2026 NPPES data Psychiatry Physician NPI 1740661610 MD
Verify on CMS →

Charles Afful, MD

Psychiatry Physician in Middletown, 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 53,104 in Psychiatry 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
584
Medicare Part D claims · 31 beneficiaries · Psychiatry Physician avg: 1K
Generic prescribing
88%
generic claims · 12% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
81.4/100
▼ 2 pts below national avg 83.1 · Above neutral
Industry payments
$18.02
1 payments · CMS Open Payments (Sunshine Act)
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Charles Afful, MD reported a CMS MIPS final score of 81.4/100 - below the 83.1 national average - and filed 584 Medicare Part D claims in 2023.

81.4/100
MIPS score · -2 vs avg
584
Part D claims, 2023
88%
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.

Charles Afful, MD's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure

81 36th percentile higher than 36% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). This entry sits in this band. 90+: 189,403 scored providers (40%). Above this entry. This provider 0 100 every MIPS-scored clinician, bucketed by value

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 Charles Afful, MD sits

This provider among psychiatry physician peers

Across the 4,659 psychiatry physician providers who report both Medicare Part D prescribing and a MIPS quality score, Charles Afful, MD writes more Part D claims than 57% of them and scores higher on MIPS quality than 37% - placing this provider in the high-volume, lower-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

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality0255075100024.949.974.899.8Part D claim volume, percentile in specialtyMIPS quality, percentilePart D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 67Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 58Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 92Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 57Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 53Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 3Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 95Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 85Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 50Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 10Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 20Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 20Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 95Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 80Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 37Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 82Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 38Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 20Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 43Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 73Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 72Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 7Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 62Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 45Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 70Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 55Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 32Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 52Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 10Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 33Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 35Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 62Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 18Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 77Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 47Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 93Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 67Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 20Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 85Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 20Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 75Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 5Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 95Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 60Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 78Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 15Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 10Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 28Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 48Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 30Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 15Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 95Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 62Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 83Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 8Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 38Charles Afful, MD-Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 37
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one psychiatry physician peer from a representative sample of 60; the gold marker is Charles Afful, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

Board certification likely (heuristic, not verified)

Charles Afful, 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 Charles Afful, MD?

Near national average

NPI registry status

Active

Issued 06/16/2015

NPI 1740661610

Primary specialty

Psychiatry Physician

High-volume

53,104 US NPIs in this specialty

Medicare Part D claims

584 44% vs specialty avg

2023 prescription claims

Specialty avg: 1,038

MIPS final score

81.4/100 1.7 pts vs avg

Above neutral band

vs 83.1 national avg

Specialty distribution in New York

How Psychiatry Physician compares to other specialties among New York providers

New York providers
Student in an Organized Health Care Education/Training Program - 7.8%Student in an Organized Health Care Education/Training Program7.8%Registered Nurse - 5.2%Registered Nurse5.2%Clinical Social Worker - 4.9%Clinical Social Worker4.9%Social Worker - 4.5%Social Worker4.5%Speech-Language Pathologist - 4.5%Speech-Language Pathologist4.5%Licensed Practical Nurse - 4.3%Licensed Practical Nurse4.3%Psychiatry Physician - 1.1%Psychiatry Physician1.1%
Largest specialties in New York (% of in-state providers)

Medicare quality performance, MIPS

Charles Afful, MD's 2023 MIPS final score plotted against the Psychiatry Physician national average

Near national average
MIPS Final Score
81.4/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Psychiatry Physician) - 81.4/100 vs national avg 83.1

0%100%National avg83%81.4%
MIPS final score (Psychiatry Physician) - 81.4/100 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).

Charles Afful, MD appears in the CMS NPPES registry as a Psychiatry Physician provider holding MD credentials at 707 E MAIN ST, Middletown, NY, 10940, with a listed phone of (845) 333-2260. NPI 1740661610 was issued on 06/16/2015.

Medicare Part D records for calendar year 2023 show 584 prescription claims written by this provider, covering 31 Medicare beneficiaries and totaling roughly $66K in drug spend, split 12% brand-name and 88% generic by claim count. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 81.4/100 for the 2023 performance year (Quality 59.7, Cost 55.1), compared with the national average of 83.1.

