2026 NPPES data Dermatology Physician NPI 1215930722 M.D.
Verify on CMS →

MICHAEL O'DONNELL, M.D.

Dermatology Physician in SCRANTON, Pennsylvania. 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
901
Medicare Part D claims · 528 beneficiaries · Dermatology Physician avg: 729
Generic prescribing
99%
generic claims · 1% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
84.0808/100
▲ 1 pts above national avg 83.1 · [object Object]

What the federal data shows

MICHAEL O'DONNELL, M.D. reported a CMS MIPS final score of 84.0808/100 — above the 83.1 national average — and filed 901 Medicare Part D claims in 2023.

84.0808/100
MIPS score · +1 vs avg
901
Part D claims, 2023
99%
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.

MICHAEL O'DONNELL, 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

84 45th percentile higher than 45% 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)

MICHAEL O'DONNELL, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation — 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 O'DONNELL, M.D.?

Near national average

NPI registry status

Active

Issued 05/31/2005

NPI 1215930722

Primary specialty

Dermatology Physician

Mid-sized

14,610 US NPIs in this specialty

Medicare Part D claims

901 24% vs specialty avg

2023 prescription claims

Specialty avg: 729

MIPS final score

84.0808/100 0.9808000000000021% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Pennsylvania

How Dermatology Physician compares to other specialties among Pennsylvania providers

Pennsylvania providers

Dermatology Physician share within Pennsylvania

1. Dermatology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Dermatology Physician share within Pennsylvania

Medicare quality performance — MIPS

MICHAEL O'DONNELL, M.D.'s 2023 MIPS final score plotted against the Dermatology Physician national average

Near national average
MIPS Final Score
84.0808/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Dermatology Physician) — 84.0808/100 vs national avg 83.1

0%100%National avg83%84.1%
MIPS final score (Dermatology Physician) — 84.0808/100 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).

MICHAEL O'DONNELL, M.D. appears in the CMS NPPES registry as a Dermatology Physician provider holding M.D. credentials at 327 N WASHINGTON AVE, SCRANTON, PA, 18503, with a listed phone of (570) 961-5522. NPI 1215930722 was issued on 05/31/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what O'DONNELL 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 901 prescription claims written by this provider, covering 528 Medicare beneficiaries and totaling roughly $26K in drug spend, split 1% brand-name and 99% generic by claim count, with an opioid prescribing rate of 1.4%. 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 84.0808/100 for the 2023 performance year (Quality 100, Cost 46.936), compared with the national average of 83.1.

Dermatology Physician is a mid-sized specialty nationwide, with 14,610 enrolled providers across 53 states and an average of 729 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

327 N WASHINGTON AVE
SCRANTON, PA 18503

Provider Details

NPI 1215930722
Specialty Dermatology Physician
Credentials M.D.
Gender Male
NPI Issued 05/31/2005

CMS Quality Score (MIPS)

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

84.0808
Final Score
Avg: 83.1
100
Quality
46.936
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where MICHAEL O'DONNELL, M.D. 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.

LACKAWANNA VALLEY DERMATOLOGY ASSOCIATES LIMITED
SCRANTON, 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).

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 O'DONNELL, M.D.. To verify MICHAEL O'DONNELL, M.D.'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.

Brand vs generic prescribing mix · Generic-heavy

MICHAEL O'DONNELL, M.D. — brand share 1.0%
Specialty average (est.)

1% brand-name claims vs 99% generic, on 901 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.

901
Total Claims
$26K
Total Drug Cost
528
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
919
Total Day Supply
8,292
Brand vs Generic
1% brand / 99% generic
Brand Drug Cost
$16K
Generic Drug Cost
$10K
Opioid Claims
13 (1.4% rate)
Antibiotic Claims
469

Patient Demographics

Average Patient Age
77.7 years
Avg HCC Risk Score
1.22
Gender Split
35% female / 65% male

Top Prescribed Drugs (Medicare Part D)

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

What MICHAEL O'DONNELL, 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
Cephalexin
281
Mupirocin
209
Ciprofloxacin Hcl
130
Gentamicin Sulfate
128
Clindamycin Hcl
37
Diazepam
28
Triamcinolone Acetonide
11

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

Dermatology Physician Overview

How MICHAEL O'DONNELL, M.D. fits within the Dermatology Physician landscape nationally.

14,610
Dermatology Physician Providers in US
53
States with Dermatology Physician
729
Avg Claims per Provider

MICHAEL O'DONNELL, M.D.'s 901 claims are above the specialty average of 729.

Nearby Dermatology Physician Providers in Pennsylvania

Other clinicians with the same primary specialty enrolled in Pennsylvania, drawn from the same CMS NPPES roster as O'DONNELL.

Compare Dermatology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is MICHAEL O'DONNELL, M.D.'s specialty?
MICHAEL O'DONNELL, M.D. specializes in Dermatology Physician and practices in SCRANTON, Pennsylvania. Credentials: M.D..
How much does MICHAEL O'DONNELL, M.D. prescribe under Medicare Part D?
In 2023, MICHAEL O'DONNELL, M.D. wrote 901 Medicare Part D claims totaling $26K in drug costs for 528 beneficiaries.
What is MICHAEL O'DONNELL, M.D.'s Medicare quality score?
MICHAEL O'DONNELL, M.D. has a CMS MIPS Final Score of 84.0808/100 (Quality: 100, Cost: 46.936). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is MICHAEL O'DONNELL, M.D. located?
MICHAEL O'DONNELL, M.D. is located at 327 N WASHINGTON AVE, SCRANTON, PA, 18503. Phone: (570) 961-5522.
What is MICHAEL O'DONNELL, M.D.'s NPI number?
MICHAEL O'DONNELL, M.D.'s National Provider Identifier (NPI) is 1215930722, issued on 05/31/2005.
Does MICHAEL O'DONNELL, M.D. prescribe more brand-name or generic drugs?
MICHAEL O'DONNELL, M.D.'s prescribing is 1% brand-name and 99% generic drugs by claim count, with $16K in brand drug costs.
Does MICHAEL O'DONNELL, M.D. prescribe opioids?
Yes, MICHAEL O'DONNELL, M.D. had 13 opioid claims in 2023 with an opioid prescribing rate of 1.4%.
How many Dermatology Physician providers are there in the US?
There are 14,610 Dermatology Physician providers across 53 states in the US. The average Dermatology Physician provider writes 729 Medicare Part D claims per year.
What drugs does MICHAEL O'DONNELL, M.D. prescribe most often?
Based on 2023 Medicare Part D data, MICHAEL O'DONNELL, M.D.'s most frequently prescribed drugs include Cephalexin, Mupirocin, Ciprofloxacin Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does MICHAEL O'DONNELL, M.D. accept Medicare?
MICHAEL O'DONNELL, M.D. appears in CMS Medicare data with 901 Part D claims and 528 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify MICHAEL O'DONNELL, M.D.'s credentials?
MICHAEL O'DONNELL, M.D.'s NPI is 1215930722 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

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