-5630. NPI 1528498557 was issued on 11/12/2013. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what URBANEK 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 395 prescription claims written by this provider, covering 156 Medicare beneficiaries and totaling roughly $37K in drug spend, with an opioid prescribing rate of 4.3%. 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 88.0043/100 for the 2023 performance year (Quality 78.735), compared with the national average of 83.1.

Emergency Medicine Physician is a high-volume specialty nationwide, with 64,398 enrolled providers across 56 states and an average of 352 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

16 COMMUNITY LN
SOUTHWEST HARBOR, ME 04679

Provider Details

NPI 1528498557
Specialty Emergency Medicine Physician
Credentials D.O.
Gender Male
NPI Issued 11/12/2013

CMS Quality Score (MIPS)

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

88.0043
Final Score
Avg: 83.1
78.735
Quality
99
Promoting Interoperability

Reporting: Group practice

Medicare Part D Prescribing Data

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

395
Total Claims
$37K
Total Drug Cost
156
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
786
Total Day Supply
21,809
Generic Drug Cost
$11K
Opioid Claims
17 (4.3% rate)
Antibiotic Claims
56

Patient Demographics

Average Patient Age
74.1 years
Avg HCC Risk Score
1.11
Gender Split
54% female / 46% male
Age Distribution
<65: 11, 65-74: 69, 75-84: 58, 85+: 18

Top Prescribed Drugs (Medicare Part D)

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

What JOHN URBANEK, D.O. 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
Doxycycline Hyclate
15
Simvastatin
15
Carvedilol
14
Amoxicillin-Clavulanate Potass
Amoxicillin/Potassium Clav
12
Enalapril Maleate
12
Furosemide
12
Pantoprazole Sodium
12
Prednisone
11

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

Emergency Medicine Physician Overview

How JOHN URBANEK, D.O. fits within the Emergency Medicine Physician landscape nationally.

64,398
Emergency Medicine Physician Providers in US
56
States with Emergency Medicine Physician
352
Avg Claims per Provider

JOHN URBANEK, D.O.'s 395 claims are above the specialty average of 352.

Nearby Emergency Medicine Physician Providers in Maine

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

Compare Emergency Medicine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is JOHN URBANEK, D.O.'s specialty?
JOHN URBANEK, D.O. specializes in Emergency Medicine Physician and practices in SOUTHWEST HARBOR, Maine. Credentials: D.O..
How much does JOHN URBANEK, D.O. prescribe under Medicare Part D?
In 2023, JOHN URBANEK, D.O. wrote 395 Medicare Part D claims totaling $37K in drug costs for 156 beneficiaries.
What is JOHN URBANEK, D.O.'s Medicare quality score?
JOHN URBANEK, D.O. has a CMS MIPS Final Score of 88.0043/100 (Quality: 78.735). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is JOHN URBANEK, D.O. located?
JOHN URBANEK, D.O. is located at 16 COMMUNITY LN, SOUTHWEST HARBOR, ME, 04679. Phone: (207) 244-5630.
What is JOHN URBANEK, D.O.'s NPI number?
JOHN URBANEK, D.O.'s National Provider Identifier (NPI) is 1528498557, issued on 11/12/2013.
Does JOHN URBANEK, D.O. prescribe opioids?
Yes, JOHN URBANEK, D.O. had 17 opioid claims in 2023 with an opioid prescribing rate of 4.3%.
How many Emergency Medicine Physician providers are there in the US?
There are 64,398 Emergency Medicine Physician providers across 56 states in the US. The average Emergency Medicine Physician provider writes 352 Medicare Part D claims per year.
What drugs does JOHN URBANEK, D.O. prescribe most often?
Based on 2023 Medicare Part D data, JOHN URBANEK, D.O.'s most frequently prescribed drugs include Doxycycline Hyclate, Simvastatin, Carvedilol. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JOHN URBANEK, D.O. accept Medicare?
JOHN URBANEK, D.O. appears in CMS Medicare data with 395 Part D claims and 156 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JOHN URBANEK, D.O.'s credentials?
JOHN URBANEK, D.O.'s NPI is 1528498557 with credentials D.O.. 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