John Middleton, M.D.
NPI 1427160720 · Psychiatry Physician · Fresno, CA
Enrolled with Medicare as Practitioner - Psychiatry · source: CMS PECOS Public Provider Enrollment (2026.04.01)
John Middleton, M.D. is a Psychiatry Physician provider in Fresno, CA (NPI 1427160720).
Provider details
- NPI number
- 1427160720
- Entity type
- Individual
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- A51829 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
19 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
10 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
67 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 35 | $130 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 32 | $90 |
Typical Medicare-allowed amounts for these services range $90–$130 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 59 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Clonazepam | 234 | 27 |
| Alprazolam | 165 | 19 |
| Lorazepam | 160 | 30 |
| Sertraline Hcl | 146 | 22 |
| Buspirone Hcl | 136 | 27 |
| Benztropine Mesylate | 136 | 18 |
| Quetiapine Fumarate | 123 | 18 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$5,135 across 100 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (9)
- 380/386 Coalinga PlazaCoalinga, CA 93210Phone: (855) 343-1057
- 3636 N 1st St Ste 162Fresno, CA 93726-6869Phone: (559) 476-2166
- 1690 W Shaw Ave Ste 201Fresno, CA 93711-3519Phone: (855) 343-1057
- 3855 N West Ave Ste 103-110Fresno, CA 93705-2759Phone: (559) 334-6433
- 36618 Lassen Ave. Suite aHuron, CA 93234Phone: (855) 343-1057
- 275 S. Madera St. Suite 302, 403 & 404Kerman, CA 93630Phone: (855) 343-1057
- 1311 11th StReedley, CA 93654-2926Phone: (855) 343-1057
- 225 S. Academy AveSanger, CA 93657Phone: (855) 343-1057
- 3800 Mccall Ave Ste 104Selma, CA 93662-2217Phone: (855) 343-1057
Registry dates
- Enumerated
- 2006-08-31
- Last updated
- 2026-04-14
- Certified
- 2026-04-14
Frequently asked questions
- What is John Middleton's NPI number?
- John Middleton's National Provider Identifier (NPI) is 1427160720, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is John Middleton's specialty?
- John Middleton is listed in the NPPES registry with a primary specialty of Psychiatry Physician (Allopathic & Osteopathic Physicians).
- Where is John Middleton located?
- John Middleton's practice location on file with NPPES is 3649 W Beechwood Ave Ste 101, Fresno, CA 93711-0693.
- What is John Middleton's phone number?
- The practice phone number listed in the NPPES registry for John Middleton is (559) 439-1534.
- Does John Middleton accept Medicare?
- John Middleton is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is John Middleton's NPI active?
- Yes — John Middleton's NPI (1427160720) is active in the NPPES registry as of the last update on 2026-04-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.