2026 NPPES data Student in an Organized Health Care Education/Training Program NPI 1073044988 D.O.
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Sean McCalmon, D.O.

Student in an Organized Health Care Education/Training Program in Wilmington, North Carolina. This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers — including 331,761 in Student in an Organized Health Care Education/Training Program, 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 · 403 beneficiaries · Student in an Organized Health Care Education/Training Program avg: 459
Generic prescribing
41%
generic claims · 53% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
86.3/100
▲ 3 pts above national avg 83.1 · Above neutral
Industry payments
$3.3K
175 payments · CMS Open Payments (Sunshine Act)
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Sean McCalmon, D.O. reported a CMS MIPS final score of 86.3/100 — above the 83.1 national average — and filed 1,832 Medicare Part D claims in 2023.

86.3/100
MIPS score · +3 vs avg
2K
Part D claims, 2023
41%
generic prescribing
$3.3K
industry payments (Sunshine Act)

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.

Sean McCalmon, 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

86 Top 48% higher than 52% 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

Where Sean McCalmon, D.O. sits

This provider among student in an organized health care education/training program peers

Across the 12,645 student in an organized health care education/training program providers who report both Medicare Part D prescribing and a MIPS quality score, Sean McCalmon, D.O. writes more Part D claims than 88% of them and scores higher on MIPS quality than 50% — placing this provider in the high-volume, high-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

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality02550751000255075100Part D claim volume — percentile in specialtyMIPS quality — percentilePart D claim volume — percentile in specialty: 50 · MIPS quality — percentile: 70Part D claim volume — percentile in specialty: 15 · MIPS quality — percentile: 13Part D claim volume — percentile in specialty: 77 · MIPS quality — percentile: 73Part D claim volume — percentile in specialty: 63 · MIPS quality — percentile: 98Part D claim volume — percentile in specialty: 80 · MIPS quality — percentile: 80Part D claim volume — percentile in specialty: 93 · MIPS quality — percentile: 85Part D claim volume — percentile in specialty: 82 · MIPS quality — percentile: 68Part D claim volume — percentile in specialty: 92 · MIPS quality — percentile: 7Part D claim volume — percentile in specialty: 48 · MIPS quality — percentile: 28Part D claim volume — percentile in specialty: 27 · MIPS quality — percentile: 55Part D claim volume — percentile in specialty: 33 · MIPS quality — percentile: 53Part D claim volume — percentile in specialty: 7 · MIPS quality — percentile: 35Part D claim volume — percentile in specialty: 32 · MIPS quality — percentile: 52Part D claim volume — percentile in specialty: 47 · MIPS quality — percentile: 70Part D claim volume — percentile in specialty: 78 · MIPS quality — percentile: 2Part D claim volume — percentile in specialty: 8 · MIPS quality — percentile: 8Part D claim volume — percentile in specialty: 73 · MIPS quality — percentile: 65Part D claim volume — percentile in specialty: 35 · MIPS quality — percentile: 95Part D claim volume — percentile in specialty: 18 · MIPS quality — percentile: 20Part D claim volume — percentile in specialty: 13 · MIPS quality — percentile: 22Part D claim volume — percentile in specialty: 87 · MIPS quality — percentile: 50Part D claim volume — percentile in specialty: 53 · MIPS quality — percentile: 43Part D claim volume — percentile in specialty: 30 · MIPS quality — percentile: 82Part D claim volume — percentile in specialty: 52 · MIPS quality — percentile: 67Part D claim volume — percentile in specialty: 0 · MIPS quality — percentile: 83Part D claim volume — percentile in specialty: 23 · MIPS quality — percentile: 12Part D claim volume — percentile in specialty: 42 · MIPS quality — percentile: 75Part D claim volume — percentile in specialty: 43 · MIPS quality — percentile: 60Part D claim volume — percentile in specialty: 3 · MIPS quality — percentile: 57Part D claim volume — percentile in specialty: 2 · MIPS quality — percentile: 10Part D claim volume — percentile in specialty: 35 · MIPS quality — percentile: 33Part D claim volume — percentile in specialty: 25 · MIPS quality — percentile: 97Part D claim volume — percentile in specialty: 67 · MIPS quality — percentile: 45Part D claim volume — percentile in specialty: 95 · MIPS quality — percentile: 60Part D claim volume — percentile in specialty: 100 · MIPS quality — percentile: 25Part D claim volume — percentile in specialty: 97 · MIPS quality — percentile: 98Part D claim volume — percentile in specialty: 85 · MIPS quality — percentile: 3Part D claim volume — percentile in specialty: 57 · MIPS quality — percentile: 37Part D claim volume — percentile in specialty: 70 · MIPS quality — percentile: 92Part D claim volume — percentile in specialty: 88 · MIPS quality — percentile: 77Part D claim volume — percentile in specialty: 98 · MIPS quality — percentile: 93Part D claim volume — percentile in specialty: 62 · MIPS quality — percentile: 0Part D claim volume — percentile in specialty: 68 · MIPS quality — percentile: 57Part D claim volume — percentile in specialty: 20 · MIPS quality — percentile: 40Part D claim volume — percentile in specialty: 65 · MIPS quality — percentile: 27Part D claim volume — percentile in specialty: 72 · MIPS quality — percentile: 85Part D claim volume — percentile in specialty: 58 · MIPS quality — percentile: 78Part D claim volume — percentile in specialty: 12 · MIPS quality — percentile: 22Part D claim volume — percentile in specialty: 38 · MIPS quality — percentile: 47Part D claim volume — percentile in specialty: 55 · MIPS quality — percentile: 18Part D claim volume — percentile in specialty: 5 · MIPS quality — percentile: 85Part D claim volume — percentile in specialty: 40 · MIPS quality — percentile: 17Part D claim volume — percentile in specialty: 17 · MIPS quality — percentile: 32Part D claim volume — percentile in specialty: 60 · MIPS quality — percentile: 38Part D claim volume — percentile in specialty: 28 · MIPS quality — percentile: 90Part D claim volume — percentile in specialty: 22 · MIPS quality — percentile: 15Part D claim volume — percentile in specialty: 45 · MIPS quality — percentile: 5Part D claim volume — percentile in specialty: 83 · MIPS quality — percentile: 63Part D claim volume — percentile in specialty: 10 · MIPS quality — percentile: 40Part D claim volume — percentile in specialty: 90 · MIPS quality — percentile: 30Sean McCalmon, D.O. — Part D claim volume — percentile in specialty: 88 · MIPS quality — percentile: 50
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one student in an organized health care education/training program peer from a representative sample of 60; the gold marker is Sean McCalmon, D.O.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