Psychiatry Physician is a high-volume specialty nationwide, with 53,104 enrolled providers across 56 states and an average of 1,038 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

707 E MAIN ST
Middletown, NY 10940

Provider Details

NPI 1740661610
Specialty Psychiatry Physician
Credentials MD
Gender Male
NPI Issued 06/16/2015

CMS Quality Score (MIPS)

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

81.4005
Final Score
Avg: 83.1
59.6766
Quality
55.1166
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where Charles Afful, 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.

Garnet Health Doctors PC
Harris, NY

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 Charles Afful, MD. Source: openpaymentsdata.cms.gov.

Total received

$18

Largest payer

Braeburn 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 Charles Afful, MD. To verify Charles Afful, 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 · Typical

Charles Afful, MD - brand share 12.0%
Psychiatry Physician average

12% brand-name claims vs 88% generic, on 584 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.

584
Total Claims
$66K
Total Drug Cost
31
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
584
Total Day Supply
12,028
Brand vs Generic
12% brand / 88% generic
Brand Drug Cost
$51K
Generic Drug Cost
$14K

Patient Demographics

Average Patient Age
48.1 years
Avg HCC Risk Score
1.37
Gender Split
35% female / 65% male

Top Prescribed Drugs (Medicare Part D)

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

What Charles Afful, MD prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Clozapine
116
Lithium Carbonate
41
Benztropine Mesylate
31
Haloperidol
31
Divalproex Sodium Er
Divalproex Sodium
24
Olanzapine
24
Hydroxyzine Hcl
23
Olanzapine Odt
Olanzapine
18
Lorazepam
17
Haloperidol Decanoate
16

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

Psychiatry Physician Overview

How Charles Afful, MD fits within the Psychiatry Physician landscape nationally.

53,104
Psychiatry Physician Providers in US
56
States with Psychiatry Physician
1,038
Avg Claims per Provider

Charles Afful, MD's 584 claims are below the specialty average of 1,038.

Nearby Psychiatry Physician Providers in New York

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

Compare Psychiatry 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 Psychiatry 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.

Frequently Asked Questions

What is Charles Afful, MD's specialty?
Charles Afful, MD specializes in Psychiatry Physician and practices in Middletown, New York. Credentials: MD.
How much does Charles Afful, MD prescribe under Medicare Part D?
In 2023, Charles Afful, MD wrote 584 Medicare Part D claims totaling $66K in drug costs for 31 beneficiaries.
What is Charles Afful, MD's Medicare quality score?
Charles Afful, MD has a CMS MIPS Final Score of 81.4/100 (Quality: 59.7, Cost: 55.1). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Charles Afful, MD located?
Charles Afful, MD is located at 707 E MAIN ST, Middletown, NY, 10940. Phone: (845) 333-2260.
What is Charles Afful, MD's NPI number?
Charles Afful, MD's National Provider Identifier (NPI) is 1740661610, issued on 06/16/2015.
Does Charles Afful, MD prescribe more brand-name or generic drugs?
Charles Afful, MD's prescribing is 12% brand-name and 88% generic drugs by claim count, with $51K in brand drug costs.
How many Psychiatry Physician providers are there in the US?
There are 53,104 Psychiatry Physician providers across 56 states in the US. The average Psychiatry Physician provider writes 1,038 Medicare Part D claims per year.
What drugs does Charles Afful, MD prescribe most often?
Based on 2023 Medicare Part D data, Charles Afful, MD's most frequently prescribed drugs include Clozapine, Lithium Carbonate, Benztropine Mesylate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Charles Afful, MD accept Medicare?
Charles Afful, MD appears in CMS Medicare data with 584 Part D claims and 31 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Charles Afful, MD's credentials?
Charles Afful, MD's NPI is 1740661610 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.