NPI registry status
Active
2026 NPPES data Colon & Rectal Surgery Physician NPI 1639601214 D.O.
Verify on CMS → Michael Johns, D.O.
Colon & Rectal Surgery Physician in Allentown, Pennsylvania.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 1,608 in Colon & Rectal Surgery 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
52
Medicare Part D claims · 33 beneficiaries · Colon & Rectal Surgery Physician avg: 196
MIPS score
70.9/100
▼ 12 pts below national avg 83.1 · Mid-tier
Industry payments
$288.24
12 payments · CMS Open Payments (Sunshine Act)
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Michael Johns, D.O. reported a CMS MIPS final score of 70.9/100 - below the 83.1 national average - and filed 52 Medicare Part D claims in 2023.
- 70.9/100
- MIPS score · -12 vs avg
- 52
- 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.
Michael Johns, 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
71 8th percentile higher than 8% 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 Michael Johns, D.O. sits
This provider among colon & rectal surgery physician peers
Across the 536 colon & rectal surgery physician providers who report both Medicare Part D prescribing and a MIPS quality score, Michael Johns, D.O. writes more Part D claims than 15% of them and scores higher on MIPS quality than 9% - placing this provider in the lower-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
Each dot is one colon & rectal surgery physician peer from a representative sample of 60; the gold marker is Michael Johns, D.O.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Michael Johns, D.O. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 4 hospital affiliations - 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 Michael Johns, D.O.?
Below national averagePrimary specialty
Colon & Rectal Surgery Physician
Medicare Part D claims
52 73% vs specialty avg
MIPS final score
70.9/100 12.2 pts vs avg
Specialty distribution in Pennsylvania
How Colon & Rectal Surgery Physician compares to other specialties among Pennsylvania providers
Medicare quality performance, MIPS
Michael Johns, D.O.'s 2023 MIPS final score plotted against the Colon & Rectal Surgery Physician national average
- MIPS Final Score
- 70.9/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Colon & Rectal Surgery Physician) - 70.9/100 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).
Michael Johns, D.O. appears in the CMS NPPES registry as a Colon & Rectal Surgery Physician provider holding D.O. credentials at 1255 S CEDAR CREST BLVD STE 3900, Allentown, PA, 18103, with a listed phone of (484) 788-0852. NPI 1639601214 was issued on 04/01/2017.
Medicare Part D records for calendar year 2023 show 52 prescription claims written by this provider, covering 33 Medicare beneficiaries and totaling roughly $813 in drug spend, with an opioid prescribing rate of 28.8%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 70.9/100 for the 2023 performance year (Quality 50.4, Cost 60.1), compared with the national average of 83.1.
Colon & Rectal Surgery Physician is a narrow specialty nationwide, with 1,608 enrolled providers across 50 states and an average of 196 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 | 1639601214 |
|---|---|
| Specialty | Colon & Rectal Surgery Physician |
| Credentials | D.O. |
| Gender | Male |
| NPI Issued | 04/01/2017 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
70.9016
Final Score
Avg: 83.1
50.381
Quality
60.1243
Cost
91
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where Michael Johns, D.O. 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.
According to CMS billing records, Michael Johns, D.O. is affiliated with 4 Medicare-billing facilities.
Colon Rectal Surgery Associates PC
Allentown, PA
Integrated Medical Group, P.C.
Pottsville, PA
Keystone Rehabilitation Systems Inc
Macungie, PA
Lehigh Valley Physician Group
Allentown, PA
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 Michael Johns, D.O.. Source: openpaymentsdata.cms.gov.
