NPI registry status
Active
2026 NPPES data Urology Physician NPI 1992704340 MD
Verify on CMS → Andrew Joel, MD
Urology Physician in Arlington, Virginia.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 13,606 in Urology 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
877
Medicare Part D claims · 276 beneficiaries · Urology Physician avg: 1K
Generic prescribing
91%
generic claims · 9% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
77.4/100
▼ 6 pts below national avg 83.5 · Above neutral
Industry payments
$1.1K
18 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2024
What the federal data shows
Andrew Joel, MD reported a CMS MIPS final score of 77.4/100 - below the 83.5 national average - and filed 877 Medicare Part D claims in 2024.
- 77.4/100
- MIPS score · -6 vs avg
- 877
- Part D claims, 2024
- 91%
- 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.
Federal trust snapshot
What official records show about Andrew Joel, MD
Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1992704340), first enumerated 07/19/2005.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 877 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- Reported
CMS quality reporting (MIPS)
Reported a CMS MIPS final score of 77.4/100 in the Quality Payment Program — a federal quality measure, not a patient review.
Source: CMS Quality Payment Program
- Reported
Board certification signal
Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.
- Reported
Hospital affiliations
1 CMS Care Compare hospital affiliation on record — practice footprint from the Doctors and Clinicians file.
Source: CMS Care Compare
- Reported
Industry payment transparency
$1.1K in reported industry payments (18 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.
Source: CMS Open Payments
- Not in federal data
Individual sanction lookup
PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.
Source: State medical board / FSMB
This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.
CMS NPPES provider registry desk
NPI 1992704340 · Urology Physician
NPI-10 · ENUM-LEGACY · TAX-MID · MIPS-BELOW · RX-LIGHT · BOOK-THIN · PHOTO-FINISH
- NPI-10 1992704340
- ENUM-LEGACY 2005
- TAX-MID 14K Urology Physician
- MIPS-BELOW 77.4/100
- RX-LIGHT 877
- BOOK-THIN 341 in Virginia
- PHOTO-FINISH Shammai Rockove · ±0.0
MIPS final-score neighbourhood
Same-specialty nationwide peers by CMS final score, not geographic proximity
- Joel · this prov…
Joel · this provider
77.4 MIPS pts
- Jason Levy · near
Jason Levy
77.4 MIPS pts
- Shammai Rockove …
Shammai Rockove
77.4 MIPS pts
- Benjamin Jessie …
Benjamin Jessie
77.5 MIPS pts
- William Gilbert …
William Gilbert
77.5 MIPS pts
What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).
Andrew Joel, MD's MIPS score vs every measured U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.
77 ≥ 20th percentile 20% of 454,083 measured providers are in lower value bands
Each bar is a band; taller bars hold more measured 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.
The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where Andrew Joel, MD sits
This provider among urology physician peers
Across the 4,091 urology physician providers who report both Medicare Part D prescribing and a MIPS quality score, Andrew Joel, MD writes more Part D claims than 37% 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.
Each dot is one urology physician peer from a representative sample of 60; the gold marker is Andrew Joel, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Andrew Joel, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation - 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 Andrew Joel, MD?
Below national averagePrimary specialty
Urology Physician
Medicare Part D claims
877 35% vs specialty avg
MIPS final score
77.4/100 6.1 pts vs avg
Specialty distribution in Virginia
How Urology Physician compares to other specialties among Virginia providers
Medicare quality performance, MIPS
Andrew Joel, MD's 2023 MIPS final score plotted against the Urology Physician national average
- MIPS Final Score
- 77.4/100
- vs 83.5 national avg · 2023 performance year
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).
Practice Address
Provider Details
| NPI | 1992704340 |
|---|---|
| Specialty | Urology Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 07/19/2005 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
77.3661
Final Score
Measured-score avg: 83.5
80.8214
Quality
54.5656
Cost
87
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where Andrew Joel, MD 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.
Virginia Hospital Center Physician Group LLC
Arlington, VA
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
Industry payments received (2024) - CMS Open Payments transparency data
The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for Andrew Joel, MD. Source: openpaymentsdata.cms.gov.
Total received
$1.1K
Largest payer
Edap Technomed Inc
Most common payment type
Food and Beverage
Industry payments are not necessarily indicators of bias, they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.
Brand vs generic prescribing mix · Generic-heavy
Andrew Joel, MD - brand share 9.0%
Urology Physician average
9% brand-name claims vs 91% generic, on 877 2024 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 2024.
