NPI registry status
Active
2026 NPPES data Geriatric Medicine (Family Medicine) Physician NPI 1811991219 M.D.
Verify on CMS → Daniel Zinicola, M.D.
Geriatric Medicine (Family Medicine) Physician in Rocky Point, North Carolina.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 1,792 in Geriatric Medicine (Family Medicine) 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
14K
Medicare Part D claims · 571 beneficiaries · Geriatric Medicine (Family Medicine) Physician avg: 5K
Generic prescribing
90%
generic claims · 9% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
75/100
CMS neutral threshold · no category scores published
Industry payments
$268.57
14 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2024
What the federal data shows
Daniel Zinicola, M.D. carries the neutral CMS MIPS final score of 75/100, assigned where no category was scored - and filed 13,933 Medicare Part D claims in 2024.
- 75/100
- CMS neutral score · not measured
- 14K
- Part D claims, 2024
- 90%
- 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.
Federal trust snapshot
What official records show about Daniel Zinicola, M.D.
Federal records show an active NPI with Medicare Part D prescribing activity — verifiable registry data, not a proprietary rating.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1811991219), first enumerated 06/13/2005.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 13,933 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- Reported
CMS quality reporting (MIPS)
CMS assigned a neutral MIPS final score of 75/100 where no performance category was scored — not a measured quality rank.
Source: CMS Quality Payment Program
- Reported
Board certification signal
Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.
- Reported
Industry payment transparency
$268.57 in reported industry payments (14 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.
Source: CMS Open Payments
- Not in federal data
Individual sanction lookup
PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.
Source: State medical board / FSMB
This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.
CMS NPPES provider registry desk
NPI 1811991219 · Geriatric Medicine (Family Medicine) Physician
NPI-10 · ENUM-LEGACY · TAX-NARROW · MIPS-NEUTRAL · RX-HEAVY · BOOK-THIN · PHOTO-ENUM
- NPI-10 1811991219
- ENUM-LEGACY 2005
- TAX-NARROW 1,792
- MIPS-NEUTRAL 75/100
- RX-HEAVY 14K claims
- BOOK-THIN 50 in North Carolina
- PHOTO-ENUM John Shepherd · 2005
Daniel Zinicola, M.D.'s Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2024, across all CMS prescribers nationally
13,933 ≥ 98th percentile 98% of 1,416,883 prescribers are in lower value bands
Each bar is a band; taller bars hold more prescribers. 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.
The percentile is a conservative 100-claim band: it counts only prescribers in lower claim-volume bands. Medicare Part D claim volume is activity context, not a quality measure or recommendation. See methodology § corpus placement.
Source CMS Medicare Part D Prescriber Public Use File · 2024
✓
Board certification likely (heuristic, not verified)
Daniel Zinicola, M.D. 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).
What does the federal data show about Daniel Zinicola, M.D.?
CMS neutral score, not measuredPrimary specialty
Geriatric Medicine (Family Medicine) Physician
Medicare Part D claims
13,933 183% vs specialty avg
MIPS final score
75/100
Specialty distribution in North Carolina
How Geriatric Medicine (Family Medicine) Physician compares to other specialties among North Carolina providers
MIPS score not measured
CMS assigned a neutral 75/100 threshold
CMS did not publish any Quality, Cost, Promoting Interoperability, or Improvement Activities category score for this clinician. This administrative threshold is not comparable with the national average of clinicians whose MIPS score was measured.
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).
Practice Address
Provider Details
| NPI | 1811991219 |
|---|---|
| Specialty | Geriatric Medicine (Family Medicine) Physician |
| Credentials | M.D. |
| Gender | Male |
| NPI Issued | 06/13/2005 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
75
Final Score
CMS neutral threshold · not measured
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 Daniel Zinicola, M.D.. Source: openpaymentsdata.cms.gov.
Total received
$269
Largest payer
AstraZeneca Pharmaceuticals LP
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
Daniel Zinicola, M.D. - brand share 9.0%
Geriatric Medicine (Family Medicine) Physician average
9% brand-name claims vs 90% generic, on 13,933 2024 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 2024.
