2026 NPPES data Hospice and Palliative Medicine (Internal Medicine) Physician NPI 1568804359 D.O.
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AYELET SPITZER, D.O.

Hospice and Palliative Medicine (Internal Medicine) Physician in PARAMUS, 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
416
Medicare Part D claims · 85 beneficiaries · Hospice and Palliative Medicine (Internal Medicine) Physician avg: 1K
Generic prescribing
90%
generic claims · 10% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
98.6738/100
▲ 16 pts above national avg 83.1 · [object Object]
What the federal data reveals: AYELET SPITZER, D.O. is a Hospice and Palliative Medicine (Internal Medicine) Physician ([object Object]) practicing in PARAMUS, New Jersey with a Medicare Part D prescribing footprint of 416 claims across 85 beneficiaries — 10% brand-name prescribing . Their CMS MIPS Final Score of 98.6738/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities .

What stands out: AYELET SPITZER, D.O. reported a CMS MIPS final score of 98.6738 out of 100, above the 83.1 national average, and filed 416 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

AYELET SPITZER, D.O. 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).

AYELET SPITZER, D.O. at a glance

High performer (top quartile)

NPI registry status

Active

Issued 07/23/2013

NPI 1568804359

Primary specialty

Hospice and Palliative Medicine (Internal Medicine) Physician

Niche

1,524 US NPIs in this specialty

Medicare Part D claims

416 67% vs specialty avg

2023 prescription claims

Specialty avg: 1,275

MIPS final score

98.6738/100 15.573800000000006% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in New Jersey

How Hospice and Palliative Medicine (Internal Medicine) Physician compares to other specialties among New Jersey providers

New Jersey providers

Hospice and Palliative Medicine (Internal Medicine) Physician share within New Jersey

1. Hospice and Palliative Medicine (Internal Medicine) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Hospice and Palliative Medicine (Internal Medicine) Physician share within New Jersey

Medicare quality performance — MIPS

AYELET SPITZER, D.O.'s 2023 MIPS final score plotted against the Hospice and Palliative Medicine (Internal Medicine) Physician national average

High performer (top quartile)
MIPS Final Score
98.6738/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Hospice and Palliative Medicine (Internal Medicine) Physician) — 98.6738/100 vs national avg 83.1

0%100%National avg83%98.7%
MIPS final score (Hospice and Palliative Medicine (Internal Medicine) Physician) — 98.6738/100 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).

AYELET SPITZER, D.O. is a Hospice and Palliative Medicine (Internal Medicine) Physician provider practicing in PARAMUS, New Jersey, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: D.O.. NPI: 1568804359. 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.

AYELET SPITZER, D.O. appears in the CMS NPPES registry as a Hospice and Palliative Medicine (Internal Medicine) Physician provider holding D.O. credentials at 1 VALLEY HEALTH PLZ, PARAMUS, NJ, 07652, with a listed phone of (201) 634-5578. NPI 1568804359 was issued on 07/23/2013. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what SPITZER 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 416 prescription claims written by this provider, covering 85 Medicare beneficiaries and totaling roughly $15K in drug spend, split 10% brand-name and 90% generic by claim count, with an opioid prescribing rate of 27.2%. 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 98.6738/100 for the 2023 performance year (Quality 93.5705), compared with the national average of 83.1.

Hospice and Palliative Medicine (Internal Medicine) Physician is a narrow specialty nationwide, with 1,524 enrolled providers across 51 states and an average of 1,275 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

1 VALLEY HEALTH PLZ
PARAMUS, NJ 07652

Provider Details

NPI 1568804359
Specialty Hospice and Palliative Medicine (Internal Medicine) Physician
Credentials D.O.
Gender Female
NPI Issued 07/23/2013

CMS Quality Score (MIPS)

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

98.6738
Final Score
Avg: 83.1
93.5705
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where AYELET SPITZER, D.O. 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.

