2026 NPPES data Internal Medicine Physician NPI 1184784126 MD
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ANTHONY CIARDELLA, MD

Internal Medicine Physician in SOUTHINGTON, Connecticut. 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 · 188 beneficiaries · Internal Medicine Physician avg: 3K
Generic prescribing
85%
generic claims · 15% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
93.5626/100
▲ 10 pts above national avg 83.1 · [object Object]

What the federal data shows

ANTHONY CIARDELLA, MD reported a CMS MIPS final score of 93.5626/100 — above the 83.1 national average — and filed 3,231 Medicare Part D claims in 2023.

93.5626/100
MIPS score · +10 vs avg
3K
Part D claims, 2023
85%
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.

ANTHONY CIARDELLA, MD's MIPS score vs every scored U.S. clinician

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

94 Top 29% higher than 71% 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)

ANTHONY CIARDELLA, 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 CIARDELLA, MD?

High performer (top quartile)

NPI registry status

Active

Issued 12/11/2006

NPI 1184784126

Primary specialty

Internal Medicine Physician

High-volume

172,858 US NPIs in this specialty

Medicare Part D claims

3,231 19% vs specialty avg

2023 prescription claims

Specialty avg: 2,716

MIPS final score

93.5626/100 10.462600000000009% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Connecticut

How Internal Medicine Physician compares to other specialties among Connecticut providers

Connecticut providers

Internal Medicine Physician share within Connecticut

1. Internal Medicine Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Internal Medicine Physician share within Connecticut

Medicare quality performance — MIPS

ANTHONY CIARDELLA, MD's 2023 MIPS final score plotted against the Internal Medicine Physician national average

High performer (top quartile)
MIPS Final Score
93.5626/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Internal Medicine Physician) — 93.5626/100 vs national avg 83.1

0%100%National avg83%93.6%
MIPS final score (Internal Medicine Physician) — 93.5626/100 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).

ANTHONY CIARDELLA, MD appears in the CMS NPPES registry as a Internal Medicine Physician provider holding MD credentials at 360 14 N MAIN ST, SOUTHINGTON, CT, 06489, with a listed phone of (860) 621-6759. NPI 1184784126 was issued on 12/11/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what CIARDELLA 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 3,231 prescription claims written by this provider, covering 188 Medicare beneficiaries and totaling roughly $649K in drug spend, split 15% brand-name and 85% generic by claim count, with an opioid prescribing rate of 6.9%. 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 93.5626/100 for the 2023 performance year (Quality 78.5149), compared with the national average of 83.1.

Internal Medicine Physician is a high-volume specialty nationwide, with 172,858 enrolled providers across 56 states and an average of 2,716 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

360 14 N MAIN ST
SOUTHINGTON, CT 06489

Provider Details

NPI 1184784126
Specialty Internal Medicine Physician
Credentials MD
Gender Male
NPI Issued 12/11/2006

CMS Quality Score (MIPS)

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

93.5626
Final Score
Avg: 83.1
78.5149
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where ANTHONY CIARDELLA, 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.

STARLING PHYSICIANS, PLLC
SOUTHINGTON, CT

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

ANTHONY CIARDELLA, MD — brand share 15.0%
Specialty average (est.)

15% brand-name claims vs 85% generic, on 3,231 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.

3,231
Total Claims
$649K
Total Drug Cost
188
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
6,375
Total Day Supply
178,476
Brand vs Generic
15% brand / 85% generic
Brand Drug Cost
$439K
Generic Drug Cost
$208K
Opioid Claims
224 (6.9% rate)
Antibiotic Claims
203

Patient Demographics

Average Patient Age
74.3 years
Avg HCC Risk Score
1.52
Gender Split
57% female / 43% male

Top Prescribed Drugs (Medicare Part D)

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

What ANTHONY CIARDELLA, 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
108
Rosuvastatin Calcium
92
Alprazolam
80
Oxycodone Hcl
79
Methylprednisolone
74
Levothyroxine Sodium
73
Metoprolol Tartrate
67
Clonazepam
64
Metformin Hcl
55
Nebivolol Hcl
55

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

Internal Medicine Physician Overview

How ANTHONY CIARDELLA, MD fits within the Internal Medicine Physician landscape nationally.

172,858
Internal Medicine Physician Providers in US
56
States with Internal Medicine Physician
2,716
Avg Claims per Provider

ANTHONY CIARDELLA, MD's 3,231 claims are above the specialty average of 2,716.

Nearby Internal Medicine Physician Providers in Connecticut

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

Compare Internal Medicine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is ANTHONY CIARDELLA, MD's specialty?
ANTHONY CIARDELLA, MD specializes in Internal Medicine Physician and practices in SOUTHINGTON, Connecticut. Credentials: MD.
How much does ANTHONY CIARDELLA, MD prescribe under Medicare Part D?
In 2023, ANTHONY CIARDELLA, MD wrote 3,231 Medicare Part D claims totaling $649K in drug costs for 188 beneficiaries.
What is ANTHONY CIARDELLA, MD's Medicare quality score?
ANTHONY CIARDELLA, MD has a CMS MIPS Final Score of 93.5626/100 (Quality: 78.5149). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is ANTHONY CIARDELLA, MD located?
ANTHONY CIARDELLA, MD is located at 360 14 N MAIN ST, SOUTHINGTON, CT, 06489. Phone: (860) 621-6759.
What is ANTHONY CIARDELLA, MD's NPI number?
ANTHONY CIARDELLA, MD's National Provider Identifier (NPI) is 1184784126, issued on 12/11/2006.
Does ANTHONY CIARDELLA, MD prescribe more brand-name or generic drugs?
ANTHONY CIARDELLA, MD's prescribing is 15% brand-name and 85% generic drugs by claim count, with $439K in brand drug costs.
Does ANTHONY CIARDELLA, MD prescribe opioids?
Yes, ANTHONY CIARDELLA, MD had 224 opioid claims in 2023 with an opioid prescribing rate of 6.9%.
How many Internal Medicine Physician providers are there in the US?
There are 172,858 Internal Medicine Physician providers across 56 states in the US. The average Internal Medicine Physician provider writes 2,716 Medicare Part D claims per year.
What drugs does ANTHONY CIARDELLA, MD prescribe most often?
Based on 2023 Medicare Part D data, ANTHONY CIARDELLA, MD's most frequently prescribed drugs include Atorvastatin Calcium, Rosuvastatin Calcium, Alprazolam. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does ANTHONY CIARDELLA, MD accept Medicare?
ANTHONY CIARDELLA, MD appears in CMS Medicare data with 3,231 Part D claims and 188 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify ANTHONY CIARDELLA, MD's credentials?
ANTHONY CIARDELLA, MD's NPI is 1184784126 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