NPI registry status
Active
2026 NPPES data Urology Physician NPI 1326032954 MD
Verify on CMS → Anthony Arciola, MD
Urology Physician in Sebring, Florida.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 13,350 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
2K
Medicare Part D claims · 552 beneficiaries · Urology Physician avg: 1K
MIPS score
71/100
▼ 12 pts below national avg 83.1 · Mid-tier
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Anthony Arciola, MD reported a CMS MIPS final score of 71/100 - below the 83.1 national average - and filed 1,965 Medicare Part D claims in 2023.
- 71/100
- MIPS score · -12 vs avg
- 2K
- 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.
Anthony Arciola, MD's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
71 8th percentile higher than 8% 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 Anthony Arciola, MD sits
This provider among urology physician peers
Across the 4,623 urology physician providers who report both Medicare Part D prescribing and a MIPS quality score, Anthony Arciola, MD writes more Part D claims than 68% of them and scores higher on MIPS quality than 8% - placing this provider in the high-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 urology physician peer from a representative sample of 60; the gold marker is Anthony Arciola, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Anthony Arciola, 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 Anthony Arciola, MD?
Below national averagePrimary specialty
Urology Physician
Medicare Part D claims
1,965 54% vs specialty avg
MIPS final score
71/100 12.1 pts vs avg
Specialty distribution in Florida
How Urology Physician compares to other specialties among Florida providers
Medicare quality performance, MIPS
Anthony Arciola, MD's 2023 MIPS final score plotted against the Urology Physician national average
- MIPS Final Score
- 71/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Urology Physician) - 71/100 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).
Anthony Arciola, MD appears in the CMS NPPES registry as a Urology Physician provider holding MD credentials at 4420 SUN N LAKE BLVD, Sebring, FL, 33872, with a listed phone of (863) 385-2248. NPI 1326032954 was issued on 09/09/2005.
Medicare Part D records for calendar year 2023 show 1,965 prescription claims written by this provider, covering 552 Medicare beneficiaries and totaling roughly $163K in drug spend, with an opioid prescribing rate of 1.2%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 71/100 for the 2023 performance year (Quality 57, Cost 78.8), compared with the national average of 83.1.
Urology Physician is a mid-sized specialty nationwide, with 13,350 enrolled providers across 54 states and an average of 1,280 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 | 1326032954 |
|---|---|
| Specialty | Urology Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 09/09/2005 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
70.9714
Final Score
Avg: 83.1
56.9542
Quality
78.7838
Cost
61
Promoting Interoperability
Reporting: Individual
Hospital and facility affiliations
Facilities where Anthony Arciola, 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.
Adventist Health System-Sunbelt Inc
Lake Placid, FL
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
License & disciplinary context - Florida FLDOH 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 ~75K Florida medical licensees in 2023 - they are NOT specific to Anthony Arciola, MD. To verify Anthony Arciola, MD's current license status, search the FLDOH public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
480
Total board actions, Florida 2023
Across 467 cases
6.40
Actions per 1,000 licensees
Florida statewide rate
monetary fine
Most common action type
138 cases
FLDOH 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 Florida 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.
1,965
Total Claims
$163K
Total Drug Cost
552
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 4,178
- Total Day Supply
- 112,959
- Generic Drug Cost
- $65K
- Opioid Claims
- 24 (1.2% rate)
- Antibiotic Claims
- 573
Patient Demographics
- Average Patient Age
- 77.4 years
- Avg HCC Risk Score
- 1.51
- Gender Split
- 21% female / 79% male
- Age Distribution
- <65: 21, 65-74: 175, 75-84: 263, 85+: 93
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Anthony Arciola, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Tamsulosin Hcl
Tamsulosin Hcl
515 claims
- Cephalexin
Cephalexin
230 claims
- Ciprofloxacin Hcl
Ciprofloxacin Hcl
230 claims
- Finasteride 124
Finasteride
124 claims
- Oxybutynin Chlorid… 119
Oxybutynin Chloride Er
119 claims
- Dutasteride 72
Dutasteride
72 claims
- Potassium Citrate Er 65
Potassium Citrate Er
65 claims
- Bicalutamide 59
Bicalutamide
59 claims
| Drug | Claims |
|---|---|
| Tamsulosin Hcl | 515 |
| Cephalexin | 230 |
| Ciprofloxacin Hcl | 230 |
| Finasteride | 124 |
| Oxybutynin Chloride Er Oxybutynin Chloride | 119 |
| Dutasteride | 72 |
| Potassium Citrate Er Potassium Citrate | 65 |
| Bicalutamide | 59 |
| Cefuroxime Cefuroxime Axetil | 43 |
| Allopurinol | 35 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Urology Physician Overview
How Anthony Arciola, MD fits within the Urology Physician landscape nationally.
13,350
Urology Physician Providers in US
54
States with Urology Physician
1,280
Avg Claims per Provider
Anthony Arciola, MD's 1,965 claims are above the specialty average of 1,280.
Nearby Urology Physician Providers in Florida
Other clinicians with the same primary specialty enrolled in Florida, drawn from the same CMS NPPES roster as Arciola.
Dr. Abd-El-Rahman Abd-El-Barr
M.D.
Tampa, FL
Dr. Mourad Abouelleil
M.D.
West Palm Beach, FL
Dr. Ran Abrahamy
MD
Tamarac, FL
Dr. Mark Abramson
M.D.
Jacksonville, FL
Dr. Salim Afridi
MD
Plant City, FL
Compare Urology Physician 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 Florida medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Urology Physician 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 Anthony Arciola, MD's specialty? ▼
Anthony Arciola, MD specializes in Urology Physician and practices in Sebring, Florida. Credentials: MD.
How much does Anthony Arciola, MD prescribe under Medicare Part D? ▼
In 2023, Anthony Arciola, MD wrote 1,965 Medicare Part D claims totaling $163K in drug costs for 552 beneficiaries.
What is Anthony Arciola, MD's Medicare quality score? ▼
Anthony Arciola, MD has a CMS MIPS Final Score of 71/100 (Quality: 57, Cost: 78.8). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Anthony Arciola, MD located? ▼
Anthony Arciola, MD is located at 4420 SUN N LAKE BLVD, Sebring, FL, 33872. Phone: (863) 385-2248.
What is Anthony Arciola, MD's NPI number? ▼
Anthony Arciola, MD's National Provider Identifier (NPI) is 1326032954, issued on 09/09/2005.
Does Anthony Arciola, MD prescribe opioids? ▼
Yes, Anthony Arciola, MD had 24 opioid claims in 2023 with an opioid prescribing rate of 1.2%.
How many Urology Physician providers are there in the US? ▼
There are 13,350 Urology Physician providers across 54 states in the US. The average Urology Physician provider writes 1,280 Medicare Part D claims per year.
What drugs does Anthony Arciola, MD prescribe most often? ▼
Based on 2023 Medicare Part D data, Anthony Arciola, MD's most frequently prescribed drugs include Tamsulosin Hcl, Cephalexin, Ciprofloxacin Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Anthony Arciola, MD accept Medicare? ▼
Anthony Arciola, MD appears in CMS Medicare data with 1,965 Part D claims and 552 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Anthony Arciola, MD's credentials? ▼
Anthony Arciola, MD's NPI is 1326032954 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 (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.