2026 NPPES data Family Nurse Practitioner NPI 1295346104
Verify on CMS →

Justin Donoghue

Family Nurse Practitioner in Muskegon, Michigan.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 216,959 in Family Nurse Practitioner, 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
975
Medicare Part D claims · 374 beneficiaries · Family Nurse Practitioner avg: 1K
Generic prescribing
85%
generic claims · 15% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$157.18
7 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

Justin Donoghue filed 975 Medicare Part D claims in 2024 as a Family Nurse Practitioner in Muskegon, Michigan, prescribing 85% generic.

975
Part D claims, 2024
85%
generic prescribing
$157.18
industry payments (Sunshine Act)
≥74th
pct by Part D claim volume (lower-bound band)

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.

Federal trust snapshot

What official records show about Justin Donoghue

Federal records show an active NPI with Medicare Part D prescribing activity — verifiable registry data, not a proprietary rating.

  • Verified

    NPI registry status

    Active listing in the CMS National Provider Identifier Registry (NPI 1295346104), first enumerated 08/13/2020.

    Source: CMS NPPES

  • Reported

    Medicare Part D participation

    Filed 975 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.

    Source: CMS Part D Prescriber PUF

  • Reported

    Hospital affiliations

    1 CMS Care Compare hospital affiliation on record — practice footprint from the Doctors and Clinicians file.

    Source: CMS Care Compare

  • Reported

    Industry payment transparency

    $157.18 in reported industry payments (7 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.

    Source: CMS Open Payments

  • State context

    State board disciplinary context

    Michigan statewide board action statistics are published annually — these figures describe aggregate state activity, not Justin Donoghue's individual license status. Verify directly with the state medical board.

    Source: MI-BOM annual report 2023

  • Not in federal data

    Individual sanction lookup

    PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.

    Source: State medical board / FSMB

This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.

CMS NPPES provider registry desk

NPI 1295346104 · Family Nurse Practitioner

NPI-10 · ENUM-RECENT · TAX-MEGA · RX-LIGHT · BOOK-MID · PHOTO-ENUM

  • NPI-10 1295346104
  • ENUM-RECENT 2020
  • TAX-MEGA 217K Family Nurse
  • RX-LIGHT 975
  • BOOK-MID 5,003 in Michigan
  • PHOTO-ENUM Kimberly Rogers · 2020

Justin Donoghue's Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2024, across all CMS prescribers nationally

975 ≥ 74th percentile 74% of 1,416,883 prescribers are in lower value bands

0–200: 679,947 prescribers (48%). Below this entry. 200–400: 188,835 prescribers (13%). Below this entry. 400–600: 95,866 prescribers (7%). Below this entry. 600–800: 60,107 prescribers (4%). Below this entry. 800–1,000: 43,043 prescribers (3%). This entry sits in this band. 1,000–1,200: 33,612 prescribers (2%). Above this entry. 1,200–1,400: 27,889 prescribers (2%). Above this entry. 1,400–1,600: 23,183 prescribers (2%). Above this entry. 1,600–1,800: 19,917 prescribers (1%). Above this entry. 1,800–2,000: 17,585 prescribers (1%). Above this entry. 2K+: 226,899 prescribers (16%). Above this entry. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

Each bar is a band; taller bars hold more prescribers. 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.

The percentile is a conservative 100-claim band: it counts only prescribers in lower claim-volume bands. Medicare Part D claim volume is activity context, not a quality measure or recommendation. See methodology § corpus placement.

Source CMS Medicare Part D Prescriber Public Use File · 2024

What does the federal data show about Justin Donoghue?

Quality data not reported

NPI registry status

Active

Issued 08/13/2020

NPI 1295346104

Primary specialty

Family Nurse Practitioner

High-volume

216,959 US NPIs in this specialty

Medicare Part D claims

975 25% vs specialty avg

2024 prescription claims

Specialty avg: 1,302

Specialty distribution in Michigan

How Family Nurse Practitioner compares to other specialties among Michigan providers

Michigan providers
Behavior Technician22.2%Clinical Social Worker5.7%Student in an Organized Heal…3.7%Social Worker3.3%Physical Therapist3.3%Pharmacist2.9%Family Nurse Practitioner1.7%
Largest specialties in Michigan (% of in-state providers)

Board certification

Not published by CMS

CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Family Nurse Practitioner. Verify directly:

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).

