2026 NPPES data Preventive Medicine/Occupational Environmental Medicine Physician NPI 1265876213 M.D.
Verify on CMS →

John Wheat, M.D.

Preventive Medicine/Occupational Environmental Medicine Physician in Clinton, Indiana.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 957 in Preventive Medicine/Occupational Environmental Medicine 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
6K
Medicare Part D claims · 425 beneficiaries · Preventive Medicine/Occupational Environmental Medicine Physician avg: 856
Generic prescribing
88%
generic claims · 10% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
22.2/100
▼ 61 pts below national avg 83.1 · Below average
Industry payments
$1.1K
63 payments · CMS Open Payments (Sunshine Act)
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

John Wheat, M.D. reported a CMS MIPS final score of 22.2/100 - below the 83.1 national average - and filed 5,547 Medicare Part D claims in 2023.

22.2/100
MIPS score · -61 vs avg
6K
Part D claims, 2023
88%
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 Wheat, 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

22 3rd percentile higher than 3% 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%). This entry sits in this band. 30–40: 2,746 scored providers (1%). Above this entry. 40–50: 2,928 scored providers (1%). Above this entry. 50–60: 5,882 scored providers (1%). Above this entry. 60–70: 13,906 scored providers (3%). Above this entry. 70–80: 118,074 scored providers (25%). Above this entry. 80–90: 129,887 scored providers (27%). Above this entry. 90+: 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 Wheat, M.D. sits

This provider among preventive medicine/occupational environmental medicine physician peers

Across the 17 preventive medicine/occupational environmental medicine physician providers who report both Medicare Part D prescribing and a MIPS quality score, John Wheat, M.D. writes more Part D claims than 94% of them and scores higher on MIPS quality than 0% - 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 quality024.749.474.098.70255075100Part D claim volume, percentile in specialtyMIPS quality, percentilePart D claim volume, percentile in specialty: 44 · MIPS quality, percentile: 94Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 25Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 56Part D claim volume, percentile in specialty: 81 · MIPS quality, percentile: 44Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 75Part D claim volume, percentile in specialty: 31 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 6 · MIPS quality, percentile: 25Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 13Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 6Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 50Part D claim volume, percentile in specialty: 69 · MIPS quality, percentile: 25Part D claim volume, percentile in specialty: 19 · MIPS quality, percentile: 100Part D claim volume, percentile in specialty: 56 · MIPS quality, percentile: 75Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 19Part D claim volume, percentile in specialty: 94 · MIPS quality, percentile: 69Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 63John Wheat, M.D.-Part D claim volume, percentile in specialty: 94 · MIPS quality, percentile: 0
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one preventive medicine/occupational environmental medicine physician peer from a representative sample of 16; the gold marker is John Wheat, 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 Wheat, M.D. 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 Wheat, M.D.?

Below national average

NPI registry status

Active

Issued 04/22/2013

NPI 1265876213

Primary specialty

Preventive Medicine/Occupational Environmental Medicine Physician

Niche

957 US NPIs in this specialty

Medicare Part D claims

5,547 vs specialty avg

2023 prescription claims

Specialty avg: 856

MIPS final score

22.2/100 60.9 pts vs avg

Below average band

vs 83.1 national avg

Specialty distribution in Indiana

How Preventive Medicine/Occupational Environmental Medicine Physician compares to other specialties among Indiana providers

Indiana providers
Behavior Technician - 13.6%Behavior Technician13.6%Student in an Organized Health Care Education/Training Program - 4.7%Student in an Organized Health Care Education/Training Program4.7%Pharmacist - 4.3%Pharmacist4.3%Family Nurse Practitioner - 4.2%Family Nurse Practitioner4.2%Clinical Social Worker - 4.2%Clinical Social Worker4.2%Mental Health Counselor - 4.1%Mental Health Counselor4.1%Preventive Medicine/Occupational Environmental Medicine Physician - 0%Preventive Medicine/Occupational Environmental Medicine Physician0%
Largest specialties in Indiana (% of in-state providers)

Medicare quality performance, MIPS

John Wheat, M.D.'s 2023 MIPS final score plotted against the Preventive Medicine/Occupational Environmental Medicine Physician national average

Below national average
MIPS Final Score
22.2/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Preventive Medicine/Occupational Environmental Medicine Physician) - 22.2/100 vs national avg 83.1

0%100%National avg83%22.2%
MIPS final score (Preventive Medicine/Occupational Environmental Medicine Physician) - 22.2/100 vs national avg 83.1
How MIPS and board certification work

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 Wheat, M.D. appears in the CMS NPPES registry as a Preventive Medicine/Occupational Environmental Medicine Physician provider holding M.D. credentials at 302 VINE ST, Clinton, IN, 47842, with a listed phone of (765) 592-3381. NPI 1265876213 was issued on 04/22/2013.

