2026 NPPES data Interventional Pain Medicine Physician NPI 1255351110 M.D.
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SCOTT JOHNSTON, M.D.

Interventional Pain Medicine Physician in JACKSONVILLE, North Carolina. 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
355
Medicare Part D claims · 97 beneficiaries · Interventional Pain Medicine Physician avg: 2K
Generic prescribing
94%
generic claims · 6% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
81.8455/100
▼ 1 pts below national avg 83.1 · [object Object]
Industry payments
$3.2K
118 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: SCOTT JOHNSTON, M.D. is a Interventional Pain Medicine Physician ([object Object]) practicing in JACKSONVILLE, North Carolina with a Medicare Part D prescribing footprint of 355 claims across 97 beneficiaries — 6% brand-name prescribing . Their CMS MIPS Final Score of 81.8455/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $3.2K across 118 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: SCOTT JOHNSTON, M.D. reported a CMS MIPS final score of 81.8455 out of 100, below the 83.1 national average, and filed 355 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

SCOTT JOHNSTON, 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).

SCOTT JOHNSTON, M.D. at a glance

Near national average

NPI registry status

Active

Issued 07/20/2006

NPI 1255351110

Primary specialty

Interventional Pain Medicine Physician

Niche

1,528 US NPIs in this specialty

Medicare Part D claims

355 84% vs specialty avg

2023 prescription claims

Specialty avg: 2,197

MIPS final score

81.8455/100 1.254499999999993% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in North Carolina

How Interventional Pain Medicine Physician compares to other specialties among North Carolina providers

North Carolina providers

Interventional Pain Medicine Physician share within North Carolina

1. Interventional Pain Medicine Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Interventional Pain Medicine Physician share within North Carolina

Medicare quality performance — MIPS

SCOTT JOHNSTON, M.D.'s 2023 MIPS final score plotted against the Interventional Pain Medicine Physician national average

Near national average
MIPS Final Score
81.8455/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Interventional Pain Medicine Physician) — 81.8455/100 vs national avg 83.1

0%100%National avg83%81.8%
MIPS final score (Interventional Pain Medicine Physician) — 81.8455/100 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).

SCOTT JOHNSTON, M.D. is a Interventional Pain Medicine Physician provider practicing in JACKSONVILLE, North Carolina, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1255351110. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

SCOTT JOHNSTON, M.D. appears in the CMS NPPES registry as a Interventional Pain Medicine Physician provider holding M.D. credentials at 250 HUFF DR, JACKSONVILLE, NC, 28546, with a listed phone of (910) 353-4414. NPI 1255351110 was issued on 07/20/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what JOHNSTON 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 355 prescription claims written by this provider, covering 97 Medicare beneficiaries and totaling roughly $26K in drug spend, split 6% brand-name and 94% generic by claim count, with an opioid prescribing rate of 34.9%. 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 81.8455/100 for the 2023 performance year (Quality 78.4544, Cost 64.603), compared with the national average of 83.1.

Interventional Pain Medicine Physician is a narrow specialty nationwide, with 1,528 enrolled providers across 53 states and an average of 2,197 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

250 HUFF DR
JACKSONVILLE, NC 28546

Provider Details

NPI 1255351110
Specialty Interventional Pain Medicine Physician
Credentials M.D.
Gender Male
NPI Issued 07/20/2006

CMS Quality Score (MIPS)

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

81.8455
Final Score
Avg: 83.1
78.4544
Quality
64.603
Cost

Reporting: Group practice

Hospital and facility affiliations

Facilities where SCOTT JOHNSTON, 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.

JOHNSTON PAIN MANAGEMENT PA
JACKSONVILLE, NC

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 SCOTT JOHNSTON, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$3.2K

Largest payer

SI-BONE, 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.

Brand vs generic prescribing mix · Generic-heavy

SCOTT JOHNSTON, M.D. — brand share 6.0%
Specialty average (est.)