Practice Address

71 HUGHEY ST
Muskegon, MI 49445

Provider Details

NPI 1295346104
Specialty Family Nurse Practitioner
Gender Male
NPI Issued 08/13/2020

Hospital and facility affiliations

Facilities where Justin Donoghue 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.

Covenant Medical Center Inc
Saginaw, MI

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 Justin Donoghue. Source: openpaymentsdata.cms.gov.

Total received

$157

Largest payer

180 Medical, 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 - Michigan MI-BOM 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 ~41K Michigan medical licensees in 2023 - they are NOT specific to Justin Donoghue. To verify Justin Donoghue's current license status, search the MI-BOM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

123
Total board actions, Michigan 2023
Across 120 cases
3.00
Actions per 1,000 licensees
Michigan statewide rate
probation
Most common action type
44 cases

MI-BOM 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 Michigan disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

Justin Donoghue - brand share 15.0%
Family Nurse Practitioner average

15% brand-name claims vs 85% generic, on 975 2024 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 2024.

975
Total Claims
$170K
Total Drug Cost
374
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
2,105.933
Total Day Supply
59,542
Brand vs Generic
15% brand / 85% generic
Brand Drug Cost
$132K
Generic Drug Cost
$37K
Antibiotic Claims
148

Patient Demographics

Average Patient Age
73.2 years
Avg HCC Risk Score
1.56
Gender Split
34% female / 66% male
Age Distribution
<65: 53, 65-74: 142, 75-84: 134, 85+: 45

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.

What Justin Donoghue prescribes most

Top Medicare Part D drugs by claim count, 2024

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2024
Drug Claims
Tamsulosin Hcl
347
Finasteride
63
Gemtesa
Vibegron
57
Ciprofloxacin Hcl
51
Myrbetriq
Mirabegron
50
Solifenacin Succinate
50
Cephalexin
28
Mirabegron Er
Mirabegron
23
Oxybutynin Chloride Er
Oxybutynin Chloride
20
Sulfamethoxazole-Trimethoprim
Sulfamethoxazole/Trimethoprim
20

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

Family Nurse Practitioner Overview

How Justin Donoghue fits within the Family Nurse Practitioner landscape nationally.

216,959
Family Nurse Practitioner Providers in US
56
States with Family Nurse Practitioner
1,302
Avg Claims per Provider

Justin Donoghue's 975 claims are below the specialty average of 1,302.

Nationwide Family Nurse Practitioner peers with similar MIPS or enrollment year

Two federal-record peer sets for Donoghue, both outside Michigan so the neighborhoods are not geographic containment.

Same NPPES enumeration year (2020)

Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.

Nearby Family Nurse Practitioner Providers in Michigan

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

One of 5,003 Family Nurse Practitioner providers enrolled in Michigan, 5 are shown here.

Compare Family Nurse Practitioner nationally: see state-by-state distribution →

Frequently Asked Questions

What is Justin Donoghue's specialty?
Justin Donoghue specializes in Family Nurse Practitioner and practices in Muskegon, Michigan.
How much does Justin Donoghue prescribe under Medicare Part D?
In 2024, Justin Donoghue wrote 975 Medicare Part D claims totaling $170K in drug costs for 374 beneficiaries.
Where is Justin Donoghue located?
Justin Donoghue is located at 71 HUGHEY ST, Muskegon, MI, 49445. Phone: (989) 280-3799.
What is Justin Donoghue's NPI number?
Justin Donoghue's National Provider Identifier (NPI) is 1295346104, issued on 08/13/2020.
Does Justin Donoghue prescribe more brand-name or generic drugs?
Justin Donoghue's prescribing is 15% brand-name and 85% generic drugs by claim count, with $132K in brand drug costs.
How many Family Nurse Practitioner providers are there in the US?
There are 216,959 Family Nurse Practitioner providers across 56 states in the US. The average Family Nurse Practitioner provider writes 1,302 Medicare Part D claims per year.
What drugs does Justin Donoghue prescribe most often?
Based on 2024 Medicare Part D data, Justin Donoghue's most frequently prescribed drugs include Tamsulosin Hcl, Finasteride, Gemtesa. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Justin Donoghue accept Medicare?
Justin Donoghue appears in CMS Medicare data with 975 Part D claims and 374 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Justin Donoghue's credentials?
Justin Donoghue's NPI is 1295346104. 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 (2024). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
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 August 2026 (NPPES) / 2024 (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 August 2026.