2026 NPPES data Family Medicine Physician NPI 1063894012 D.O.
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EDWARD PIROLLI, D.O.

Family Medicine Physician in EAST PATCHOGUE, 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
7K
Medicare Part D claims · 678 beneficiaries · Family Medicine Physician avg: 3K
Generic prescribing
89%
generic claims · 11% brand-name · higher generic rates reduce patient out-of-pocket costs

What the federal data shows

EDWARD PIROLLI, D.O. filed 7,104 Medicare Part D claims in 2023 as a Family Medicine Physician in EAST PATCHOGUE, New York, prescribing 89% generic.

7K
Part D claims, 2023
89%
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.

EDWARD PIROLLI, D.O.'s Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

7,104 Top 4% higher than 96% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). Below this entry. 400–600: 90,619 prescribers (7%). Below this entry. 600–800: 56,224 prescribers (4%). Below this entry. 800–1,000: 40,919 prescribers (3%). Below this entry. 1,000–1,200: 31,827 prescribers (2%). Below this entry. 1,200–1,400: 26,224 prescribers (2%). Below this entry. 1,400–1,600: 21,710 prescribers (2%). Below this entry. 1,600–1,800: 19,072 prescribers (1%). Below this entry. 1,800–2,000: 16,451 prescribers (1%). Below this entry. 2,000–2,200: 213,991 prescribers (16%). This entry sits in this band. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

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.

Source CMS Medicare Part D Prescriber Public Use File · 2023

Board certification likely (heuristic — not verified)

EDWARD PIROLLI, D.O. 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).

What does the federal data show about EDWARD PIROLLI, D.O.?

Quality data not reported

NPI registry status

Active

Issued 06/26/2015

NPI 1063894012

Primary specialty

Family Medicine Physician

High-volume

147,640 US NPIs in this specialty

Medicare Part D claims

7,104 108% vs specialty avg

2023 prescription claims

Specialty avg: 3,418

Specialty distribution in New York

How Family Medicine Physician compares to other specialties among New York providers

New York providers

Family Medicine Physician share within New York

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

Specialty board-certification context

Estimated specialty board-certified rate — Family Medicine Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Family Medicine Physician ABMS/AOA estimate

Est. board-certified rate (Family Medicine Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Family Medicine 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).

EDWARD PIROLLI, D.O. appears in the CMS NPPES registry as a Family Medicine Physician provider holding D.O. credentials at 100 HOSPITAL RD, EAST PATCHOGUE, NY, 11772, with a listed phone of (631) 475-6900. NPI 1063894012 was issued on 06/26/2015. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what PIROLLI 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 7,104 prescription claims written by this provider, covering 678 Medicare beneficiaries and totaling roughly $727K in drug spend, split 11% brand-name and 89% generic by claim count, with an opioid prescribing rate of 1.0%. 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.

Family Medicine Physician is a high-volume specialty nationwide, with 147,640 enrolled providers across 56 states and an average of 3,418 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

100 HOSPITAL RD
EAST PATCHOGUE, NY 11772

Provider Details

NPI 1063894012
Specialty Family Medicine Physician
Credentials D.O.
Gender Male
NPI Issued 06/26/2015

Hospital and facility affiliations

Facilities where EDWARD PIROLLI, D.O. 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.

INSPIRA HEALTH NETWORK MEDICAL GROUP PC
MULLICA HILL, 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).

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 PIROLLI, D.O.. To verify EDWARD PIROLLI, D.O.'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.

Brand vs generic prescribing mix · Typical

EDWARD PIROLLI, D.O. — brand share 11.0%
Specialty average (est.)

11% brand-name claims vs 89% generic, on 7,104 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.

7,104
Total Claims
$727K
Total Drug Cost
678
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
16,595
Total Day Supply
485,546
Brand vs Generic
11% brand / 89% generic
Brand Drug Cost
$563K
Generic Drug Cost
$159K
Opioid Claims
74 (1.0% rate)
Antibiotic Claims
140

Patient Demographics

Average Patient Age
74.0 years
Avg HCC Risk Score
1.14
Gender Split
54% female / 46% male
Age Distribution
<65: 45, 65-74: 334, 75-84: 216, 85+: 83

Top Prescribed Drugs (Medicare Part D)

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

What EDWARD PIROLLI, D.O. 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
Atorvastatin Calcium
402
Lisinopril
315
Amlodipine Besylate
296
Levothyroxine Sodium
280
Rosuvastatin Calcium
198
Losartan Potassium
182
Metformin Hcl
182
Furosemide
174
Metoprolol Succinate
173
Hydrochlorothiazide
162

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

Family Medicine Physician Overview

How EDWARD PIROLLI, D.O. fits within the Family Medicine Physician landscape nationally.

147,640
Family Medicine Physician Providers in US
56
States with Family Medicine Physician
3,418
Avg Claims per Provider

EDWARD PIROLLI, D.O.'s 7,104 claims are above the specialty average of 3,418.

Nearby Family Medicine Physician Providers in New York

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

Compare Family Medicine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is EDWARD PIROLLI, D.O.'s specialty?
EDWARD PIROLLI, D.O. specializes in Family Medicine Physician and practices in EAST PATCHOGUE, New York. Credentials: D.O..
How much does EDWARD PIROLLI, D.O. prescribe under Medicare Part D?
In 2023, EDWARD PIROLLI, D.O. wrote 7,104 Medicare Part D claims totaling $727K in drug costs for 678 beneficiaries.
Where is EDWARD PIROLLI, D.O. located?
EDWARD PIROLLI, D.O. is located at 100 HOSPITAL RD, EAST PATCHOGUE, NY, 11772. Phone: (631) 475-6900.
What is EDWARD PIROLLI, D.O.'s NPI number?
EDWARD PIROLLI, D.O.'s National Provider Identifier (NPI) is 1063894012, issued on 06/26/2015.
Does EDWARD PIROLLI, D.O. prescribe more brand-name or generic drugs?
EDWARD PIROLLI, D.O.'s prescribing is 11% brand-name and 89% generic drugs by claim count, with $563K in brand drug costs.
Does EDWARD PIROLLI, D.O. prescribe opioids?
Yes, EDWARD PIROLLI, D.O. had 74 opioid claims in 2023 with an opioid prescribing rate of 1.0%.
How many Family Medicine Physician providers are there in the US?
There are 147,640 Family Medicine Physician providers across 56 states in the US. The average Family Medicine Physician provider writes 3,418 Medicare Part D claims per year.
What drugs does EDWARD PIROLLI, D.O. prescribe most often?
Based on 2023 Medicare Part D data, EDWARD PIROLLI, D.O.'s most frequently prescribed drugs include Atorvastatin Calcium, Lisinopril, Amlodipine Besylate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does EDWARD PIROLLI, D.O. accept Medicare?
EDWARD PIROLLI, D.O. appears in CMS Medicare data with 7,104 Part D claims and 678 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify EDWARD PIROLLI, D.O.'s credentials?
EDWARD PIROLLI, D.O.'s NPI is 1063894012 with credentials D.O.. 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