6% brand-name claims vs 94% generic, on 355 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.

355
Total Claims
$26K
Total Drug Cost
97
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
370
Total Day Supply
9,463
Brand vs Generic
6% brand / 94% generic
Brand Drug Cost
$18K
Generic Drug Cost
$8K
Opioid Claims
124 (34.9% rate)
Antibiotic Claims
17

Patient Demographics

Average Patient Age
65.9 years
Avg HCC Risk Score
1.71
Gender Split
58% female / 42% male
Age Distribution
<65: 39, 65-74: 37, 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.

Drug Claims
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
37
Pregabalin
37
Gabapentin
36
Buprenorphine Hcl
23
Oxycodone-Acetaminophen
Oxycodone Hcl/Acetaminophen
23
Methocarbamol
22
Oxycodone Hcl
20
Baclofen
17
Morphine Sulfate Er
Morphine Sulfate
12
Tramadol Hcl
11

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

Interventional Pain Medicine Physician Overview

How SCOTT JOHNSTON, M.D. fits within the Interventional Pain Medicine Physician landscape nationally.

1,528
Interventional Pain Medicine Physician Providers in US
53
States with Interventional Pain Medicine Physician
2,197
Avg Claims per Provider

SCOTT JOHNSTON, M.D.'s 355 claims are below the specialty average of 2,197.

Nearby Interventional Pain Medicine Physician Providers in North Carolina

Other clinicians with the same primary specialty enrolled in North Carolina, drawn from the same CMS NPPES roster as JOHNSTON.

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

Frequently Asked Questions

What is SCOTT JOHNSTON, M.D.'s specialty?
SCOTT JOHNSTON, M.D. specializes in Interventional Pain Medicine Physician and practices in JACKSONVILLE, North Carolina. Credentials: M.D..
How much does SCOTT JOHNSTON, M.D. prescribe under Medicare Part D?
In 2023, SCOTT JOHNSTON, M.D. wrote 355 Medicare Part D claims totaling $26K in drug costs for 97 beneficiaries.
What is SCOTT JOHNSTON, M.D.'s Medicare quality score?
SCOTT JOHNSTON, M.D. has a CMS MIPS Final Score of 81.8455/100 (Quality: 78.4544, Cost: 64.603). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is SCOTT JOHNSTON, M.D. located?
SCOTT JOHNSTON, M.D. is located at 250 HUFF DR, JACKSONVILLE, NC, 28546. Phone: (910) 353-4414.
What is SCOTT JOHNSTON, M.D.'s NPI number?
SCOTT JOHNSTON, M.D.'s National Provider Identifier (NPI) is 1255351110, issued on 07/20/2006.
Does SCOTT JOHNSTON, M.D. prescribe more brand-name or generic drugs?
SCOTT JOHNSTON, M.D.'s prescribing is 6% brand-name and 94% generic drugs by claim count, with $18K in brand drug costs.
Does SCOTT JOHNSTON, M.D. prescribe opioids?
Yes, SCOTT JOHNSTON, M.D. had 124 opioid claims in 2023 with an opioid prescribing rate of 34.9%.
How many Interventional Pain Medicine Physician providers are there in the US?
There are 1,528 Interventional Pain Medicine Physician providers across 53 states in the US. The average Interventional Pain Medicine Physician provider writes 2,197 Medicare Part D claims per year.
What drugs does SCOTT JOHNSTON, M.D. prescribe most often?
Based on 2023 Medicare Part D data, SCOTT JOHNSTON, M.D.'s most frequently prescribed drugs include Hydrocodone-Acetaminophen, Pregabalin, Gabapentin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does SCOTT JOHNSTON, M.D. accept Medicare?
SCOTT JOHNSTON, M.D. appears in CMS Medicare data with 355 Part D claims and 97 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify SCOTT JOHNSTON, M.D.'s credentials?
SCOTT JOHNSTON, M.D.'s NPI is 1255351110 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