NPI registry status
Active
2026 NPPES data Rheumatology Physician NPI 1932547627 M.D.
Verify on CMS → Anthony Ocon, M.D.
Rheumatology Physician in Rochester, New York.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 6,181 in Rheumatology 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 · 393 beneficiaries · Rheumatology Physician avg: 2K
MIPS score
95.2/100
▲ 12 pts above national avg 83.1 · Exceptional
Industry payments
$3.5K
27 payments · CMS Open Payments (Sunshine Act)
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Anthony Ocon, M.D. reported a CMS MIPS final score of 95.2/100 - above the 83.1 national average - and filed 1,501 Medicare Part D claims in 2023.
- 95.2/100
- 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 Ocon, M.D.'s MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
95 Top 21% higher than 79% 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 Ocon, M.D. sits
This provider among rheumatology physician peers
Across the 2,181 rheumatology physician providers who report both Medicare Part D prescribing and a MIPS quality score, Anthony Ocon, M.D. writes more Part D claims than 39% of them and scores higher on MIPS quality than 78% - placing this provider in the lower-volume, high-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 rheumatology physician peer from a representative sample of 60; the gold marker is Anthony Ocon, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Anthony Ocon, M.D. 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 Ocon, M.D.?
High performer (top quartile)Primary specialty
Rheumatology Physician
Medicare Part D claims
1,501 27% vs specialty avg
MIPS final score
95.2/100 12.1 pts vs avg
Specialty distribution in New York
How Rheumatology Physician compares to other specialties among New York providers
Medicare quality performance, MIPS
Anthony Ocon, M.D.'s 2023 MIPS final score plotted against the Rheumatology Physician national average
- MIPS Final Score
- 95.2/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Rheumatology Physician) - 95.2/100 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 Ocon, M.D. appears in the CMS NPPES registry as a Rheumatology Physician provider holding M.D. credentials at 601 ELMWOOD AVENUE BOX MED, Rochester, NY, 14642, with a listed phone of (585) 351-3274. NPI 1932547627 was issued on 06/05/2013.
Medicare Part D records for calendar year 2023 show 1,501 prescription claims written by this provider, covering 393 Medicare beneficiaries and totaling roughly $2.0 million in drug spend. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 95.2/100 for the 2023 performance year (Quality 70.6), compared with the national average of 83.1.
Rheumatology Physician is a mid-sized specialty nationwide, with 6,181 enrolled providers across 52 states and an average of 2,054 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 | 1932547627 |
|---|---|
| Specialty | Rheumatology Physician |
| Credentials | M.D. |
| Gender | Male |
| NPI Issued | 06/05/2013 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
95.1965
Final Score
Avg: 83.1
70.6225
Quality
100
Promoting Interoperability
Reporting: Alternative Payment Model
Hospital and facility affiliations
Facilities where Anthony Ocon, M.D. 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.
Rochester General Hospital
★★☆☆☆ 2/5
Rochester, NY
Acute Care Hospitals
CMS CCN: 330125
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 Anthony Ocon, M.D.. Source: openpaymentsdata.cms.gov.
Total received
$3.5K
Largest payer
Amgen 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 - New York NYSBPMC 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 ~100K New York medical licensees in 2023 - they are NOT specific to Anthony Ocon, M.D.. To verify Anthony Ocon, M.D.'s current license status, search the NYSBPMC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
312
Total board actions, New York 2023
Across 302 cases
3.12
Actions per 1,000 licensees
New York statewide rate
probation
Most common action type
89 cases
NYSBPMC 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 New York 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.
1,501
Total Claims
$2.0M
Total Drug Cost
393
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 2,127
- Total Day Supply
- 60,817
- Generic Drug Cost
- $43K
Patient Demographics
- Average Patient Age
- 71.0 years
- Avg HCC Risk Score
- 1.39
- Gender Split
- 69% female / 31% male
- Age Distribution
- <65: 69, 65-74: 183, 75-84: 116, 85+: 25
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Anthony Ocon, M.D. prescribes most
Top Medicare Part D drugs by claim count, 2023
- Hydroxychloroquine…
Hydroxychloroquine Sulfate
300 claims
- Prednisone
Prednisone
187 claims
- Methotrexate
Methotrexate
167 claims
- Celecoxib
Celecoxib
123 claims
- Humira(Cf) Pen 72
Humira(Cf) Pen
72 claims
- Diclofenac Sodium 68
Diclofenac Sodium
68 claims
- Leflunomide 41
Leflunomide
41 claims
- Actemra Actpen 40
Actemra Actpen
40 claims
| Drug | Claims |
|---|---|
| Hydroxychloroquine Sulfate | 300 |
| Prednisone | 187 |
| Methotrexate Methotrexate Sodium | 167 |
| Celecoxib | 123 |
| Humira(Cf) Pen Adalimumab | 72 |
| Diclofenac Sodium | 68 |
| Leflunomide | 41 |
| Actemra Actpen Tocilizumab | 40 |
| Allopurinol | 40 |
| Colchicine | 37 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Rheumatology Physician Overview
How Anthony Ocon, M.D. fits within the Rheumatology Physician landscape nationally.
6,181
Rheumatology Physician Providers in US
52
States with Rheumatology Physician
2,054
Avg Claims per Provider
Anthony Ocon, M.D.'s 1,501 claims are below the specialty average of 2,054.
Nearby Rheumatology Physician Providers in New York
Other clinicians with the same primary specialty enrolled in New York, drawn from the same CMS NPPES roster as Ocon.
Dr. Mary Abdulky
MD
Syracuse, NY
Dr. Ilana Abeles
M.D., PHD
Rochester, NY
Dr. Jihad Abialmouna
M.D.
West Amherst, NY
Dr. Omar Abialmouna
MD
Buffalo, NY
Dr. Irina Abramova
D.O
New Hyde Park, NY
Compare Rheumatology 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 New York medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Rheumatology 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 Ocon, M.D.'s specialty? ▼
Anthony Ocon, M.D. specializes in Rheumatology Physician and practices in Rochester, New York. Credentials: M.D..
How much does Anthony Ocon, M.D. prescribe under Medicare Part D? ▼
In 2023, Anthony Ocon, M.D. wrote 1,501 Medicare Part D claims totaling $2.0M in drug costs for 393 beneficiaries.
What is Anthony Ocon, M.D.'s Medicare quality score? ▼
Anthony Ocon, M.D. has a CMS MIPS Final Score of 95.2/100 (Quality: 70.6). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Anthony Ocon, M.D. located? ▼
Anthony Ocon, M.D. is located at 601 ELMWOOD AVENUE BOX MED, Rochester, NY, 14642. Phone: (585) 351-3274.
What is Anthony Ocon, M.D.'s NPI number? ▼
Anthony Ocon, M.D.'s National Provider Identifier (NPI) is 1932547627, issued on 06/05/2013.
How many Rheumatology Physician providers are there in the US? ▼
There are 6,181 Rheumatology Physician providers across 52 states in the US. The average Rheumatology Physician provider writes 2,054 Medicare Part D claims per year.
What drugs does Anthony Ocon, M.D. prescribe most often? ▼
Based on 2023 Medicare Part D data, Anthony Ocon, M.D.'s most frequently prescribed drugs include Hydroxychloroquine Sulfate, Prednisone, Methotrexate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Anthony Ocon, M.D. accept Medicare? ▼
Anthony Ocon, M.D. appears in CMS Medicare data with 1,501 Part D claims and 393 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Anthony Ocon, M.D.'s credentials? ▼
Anthony Ocon, M.D.'s NPI is 1932547627 with credentials M.D.. 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.