NPI registry status
Active
2026 NPPES data Cardiovascular Disease Physician NPI 1861466658 MD
Verify on CMS → Stephen Ginn, MD
Cardiovascular Disease Physician in Fayetteville, 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 24,810 in Cardiovascular Disease 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 · 354 beneficiaries · Cardiovascular Disease Physician avg: 3K
Generic prescribing
80%
generic claims · 20% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
98.5/100
▲ 15 pts above national avg 83.1 · Exceptional
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Stephen Ginn, MD reported a CMS MIPS final score of 98.5/100 - above the 83.1 national average - and filed 2,454 Medicare Part D claims in 2023.
- 98.5/100
- MIPS score · +15 vs avg
- 2K
- Part D claims, 2023
- 80%
- 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.
Stephen Ginn, MD's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
99 Top 11% higher than 89% 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 Stephen Ginn, MD sits
This provider among cardiovascular disease physician peers
Across the 8,753 cardiovascular disease physician providers who report both Medicare Part D prescribing and a MIPS quality score, Stephen Ginn, MD writes more Part D claims than 44% of them and scores higher on MIPS quality than 89% - placing this provider in the lower-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
Each dot is one cardiovascular disease physician peer from a representative sample of 60; the gold marker is Stephen Ginn, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Stephen Ginn, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting - 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 Stephen Ginn, MD?
High performer (top quartile)Primary specialty
Cardiovascular Disease Physician
Medicare Part D claims
2,454 19% vs specialty avg
MIPS final score
98.5/100 15.4 pts vs avg
Specialty distribution in North Carolina
How Cardiovascular Disease Physician compares to other specialties among North Carolina providers
Medicare quality performance, MIPS
Stephen Ginn, MD's 2023 MIPS final score plotted against the Cardiovascular Disease Physician national average
- MIPS Final Score
- 98.5/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Cardiovascular Disease Physician) - 98.5/100 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).
Stephen Ginn, MD appears in the CMS NPPES registry as a Cardiovascular Disease Physician provider holding MD credentials at 3634 CAPE CENTER DR, Fayetteville, NC, 28304, with a listed phone of (910) 485-6470. NPI 1861466658 was issued on 02/16/2006.
Medicare Part D records for calendar year 2023 show 2,454 prescription claims written by this provider, covering 354 Medicare beneficiaries and totaling roughly $468K in drug spend, split 20% brand-name and 80% generic by claim count. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 98.5/100 for the 2023 performance year (Quality 97), compared with the national average of 83.1.
Cardiovascular Disease Physician is a mid-sized specialty nationwide, with 24,810 enrolled providers across 54 states and an average of 3,033 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 | 1861466658 |
|---|---|
| Specialty | Cardiovascular Disease Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 02/16/2006 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
98.4858
Final Score
Avg: 83.1
96.9717
Quality
Reporting: Group practice
Brand vs generic prescribing mix · Typical
Stephen Ginn, MD - brand share 20.0%
Cardiovascular Disease Physician average
20% brand-name claims vs 80% generic, on 2,454 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.
2,454
Total Claims
$468K
Total Drug Cost
354
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 6,198
- Total Day Supply
- 185,100
- Brand vs Generic
- 20% brand / 80% generic
- Brand Drug Cost
- $423K
- Generic Drug Cost
- $45K
Patient Demographics
- Average Patient Age
- 75.2 years
- Avg HCC Risk Score
- 1.47
- Gender Split
- 46% female / 54% male
- Age Distribution
- <65: 23, 65-74: 146, 75-84: 141, 85+: 44
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Stephen Ginn, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Atorvastatin Calcium
Atorvastatin Calcium
247 claims
- Atenolol
Atenolol
204 claims
- Eliquis
Eliquis
179 claims
- Xarelto
Xarelto
160 claims
- Lisinopril
Lisinopril
145 claims
- Metoprolol Succinate
Metoprolol Succinate
126 claims
- Amlodipine Besylate
Amlodipine Besylate
124 claims
- Carvedilol 94
Carvedilol
94 claims
| Drug | Claims |
|---|---|
| Atorvastatin Calcium | 247 |
| Atenolol | 204 |
| Eliquis Apixaban | 179 |
| Xarelto Rivaroxaban | 160 |
| Lisinopril | 145 |
| Metoprolol Succinate | 126 |
| Amlodipine Besylate | 124 |
| Carvedilol | 94 |
| Clopidogrel Clopidogrel Bisulfate | 77 |
| Furosemide | 68 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
More Cardiovascular Disease Physician in NC →
All providers in North Carolina →
Compare specialties →
Cardiovascular Disease Physician Overview
How Stephen Ginn, MD fits within the Cardiovascular Disease Physician landscape nationally.
24,810
Cardiovascular Disease Physician Providers in US
54
States with Cardiovascular Disease Physician
3,033
Avg Claims per Provider
Stephen Ginn, MD's 2,454 claims are below the specialty average of 3,033.
Nearby Cardiovascular Disease Physician Providers in North Carolina
Other clinicians with the same primary specialty enrolled in North Carolina, drawn from the same CMS NPPES roster as Ginn.
Dr. William Abernathy
MD
Durham, NC
Dr. William Abernethy
M.D.
Asheville, NC
Dr. Cyril Abrams
M.D.
Jacksonville, NC
Dr. George Adams
M.D.
Garner, NC
Dr. Kirkwood Adams
MD
Chapel Hill, NC
Compare Cardiovascular Disease 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 North Carolina medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Cardiovascular Disease 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 North Carolina
Frequently Asked Questions
What is Stephen Ginn, MD's specialty? ▼
Stephen Ginn, MD specializes in Cardiovascular Disease Physician and practices in Fayetteville, North Carolina. Credentials: MD.
How much does Stephen Ginn, MD prescribe under Medicare Part D? ▼
In 2023, Stephen Ginn, MD wrote 2,454 Medicare Part D claims totaling $468K in drug costs for 354 beneficiaries.
What is Stephen Ginn, MD's Medicare quality score? ▼
Stephen Ginn, MD has a CMS MIPS Final Score of 98.5/100 (Quality: 97). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Stephen Ginn, MD located? ▼
Stephen Ginn, MD is located at 3634 CAPE CENTER DR, Fayetteville, NC, 28304. Phone: (910) 485-6470.
What is Stephen Ginn, MD's NPI number? ▼
Stephen Ginn, MD's National Provider Identifier (NPI) is 1861466658, issued on 02/16/2006.
Does Stephen Ginn, MD prescribe more brand-name or generic drugs? ▼
Stephen Ginn, MD's prescribing is 20% brand-name and 80% generic drugs by claim count, with $423K in brand drug costs.
How many Cardiovascular Disease Physician providers are there in the US? ▼
There are 24,810 Cardiovascular Disease Physician providers across 54 states in the US. The average Cardiovascular Disease Physician provider writes 3,033 Medicare Part D claims per year.
What drugs does Stephen Ginn, MD prescribe most often? ▼
Based on 2023 Medicare Part D data, Stephen Ginn, MD's most frequently prescribed drugs include Atorvastatin Calcium, Atenolol, Eliquis. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Stephen Ginn, MD accept Medicare? ▼
Stephen Ginn, MD appears in CMS Medicare data with 2,454 Part D claims and 354 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Stephen Ginn, MD's credentials? ▼
Stephen Ginn, MD's NPI is 1861466658 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 (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.
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 May 2026.