2026 NPPES data Medical Physician Assistant NPI 1649426479 PA-C
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ADAM AVITABILE, PA-C

Medical Physician Assistant in BERKELEY HEIGHTS, New Jersey. 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
338
Medicare Part D claims · 244 beneficiaries · Medical Physician Assistant avg: 1K
Generic prescribing
88%
generic claims · 12% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
76.5288/100
▼ 7 pts below national avg 83.1 · [object Object]
What the federal data reveals: ADAM AVITABILE, PA-C is a Medical Physician Assistant ([object Object]) practicing in BERKELEY HEIGHTS, New Jersey with a Medicare Part D prescribing footprint of 338 claims across 244 beneficiaries — 12% brand-name prescribing . Their CMS MIPS Final Score of 76.5288/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities .

What stands out: ADAM AVITABILE, PA-C reported a CMS MIPS final score of 76.5288 out of 100, below the 83.1 national average, and filed 338 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

ADAM AVITABILE, PA-C at a glance

Below national average

NPI registry status

Active

Issued 08/12/2008

NPI 1649426479

Primary specialty

Medical Physician Assistant

Mid-sized

40,527 US NPIs in this specialty

Medicare Part D claims

338 69% vs specialty avg

2023 prescription claims

Specialty avg: 1,077

MIPS final score

76.5288/100 6.57119999999999% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in New Jersey

How Medical Physician Assistant compares to other specialties among New Jersey providers

New Jersey providers

Medical Physician Assistant share within New Jersey

1. Medical Physician Assistant42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Medical Physician Assistant share within New Jersey

Medicare quality performance — MIPS

ADAM AVITABILE, PA-C's 2023 MIPS final score plotted against the Medical Physician Assistant national average

Below national average
MIPS Final Score
76.5288/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Medical Physician Assistant) — 76.5288/100 vs national avg 83.1

0%100%National avg83%76.5%
MIPS final score (Medical Physician Assistant) — 76.5288/100 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).

ADAM AVITABILE, PA-C is a Medical Physician Assistant provider practicing in BERKELEY HEIGHTS, New Jersey, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: PA-C. NPI: 1649426479. 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.

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. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what AVITABILE 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 338 prescription claims written by this provider, covering 244 Medicare beneficiaries and totaling roughly $5K in drug spend, split 12% brand-name and 88% 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 76.5288/100 for the 2023 performance year (Quality 64.0296, Cost 57.7329), compared with the national average of 83.1.

Medical Physician Assistant is a mid-sized specialty nationwide, with 40,527 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

1 DIAMOND HILL RD
BERKELEY HEIGHTS, NJ 07922

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%
Specialty average (est.)

12% brand-name claims vs 88% 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 / 88% 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.

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.

40,527
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.

Compare Medical Physician Assistant nationally: see state-by-state distribution →

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 76.5288/100 (Quality: 64.0296, Cost: 57.7329). 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 88% generic drugs by claim count, with $2K in brand drug costs.
How many Medical Physician Assistant providers are there in the US?
There are 40,527 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

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