2026 NPPES data Rheumatology Physician NPI 1154485449 MD
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CIRO CARAFA, MD

Rheumatology Physician in LODI, 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
6K
Medicare Part D claims · 478 beneficiaries · Rheumatology Physician avg: 2K
Generic prescribing
90%
generic claims · 10% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
75.8046/100
▼ 7 pts below national avg 83.1 · [object Object]
What the federal data reveals: CIRO CARAFA, MD is a Rheumatology Physician ([object Object]) practicing in LODI, New Jersey with a Medicare Part D prescribing footprint of 6K claims across 478 beneficiaries — 10% brand-name prescribing . Their CMS MIPS Final Score of 75.8046/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities .

What stands out: CIRO CARAFA, MD reported a CMS MIPS final score of 75.8046 out of 100, below the 83.1 national average, and filed 6,099 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)

CIRO CARAFA, 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).

CIRO CARAFA, MD at a glance

Below national average

NPI registry status

Active

Issued 12/20/2006

NPI 1154485449

Primary specialty

Rheumatology Physician

Mid-sized

6,181 US NPIs in this specialty

Medicare Part D claims

6,099 197% vs specialty avg

2023 prescription claims

Specialty avg: 2,054

MIPS final score

75.8046/100 7.295400000000001% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in New Jersey

How Rheumatology Physician compares to other specialties among New Jersey providers

New Jersey providers

Rheumatology Physician share within New Jersey

1. Rheumatology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Rheumatology Physician share within New Jersey

Medicare quality performance — MIPS

CIRO CARAFA, MD's 2023 MIPS final score plotted against the Rheumatology Physician national average

Below national average
MIPS Final Score
75.8046/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Rheumatology Physician) — 75.8046/100 vs national avg 83.1

0%100%National avg83%75.8%
MIPS final score (Rheumatology Physician) — 75.8046/100 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).

CIRO CARAFA, MD is a Rheumatology Physician provider practicing in LODI, New Jersey, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1154485449. 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.

CIRO CARAFA, MD appears in the CMS NPPES registry as a Rheumatology Physician provider holding MD credentials at 120 S MAIN ST, LODI, NJ, 07644, with a listed phone of (973) 473-7870. NPI 1154485449 was issued on 12/20/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what CARAFA 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 6,099 prescription claims written by this provider, covering 478 Medicare beneficiaries and totaling roughly $461K in drug spend, split 10% brand-name and 90% generic by claim count, with an opioid prescribing rate of 2.6%. 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 75.8046/100 for the 2023 performance year (Quality 68.6551, Cost 50.6935), compared with the national average of 83.1.

Rheumatology Physician is a mid-sized specialty nationwide, with 6,181 enrolled providers across 52 states and an average of 2,054 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

120 S MAIN ST
LODI, NJ 07644

Provider Details

NPI 1154485449
Specialty Rheumatology Physician
Credentials MD
Gender Male
NPI Issued 12/20/2006

CMS Quality Score (MIPS)

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

75.8046
Final Score
Avg: 83.1
68.6551
Quality
50.6935
Cost
100
Promoting Interoperability

Reporting: Group practice

Brand vs generic prescribing mix · Typical

CIRO CARAFA, MD — brand share 10.0%
Specialty average (est.)

10% brand-name claims vs 90% generic, on 6,099 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.

6,099
Total Claims
$461K
Total Drug Cost
478
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
14,099
Total Day Supply
408,200
Brand vs Generic
10% brand / 90% generic
Brand Drug Cost
$348K
Generic Drug Cost
$110K
Opioid Claims
160 (2.6% rate)
Antibiotic Claims
216

Patient Demographics

Average Patient Age
75.2 years
Avg HCC Risk Score
1.23
Gender Split
61% female / 39% male
Age Distribution
<65: 28, 65-74: 214, 75-84: 159, 85+: 77

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Atorvastatin Calcium
331
Amlodipine Besylate
327
Alprazolam
231
Metoprolol Succinate
222
Losartan Potassium
206
Levothyroxine Sodium
204
Metformin Hcl
158
Pravastatin Sodium
140
Pantoprazole Sodium
136
Metoprolol Tartrate
129

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

Rheumatology Physician Overview

How CIRO CARAFA, MD fits within the Rheumatology Physician landscape nationally.

6,181
Rheumatology Physician Providers in US
52
States with Rheumatology Physician
2,054
Avg Claims per Provider

CIRO CARAFA, MD's 6,099 claims are above the specialty average of 2,054.

Nearby Rheumatology Physician Providers in New Jersey

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

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

Frequently Asked Questions

What is CIRO CARAFA, MD's specialty?
CIRO CARAFA, MD specializes in Rheumatology Physician and practices in LODI, New Jersey. Credentials: MD.
How much does CIRO CARAFA, MD prescribe under Medicare Part D?
In 2023, CIRO CARAFA, MD wrote 6,099 Medicare Part D claims totaling $461K in drug costs for 478 beneficiaries.
What is CIRO CARAFA, MD's Medicare quality score?
CIRO CARAFA, MD has a CMS MIPS Final Score of 75.8046/100 (Quality: 68.6551, Cost: 50.6935). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is CIRO CARAFA, MD located?
CIRO CARAFA, MD is located at 120 S MAIN ST, LODI, NJ, 07644. Phone: (973) 473-7870.
What is CIRO CARAFA, MD's NPI number?
CIRO CARAFA, MD's National Provider Identifier (NPI) is 1154485449, issued on 12/20/2006.
Does CIRO CARAFA, MD prescribe more brand-name or generic drugs?
CIRO CARAFA, MD's prescribing is 10% brand-name and 90% generic drugs by claim count, with $348K in brand drug costs.
Does CIRO CARAFA, MD prescribe opioids?
Yes, CIRO CARAFA, MD had 160 opioid claims in 2023 with an opioid prescribing rate of 2.6%.
How many Rheumatology Physician providers are there in the US?
There are 6,181 Rheumatology Physician providers across 52 states in the US. The average Rheumatology Physician provider writes 2,054 Medicare Part D claims per year.
What drugs does CIRO CARAFA, MD prescribe most often?
Based on 2023 Medicare Part D data, CIRO CARAFA, MD's most frequently prescribed drugs include Atorvastatin Calcium, Amlodipine Besylate, Alprazolam. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does CIRO CARAFA, MD accept Medicare?
CIRO CARAFA, MD appears in CMS Medicare data with 6,099 Part D claims and 478 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify CIRO CARAFA, MD's credentials?
CIRO CARAFA, MD's NPI is 1154485449 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