VALLEY PHYSICIAN SERVICES PC
HOBOKEN, NJ

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

AYELET SPITZER, D.O. — brand share 10.0%
Specialty average (est.)

10% brand-name claims vs 90% generic, on 416 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.

416
Total Claims
$15K
Total Drug Cost
85
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
563
Total Day Supply
14,953
Brand vs Generic
10% brand / 90% generic
Brand Drug Cost
$5K
Generic Drug Cost
$10K
Opioid Claims
113 (27.2% rate)

Patient Demographics

Average Patient Age
76.0 years
Avg HCC Risk Score
2.80
Gender Split
67% female / 33% male

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Oxycodone Hcl
57
Escitalopram Oxalate
34
Sertraline Hcl
27
Duloxetine Hcl
25
Trazodone Hcl
25
Hydromorphone Hcl
18
Alprazolam
15
Buspirone Hcl
15
Clonazepam
14
Diphenoxylate-Atropine
Diphenoxylate Hcl/Atropine
12

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

Hospice and Palliative Medicine (Internal Medicine) Physician Overview

How AYELET SPITZER, D.O. fits within the Hospice and Palliative Medicine (Internal Medicine) Physician landscape nationally.

1,524
Hospice and Palliative Medicine (Internal Medicine) Physician Providers in US
51
States with Hospice and Palliative Medicine (Internal Medicine) Physician
1,275
Avg Claims per Provider

AYELET SPITZER, D.O.'s 416 claims are below the specialty average of 1,275.

Nearby Hospice and Palliative Medicine (Internal Medicine) Physician Providers in New Jersey

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

Compare Hospice and Palliative Medicine (Internal Medicine) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is AYELET SPITZER, D.O.'s specialty?
AYELET SPITZER, D.O. specializes in Hospice and Palliative Medicine (Internal Medicine) Physician and practices in PARAMUS, New Jersey. Credentials: D.O..
How much does AYELET SPITZER, D.O. prescribe under Medicare Part D?
In 2023, AYELET SPITZER, D.O. wrote 416 Medicare Part D claims totaling $15K in drug costs for 85 beneficiaries.
What is AYELET SPITZER, D.O.'s Medicare quality score?
AYELET SPITZER, D.O. has a CMS MIPS Final Score of 98.6738/100 (Quality: 93.5705). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is AYELET SPITZER, D.O. located?
AYELET SPITZER, D.O. is located at 1 VALLEY HEALTH PLZ, PARAMUS, NJ, 07652. Phone: (201) 634-5578.
What is AYELET SPITZER, D.O.'s NPI number?
AYELET SPITZER, D.O.'s National Provider Identifier (NPI) is 1568804359, issued on 07/23/2013.
Does AYELET SPITZER, D.O. prescribe more brand-name or generic drugs?
AYELET SPITZER, D.O.'s prescribing is 10% brand-name and 90% generic drugs by claim count, with $5K in brand drug costs.
Does AYELET SPITZER, D.O. prescribe opioids?
Yes, AYELET SPITZER, D.O. had 113 opioid claims in 2023 with an opioid prescribing rate of 27.2%.
How many Hospice and Palliative Medicine (Internal Medicine) Physician providers are there in the US?
There are 1,524 Hospice and Palliative Medicine (Internal Medicine) Physician providers across 51 states in the US. The average Hospice and Palliative Medicine (Internal Medicine) Physician provider writes 1,275 Medicare Part D claims per year.
What drugs does AYELET SPITZER, D.O. prescribe most often?
Based on 2023 Medicare Part D data, AYELET SPITZER, D.O.'s most frequently prescribed drugs include Oxycodone Hcl, Escitalopram Oxalate, Sertraline Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does AYELET SPITZER, D.O. accept Medicare?
AYELET SPITZER, D.O. appears in CMS Medicare data with 416 Part D claims and 85 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify AYELET SPITZER, D.O.'s credentials?
AYELET SPITZER, D.O.'s NPI is 1568804359 with credentials D.O.. 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