2026 NPPES data Otolaryngology Physician NPI 1427162528 MD
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ANTHONY GAMBRINO, MD

Otolaryngology Physician in TOMS RIVER, New Jersey. 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
69
Medicare Part D claims · Otolaryngology Physician avg: 509
Generic prescribing
77%
generic claims · 23% brand-name · higher generic rates reduce patient out-of-pocket costs
What the federal data reveals: ANTHONY GAMBRINO, MD is a Otolaryngology Physician ([object Object]) practicing in TOMS RIVER, New Jersey with a Medicare Part D prescribing footprint of 69 claims — 23% brand-name prescribing .

What stands out: ANTHONY GAMBRINO, MD filed 69 Medicare Part D claims in 2023 across TOMS RIVER, New Jersey. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board-eligible specialty (heuristic — not verified)

ANTHONY GAMBRINO, MD practices in an ABMS-board-eligible specialty but we don't have enough CMS-participation signals to confirm active board-certified status. Consult CertificationMatters.org (the official ABMS public lookup).

ANTHONY GAMBRINO, MD at a glance

Quality data not reported

NPI registry status

Active

Issued 08/18/2006

NPI 1427162528

Primary specialty

Otolaryngology Physician

Mid-sized

10,895 US NPIs in this specialty

Medicare Part D claims

69 86% vs specialty avg

2023 prescription claims

Specialty avg: 509

Specialty distribution in New Jersey

How Otolaryngology Physician compares to other specialties among New Jersey providers

New Jersey providers

Otolaryngology Physician share within New Jersey

1. Otolaryngology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Otolaryngology Physician share within New Jersey

Specialty board-certification context

Estimated specialty board-certified rate — Otolaryngology Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Otolaryngology Physician ABMS/AOA estimate

Est. board-certified rate (Otolaryngology Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Otolaryngology Physician) — ABMS / AOA estimate

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 GAMBRINO, MD is a Otolaryngology Physician provider practicing in TOMS RIVER, New Jersey, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1427162528. 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.

ANTHONY GAMBRINO, MD appears in the CMS NPPES registry as a Otolaryngology Physician provider holding MD credentials at 1901 HOOPER AVENUE SUITE D, TOMS RIVER, NJ, 08753, with a listed phone of (732) 255-3205. NPI 1427162528 was issued on 08/18/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what GAMBRINO 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 69 prescription claims written by this provider, covering N/A Medicare beneficiaries and totaling roughly $6K in drug spend, split 23% brand-name and 77% generic by claim count. 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.

Otolaryngology Physician is a mid-sized specialty nationwide, with 10,895 enrolled providers across 54 states and an average of 509 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

1901 HOOPER AVENUE SUITE D
TOMS RIVER, NJ 08753

Provider Details

NPI 1427162528
Specialty Otolaryngology Physician
Credentials MD
Gender Male
NPI Issued 08/18/2006

Brand vs generic prescribing mix · Typical

ANTHONY GAMBRINO, MD — brand share 23.0%
Specialty average (est.)

23% brand-name claims vs 77% generic, on 69 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.

69
Total Claims
$6K
Total Drug Cost
N/A
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
115
Total Day Supply
2,763
Brand vs Generic
23% brand / 77% generic
Brand Drug Cost
$5K
Generic Drug Cost
$1K
Antibiotic Claims
13

Patient Demographics

Average Patient Age
78.9 years
Avg HCC Risk Score
1.53

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Methylprednisolone
16
Vascepa
Icosapent Ethyl
12

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

Otolaryngology Physician Overview

How ANTHONY GAMBRINO, MD fits within the Otolaryngology Physician landscape nationally.

10,895
Otolaryngology Physician Providers in US
54
States with Otolaryngology Physician
509
Avg Claims per Provider

ANTHONY GAMBRINO, MD's 69 claims are below the specialty average of 509.

Nearby Otolaryngology Physician Providers in New Jersey

Other clinicians with the same primary specialty enrolled in New Jersey, drawn from the same CMS NPPES roster as GAMBRINO.

Compare Otolaryngology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is ANTHONY GAMBRINO, MD's specialty?
ANTHONY GAMBRINO, MD specializes in Otolaryngology Physician and practices in TOMS RIVER, New Jersey. Credentials: MD.
How much does ANTHONY GAMBRINO, MD prescribe under Medicare Part D?
In 2023, ANTHONY GAMBRINO, MD wrote 69 Medicare Part D claims totaling $6K in drug costs for N/A beneficiaries.
Where is ANTHONY GAMBRINO, MD located?
ANTHONY GAMBRINO, MD is located at 1901 HOOPER AVENUE SUITE D, TOMS RIVER, NJ, 08753. Phone: (732) 255-3205.
What is ANTHONY GAMBRINO, MD's NPI number?
ANTHONY GAMBRINO, MD's National Provider Identifier (NPI) is 1427162528, issued on 08/18/2006.
Does ANTHONY GAMBRINO, MD prescribe more brand-name or generic drugs?
ANTHONY GAMBRINO, MD's prescribing is 23% brand-name and 77% generic drugs by claim count, with $5K in brand drug costs.
How many Otolaryngology Physician providers are there in the US?
There are 10,895 Otolaryngology Physician providers across 54 states in the US. The average Otolaryngology Physician provider writes 509 Medicare Part D claims per year.
What drugs does ANTHONY GAMBRINO, MD prescribe most often?
Based on 2023 Medicare Part D data, ANTHONY GAMBRINO, MD's most frequently prescribed drugs include Methylprednisolone, Vascepa. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does ANTHONY GAMBRINO, MD accept Medicare?
ANTHONY GAMBRINO, MD appears in CMS Medicare data with 69 Part D claims and N/A Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify ANTHONY GAMBRINO, MD's credentials?
ANTHONY GAMBRINO, MD's NPI is 1427162528 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.
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