13,933
Total Claims
$676K
Total Drug Cost
571
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 27,787.967
- Total Day Supply
- 808,086
- Brand vs Generic
- 9% brand / 90% generic
- Brand Drug Cost
- $517K
- Generic Drug Cost
- $155K
- Opioid Claims
- 135 (1.0% rate)
- Antibiotic Claims
- 397
Patient Demographics
- Average Patient Age
- 73.2 years
- Avg HCC Risk Score
- 1.26
- Gender Split
- 54% female / 46% male
- Age Distribution
- <65: 58, 65-74: 260, 75-84: 197, 85+: 56
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
What Daniel Zinicola, M.D. prescribes most
Top Medicare Part D drugs by claim count, 2024
- Amlodipine Besylate
Amlodipine Besylate
612 claims
- Atorvastatin Calcium
Atorvastatin Calcium
503 claims
- Metoprolol Succinate
Metoprolol Succinate
439 claims
- Pantoprazole Sodium
Pantoprazole Sodium
404 claims
- Potassium Chloride
Potassium Chloride
373 claims
- Meloxicam
Meloxicam
363 claims
- Levothyroxine Sodium
Levothyroxine Sodium
351 claims
- Gabapentin
Gabapentin
300 claims
| Drug | Claims |
|---|---|
| Amlodipine Besylate | 612 |
| Atorvastatin Calcium | 503 |
| Metoprolol Succinate | 439 |
| Pantoprazole Sodium | 404 |
| Potassium Chloride | 373 |
| Meloxicam | 363 |
| Levothyroxine Sodium | 351 |
| Gabapentin | 300 |
| Furosemide | 274 |
| Zolpidem Tartrate | 248 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
More Geriatric Medicine (Family Medicine) Physician in NC →
All providers in North Carolina →
Compare specialties →
Geriatric Medicine (Family Medicine) Physician Overview
How Daniel Zinicola, M.D. fits within the Geriatric Medicine (Family Medicine) Physician landscape nationally.
1,792
Geriatric Medicine (Family Medicine) Physician Providers in US
52
States with Geriatric Medicine (Family Medicine) Physician
4,917
Avg Claims per Provider
Daniel Zinicola, M.D.'s 13,933 claims are above the specialty average of 4,917.
Nationwide Geriatric Medicine (Family Medicine) Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Zinicola, both outside North Carolina so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (75 here).
Same NPPES enumeration year (2005)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Geriatric Medicine (Family Medicine) Physician Providers in North Carolina
Other clinicians with the same primary specialty enrolled in North Carolina, drawn from the same CMS NPPES roster as Zinicola.
One of 50 Geriatric Medicine (Family Medicine) Physician providers enrolled in North Carolina, 5 are shown here.
Dr. Hammad Aftab
MD
Durham, NC
Dr. Narender Arcot
MD
Jacksonville, NC
Dr. Holly Biola
MD, MPH
Durham, NC
Jalyn Brim
FNP-C
Winston Salem, NC
Trinia Brown
FNP
King, NC
Compare Geriatric Medicine (Family Medicine) Physician nationally: see state-by-state distribution →
Frequently Asked Questions
What is Daniel Zinicola, M.D.'s specialty? ▼
Daniel Zinicola, M.D. specializes in Geriatric Medicine (Family Medicine) Physician and practices in Rocky Point, North Carolina. Credentials: M.D..
How much does Daniel Zinicola, M.D. prescribe under Medicare Part D? ▼
In 2024, Daniel Zinicola, M.D. wrote 13,933 Medicare Part D claims totaling $676K in drug costs for 571 beneficiaries.
What is Daniel Zinicola, M.D.'s Medicare quality score? ▼
Daniel Zinicola, M.D. has a CMS MIPS Final Score of 75/100. CMS published no Quality, Promoting Interoperability, Improvement Activity or Cost score for this clinician, so the final score is the neutral performance threshold CMS assigns rather than a measured result. The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Daniel Zinicola, M.D. located? ▼
Daniel Zinicola, M.D. is located at 27 COMMERCE DR, Rocky Point, NC, 28457. Phone: (910) 675-8089.
What is Daniel Zinicola, M.D.'s NPI number? ▼
Daniel Zinicola, M.D.'s National Provider Identifier (NPI) is 1811991219, issued on 06/13/2005.
Does Daniel Zinicola, M.D. prescribe more brand-name or generic drugs? ▼
Daniel Zinicola, M.D.'s prescribing is 9% brand-name and 90% generic drugs by claim count, with $517K in brand drug costs.
Does Daniel Zinicola, M.D. prescribe opioids? ▼
Yes, Daniel Zinicola, M.D. had 135 opioid claims in 2024 with an opioid prescribing rate of 1.0%.
How many Geriatric Medicine (Family Medicine) Physician providers are there in the US? ▼
There are 1,792 Geriatric Medicine (Family Medicine) Physician providers across 52 states in the US. The average Geriatric Medicine (Family Medicine) Physician provider writes 4,917 Medicare Part D claims per year.
What drugs does Daniel Zinicola, M.D. prescribe most often? ▼
Based on 2024 Medicare Part D data, Daniel Zinicola, M.D.'s most frequently prescribed drugs include Amlodipine Besylate, Atorvastatin Calcium, Metoprolol Succinate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Daniel Zinicola, M.D. accept Medicare? ▼
Daniel Zinicola, M.D. appears in CMS Medicare data with 13,933 Part D claims and 571 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Daniel Zinicola, M.D.'s credentials? ▼
Daniel Zinicola, M.D.'s NPI is 1811991219 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
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 (2024). 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 August 2026 (NPPES) / 2024 (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
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of August 2026.