NPI registry status
Active
2026 NPPES data Medical Physician Assistant NPI 1649426479 PA-C
Verify on CMS → Adam Avitabile, PA-C
Medical Physician Assistant in Berkeley Heights, New Jersey.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 40,580 in Medical Physician Assistant, 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
338
Medicare Part D claims · 244 beneficiaries · Medical Physician Assistant avg: 1K
Generic prescribing
84%
generic claims · 12% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
76.5/100
▼ 7 pts below national avg 83.1 · Above neutral
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
Adam Avitabile, PA-C reported a CMS MIPS final score of 76.5/100 - below the 83.1 national average - and filed 338 Medicare Part D claims in 2023.
- 76.5/100
- MIPS score · -7 vs avg
- 338
- Part D claims, 2023
- 84%
- generic prescribing
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.
Adam Avitabile, PA-C's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
77 21st percentile higher than 21% 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 Adam Avitabile, PA-C sits
This provider among medical physician assistant peers
Across the 7,339 medical physician assistant providers who report both Medicare Part D prescribing and a MIPS quality score, Adam Avitabile, PA-C writes more Part D claims than 49% of them and scores higher on MIPS quality than 19% - placing this provider in the lower-volume, lower-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 medical physician assistant peer from a representative sample of 60; the gold marker is Adam Avitabile, PA-C. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
What does the federal data show about Adam Avitabile, PA-C?
Below national averagePrimary specialty
Medical Physician Assistant
Medicare Part D claims
338 69% vs specialty avg
MIPS final score
76.5/100 6.6 pts vs avg
Specialty distribution in New Jersey
How Medical Physician Assistant compares to other specialties among New Jersey providers
Medicare quality performance, MIPS
Adam Avitabile, PA-C's 2023 MIPS final score plotted against the Medical Physician Assistant national average
- MIPS Final Score
- 76.5/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Medical Physician Assistant) - 76.5/100 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).
Adam Avitabile, PA-C appears in the CMS NPPES registry as a Medical Physician Assistant provider holding PA-C credentials at 1 DIAMOND HILL RD, Berkeley Heights, NJ, 07922, with a listed phone of (908) 277-8880. NPI 1649426479 was issued on 08/12/2008.
Medicare Part D records for calendar year 2023 show 338 prescription claims written by this provider, covering 244 Medicare beneficiaries and totaling roughly $5K in drug spend, split 12% brand-name and 84% generic by claim count. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 76.5/100 for the 2023 performance year (Quality 64, Cost 57.7), compared with the national average of 83.1.
Medical Physician Assistant is a mid-sized specialty nationwide, with 40,580 enrolled providers across 55 states and an average of 1,077 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 | 1649426479 |
|---|---|
| Specialty | Medical Physician Assistant |
| Credentials | PA-C |
| Gender | Male |
| NPI Issued | 08/12/2008 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
76.5288
Final Score
Avg: 83.1
64.0296
Quality
57.7329
Cost
100
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where Adam Avitabile, PA-C 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.
City Medical OF Upper East Side PLLC
Bronx, NY
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
Brand vs generic prescribing mix · Typical
Adam Avitabile, PA-C - brand share 12.0%
Medical Physician Assistant average
12% brand-name claims vs 84% generic, on 338 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.