What does the federal data show about Sean McCalmon, D.O.?

High performer (top quartile)

NPI registry status

Active

Issued 03/22/2017

NPI 1073044988

Primary specialty

Student in an Organized Health Care Education/Training Program

High-volume

331,761 US NPIs in this specialty

Medicare Part D claims

1,832 299% vs specialty avg

2023 prescription claims

Specialty avg: 459

MIPS final score

86.3/100 3.2 pts vs avg

Above neutral band

vs 83.1 national avg

Specialty distribution in North Carolina

How Student in an Organized Health Care Education/Training Program compares to other specialties among North Carolina providers

North Carolina providers

Largest specialties in North Carolina (% of in-state providers)

Clinical Social Worker — 7.1%Clinical Social Worker7.1%Behavior Technician — 6.4%Behavior Technician6.4%Pharmacist — 5%Pharmacist5%Student in an Organized Health Care Education/Training Program — 4.5%Student in an Organized Health Care Education/Training Program4.5%Physical Therapist — 4.3%Physical Therapist4.3%Physician Assistant — 4.2%Physician Assistant4.2%
Largest specialties in North Carolina (% of in-state providers)

Medicare quality performance — MIPS

Sean McCalmon, D.O.'s 2023 MIPS final score plotted against the Student in an Organized Health Care Education/Training Program national average

High performer (top quartile)
MIPS Final Score
86.3/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Student in an Organized Health Care Education/Training Program) — 86.3/100 vs national avg 83.1

0%100%National avg83%86.3%
MIPS final score (Student in an Organized Health Care Education/Training Program) — 86.3/100 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).

Sean McCalmon, D.O. appears in the CMS NPPES registry as a Student in an Organized Health Care Education/Training Program provider holding D.O. credentials at 2421 SILVER STREAM LN, Wilmington, NC, 28401, with a listed phone of (910) 763-6332. NPI 1073044988 was issued on 03/22/2017. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what McCalmon 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 1,832 prescription claims written by this provider, covering 403 Medicare beneficiaries and totaling roughly $1.1 million in drug spend, split 53% brand-name and 41% generic by claim count. 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 86.3/100 for the 2023 performance year (Quality 65.3, Cost 89.1), compared with the national average of 83.1.

