2026 NPPES data Neurology with Special Qualifications in Child Neurology Physician NPI 1316171473 M.D.
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CHING TSAO, M.D.

Neurology with Special Qualifications in Child Neurology Physician in SUMMIT, 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
1K
Medicare Part D claims · 144 beneficiaries · Neurology with Special Qualifications in Child Neurology Physician avg: 359
Generic prescribing
88%
generic claims · 12% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
76.7036/100
▼ 6 pts below national avg 83.1 · [object Object]

What the federal data shows

CHING TSAO, M.D. reported a CMS MIPS final score of 76.7036/100 — below the 83.1 national average — and filed 1,499 Medicare Part D claims in 2023.

76.7036/100
MIPS score · -6 vs avg
1K
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.

CHING TSAO, 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

77 21st percentile higher than 21% 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%). This entry sits in this band. 80–90: 129,887 scored providers (27%). Above this entry. 90–100: 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

Board certification likely (heuristic — not verified)

CHING TSAO, 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 CHING TSAO, M.D.?

Below national average

NPI registry status

Active

Issued 05/05/2009

NPI 1316171473

Primary specialty

Neurology with Special Qualifications in Child Neurology Physician

Niche

1,803 US NPIs in this specialty

Medicare Part D claims

1,499 318% vs specialty avg

2023 prescription claims

Specialty avg: 359

MIPS final score

76.7036/100 6.3964% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in New Jersey

How Neurology with Special Qualifications in Child Neurology Physician compares to other specialties among New Jersey providers

New Jersey providers

Neurology with Special Qualifications in Child Neurology Physician share within New Jersey

1. Neurology with Special Qualifications in Child Neurology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Neurology with Special Qualifications in Child Neurology Physician share within New Jersey

Medicare quality performance — MIPS

CHING TSAO, M.D.'s 2023 MIPS final score plotted against the Neurology with Special Qualifications in Child Neurology Physician national average

Below national average
MIPS Final Score
76.7036/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Neurology with Special Qualifications in Child Neurology Physician) — 76.7036/100 vs national avg 83.1

0%100%National avg83%76.7%
MIPS final score (Neurology with Special Qualifications in Child Neurology Physician) — 76.7036/100 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).

CHING TSAO, M.D. appears in the CMS NPPES registry as a Neurology with Special Qualifications in Child Neurology Physician provider holding M.D. credentials at 99 BEAUVOIR AVE FL 5, SUMMIT, NJ, 07901, with a listed phone of (908) 522-4990. NPI 1316171473 was issued on 05/05/2009. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what TSAO 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 1,499 prescription claims written by this provider, covering 144 Medicare beneficiaries and totaling roughly $337K in drug spend, split 12% brand-name and 88% 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 76.7036/100 for the 2023 performance year (Quality 55.1936, Cost 54.937), compared with the national average of 83.1.

Neurology with Special Qualifications in Child Neurology Physician is a narrow specialty nationwide, with 1,803 enrolled providers across 51 states and an average of 359 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

99 BEAUVOIR AVE FL 5
SUMMIT, NJ 07901

Provider Details

NPI 1316171473
Specialty Neurology with Special Qualifications in Child Neurology Physician
Credentials M.D.
Gender Female
NPI Issued 05/05/2009

CMS Quality Score (MIPS)

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

76.7036
Final Score
Avg: 83.1
55.1936
Quality
54.937
Cost
98
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where CHING TSAO, 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.

PRACTICE ASSOCIATES MEDICAL GROUP
MORRISTOWN, 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

CHING TSAO, M.D. — brand share 12.0%
Specialty average (est.)

12% brand-name claims vs 88% generic, on 1,499 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.

1,499
Total Claims
$337K
Total Drug Cost
144
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,890
Total Day Supply
55,838
Brand vs Generic
12% brand / 88% generic
Brand Drug Cost
$215K
Generic Drug Cost
$121K

Patient Demographics

Average Patient Age
58.2 years
Avg HCC Risk Score
1.82
Gender Split
60% female / 40% male
Age Distribution
<65: 84, 65-74: 38, 75-84: N/A, 85+: N/A

Top Prescribed Drugs (Medicare Part D)

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

What CHING TSAO, M.D. 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
Levetiracetam
317
Lacosamide
134
Lamotrigine
119
Clobazam
108
Divalproex Sodium Er
Divalproex Sodium
82
Oxcarbazepine
80
Zonisamide
70
Amitriptyline Hcl
63
Phenobarbital
63
Briviact
Brivaracetam
51

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

Neurology with Special Qualifications in Child Neurology Physician Overview

How CHING TSAO, M.D. fits within the Neurology with Special Qualifications in Child Neurology Physician landscape nationally.

1,803
Neurology with Special Qualifications in Child Neurology Physician Providers in US
51
States with Neurology with Special Qualifications in Child Neurology Physician
359
Avg Claims per Provider

CHING TSAO, M.D.'s 1,499 claims are above the specialty average of 359.

Nearby Neurology with Special Qualifications in Child Neurology Physician Providers in New Jersey

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

Compare Neurology with Special Qualifications in Child Neurology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is CHING TSAO, M.D.'s specialty?
CHING TSAO, M.D. specializes in Neurology with Special Qualifications in Child Neurology Physician and practices in SUMMIT, New Jersey. Credentials: M.D..
How much does CHING TSAO, M.D. prescribe under Medicare Part D?
In 2023, CHING TSAO, M.D. wrote 1,499 Medicare Part D claims totaling $337K in drug costs for 144 beneficiaries.
What is CHING TSAO, M.D.'s Medicare quality score?
CHING TSAO, M.D. has a CMS MIPS Final Score of 76.7036/100 (Quality: 55.1936, Cost: 54.937). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is CHING TSAO, M.D. located?
CHING TSAO, M.D. is located at 99 BEAUVOIR AVE FL 5, SUMMIT, NJ, 07901. Phone: (908) 522-4990.
What is CHING TSAO, M.D.'s NPI number?
CHING TSAO, M.D.'s National Provider Identifier (NPI) is 1316171473, issued on 05/05/2009.
Does CHING TSAO, M.D. prescribe more brand-name or generic drugs?
CHING TSAO, M.D.'s prescribing is 12% brand-name and 88% generic drugs by claim count, with $215K in brand drug costs.
How many Neurology with Special Qualifications in Child Neurology Physician providers are there in the US?
There are 1,803 Neurology with Special Qualifications in Child Neurology Physician providers across 51 states in the US. The average Neurology with Special Qualifications in Child Neurology Physician provider writes 359 Medicare Part D claims per year.
What drugs does CHING TSAO, M.D. prescribe most often?
Based on 2023 Medicare Part D data, CHING TSAO, M.D.'s most frequently prescribed drugs include Levetiracetam, Lacosamide, Lamotrigine. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does CHING TSAO, M.D. accept Medicare?
CHING TSAO, M.D. appears in CMS Medicare data with 1,499 Part D claims and 144 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify CHING TSAO, M.D.'s credentials?
CHING TSAO, M.D.'s NPI is 1316171473 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

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