2026 NPPES data Plastic Surgery within the Head & Neck (Otolaryngology) Physician NPI 1851465991 MD
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EDWARD GABALSKI, MD

Plastic Surgery within the Head & Neck (Otolaryngology) Physician in NEW HYDE PARK, New York. 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
256
Medicare Part D claims · 107 beneficiaries · Plastic Surgery within the Head & Neck (Otolaryngology) Physician avg: 379
MIPS score
91.2532/100
▲ 8 pts above national avg 83.1 · [object Object]
Industry payments
$318.26
4 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

EDWARD GABALSKI, MD reported a CMS MIPS final score of 91.2532/100 — above the 83.1 national average — and filed 256 Medicare Part D claims in 2023.

91.2532/100
MIPS score · +8 vs avg
256
Part D claims, 2023
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.

EDWARD GABALSKI, MD's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

91 Top 37% higher than 63% 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%). Below this entry. 80–90: 129,887 scored providers (27%). Below this entry. 90–100: 189,403 scored providers (40%). This entry sits in this band. 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)

EDWARD GABALSKI, MD 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 EDWARD GABALSKI, MD?

High performer (top quartile)

NPI registry status

Active

Issued 11/20/2006

NPI 1851465991

Primary specialty

Plastic Surgery within the Head & Neck (Otolaryngology) Physician

Niche

608 US NPIs in this specialty

Medicare Part D claims

256 32% vs specialty avg

2023 prescription claims

Specialty avg: 379

MIPS final score

91.2532/100 8.153200000000012% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in New York

How Plastic Surgery within the Head & Neck (Otolaryngology) Physician compares to other specialties among New York providers

New York providers

Plastic Surgery within the Head & Neck (Otolaryngology) Physician share within New York

1. Plastic Surgery within the Head & Neck (Otolaryngology) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Plastic Surgery within the Head & Neck (Otolaryngology) Physician share within New York

Medicare quality performance — MIPS

EDWARD GABALSKI, MD's 2023 MIPS final score plotted against the Plastic Surgery within the Head & Neck (Otolaryngology) Physician national average

High performer (top quartile)
MIPS Final Score
91.2532/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Plastic Surgery within the Head & Neck (Otolaryngology) Physician) — 91.2532/100 vs national avg 83.1

0%100%National avg83%91.3%
MIPS final score (Plastic Surgery within the Head & Neck (Otolaryngology) Physician) — 91.2532/100 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).

EDWARD GABALSKI, MD appears in the CMS NPPES registry as a Plastic Surgery within the Head & Neck (Otolaryngology) Physician provider holding MD credentials at 430 LAKEVILLE RD, NEW HYDE PARK, NY, 11042, with a listed phone of (718) 470-7550. NPI 1851465991 was issued on 11/20/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what GABALSKI 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 256 prescription claims written by this provider, covering 107 Medicare beneficiaries and totaling roughly $6K 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. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 91.2532/100 for the 2023 performance year (Quality 74.9203), compared with the national average of 83.1.

Plastic Surgery within the Head & Neck (Otolaryngology) Physician is a narrow specialty nationwide, with 608 enrolled providers across 48 states and an average of 379 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

430 LAKEVILLE RD
NEW HYDE PARK, NY 11042

Provider Details

NPI 1851465991
Specialty Plastic Surgery within the Head & Neck (Otolaryngology) Physician
Credentials MD
Gender Male
NPI Issued 11/20/2006

CMS Quality Score (MIPS)

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

91.2532
Final Score
Avg: 83.1
74.9203
Quality
91.6794
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where EDWARD GABALSKI, MD 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.

NORTH SHORE-LIJ MEDICAL PC
NEW HYDE PARK, NY

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 GABALSKI, MD. Source: openpaymentsdata.cms.gov.

Total received

$318

Largest payer

AERIN MEDICAL 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.

License & disciplinary context — New York NYSBPMC 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~100K New York medical licensees in 2023 — they are NOT specific to EDWARD GABALSKI, MD. To verify EDWARD GABALSKI, MD's current license status, search the NYSBPMC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

312
Total board actions, New York 2023
Across 302 cases
3.12
Actions per 1,000 licensees
New York statewide rate
probation
Most common action type
89 cases

NYSBPMC publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the New York disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Medicare Part D Prescribing Data

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

256
Total Claims
$6K
Total Drug Cost
107
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
277
Total Day Supply
7,189
Generic Drug Cost
$6K
Antibiotic Claims
24

Patient Demographics

Average Patient Age
71.5 years
Avg HCC Risk Score
1.12
Gender Split
49% female / 51% male

Top Prescribed Drugs (Medicare Part D)

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

What EDWARD GABALSKI, MD 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
Fluticasone Propionate
112
Omeprazole
28
Ofloxacin
14
Pilocarpine Hcl
13
Levothyroxine Sodium
11

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

Plastic Surgery within the Head & Neck (Otolaryngology) Physician Overview

How EDWARD GABALSKI, MD fits within the Plastic Surgery within the Head & Neck (Otolaryngology) Physician landscape nationally.

608
Plastic Surgery within the Head & Neck (Otolaryngology) Physician Providers in US
48
States with Plastic Surgery within the Head & Neck (Otolaryngology) Physician
379
Avg Claims per Provider

EDWARD GABALSKI, MD's 256 claims are below the specialty average of 379.

Nearby Plastic Surgery within the Head & Neck (Otolaryngology) Physician Providers in New York

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

Compare Plastic Surgery within the Head & Neck (Otolaryngology) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is EDWARD GABALSKI, MD's specialty?
EDWARD GABALSKI, MD specializes in Plastic Surgery within the Head & Neck (Otolaryngology) Physician and practices in NEW HYDE PARK, New York. Credentials: MD.
How much does EDWARD GABALSKI, MD prescribe under Medicare Part D?
In 2023, EDWARD GABALSKI, MD wrote 256 Medicare Part D claims totaling $6K in drug costs for 107 beneficiaries.
What is EDWARD GABALSKI, MD's Medicare quality score?
EDWARD GABALSKI, MD has a CMS MIPS Final Score of 91.2532/100 (Quality: 74.9203). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is EDWARD GABALSKI, MD located?
EDWARD GABALSKI, MD is located at 430 LAKEVILLE RD, NEW HYDE PARK, NY, 11042. Phone: (718) 470-7550.
What is EDWARD GABALSKI, MD's NPI number?
EDWARD GABALSKI, MD's National Provider Identifier (NPI) is 1851465991, issued on 11/20/2006.
How many Plastic Surgery within the Head & Neck (Otolaryngology) Physician providers are there in the US?
There are 608 Plastic Surgery within the Head & Neck (Otolaryngology) Physician providers across 48 states in the US. The average Plastic Surgery within the Head & Neck (Otolaryngology) Physician provider writes 379 Medicare Part D claims per year.
What drugs does EDWARD GABALSKI, MD prescribe most often?
Based on 2023 Medicare Part D data, EDWARD GABALSKI, MD's most frequently prescribed drugs include Fluticasone Propionate, Omeprazole, Ofloxacin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does EDWARD GABALSKI, MD accept Medicare?
EDWARD GABALSKI, MD appears in CMS Medicare data with 256 Part D claims and 107 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify EDWARD GABALSKI, MD's credentials?
EDWARD GABALSKI, MD's NPI is 1851465991 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