NPI registry status
Active
2026 NPPES data Gastroenterology Physician NPI 1235242728 MD
Verify on CMS → Arthur Abelow, MD
Gastroenterology Physician in Bronx, 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 16,567 in Gastroenterology 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
621
Medicare Part D claims · 198 beneficiaries · Gastroenterology Physician avg: 833
Generic prescribing
93%
generic claims · 7% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
100/100
▲ 17 pts above national avg 83.1 · Exceptional
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Arthur Abelow, MD reported a CMS MIPS final score of 100/100 - above the 83.1 national average - and filed 621 Medicare Part D claims in 2023.
- 100/100
- MIPS score · +17 vs avg
- 621
- Part D claims, 2023
- 93%
- 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.
Arthur Abelow, MD's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
100 Top 7% higher than 93% 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 Arthur Abelow, MD sits
This provider among gastroenterology physician peers
Across the 5,957 gastroenterology physician providers who report both Medicare Part D prescribing and a MIPS quality score, Arthur Abelow, MD writes more Part D claims than 40% of them and scores higher on MIPS quality than 91% - 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 gastroenterology physician peer from a representative sample of 60; the gold marker is Arthur Abelow, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Arthur Abelow, 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 Arthur Abelow, MD?
High performer (top quartile)Primary specialty
Gastroenterology Physician
Medicare Part D claims
621 25% vs specialty avg
MIPS final score
100/100 16.9 pts vs avg
Specialty distribution in New York
How Gastroenterology Physician compares to other specialties among New York providers
Medicare quality performance, MIPS
Arthur Abelow, MD's 2023 MIPS final score plotted against the Gastroenterology Physician national average
- MIPS Final Score
- 100/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Gastroenterology Physician) - 100/100 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).
Arthur Abelow, MD appears in the CMS NPPES registry as a Gastroenterology Physician provider holding MD credentials at 1250 WATERS PL, Bronx, NY, 10461, with a listed phone of (718) 239-0115. NPI 1235242728 was issued on 08/17/2006.
Medicare Part D records for calendar year 2023 show 621 prescription claims written by this provider, covering 198 Medicare beneficiaries and totaling roughly $40K in drug spend, split 7% brand-name and 93% generic by claim count. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 100/100 for the 2023 performance year, compared with the national average of 83.1.
Gastroenterology Physician is a mid-sized specialty nationwide, with 16,567 enrolled providers across 54 states and an average of 833 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 | 1235242728 |
|---|---|
| Specialty | Gastroenterology Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 08/17/2006 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
100
Final Score
Avg: 83.1
100
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where Arthur Abelow, 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.
Montefiore Medical Center
★★★☆☆ 3/5
Bronx, NY
Acute Care Hospitals
CMS CCN: 330059
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 - 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 Arthur Abelow, MD. To verify Arthur Abelow, MD'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.
Brand vs generic prescribing mix · Generic-heavy
Arthur Abelow, MD - brand share 7.0%
Gastroenterology Physician average
7% brand-name claims vs 93% generic, on 621 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.
621
Total Claims
$40K
Total Drug Cost
198
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 980
- Total Day Supply
- 27,343
- Brand vs Generic
- 7% brand / 93% generic
- Brand Drug Cost
- $20K
- Generic Drug Cost
- $19K
Patient Demographics
- Average Patient Age
- 69.9 years
- Avg HCC Risk Score
- 1.18
- Gender Split
- 70% female / 30% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Arthur Abelow, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Famotidine
Famotidine
252 claims
- Omeprazole
Omeprazole
135 claims
- Pantoprazole Sodium 74
Pantoprazole Sodium
74 claims
- Linzess 30
Linzess
30 claims
- Hydrocortisone 18
Hydrocortisone
18 claims
- Mesalamine 14
Mesalamine
14 claims
| Drug | Claims |
|---|---|
| Famotidine | 252 |
| Omeprazole | 135 |
| Pantoprazole Sodium | 74 |
| Linzess Linaclotide | 30 |
| Hydrocortisone | 18 |
| Mesalamine | 14 |
| Gavilyte-G "Peg3350/Sod Sulf | N/A |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Gastroenterology Physician Overview
How Arthur Abelow, MD fits within the Gastroenterology Physician landscape nationally.
16,567
Gastroenterology Physician Providers in US
54
States with Gastroenterology Physician
833
Avg Claims per Provider
Arthur Abelow, MD's 621 claims are below the specialty average of 833.
Nearby Gastroenterology Physician Providers in New York
Other clinicians with the same primary specialty enrolled in New York, drawn from the same CMS NPPES roster as Abelow.
Dr. Elie Abadie
MD
Brooklyn, NY
Dr. Hafsa Abbas
MD
Flushing, NY
Dr. Naeem Abbas
MD
Valley Stream, NY
Dr. Uzma Abbasi
M.D.
Oneida, NY
Amro Abdellatief
New York, NY
Compare Gastroenterology 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 Gastroenterology 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 Arthur Abelow, MD's specialty? ▼
Arthur Abelow, MD specializes in Gastroenterology Physician and practices in Bronx, New York. Credentials: MD.
How much does Arthur Abelow, MD prescribe under Medicare Part D? ▼
In 2023, Arthur Abelow, MD wrote 621 Medicare Part D claims totaling $40K in drug costs for 198 beneficiaries.
What is Arthur Abelow, MD's Medicare quality score? ▼
Arthur Abelow, MD has a CMS MIPS Final Score of 100/100. The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Arthur Abelow, MD located? ▼
Arthur Abelow, MD is located at 1250 WATERS PL, Bronx, NY, 10461. Phone: (718) 239-0115.
What is Arthur Abelow, MD's NPI number? ▼
Arthur Abelow, MD's National Provider Identifier (NPI) is 1235242728, issued on 08/17/2006.
Does Arthur Abelow, MD prescribe more brand-name or generic drugs? ▼
Arthur Abelow, MD's prescribing is 7% brand-name and 93% generic drugs by claim count, with $20K in brand drug costs.
How many Gastroenterology Physician providers are there in the US? ▼
There are 16,567 Gastroenterology Physician providers across 54 states in the US. The average Gastroenterology Physician provider writes 833 Medicare Part D claims per year.
What drugs does Arthur Abelow, MD prescribe most often? ▼
Based on 2023 Medicare Part D data, Arthur Abelow, MD's most frequently prescribed drugs include Famotidine, Omeprazole, Pantoprazole Sodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Arthur Abelow, MD accept Medicare? ▼
Arthur Abelow, MD appears in CMS Medicare data with 621 Part D claims and 198 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Arthur Abelow, MD's credentials? ▼
Arthur Abelow, MD's NPI is 1235242728 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.