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2026 NPPES data Specialist NPI 1942243829 M.D.
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Edward Decker, M.D.

Specialist in Livingston, New Jersey.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 69,567 in Specialist, 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
4K
Medicare Part D claims · 950 beneficiaries · Specialist avg: 2K
Generic prescribing
59%
generic claims · 41% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
75.2/100
▼ 8 pts below national avg 83.5 · Above neutral
Industry payments
$385.78
23 payments · CMS Open Payments (Sunshine Act)
Verify NPI on CMS Methodology
Compiled from official public sources by the editorial process.

What the federal data shows

Edward Decker, M.D. reported a CMS MIPS final score of 75.2/100 - below the 83.5 national average - and filed 3,502 Medicare Part D claims in 2024.

75.2/100
MIPS score · -8 vs avg
4K
Part D claims, 2024
59%
generic prescribing
$385.78
industry payments (Sunshine Act)

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 Edward Decker, M.D.

Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.

  • Verified

    NPI registry status

    Active listing in the CMS National Provider Identifier Registry (NPI 1942243829), first enumerated 06/14/2006.

    Source: CMS NPPES

  • Reported

    Medicare Part D participation

    Filed 3,502 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)

    Reported a CMS MIPS final score of 75.2/100 in the Quality Payment Program — a federal quality measure, not a patient review.

    Source: CMS Quality Payment Program

  • Reported

    Hospital affiliations

    1 CMS Care Compare hospital affiliation on record — practice footprint from the Doctors and Clinicians file.

    Source: CMS Care Compare

  • Reported

    Industry payment transparency

    $385.78 in reported industry payments (23 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 1942243829 · Specialist

NPI-10 · ENUM-LEGACY · TAX-MEGA · MIPS-BELOW · RX-MID · BOOK-LIGHT · PHOTO-FINISH

  • NPI-10 1942243829
  • ENUM-LEGACY 2006
  • TAX-MEGA 70K Specialist
  • MIPS-BELOW 75.2/100
  • RX-MID 3,502
  • BOOK-LIGHT 1,979 in New Jersey
  • PHOTO-FINISH Enedina Alcantara, MD · ±0.1

MIPS final-score neighbourhood

Same-specialty nationwide peers by CMS final score, not geographic proximity

MIPS pts

What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).

Source CMS Quality Payment Program (MIPS) As of 2023

Edward Decker, M.D.'s MIPS score vs every measured U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.

75 ≥ 15th percentile 15% of 454,083 measured providers are in lower value bands

0–10: 8,684 measured providers (2%). Below this entry. 10–20: 3,008 measured providers (1%). Below this entry. 20–30: 3,069 measured providers (1%). Below this entry. 30–40: 2,746 measured providers (1%). Below this entry. 40–50: 2,928 measured providers (1%). Below this entry. 50–60: 5,882 measured providers (1%). Below this entry. 60–70: 13,906 measured providers (3%). Below this entry. 70–80: 94,570 measured providers (21%). This entry sits in this band. 80–90: 129,887 measured providers (29%). Above this entry. 90+: 189,403 measured providers (42%). Above this entry. This provider 0 100 every measured MIPS clinician, bucketed by value

Each bar is a band; taller bars hold more measured 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.

The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Where Edward Decker, M.D. sits

This provider among specialist peers

Across the 4,261 specialist providers who report both Medicare Part D prescribing and a MIPS quality score, Edward Decker, M.D. writes more Part D claims than 84% of them and scores higher on MIPS quality than 27% - placing this provider in the high-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality0255075100024.148.372.496.6Part D claim volume, percentile in specialtyMIPS quality, percentilePoint, Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 38Point, Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 90Point, Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 25Point, Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 23Point, Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 82Point, Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 80Point, Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 63Point, Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 78Point, Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 58Point, Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 48Point, Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 68Point, Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 22Point, Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 53Point, Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 35Point, Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 70Point, Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 40Point, Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 52Point, Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 8Point, Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 20Point, Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 30Point, Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 67Point, Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 12Point, Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 17Point, Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 42Point, Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 13Point, Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 88Point, Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 45Point, Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 37Point, Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 75Point, Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 33Point, Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 43Point, Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 47Point, Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 57Point, Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 10Point, Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 83Point, Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 27Point, Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 60Point, Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 87Point, Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 72Point, Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 73Point, Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 50Point, Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 28Point, Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 15Point, Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 55Point, Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 65Point, Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 77Point, Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 62Point, Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 7Point, Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 18Point, Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 0Edward Decker, M.D., Part D claim volume, percentile in specialty: 84 · MIPS quality, percentile: 27
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one specialist peer from a representative sample of 60; the gold marker is Edward Decker, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

What does the federal data show about Edward Decker, M.D.?

Below national average

NPI registry status

Active

Issued 06/14/2006

NPI 1942243829

Primary specialty

Specialist

High-volume

69,567 US NPIs in this specialty

Medicare Part D claims

3,502 130% vs specialty avg

2024 prescription claims

Specialty avg: 1,524

MIPS final score

75.2/100 8.3 pts vs avg

Above neutral band

vs 83.5 national avg

Specialty distribution in New Jersey

How Specialist compares to other specialties among New Jersey providers

New Jersey providers
Mental Health Counselor6.2%Physical Therapist5.8%Student in an Organized Heal…5.6%Clinical Social Worker5.5%Pharmacist5%Internal Medicine Physician3.1%Specialist1.2%
Largest specialties in New Jersey (% of in-state providers)

Medicare quality performance, MIPS

Edward Decker, M.D.'s 2023 MIPS final score plotted against the Specialist national average

Below national average
MIPS Final Score
75.2/100
vs 83.5 national avg · 2023 performance year
0%100%National avg84%75.2%
MIPS final score (Specialist) - 75.2/100 vs national avg 83.5
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

200 SO. ORANGE AVE
Livingston, NJ 07039
(973) 322-0100

Provider Details

NPI 1942243829
Specialty Specialist
Credentials M.D.
Gender Male
NPI Issued 06/14/2006

CMS Quality Score (MIPS)

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

75.232
Final Score
Measured-score avg: 83.5
95.935
Quality
22.86
Cost

Reporting: Group practice

Hospital and facility affiliations

Facilities where Edward Decker, 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.

