2026 NPPES data Pain Medicine Physician NPI 1477540771 MD
Verify on CMS →

Michelle Johnston, MD

Pain Medicine Physician in Utica, New York.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 1,006 in Pain 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
2K
Medicare Part D claims · 170 beneficiaries · Pain Medicine Physician avg: 2K
Generic prescribing
96%
generic claims · 4% brand-name · higher generic rates reduce patient out-of-pocket costs

What the federal data shows

Michelle Johnston, MD filed 2,133 Medicare Part D claims in 2024 as a Pain Medicine Physician in Utica, New York, prescribing 96% generic.

2K
Part D claims, 2024
96%
generic prescribing
Likely
board-certified (heuristic)
≥85th
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 Michelle Johnston, MD

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 1477540771), first enumerated 10/02/2005.

    Source: CMS NPPES

  • Reported

    Medicare Part D participation

    Filed 2,133 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.

    Source: CMS Part D Prescriber PUF

  • Reported

    Board certification signal

    Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.

    Source: NUCC taxonomy + CMS participation heuristic

  • Reported

    Hospital affiliations

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

    Source: CMS Care Compare

  • State context

    State board disciplinary context

    New York statewide board action statistics are published annually — these figures describe aggregate state activity, not Michelle Johnston, MD's individual license status. Verify directly with the state medical board.

    Source: NYSBPMC 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 1477540771 · Pain Medicine Physician

NPI-10 · ENUM-LEGACY · TAX-NARROW · RX-MID · BOOK-THIN · PHOTO-ENUM

  • NPI-10 1477540771
  • ENUM-LEGACY 2005
  • TAX-NARROW 1,006
  • RX-MID 2,133
  • BOOK-THIN 71 in New York
  • PHOTO-ENUM Jon Parks · 2005

Michelle Johnston, MD's Medicare Part D volume vs every U.S. prescriber

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

2,133 ≥ 85th percentile 85% 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%). Below this entry. 1,000–1,200: 33,612 prescribers (2%). Below this entry. 1,200–1,400: 27,889 prescribers (2%). Below this entry. 1,400–1,600: 23,183 prescribers (2%). Below this entry. 1,600–1,800: 19,917 prescribers (1%). Below this entry. 1,800–2,000: 17,585 prescribers (1%). Below this entry. 2K+: 226,899 prescribers (16%). This entry sits in this band. 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

Board certification likely (heuristic, not verified)

Michelle Johnston, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 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 Michelle Johnston, MD?

Quality data not reported

NPI registry status

Active

Issued 10/02/2005

NPI 1477540771

Primary specialty

Pain Medicine Physician

Niche

1,006 US NPIs in this specialty

Medicare Part D claims

2,133 2% vs specialty avg

2024 prescription claims

Specialty avg: 2,094

Specialty distribution in New York

How Pain Medicine Physician compares to other specialties among New York providers

New York providers
Student in an Organized Heal…8%Registered Nurse5.2%Clinical Social Worker4.9%Social Worker4.5%Speech-Language Pathologist4.5%Licensed Practical Nurse4.3%Pain Medicine Physician0%
Largest specialties in New York (% 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 Pain Medicine Physician. 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

1656 CHAMPLIN AVE
Utica, NY 13502

Provider Details

NPI 1477540771
Specialty Pain Medicine Physician
Credentials MD
Gender Female
NPI Issued 10/02/2005

Hospital and facility affiliations

Facilities where Michelle Johnston, MD 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.

Lewis County General Hospital
Lowville, NY
Critical Access Hospitals
CMS CCN: 331317

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 - New York NYSBPMC 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 ~100K New York medical licensees in 2023 - they are NOT specific to Michelle Johnston, MD. To verify Michelle Johnston, MD's current license status, search the NYSBPMC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

312
Total board actions, New York 2023
Across 302 cases
3.12
Actions per 1,000 licensees
New York statewide rate
probation
Most common action type
89 cases

NYSBPMC 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 New York disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Generic-heavy

Michelle Johnston, MD - brand share 4.0%
Pain Medicine Physician average

4% brand-name claims vs 96% generic, on 2,133 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.