Student in an Organized Health Care Education/Training Program is a high-volume specialty nationwide, with 331,761 enrolled providers across 55 states and an average of 459 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

2421 SILVER STREAM LN
Wilmington, NC 28401

Provider Details

NPI 1073044988
Specialty Student in an Organized Health Care Education/Training Program
Credentials D.O.
Gender Male
NPI Issued 03/22/2017

CMS Quality Score (MIPS)

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

86.3322
Final Score
Avg: 83.1
65.3072
Quality
89.1335
Cost
100
Promoting Interoperability

Reporting: Individual

Hospital and facility affiliations

Facilities where Sean McCalmon, 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.

Wilmington Health PLLC
Wilmington, 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 Sean McCalmon, D.O.. Source: openpaymentsdata.cms.gov.

Total received

$3.3K

Largest payer

Lilly USA, LLC

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 · Brand-heavy

Sean McCalmon, D.O. — brand share 53.0%
Student in an Organized Health Care Education/Training Program average

53% brand-name claims vs 41% generic, on 1,832 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.

1,832
Total Claims
$1.1M
Total Drug Cost
403
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
3,997
Total Day Supply
118,118
Brand vs Generic
53% brand / 41% generic
Brand Drug Cost
$1.0M
Generic Drug Cost
$31K

Patient Demographics

Average Patient Age
69.4 years
Avg HCC Risk Score
1.40
Gender Split
65% female / 35% male

Top Prescribed Drugs (Medicare Part D)

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

What Sean McCalmon, D.O. 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
Ozempic
Semaglutide
181
Levothyroxine Sodium
168
Trulicity
Dulaglutide
117
Mounjaro
Tirzepatide
64
Atorvastatin Calcium
61
Synthroid
Levothyroxine Sodium
58
Metformin Hcl Er
Metformin Hcl
54
Metformin Hcl
50
Farxiga
Dapagliflozin Propanediol
49
Losartan Potassium
47

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

Student in an Organized Health Care Education/Training Program Overview

How Sean McCalmon, D.O. fits within the Student in an Organized Health Care Education/Training Program landscape nationally.

331,761
Student in an Organized Health Care Education/Training Program Providers in US
55
States with Student in an Organized Health Care Education/Training Program
459
Avg Claims per Provider

Sean McCalmon, D.O.'s 1,832 claims are above the specialty average of 459.

Nearby Student in an Organized Health Care Education/Training Program Providers in North Carolina

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

Compare Student in an Organized Health Care Education/Training Program 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 North Carolina medical board — federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Student in an Organized Health Care Education/Training Program 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.

Frequently Asked Questions

What is Sean McCalmon, D.O.'s specialty?
Sean McCalmon, D.O. specializes in Student in an Organized Health Care Education/Training Program and practices in Wilmington, North Carolina. Credentials: D.O..
How much does Sean McCalmon, D.O. prescribe under Medicare Part D?
In 2023, Sean McCalmon, D.O. wrote 1,832 Medicare Part D claims totaling $1.1M in drug costs for 403 beneficiaries.
What is Sean McCalmon, D.O.'s Medicare quality score?
Sean McCalmon, D.O. has a CMS MIPS Final Score of 86.3/100 (Quality: 65.3, Cost: 89.1). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Sean McCalmon, D.O. located?
Sean McCalmon, D.O. is located at 2421 SILVER STREAM LN, Wilmington, NC, 28401. Phone: (910) 763-6332.
What is Sean McCalmon, D.O.'s NPI number?
Sean McCalmon, D.O.'s National Provider Identifier (NPI) is 1073044988, issued on 03/22/2017.
Does Sean McCalmon, D.O. prescribe more brand-name or generic drugs?
Sean McCalmon, D.O.'s prescribing is 53% brand-name and 41% generic drugs by claim count, with $1.0M in brand drug costs.
How many Student in an Organized Health Care Education/Training Program providers are there in the US?
There are 331,761 Student in an Organized Health Care Education/Training Program providers across 55 states in the US. The average Student in an Organized Health Care Education/Training Program provider writes 459 Medicare Part D claims per year.
What drugs does Sean McCalmon, D.O. prescribe most often?
Based on 2023 Medicare Part D data, Sean McCalmon, D.O.'s most frequently prescribed drugs include Ozempic, Levothyroxine Sodium, Trulicity. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Sean McCalmon, D.O. accept Medicare?
Sean McCalmon, D.O. appears in CMS Medicare data with 1,832 Part D claims and 403 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Sean McCalmon, D.O.'s credentials?
Sean McCalmon, D.O.'s NPI is 1073044988 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

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.