2026 NPPES data Student in an Organized Health Care Education/Training Program NPI 1104146539 MD
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Andrea Giamalva, MD

Student in an Organized Health Care Education/Training Program in Belvidere, Illinois. 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
3K
Medicare Part D claims · 258 beneficiaries · Student in an Organized Health Care Education/Training Program avg: 459
Generic prescribing
90%
generic claims · 10% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
75/100
▼ 8 pts below national avg 83.1 · [object Object]

What the federal data shows

Andrea Giamalva, MD reported a CMS MIPS final score of 75/100 — below the 83.1 national average — and filed 2,525 Medicare Part D claims in 2023.

75/100
MIPS score · -8 vs avg
3K
Part D claims, 2023
90%
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.

Andrea Giamalva, MD's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

75 12th percentile higher than 12% 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%). This entry sits in this band. 80–90: 129,887 scored providers (27%). Above this entry. 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

What does the federal data show about Andrea Giamalva, MD?

Below national average

NPI registry status

Active

Issued 06/08/2010

NPI 1104146539

Primary specialty

Student in an Organized Health Care Education/Training Program

High-volume

331,761 US NPIs in this specialty

Medicare Part D claims

2,525 vs specialty avg

2023 prescription claims

Specialty avg: 459

MIPS final score

75/100 8.1 pts vs avg

Mid-tier band

vs 83.1 national avg

Specialty distribution in Illinois

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

Illinois providers

Student in an Organized Health Care Education/Training Program share within Illinois

1. Student in an Organized Health Care Education/Training Program42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Student in an Organized Health Care Education/Training Program share within Illinois

Medicare quality performance — MIPS

Andrea Giamalva, MD's 2023 MIPS final score plotted against the Student in an Organized Health Care Education/Training Program national average

Below national average
MIPS Final Score
75/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Student in an Organized Health Care Education/Training Program) — 75/100 vs national avg 83.1

0%100%National avg83%75%
MIPS final score (Student in an Organized Health Care Education/Training Program) — 75/100 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).

Andrea Giamalva, MD appears in the CMS NPPES registry as a Student in an Organized Health Care Education/Training Program provider holding MD credentials at 1700 HENRY LUCKOW LN, Belvidere, IL, 61008, with a listed phone of (779) 696-8650. NPI 1104146539 was issued on 06/08/2010. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Giamalva 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 2,525 prescription claims written by this provider, covering 258 Medicare beneficiaries and totaling roughly $208K in drug spend, split 10% brand-name and 90% generic by claim count, with an opioid prescribing rate of 2.5%. 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 75/100 for the 2023 performance year (Quality 79.9, Cost 55), 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

1700 HENRY LUCKOW LN
Belvidere, IL 61008

Provider Details

NPI 1104146539
Specialty Student in an Organized Health Care Education/Training Program
Credentials MD
Gender Female
NPI Issued 06/08/2010

CMS Quality Score (MIPS)

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

74.9817
Final Score
Avg: 83.1
79.9242
Quality
55.0149
Cost
78
Promoting Interoperability

Reporting: Group practice

License & disciplinary context — Illinois IDFPR 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~42K Illinois medical licensees in 2023 — they are NOT specific to Andrea Giamalva, MD. To verify Andrea Giamalva, MD's current license status, search the IDFPR public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

106
Total board actions, Illinois 2023
Across 103 cases
2.52
Actions per 1,000 licensees
Illinois statewide rate
probation
Most common action type
38 cases

IDFPR publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Illinois disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

Andrea Giamalva, MD — brand share 10.0%
Specialty average (est.)

10% brand-name claims vs 90% generic, on 2,525 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.

2,525
Total Claims
$208K
Total Drug Cost
258
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
6,137
Total Day Supply
178,503
Brand vs Generic
10% brand / 90% generic
Brand Drug Cost
$163K
Generic Drug Cost
$41K
Opioid Claims
62 (2.5% rate)
Antibiotic Claims
69

Patient Demographics

Average Patient Age
72.5 years
Avg HCC Risk Score
1.07
Gender Split
71% female / 29% male
Age Distribution
<65: 20, 65-74: 145, 75-84: 75, 85+: 18

Top Prescribed Drugs (Medicare Part D)

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

What Andrea Giamalva, MD 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
Atorvastatin Calcium
248
Lisinopril
165
Levothyroxine Sodium
119
Omeprazole
101
Amlodipine Besylate
95
Simvastatin
63
Metoprolol Succinate
54
Metformin Hcl
52
Alendronate Sodium
51
Losartan Potassium
48

* 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 Andrea Giamalva, MD 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

Andrea Giamalva, MD's 2,525 claims are above the specialty average of 459.

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

Other clinicians with the same primary specialty enrolled in Illinois, drawn from the same CMS NPPES roster as Giamalva.

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 Illinois 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 Andrea Giamalva, MD's specialty?
Andrea Giamalva, MD specializes in Student in an Organized Health Care Education/Training Program and practices in Belvidere, Illinois. Credentials: MD.
How much does Andrea Giamalva, MD prescribe under Medicare Part D?
In 2023, Andrea Giamalva, MD wrote 2,525 Medicare Part D claims totaling $208K in drug costs for 258 beneficiaries.
What is Andrea Giamalva, MD's Medicare quality score?
Andrea Giamalva, MD has a CMS MIPS Final Score of 75/100 (Quality: 79.9, Cost: 55). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Andrea Giamalva, MD located?
Andrea Giamalva, MD is located at 1700 HENRY LUCKOW LN, Belvidere, IL, 61008. Phone: (779) 696-8650.
What is Andrea Giamalva, MD's NPI number?
Andrea Giamalva, MD's National Provider Identifier (NPI) is 1104146539, issued on 06/08/2010.
Does Andrea Giamalva, MD prescribe more brand-name or generic drugs?
Andrea Giamalva, MD's prescribing is 10% brand-name and 90% generic drugs by claim count, with $163K in brand drug costs.
Does Andrea Giamalva, MD prescribe opioids?
Yes, Andrea Giamalva, MD had 62 opioid claims in 2023 with an opioid prescribing rate of 2.5%.
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 Andrea Giamalva, MD prescribe most often?
Based on 2023 Medicare Part D data, Andrea Giamalva, MD's most frequently prescribed drugs include Atorvastatin Calcium, Lisinopril, Levothyroxine Sodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Andrea Giamalva, MD accept Medicare?
Andrea Giamalva, MD appears in CMS Medicare data with 2,525 Part D claims and 258 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Andrea Giamalva, MD's credentials?
Andrea Giamalva, MD's NPI is 1104146539 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

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