2026 NPPES data Otology & Neurotology Physician NPI 1245292309 D.O.
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ANDREW WAKSTEIN, D.O.

Otology & Neurotology Physician in PALMERTON, Pennsylvania. 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
560
Medicare Part D claims · 277 beneficiaries · Otology & Neurotology Physician avg: 401
MIPS score
95.6426/100
▲ 13 pts above national avg 83.1 · [object Object]
Industry payments
$108.81
4 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

ANDREW WAKSTEIN, D.O. reported a CMS MIPS final score of 95.6426/100 — above the 83.1 national average — and filed 560 Medicare Part D claims in 2023.

95.6426/100
MIPS score · +13 vs avg
560
Part D claims, 2023
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.

ANDREW WAKSTEIN, D.O.'s MIPS score vs every scored U.S. clinician

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

96 Top 21% higher than 79% 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%). Below this entry. 80–90: 129,887 scored providers (27%). Below this entry. 90–100: 189,403 scored providers (40%). This entry sits in this band. 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

Board certification likely (heuristic — not verified)

ANDREW WAKSTEIN, D.O. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting — 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 WAKSTEIN, D.O.?

High performer (top quartile)

NPI registry status

Active

Issued 04/04/2006

NPI 1245292309

Primary specialty

Otology & Neurotology Physician

Rare

333 US NPIs in this specialty

Medicare Part D claims

560 40% vs specialty avg

2023 prescription claims

Specialty avg: 401

MIPS final score

95.6426/100 12.542600000000007% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Pennsylvania

How Otology & Neurotology Physician compares to other specialties among Pennsylvania providers

Pennsylvania providers

Otology & Neurotology Physician share within Pennsylvania

1. Otology & Neurotology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Otology & Neurotology Physician share within Pennsylvania

Medicare quality performance — MIPS

ANDREW WAKSTEIN, D.O.'s 2023 MIPS final score plotted against the Otology & Neurotology Physician national average

High performer (top quartile)
MIPS Final Score
95.6426/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Otology & Neurotology Physician) — 95.6426/100 vs national avg 83.1

0%100%National avg83%95.6%
MIPS final score (Otology & Neurotology Physician) — 95.6426/100 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).

ANDREW WAKSTEIN, D.O. is a Otology & Neurotology Physician provider practicing in PALMERTON, Pennsylvania, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: D.O.. NPI: 1245292309. 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.

ANDREW WAKSTEIN, D.O. appears in the CMS NPPES registry as a Otology & Neurotology Physician provider holding D.O. credentials at 217 FRANKLIN AVE, PALMERTON, PA, 18071, with a listed phone of (610) 824-5050. NPI 1245292309 was issued on 04/04/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what WAKSTEIN 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 560 prescription claims written by this provider, covering 277 Medicare beneficiaries and totaling roughly $15K in drug spend, with an opioid prescribing rate of 3.8%. 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 95.6426/100 for the 2023 performance year (Quality 80.5735), compared with the national average of 83.1.

Otology & Neurotology Physician is a narrow specialty nationwide, with 333 enrolled providers across 46 states and an average of 401 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

217 FRANKLIN AVE
PALMERTON, PA 18071

Provider Details

NPI 1245292309
Specialty Otology & Neurotology Physician
Credentials D.O.
Gender Male
NPI Issued 04/04/2006

CMS Quality Score (MIPS)

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

95.6426
Final Score
Avg: 83.1
80.5735
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

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 WAKSTEIN, D.O.. Source: openpaymentsdata.cms.gov.

Total received

$109

Largest payer

Inspire Medical Systems, 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.

License & disciplinary context — Pennsylvania PA-BOM 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 ~45K Pennsylvania medical licensees in 2023 — they are NOT specific to ANDREW WAKSTEIN, D.O.. To verify ANDREW WAKSTEIN, D.O.'s current license status, search the PA-BOM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

133
Total board actions, Pennsylvania 2023
Across 129 cases
2.96
Actions per 1,000 licensees
Pennsylvania statewide rate
probation
Most common action type
48 cases

PA-BOM 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 Pennsylvania disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

560
Total Claims
$15K
Total Drug Cost
277
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
879
Total Day Supply
22,108
Generic Drug Cost
$15K
Opioid Claims
21 (3.8% rate)
Antibiotic Claims
42

Patient Demographics

Average Patient Age
73.2 years
Avg HCC Risk Score
1.22
Gender Split
53% female / 47% male
Age Distribution
<65: 22, 65-74: 141, 75-84: 96, 85+: 18

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Fluticasone Propionate
154
Prednisone
62
Azelastine Hcl
43
Ofloxacin
31
Famotidine
27
Mometasone Furoate
27
Ipratropium Bromide
26
Oxycodone-Acetaminophen
Oxycodone Hcl/Acetaminophen
17
Amoxicillin-Clavulanate Potass
Amoxicillin/Potassium Clav
14
Mupirocin
13

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Otology & Neurotology Physician Overview

How ANDREW WAKSTEIN, D.O. fits within the Otology & Neurotology Physician landscape nationally.

333
Otology & Neurotology Physician Providers in US
46
States with Otology & Neurotology Physician
401
Avg Claims per Provider

ANDREW WAKSTEIN, D.O.'s 560 claims are above the specialty average of 401.

Nearby Otology & Neurotology Physician Providers in Pennsylvania

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

Compare Otology & Neurotology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is ANDREW WAKSTEIN, D.O.'s specialty?
ANDREW WAKSTEIN, D.O. specializes in Otology & Neurotology Physician and practices in PALMERTON, Pennsylvania. Credentials: D.O..
How much does ANDREW WAKSTEIN, D.O. prescribe under Medicare Part D?
In 2023, ANDREW WAKSTEIN, D.O. wrote 560 Medicare Part D claims totaling $15K in drug costs for 277 beneficiaries.
What is ANDREW WAKSTEIN, D.O.'s Medicare quality score?
ANDREW WAKSTEIN, D.O. has a CMS MIPS Final Score of 95.6426/100 (Quality: 80.5735). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is ANDREW WAKSTEIN, D.O. located?
ANDREW WAKSTEIN, D.O. is located at 217 FRANKLIN AVE, PALMERTON, PA, 18071. Phone: (610) 824-5050.
What is ANDREW WAKSTEIN, D.O.'s NPI number?
ANDREW WAKSTEIN, D.O.'s National Provider Identifier (NPI) is 1245292309, issued on 04/04/2006.
Does ANDREW WAKSTEIN, D.O. prescribe opioids?
Yes, ANDREW WAKSTEIN, D.O. had 21 opioid claims in 2023 with an opioid prescribing rate of 3.8%.
How many Otology & Neurotology Physician providers are there in the US?
There are 333 Otology & Neurotology Physician providers across 46 states in the US. The average Otology & Neurotology Physician provider writes 401 Medicare Part D claims per year.
What drugs does ANDREW WAKSTEIN, D.O. prescribe most often?
Based on 2023 Medicare Part D data, ANDREW WAKSTEIN, D.O.'s most frequently prescribed drugs include Fluticasone Propionate, Prednisone, Azelastine Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does ANDREW WAKSTEIN, D.O. accept Medicare?
ANDREW WAKSTEIN, D.O. appears in CMS Medicare data with 560 Part D claims and 277 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify ANDREW WAKSTEIN, D.O.'s credentials?
ANDREW WAKSTEIN, D.O.'s NPI is 1245292309 with credentials D.O.. 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