2026 NPPES data Obstetrics & Gynecology Physician NPI 1265790752 DO
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EDSEL ANTONIO, DO

Obstetrics & Gynecology Physician in NEWARK, 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
11
Medicare Part D claims · Obstetrics & Gynecology Physician avg: 179
Industry payments
$27.98
1 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: EDSEL ANTONIO, DO is a Obstetrics & Gynecology Physician ([object Object]) practicing in NEWARK, New Jersey with a Medicare Part D prescribing footprint of 11 claims . Industry payments of $27.98 across 1 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: EDSEL ANTONIO, DO filed 11 Medicare Part D claims in 2023 across NEWARK, New Jersey. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

EDSEL ANTONIO, DO practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

EDSEL ANTONIO, DO at a glance

Quality data not reported

NPI registry status

Active

Issued 05/02/2012

NPI 1265790752

Primary specialty

Obstetrics & Gynecology Physician

Mid-sized

44,313 US NPIs in this specialty

Medicare Part D claims

11 94% vs specialty avg

2023 prescription claims

Specialty avg: 179

Specialty distribution in New Jersey

How Obstetrics & Gynecology Physician compares to other specialties among New Jersey providers

New Jersey providers

Obstetrics & Gynecology Physician share within New Jersey

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

Specialty board-certification context

Estimated specialty board-certified rate — Obstetrics & Gynecology Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Obstetrics & Gynecology Physician ABMS/AOA estimate

Est. board-certified rate (Obstetrics & Gynecology Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Obstetrics & Gynecology Physician) — ABMS / AOA estimate

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).

EDSEL ANTONIO, DO is a Obstetrics & Gynecology Physician provider practicing in NEWARK, New Jersey, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: DO. NPI: 1265790752. 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.

EDSEL ANTONIO, DO appears in the CMS NPPES registry as a Obstetrics & Gynecology Physician provider holding DO credentials at 201 LYONS AVE, NEWARK, NJ, 07112, with a listed phone of (973) 926-4882. NPI 1265790752 was issued on 05/02/2012. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what ANTONIO 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 11 prescription claims written by this provider, covering N/A Medicare beneficiaries and totaling roughly $150 in drug spend. 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.

Obstetrics & Gynecology Physician is a mid-sized specialty nationwide, with 44,313 enrolled providers across 56 states and an average of 179 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

201 LYONS AVE
NEWARK, NJ 07112

Provider Details

NPI 1265790752
Specialty Obstetrics & Gynecology Physician
Credentials DO
Gender Male
NPI Issued 05/02/2012

Hospital and facility affiliations

Facilities where EDSEL ANTONIO, DO 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.

BARNABAS HEALTH MEDICAL GROUP PC
NEWARK, 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).

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 EDSEL ANTONIO, DO. Source: openpaymentsdata.cms.gov.

Total received

$28

Largest payer

Hologic Sales and Service, LLC

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.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

11
Total Claims
$150
Total Drug Cost
N/A
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
23
Total Day Supply
563

Patient Demographics

Average Patient Age
60.6 years
Avg HCC Risk Score
1.56

Obstetrics & Gynecology Physician Overview

How EDSEL ANTONIO, DO fits within the Obstetrics & Gynecology Physician landscape nationally.

44,313
Obstetrics & Gynecology Physician Providers in US
56
States with Obstetrics & Gynecology Physician
179
Avg Claims per Provider

EDSEL ANTONIO, DO's 11 claims are below the specialty average of 179.

Nearby Obstetrics & Gynecology Physician Providers in New Jersey

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

Compare Obstetrics & Gynecology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is EDSEL ANTONIO, DO's specialty?
EDSEL ANTONIO, DO specializes in Obstetrics & Gynecology Physician and practices in NEWARK, New Jersey. Credentials: DO.
How much does EDSEL ANTONIO, DO prescribe under Medicare Part D?
In 2023, EDSEL ANTONIO, DO wrote 11 Medicare Part D claims totaling $150 in drug costs for N/A beneficiaries.
Where is EDSEL ANTONIO, DO located?
EDSEL ANTONIO, DO is located at 201 LYONS AVE, NEWARK, NJ, 07112. Phone: (973) 926-4882.
What is EDSEL ANTONIO, DO's NPI number?
EDSEL ANTONIO, DO's National Provider Identifier (NPI) is 1265790752, issued on 05/02/2012.
How many Obstetrics & Gynecology Physician providers are there in the US?
There are 44,313 Obstetrics & Gynecology Physician providers across 56 states in the US. The average Obstetrics & Gynecology Physician provider writes 179 Medicare Part D claims per year.
Does EDSEL ANTONIO, DO accept Medicare?
EDSEL ANTONIO, DO appears in CMS Medicare data with 11 Part D claims and N/A Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify EDSEL ANTONIO, DO's credentials?
EDSEL ANTONIO, DO's NPI is 1265790752 with credentials DO. 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.
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