2,133
Total Claims
$114K
Total Drug Cost
170
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
2,316.533
Total Day Supply
61,250
Brand vs Generic
4% brand / 96% generic
Brand Drug Cost
$58K
Generic Drug Cost
$56K
Opioid Claims
1,147 (53.8% rate)

Patient Demographics

Average Patient Age
67.0 years
Avg HCC Risk Score
1.41
Gender Split
55% female / 45% male
Age Distribution
<65: 58, 65-74: 74, 75-84: N/A, 85+: N/A

Top Prescribed Drugs (Medicare Part D)

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

What Michelle Johnston, MD 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
Gabapentin
376
Pregabalin
332
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
306
Oxycodone Hcl
270
Oxycodone-Acetaminophen
Oxycodone Hcl/Acetaminophen
168
Tramadol Hcl
119
Morphine Sulfate Er
Morphine Sulfate
101
Tizanidine Hcl
64
Cyclobenzaprine Hcl
44
Methocarbamol
33

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

Pain Medicine Physician Overview

How Michelle Johnston, MD fits within the Pain Medicine Physician landscape nationally.

1,006
Pain Medicine Physician Providers in US
49
States with Pain Medicine Physician
2,094
Avg Claims per Provider

Michelle Johnston, MD's 2,133 claims are above the specialty average of 2,094.

Nationwide Pain Medicine Physician peers with similar MIPS or enrollment year

Two federal-record peer sets for Johnston, both outside New York so the neighborhoods are not geographic containment.

Same NPPES enumeration year (2005)

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

Nearby Pain Medicine Physician Providers in New York

Other clinicians with the same primary specialty enrolled in New York, drawn from the same CMS NPPES roster as Johnston.

One of 71 Pain Medicine Physician providers enrolled in New York, 5 are shown here.

Compare Pain Medicine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is Michelle Johnston, MD's specialty?
Michelle Johnston, MD specializes in Pain Medicine Physician and practices in Utica, New York. Credentials: MD.
How much does Michelle Johnston, MD prescribe under Medicare Part D?
In 2024, Michelle Johnston, MD wrote 2,133 Medicare Part D claims totaling $114K in drug costs for 170 beneficiaries.
Where is Michelle Johnston, MD located?
Michelle Johnston, MD is located at 1656 CHAMPLIN AVE, Utica, NY, 13502. Phone: (315) 624-6241.
What is Michelle Johnston, MD's NPI number?
Michelle Johnston, MD's National Provider Identifier (NPI) is 1477540771, issued on 10/02/2005.
Does Michelle Johnston, MD prescribe more brand-name or generic drugs?
Michelle Johnston, MD's prescribing is 4% brand-name and 96% generic drugs by claim count, with $58K in brand drug costs.
Does Michelle Johnston, MD prescribe opioids?
Yes, Michelle Johnston, MD had 1,147 opioid claims in 2024 with an opioid prescribing rate of 53.8%.
How many Pain Medicine Physician providers are there in the US?
There are 1,006 Pain Medicine Physician providers across 49 states in the US. The average Pain Medicine Physician provider writes 2,094 Medicare Part D claims per year.
What drugs does Michelle Johnston, MD prescribe most often?
Based on 2024 Medicare Part D data, Michelle Johnston, MD's most frequently prescribed drugs include Gabapentin, Pregabalin, Hydrocodone-Acetaminophen. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Michelle Johnston, MD accept Medicare?
Michelle Johnston, MD appears in CMS Medicare data with 2,133 Part D claims and 170 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Michelle Johnston, MD's credentials?
Michelle Johnston, MD's NPI is 1477540771 with credentials MD. 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.