877
Total Claims
$119K
Total Drug Cost
276
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 2,296.167
- Total Day Supply
- 67,597
- Brand vs Generic
- 9% brand / 91% generic
- Brand Drug Cost
- $97K
- Generic Drug Cost
- $22K
- Antibiotic Claims
- 38
Patient Demographics
- Average Patient Age
- 76.8 years
- Avg HCC Risk Score
- 1.14
- Gender Split
- 4% female / 96% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
What Andrew Joel, MD prescribes most
Top Medicare Part D drugs by claim count, 2024
- Tamsulosin Hcl
Tamsulosin Hcl
287 claims
- Alfuzosin Hcl Er
Alfuzosin Hcl Er
160 claims
- Finasteride
Finasteride
159 claims
- Gemtesa 44
Gemtesa
44 claims
- Myrbetriq 28
Myrbetriq
28 claims
- Tadalafil 27
Tadalafil
27 claims
- Potassium Citrate Er 22
Potassium Citrate Er
22 claims
- Bicalutamide 19
Bicalutamide
19 claims
| Drug | Claims |
|---|---|
| Tamsulosin Hcl | 287 |
| Alfuzosin Hcl Er Alfuzosin Hcl | 160 |
| Finasteride | 159 |
| Gemtesa Vibegron | 44 |
| Myrbetriq Mirabegron | 28 |
| Tadalafil | 27 |
| Potassium Citrate Er Potassium Citrate | 22 |
| Bicalutamide | 19 |
| Dutasteride | 16 |
| Silodosin | 11 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Urology Physician Overview
How Andrew Joel, MD fits within the Urology Physician landscape nationally.
13,606
Urology Physician Providers in US
54
States with Urology Physician
1,354
Avg Claims per Provider
Andrew Joel, MD's 877 claims are below the specialty average of 1,354.
Nationwide Urology Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Joel, both outside Virginia so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (77.4 here).
Same NPPES enumeration year (2005)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Urology Physician Providers in Virginia
Other clinicians with the same primary specialty enrolled in Virginia, drawn from the same CMS NPPES roster as Joel.
One of 341 Urology Physician providers enrolled in Virginia, 5 are shown here.
Dr. Nassib Abou Heidar
MD
Charlottesville, VA
Dr. Mehrad Adibi
MD
Roanoke, VA
Dr. Joel Alperstein
MD
Fairfax, VA
Dr. Basavlinga Amarkumar
M.D.
Salem, VA
Dr. Mark Anderson
M.D., M.SC.
Charlottesville, VA
Compare Urology Physician nationally: see state-by-state distribution →
Frequently Asked Questions
What is Andrew Joel, MD's specialty? ▼
Andrew Joel, MD specializes in Urology Physician and practices in Arlington, Virginia. Credentials: MD.
How much does Andrew Joel, MD prescribe under Medicare Part D? ▼
In 2024, Andrew Joel, MD wrote 877 Medicare Part D claims totaling $119K in drug costs for 276 beneficiaries.
What is Andrew Joel, MD's Medicare quality score? ▼
Andrew Joel, MD has a CMS MIPS Final Score of 77.4/100 (Quality: 80.8, Cost: 54.6). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Andrew Joel, MD located? ▼
Andrew Joel, MD is located at 1625 NORTH GEORGE MASON DRIVE, Arlington, VA, 22205. Phone: (703) 717-4200.
What is Andrew Joel, MD's NPI number? ▼
Andrew Joel, MD's National Provider Identifier (NPI) is 1992704340, issued on 07/19/2005.
Does Andrew Joel, MD prescribe more brand-name or generic drugs? ▼
Andrew Joel, MD's prescribing is 9% brand-name and 91% generic drugs by claim count, with $97K in brand drug costs.
How many Urology Physician providers are there in the US? ▼
There are 13,606 Urology Physician providers across 54 states in the US. The average Urology Physician provider writes 1,354 Medicare Part D claims per year.
What drugs does Andrew Joel, MD prescribe most often? ▼
Based on 2024 Medicare Part D data, Andrew Joel, MD's most frequently prescribed drugs include Tamsulosin Hcl, Alfuzosin Hcl Er, Finasteride. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Andrew Joel, MD accept Medicare? ▼
Andrew Joel, MD appears in CMS Medicare data with 877 Part D claims and 276 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Andrew Joel, MD's credentials? ▼
Andrew Joel, MD's NPI is 1992704340 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 (2024). 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 August 2026 (NPPES) / 2024 (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
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 August 2026.