Total received
$288
Largest payer
Takeda Pharmaceuticals U.S.A., 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 - Pennsylvania PA-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 ~45K Pennsylvania medical licensees in 2023 - they are NOT specific to Michael Johns, D.O.. To verify Michael Johns, D.O.'s current license status, search the PA-BOM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
133
Total board actions, Pennsylvania 2023
Across 129 cases
2.96
Actions per 1,000 licensees
Pennsylvania statewide rate
probation
Most common action type
48 cases
PA-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 Pennsylvania disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
52
Total Claims
$813
Total Drug Cost
33
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 52
- Total Day Supply
- 258
- Generic Drug Cost
- $580
- Opioid Claims
- 15 (28.8% rate)
- Antibiotic Claims
- 16
Patient Demographics
- Average Patient Age
- 70.9 years
- Avg HCC Risk Score
- 1.29
- Gender Split
- 55% female / 45% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
| Drug | Claims |
|---|---|
| Oxycodone Hcl | 13 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Colon & Rectal Surgery Physician Overview
How Michael Johns, D.O. fits within the Colon & Rectal Surgery Physician landscape nationally.
1,608
Colon & Rectal Surgery Physician Providers in US
50
States with Colon & Rectal Surgery Physician
196
Avg Claims per Provider
Michael Johns, D.O.'s 52 claims are below the specialty average of 196.
Nearby Colon & Rectal Surgery Physician Providers in Pennsylvania
Other clinicians with the same primary specialty enrolled in Pennsylvania, drawn from the same CMS NPPES roster as Johns.
Dr. Taro Arai
MD
Havertown, PA
Dr. Joseph Bannon
M.D.
Scranton, PA
Dr. Brian Bansidhar
D.O.
Erie, PA
James Baran
Monroeville, PA
Dr. Puja Berry
M.D.
York, PA
Compare Colon & Rectal Surgery 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 Pennsylvania medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Colon & Rectal Surgery 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.
Healthcare Guides
Learn more about finding, verifying, and understanding healthcare providers.
How to Find a Doctor
Step-by-step guide to choosing a provider
Verify Credentials
Check NPI, board certification & license status
Medical Specialties Explained
Who treats what and how specialties differ
Understanding Medicare Claims Data
What prescribing data reveals about a provider
In-Network vs Out-of-Network
How insurance networks affect your costs
Telehealth Guide
Virtual care options and coverage in 2026
Explore Pennsylvania
Frequently Asked Questions
What is Michael Johns, D.O.'s specialty? ▼
Michael Johns, D.O. specializes in Colon & Rectal Surgery Physician and practices in Allentown, Pennsylvania. Credentials: D.O..
How much does Michael Johns, D.O. prescribe under Medicare Part D? ▼
In 2023, Michael Johns, D.O. wrote 52 Medicare Part D claims totaling $813 in drug costs for 33 beneficiaries.
What is Michael Johns, D.O.'s Medicare quality score? ▼
Michael Johns, D.O. has a CMS MIPS Final Score of 70.9/100 (Quality: 50.4, Cost: 60.1). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Michael Johns, D.O. located? ▼
Michael Johns, D.O. is located at 1255 S CEDAR CREST BLVD STE 3900, Allentown, PA, 18103. Phone: (484) 788-0852.
What is Michael Johns, D.O.'s NPI number? ▼
Michael Johns, D.O.'s National Provider Identifier (NPI) is 1639601214, issued on 04/01/2017.
Does Michael Johns, D.O. prescribe opioids? ▼
Yes, Michael Johns, D.O. had 15 opioid claims in 2023 with an opioid prescribing rate of 28.8%.
How many Colon & Rectal Surgery Physician providers are there in the US? ▼
There are 1,608 Colon & Rectal Surgery Physician providers across 50 states in the US. The average Colon & Rectal Surgery Physician provider writes 196 Medicare Part D claims per year.
What drugs does Michael Johns, D.O. prescribe most often? ▼
Based on 2023 Medicare Part D data, Michael Johns, D.O.'s most frequently prescribed drugs include Oxycodone Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Michael Johns, D.O. accept Medicare? ▼
Michael Johns, D.O. appears in CMS Medicare data with 52 Part D claims and 33 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Michael Johns, D.O.'s credentials? ▼
Michael Johns, D.O.'s NPI is 1639601214 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
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.