NPI registry status
Active
2026 NPPES data Internal Medicine Physician NPI 1801328604 M.D.
Verify on CMS → Justin Donlan, M.D.
Internal Medicine Physician in Beverly Hills, California.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 172,737 in Internal 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
206
Medicare Part D claims · 43 beneficiaries · Internal Medicine Physician avg: 3K
Generic prescribing
77%
generic claims · 23% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
87.8/100
▲ 5 pts above national avg 83.1 · Above neutral
Industry payments
$5.1K
67 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2023
What the federal data shows
Justin Donlan, M.D. reported a CMS MIPS final score of 87.8/100 - above the 83.1 national average - and filed 206 Medicare Part D claims in 2023.
- 87.8/100
- MIPS score · +5 vs avg
- 206
- Part D claims, 2023
- 77%
- 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.
Justin Donlan, 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
88 Top 46% higher than 54% of 477,587 scored providers
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 Justin Donlan, M.D. sits
This provider among internal medicine physician peers
Across the 36,260 internal medicine physician providers who report both Medicare Part D prescribing and a MIPS quality score, Justin Donlan, M.D. writes more Part D claims than 24% of them and scores higher on MIPS quality than 55% - 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
Each dot is one internal medicine physician peer from a representative sample of 60; the gold marker is Justin Donlan, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Justin Donlan, 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 Justin Donlan, M.D.?
High performer (top quartile)Primary specialty
Internal Medicine Physician
Medicare Part D claims
206 92% vs specialty avg
MIPS final score
87.8/100 4.7 pts vs avg
Specialty distribution in California
How Internal Medicine Physician compares to other specialties among California providers
Medicare quality performance, MIPS
Justin Donlan, M.D.'s 2023 MIPS final score plotted against the Internal Medicine Physician national average
- MIPS Final Score
- 87.8/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Internal Medicine Physician) - 87.8/100 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).
Justin Donlan, M.D. appears in the CMS NPPES registry as an Internal Medicine Physician provider holding M.D. credentials at 150 N ROBERTSON BLVD STE 115, Beverly Hills, CA, 90211, with a listed phone of (424) 317-9391. NPI 1801328604 was issued on 03/30/2017.
Medicare Part D records for calendar year 2023 show 206 prescription claims written by this provider, covering 43 Medicare beneficiaries and totaling roughly $119K in drug spend, split 23% brand-name and 77% generic by claim count. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 87.8/100 for the 2023 performance year (Quality 66.3, Cost 66.5), compared with the national average of 83.1.
Internal Medicine Physician is a high-volume specialty nationwide, with 172,737 enrolled providers across 56 states and an average of 2,716 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
Provider Details
| NPI | 1801328604 |
|---|---|
| Specialty | Internal Medicine Physician |
| Credentials | M.D. |
| Gender | Male |
| NPI Issued | 03/30/2017 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
87.8261
Final Score
Avg: 83.1
66.308
Quality
66.488
Cost
100
Promoting Interoperability
Reporting: Group practice
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 Justin Donlan, M.D.. Source: openpaymentsdata.cms.gov.
Total received
$5.1K
Largest payer
ViiV Healthcare Company
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 - California MBC 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 ~150K California medical licensees in 2023 - they are NOT specific to Justin Donlan, M.D.. To verify Justin Donlan, M.D.'s current license status, search the MBC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
576
Total board actions, California 2023
Across 556 cases
3.84
Actions per 1,000 licensees
California statewide rate
probation
Most common action type
186 cases
MBC 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 California disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Brand vs generic prescribing mix · Typical
Justin Donlan, M.D. - brand share 23.0%
Internal Medicine Physician average
23% brand-name claims vs 77% generic, on 206 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.
206
Total Claims
$119K
Total Drug Cost
43
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 255
- Total Day Supply
- 6,976
- Brand vs Generic
- 23% brand / 77% generic
- Brand Drug Cost
- $115K
- Generic Drug Cost
- $4K
Patient Demographics
- Average Patient Age
- 63.4 years
- Avg HCC Risk Score
- 1.86
- Age Distribution
- <65: 22, 65-74: 15, 75-84: N/A, 85+: N/A
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Justin Donlan, M.D. prescribes most
Top Medicare Part D drugs by claim count, 2023
- Amlodipine Besylate
Amlodipine Besylate
17 claims
- Biktarvy
Biktarvy
16 claims
- Isentress
Isentress
11 claims
| Drug | Claims |
|---|---|
| Amlodipine Besylate | 17 |
| Biktarvy Bictegrav/Emtricit/Tenofov Ala | 16 |
| Isentress Raltegravir Potassium | 11 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Internal Medicine Physician Overview
How Justin Donlan, M.D. fits within the Internal Medicine Physician landscape nationally.
172,737
Internal Medicine Physician Providers in US
56
States with Internal Medicine Physician
2,716
Avg Claims per Provider
Justin Donlan, M.D.'s 206 claims are below the specialty average of 2,716.
Nearby Internal Medicine Physician Providers in California
Other clinicians with the same primary specialty enrolled in California, drawn from the same CMS NPPES roster as Donlan.
Dr. Jacob Aaron
MD
San Francisco, CA
Dr. Alistair Aaronson
MD
Stanford, CA
Dr. Jose Abad.
MD
Sacramento, CA
Dr. Donna Abare
MD
Oakland, CA
Marce Abare
Scotts Valley, CA
Compare Internal 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 California medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Internal 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.
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Frequently Asked Questions
What is Justin Donlan, M.D.'s specialty? ▼
Justin Donlan, M.D. specializes in Internal Medicine Physician and practices in Beverly Hills, California. Credentials: M.D..
How much does Justin Donlan, M.D. prescribe under Medicare Part D? ▼
In 2023, Justin Donlan, M.D. wrote 206 Medicare Part D claims totaling $119K in drug costs for 43 beneficiaries.
What is Justin Donlan, M.D.'s Medicare quality score? ▼
Justin Donlan, M.D. has a CMS MIPS Final Score of 87.8/100 (Quality: 66.3, Cost: 66.5). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Justin Donlan, M.D. located? ▼
Justin Donlan, M.D. is located at 150 N ROBERTSON BLVD STE 115, Beverly Hills, CA, 90211. Phone: (424) 317-9391.
What is Justin Donlan, M.D.'s NPI number? ▼
Justin Donlan, M.D.'s National Provider Identifier (NPI) is 1801328604, issued on 03/30/2017.
Does Justin Donlan, M.D. prescribe more brand-name or generic drugs? ▼
Justin Donlan, M.D.'s prescribing is 23% brand-name and 77% generic drugs by claim count, with $115K in brand drug costs.
How many Internal Medicine Physician providers are there in the US? ▼
There are 172,737 Internal Medicine Physician providers across 56 states in the US. The average Internal Medicine Physician provider writes 2,716 Medicare Part D claims per year.
What drugs does Justin Donlan, M.D. prescribe most often? ▼
Based on 2023 Medicare Part D data, Justin Donlan, M.D.'s most frequently prescribed drugs include Amlodipine Besylate, Biktarvy, Isentress. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Justin Donlan, M.D. accept Medicare? ▼
Justin Donlan, M.D. appears in CMS Medicare data with 206 Part D claims and 43 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Justin Donlan, M.D.'s credentials? ▼
Justin Donlan, M.D.'s NPI is 1801328604 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
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of May 2026.