2026 NPPES data Otolaryngology Physician NPI 1205931466 MD
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BABAK BEHIN, MD

Otolaryngology Physician in JERSEY CITY, 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
2K
Medicare Part D claims · 894 beneficiaries · Otolaryngology Physician avg: 509
Generic prescribing
95%
generic claims · 5% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
0/100
▼ 83 pts below national avg 83.1 · [object Object]
Industry payments
$455.22
19 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: BABAK BEHIN, MD is a Otolaryngology Physician ([object Object]) practicing in JERSEY CITY, New Jersey with a Medicare Part D prescribing footprint of 2K claims across 894 beneficiaries — 5% brand-name prescribing . Their CMS MIPS Final Score of 0/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $455.22 across 19 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: BABAK BEHIN, MD reported a CMS MIPS final score of 0 out of 100, below the 83.1 national average, and filed 2,109 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)

BABAK BEHIN, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

BABAK BEHIN, MD at a glance

Below national average

NPI registry status

Active

Issued 09/13/2006

NPI 1205931466

Primary specialty

Otolaryngology Physician

Mid-sized

10,895 US NPIs in this specialty

Medicare Part D claims

2,109 314% vs specialty avg

2023 prescription claims

Specialty avg: 509

MIPS final score

0/100 83.1% pts

Penalty band band

vs 83.1 national avg

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

Medicare quality performance — MIPS

BABAK BEHIN, MD's 2023 MIPS final score plotted against the Otolaryngology Physician national average

Below national average
MIPS Final Score
0/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Otolaryngology Physician) — 0/100 vs national avg 83.1

0%100%National avg83%0%
MIPS final score (Otolaryngology Physician) — 0/100 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).

BABAK BEHIN, MD is a Otolaryngology Physician provider practicing in JERSEY CITY, New Jersey, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1205931466. 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.

BABAK BEHIN, MD appears in the CMS NPPES registry as a Otolaryngology Physician provider holding MD credentials at 142 PALISADE AVE, JERSEY CITY, NJ, 07306, with a listed phone of (201) 659-4706. NPI 1205931466 was issued on 09/13/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BEHIN 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 2,109 prescription claims written by this provider, covering 894 Medicare beneficiaries and totaling roughly $120K in drug spend, split 5% brand-name and 95% 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. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 0/100 for the 2023 performance year (Quality 0), compared with the national average of 83.1.

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

142 PALISADE AVE
JERSEY CITY, NJ 07306

Provider Details

NPI 1205931466
Specialty Otolaryngology Physician
Credentials MD
Gender Male
NPI Issued 09/13/2006

CMS Quality Score (MIPS)

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

0
Final Score
Avg: 83.1
0
Quality

Reporting: Individual

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 BABAK BEHIN, MD. Source: openpaymentsdata.cms.gov.

Total received

$455

Largest payer

Regeneron Healthcare Solutions, 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.

Brand vs generic prescribing mix · Generic-heavy

BABAK BEHIN, MD — brand share 5.0%
Specialty average (est.)

5% brand-name claims vs 95% generic, on 2,109 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.

2,109
Total Claims
$120K
Total Drug Cost
894
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
2,230
Total Day Supply
43,163
Brand vs Generic
5% brand / 95% generic
Brand Drug Cost
$54K
Generic Drug Cost
$66K
Antibiotic Claims
607

Patient Demographics

Average Patient Age
72.3 years
Avg HCC Risk Score
1.52
Gender Split
69% female / 31% male
Age Distribution
<65: 120, 65-74: 393, 75-84: 314, 85+: 67

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Amoxicillin-Clavulanate Potass
Amoxicillin/Potassium Clav
343
Fluticasone Propionate
336
Neomycin-Polymyxin-Hydrocort
Neomycin/Polymyxin B/Hydrocort
206
Omeprazole
133
Dexlansoprazole Dr
Dexlansoprazole
121
Ibuprofen
118
Prednisone
105
Sulfamethoxazole-Trimethoprim
Sulfamethoxazole/Trimethoprim
92
Clarithromycin
87
Meloxicam
82

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

Otolaryngology Physician Overview

How BABAK BEHIN, 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

BABAK BEHIN, MD's 2,109 claims are above 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 BEHIN.

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

Frequently Asked Questions

What is BABAK BEHIN, MD's specialty?
BABAK BEHIN, MD specializes in Otolaryngology Physician and practices in JERSEY CITY, New Jersey. Credentials: MD.
How much does BABAK BEHIN, MD prescribe under Medicare Part D?
In 2023, BABAK BEHIN, MD wrote 2,109 Medicare Part D claims totaling $120K in drug costs for 894 beneficiaries.
What is BABAK BEHIN, MD's Medicare quality score?
BABAK BEHIN, MD has a CMS MIPS Final Score of 0/100 (Quality: 0). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is BABAK BEHIN, MD located?
BABAK BEHIN, MD is located at 142 PALISADE AVE, JERSEY CITY, NJ, 07306. Phone: (201) 659-4706.
What is BABAK BEHIN, MD's NPI number?
BABAK BEHIN, MD's National Provider Identifier (NPI) is 1205931466, issued on 09/13/2006.
Does BABAK BEHIN, MD prescribe more brand-name or generic drugs?
BABAK BEHIN, MD's prescribing is 5% brand-name and 95% generic drugs by claim count, with $54K 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 BABAK BEHIN, MD prescribe most often?
Based on 2023 Medicare Part D data, BABAK BEHIN, MD's most frequently prescribed drugs include Amoxicillin-Clavulanate Potass, Fluticasone Propionate, Neomycin-Polymyxin-Hydrocort. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does BABAK BEHIN, MD accept Medicare?
BABAK BEHIN, MD appears in CMS Medicare data with 2,109 Part D claims and 894 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify BABAK BEHIN, MD's credentials?
BABAK BEHIN, MD's NPI is 1205931466 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