Ophthalmology NJ LLC
Livingston, 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 Edward Decker, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$386

Largest payer

ABBVIE 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.

Brand vs generic prescribing mix · Above average

Edward Decker, M.D. - brand share 41.0%
Specialist average

41% brand-name claims vs 59% generic, on 3,502 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.

3,502
Total Claims
$785K
Total Drug Cost
950
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
7,046.6
Total Day Supply
202,099
Brand vs Generic
41% brand / 59% generic
Brand Drug Cost
$668K
Generic Drug Cost
$117K
Antibiotic Claims
30

Patient Demographics

Average Patient Age
76.3 years
Avg HCC Risk Score
1.27
Gender Split
66% female / 34% male
Age Distribution
<65: 44, 65-74: 372, 75-84: 373, 85+: 161

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.

What Edward Decker, M.D. prescribes most

Top Medicare Part D drugs by claim count, 2024

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2024
Drug Claims
Latanoprost
 908
Brimonidine Tartrate
 279
Lumigan
Bimatoprost
262
Timolol Maleate
 254
Tobramycin-Dexamethasone
Tobramycin/Dexamethasone
190
Dorzolamide-Timolol
Dorzolamide Hcl/Timolol Maleat
176
Brimonidine Tartrate-Timolol
Brimonidine Tartrate/Timolol
142
Restasis
Cyclosporine
142
Azelastine Hcl
 131
Combigan
Brimonidine Tartrate/Timolol
104

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

More Specialist in NJ → All providers in New Jersey → Compare specialties →

Specialist Overview

How Edward Decker, M.D. fits within the Specialist landscape nationally.

69,567
Specialist Providers in US
55
States with Specialist
1,524
Avg Claims per Provider

Edward Decker, M.D.'s 3,502 claims are above the specialty average of 1,524.

Nationwide Specialist peers with similar MIPS or enrollment year

Two federal-record peer sets for Decker, both outside New Jersey so the neighborhoods are not geographic containment.

Similar MIPS final score

Nearest same-specialty clinicians by CMS MIPS final score (75.2 here).

Enedina Alcantara 75.3 TX Victor Cobos 75.3 TX Cynara Coomer 75.3 TX Stella Quiason 75.3 KS

Same NPPES enumeration year (2006)

Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.

Janice Ramirez Baton Rouge, LA Jason Boutros Pasadena, CA Sharla Morales Thousand Oaks, CA Karl Finley Lanham, MD

Nearby Specialist Providers in New Jersey

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

One of 1,979 Specialist providers enrolled in New Jersey, 5 are shown here.

Lisa Abate
Hainesport, NJ
Dr. Ziad Abbud
MD
Neptune, NJ
Dr. Yaakov Abdelhak
M.D.
Hackensack, NJ
Aliyah Abdullah-Griffin
Carteret, NJ
Vanjelo Abellar
RPT
Carteret, NJ

Compare Specialist nationally: see state-by-state distribution →

Frequently Asked Questions

What is Edward Decker, M.D.'s specialty? ▼
Edward Decker, M.D. specializes in Specialist and practices in Livingston, New Jersey. Credentials: M.D..
How much does Edward Decker, M.D. prescribe under Medicare Part D? ▼
In 2024, Edward Decker, M.D. wrote 3,502 Medicare Part D claims totaling $785K in drug costs for 950 beneficiaries.
What is Edward Decker, M.D.'s Medicare quality score? ▼
Edward Decker, M.D. has a CMS MIPS Final Score of 75.2/100 (Quality: 95.9, Cost: 22.9). 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 Edward Decker, M.D. located? ▼
Edward Decker, M.D. is located at 200 SO. ORANGE AVE, Livingston, NJ, 07039. Phone: (973) 322-0100.
What is Edward Decker, M.D.'s NPI number? ▼
Edward Decker, M.D.'s National Provider Identifier (NPI) is 1942243829, issued on 06/14/2006.
Does Edward Decker, M.D. prescribe more brand-name or generic drugs? ▼
Edward Decker, M.D.'s prescribing is 41% brand-name and 59% generic drugs by claim count, with $668K in brand drug costs.
How many Specialist providers are there in the US? ▼
There are 69,567 Specialist providers across 55 states in the US. The average Specialist provider writes 1,524 Medicare Part D claims per year.
What drugs does Edward Decker, M.D. prescribe most often? ▼
Based on 2024 Medicare Part D data, Edward Decker, M.D.'s most frequently prescribed drugs include Latanoprost, Brimonidine Tartrate, Lumigan. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Edward Decker, M.D. accept Medicare? ▼
Edward Decker, M.D. appears in CMS Medicare data with 3,502 Part D claims and 950 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Edward Decker, M.D.'s credentials? ▼
Edward Decker, M.D.'s NPI is 1942243829 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

Compiled from official public sources by the editorial process.

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.