338
Total Claims
$5K
Total Drug Cost
244
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 340
- Total Day Supply
- 4,222
- Brand vs Generic
- 12% brand / 84% generic
- Brand Drug Cost
- $2K
- Generic Drug Cost
- $3K
- Antibiotic Claims
- 104
Patient Demographics
- Average Patient Age
- 69.7 years
- Avg HCC Risk Score
- 1.08
- Gender Split
- 73% female / 27% male
- Age Distribution
- <65: 48, 65-74: 102, 75-84: 80, 85+: 14
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Adam Avitabile, PA-C prescribes most
Top Medicare Part D drugs by claim count, 2023
- Prednisone
Prednisone
33 claims
- Albuterol Sulfate …
Albuterol Sulfate Hfa
27 claims
- Nitrofurantoin Mon…
Nitrofurantoin Mono-Macro
27 claims
- Methylprednisolone
Methylprednisolone
22 claims
- Amoxicillin
Amoxicillin
21 claims
- Amoxicillin-Clavul…
Amoxicillin-Clavulanate Potass
20 claims
- Diclofenac Sodium 13
Diclofenac Sodium
13 claims
- Ofloxacin 13
Ofloxacin
13 claims
| Drug | Claims |
|---|---|
| Prednisone | 33 |
| Albuterol Sulfate Hfa Albuterol Sulfate | 27 |
| Nitrofurantoin Mono-Macro Nitrofurantoin Monohyd/M-Cryst | 27 |
| Methylprednisolone | 22 |
| Amoxicillin | 21 |
| Amoxicillin-Clavulanate Potass Amoxicillin/Potassium Clav | 20 |
| Diclofenac Sodium | 13 |
| Ofloxacin | 13 |
| Azithromycin | 11 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Medical Physician Assistant Overview
How Adam Avitabile, PA-C fits within the Medical Physician Assistant landscape nationally.
40,580
Medical Physician Assistant Providers in US
55
States with Medical Physician Assistant
1,077
Avg Claims per Provider
Adam Avitabile, PA-C's 338 claims are below the specialty average of 1,077.
Nearby Medical Physician Assistant Providers in New Jersey
Other clinicians with the same primary specialty enrolled in New Jersey, drawn from the same CMS NPPES roster as Avitabile.
Peder Aakjar
Clifton, NJ
Salma Abdalla
Bayonne, NJ
Dr. Mohamed Aboelenin
PA-C
South Orange, NJ
Dr. Sean Adair
PA-C
Linwood, NJ
Dr. Busayo Adewale
PA
Somerset, NJ
Compare Medical Physician Assistant 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 New Jersey medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Medical Physician Assistant 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.
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Frequently Asked Questions
What is Adam Avitabile, PA-C's specialty? ▼
Adam Avitabile, PA-C specializes in Medical Physician Assistant and practices in Berkeley Heights, New Jersey. Credentials: PA-C.
How much does Adam Avitabile, PA-C prescribe under Medicare Part D? ▼
In 2023, Adam Avitabile, PA-C wrote 338 Medicare Part D claims totaling $5K in drug costs for 244 beneficiaries.
What is Adam Avitabile, PA-C's Medicare quality score? ▼
Adam Avitabile, PA-C has a CMS MIPS Final Score of 76.5/100 (Quality: 64, Cost: 57.7). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Adam Avitabile, PA-C located? ▼
Adam Avitabile, PA-C is located at 1 DIAMOND HILL RD, Berkeley Heights, NJ, 07922. Phone: (908) 277-8880.
What is Adam Avitabile, PA-C's NPI number? ▼
Adam Avitabile, PA-C's National Provider Identifier (NPI) is 1649426479, issued on 08/12/2008.
Does Adam Avitabile, PA-C prescribe more brand-name or generic drugs? ▼
Adam Avitabile, PA-C's prescribing is 12% brand-name and 84% generic drugs by claim count, with $2K in brand drug costs.
How many Medical Physician Assistant providers are there in the US? ▼
There are 40,580 Medical Physician Assistant providers across 55 states in the US. The average Medical Physician Assistant provider writes 1,077 Medicare Part D claims per year.
What drugs does Adam Avitabile, PA-C prescribe most often? ▼
Based on 2023 Medicare Part D data, Adam Avitabile, PA-C's most frequently prescribed drugs include Prednisone, Albuterol Sulfate Hfa, Nitrofurantoin Mono-Macro. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Adam Avitabile, PA-C accept Medicare? ▼
Adam Avitabile, PA-C appears in CMS Medicare data with 338 Part D claims and 244 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Adam Avitabile, PA-C's credentials? ▼
Adam Avitabile, PA-C's NPI is 1649426479 with credentials PA-C. 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.