Medicare Part D records for calendar year 2023 show 5,547 prescription claims written by this provider, covering 425 Medicare beneficiaries and totaling roughly $679K in drug spend, split 10% brand-name and 88% generic by claim count, with an opioid prescribing rate of 0.3%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 22.2/100 for the 2023 performance year (Quality 0, Cost 74), compared with the national average of 83.1.

Preventive Medicine/Occupational Environmental Medicine Physician is a narrow specialty nationwide, with 957 enrolled providers across 50 states and an average of 856 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

302 VINE ST
Clinton, IN 47842

Provider Details

NPI 1265876213
Specialty Preventive Medicine/Occupational Environmental Medicine Physician
Credentials M.D.
Gender Male
NPI Issued 04/22/2013

CMS Quality Score (MIPS)

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

22.1895
Final Score
Avg: 83.1
0
Quality
73.965
Cost

Reporting: Individual

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

Total received

$1.1K

Largest payer

ABBVIE 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.

Brand vs generic prescribing mix · Typical

John Wheat, M.D. - brand share 10.0%
Preventive Medicine/Occupational Environmental Medicine Physician average

10% brand-name claims vs 88% generic, on 5,547 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.

5,547
Total Claims
$679K
Total Drug Cost
425
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
13,731
Total Day Supply
399,316
Brand vs Generic
10% brand / 88% generic
Brand Drug Cost
$549K
Generic Drug Cost
$124K
Opioid Claims
16 (0.3% rate)
Antibiotic Claims
219

Patient Demographics

Average Patient Age
72.4 years
Avg HCC Risk Score
1.16
Gender Split
48% female / 52% male
Age Distribution
<65: 52, 65-74: 201, 75-84: 141, 85+: 31

Top Prescribed Drugs (Medicare Part D)

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

What John Wheat, 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
Lisinopril
336
Atorvastatin Calcium
335
Levothyroxine Sodium
223
Amlodipine Besylate
194
Omeprazole
150
Gabapentin
141
Pantoprazole Sodium
119
Hydrochlorothiazide
118
Diclofenac Sodium Er
Diclofenac Sodium
117
Losartan Potassium
117

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

Preventive Medicine/Occupational Environmental Medicine Physician Overview

How John Wheat, M.D. fits within the Preventive Medicine/Occupational Environmental Medicine Physician landscape nationally.

957
Preventive Medicine/Occupational Environmental Medicine Physician Providers in US
50
States with Preventive Medicine/Occupational Environmental Medicine Physician
856
Avg Claims per Provider

John Wheat, M.D.'s 5,547 claims are above the specialty average of 856.

Nearby Preventive Medicine/Occupational Environmental Medicine Physician Providers in Indiana

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

Compare Preventive Medicine/Occupational Environmental Medicine 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 Indiana medical board, federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Preventive Medicine/Occupational Environmental Medicine 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 Wheat, M.D.'s specialty?
John Wheat, M.D. specializes in Preventive Medicine/Occupational Environmental Medicine Physician and practices in Clinton, Indiana. Credentials: M.D..
How much does John Wheat, M.D. prescribe under Medicare Part D?
In 2023, John Wheat, M.D. wrote 5,547 Medicare Part D claims totaling $679K in drug costs for 425 beneficiaries.
What is John Wheat, M.D.'s Medicare quality score?
John Wheat, M.D. has a CMS MIPS Final Score of 22.2/100 (Quality: 0, Cost: 74). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is John Wheat, M.D. located?
John Wheat, M.D. is located at 302 VINE ST, Clinton, IN, 47842. Phone: (765) 592-3381.
What is John Wheat, M.D.'s NPI number?
John Wheat, M.D.'s National Provider Identifier (NPI) is 1265876213, issued on 04/22/2013.
Does John Wheat, M.D. prescribe more brand-name or generic drugs?
John Wheat, M.D.'s prescribing is 10% brand-name and 88% generic drugs by claim count, with $549K in brand drug costs.
Does John Wheat, M.D. prescribe opioids?
Yes, John Wheat, M.D. had 16 opioid claims in 2023 with an opioid prescribing rate of 0.3%.
How many Preventive Medicine/Occupational Environmental Medicine Physician providers are there in the US?
There are 957 Preventive Medicine/Occupational Environmental Medicine Physician providers across 50 states in the US. The average Preventive Medicine/Occupational Environmental Medicine Physician provider writes 856 Medicare Part D claims per year.
What drugs does John Wheat, M.D. prescribe most often?
Based on 2023 Medicare Part D data, John Wheat, M.D.'s most frequently prescribed drugs include Lisinopril, Atorvastatin Calcium, Levothyroxine Sodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does John Wheat, M.D. accept Medicare?
John Wheat, M.D. appears in CMS Medicare data with 5,547 Part D claims and 425 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify John Wheat, M.D.'s credentials?
John Wheat, M.D.'s NPI is 1265876213 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

View source datasets and methodology notes
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.