2026 NPPES data Emergency Medicine Physician NPI 1699704007 M.D.
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ERIC DECENA, M.D.

Emergency Medicine Physician in WEST ISLIP, 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
60
Medicare Part D claims · 48 beneficiaries · Emergency Medicine Physician avg: 352
MIPS score
75/100
▼ 8 pts below national avg 83.1 · [object Object]
Industry payments
$137.4
2 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

ERIC DECENA, M.D. reported a CMS MIPS final score of 75/100 — below the 83.1 national average — and filed 60 Medicare Part D claims in 2023.

75/100
MIPS score · -8 vs avg
60
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.

ERIC DECENA, M.D.'s MIPS score vs every scored U.S. clinician

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

75 15th percentile higher than 15% 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%). This entry sits in this band. 80–90: 129,887 scored providers (27%). Above this entry. 90–100: 189,403 scored providers (40%). Above this entry. 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)

ERIC DECENA, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 2 hospital affiliations — 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 ERIC DECENA, M.D.?

Below national average

NPI registry status

Active

Issued 06/30/2006

NPI 1699704007

Primary specialty

Emergency Medicine Physician

High-volume

64,398 US NPIs in this specialty

Medicare Part D claims

60 83% vs specialty avg

2023 prescription claims

Specialty avg: 352

MIPS final score

75/100 8.099999999999994% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in New York

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

New York providers

Emergency Medicine Physician share within New York

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

Medicare quality performance — MIPS

ERIC DECENA, M.D.'s 2023 MIPS final score plotted against the Emergency Medicine Physician national average

Below national average
MIPS Final Score
75/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Emergency Medicine Physician) — 75/100 vs national avg 83.1

0%100%National avg83%75%
MIPS final score (Emergency Medicine Physician) — 75/100 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).

ERIC DECENA, M.D. appears in the CMS NPPES registry as a Emergency Medicine Physician provider holding M.D. credentials at 1000 MONTAUK HWY, WEST ISLIP, NY, 11795, with a listed phone of (631) 376-3000. NPI 1699704007 was issued on 06/30/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what DECENA 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 60 prescription claims written by this provider, covering 48 Medicare beneficiaries and totaling roughly $2K 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 75/100 for the 2023 performance year, compared with the national average of 83.1.

Emergency Medicine Physician is a high-volume specialty nationwide, with 64,398 enrolled providers across 56 states and an average of 352 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

1000 MONTAUK HWY
WEST ISLIP, NY 11795

Provider Details

NPI 1699704007
Specialty Emergency Medicine Physician
Credentials M.D.
Gender Male
NPI Issued 06/30/2006

CMS Quality Score (MIPS)

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

75
Final Score
Avg: 83.1

Reporting: Group practice

Hospital and facility affiliations

Facilities where ERIC DECENA, 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.

GOOD SAMARITAN HOSPITAL MEDICAL
WEST ISLIP, NY
SPRINGFIELD HOSPITAL INC.
SPRINGFIELD, VT

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 ERIC DECENA, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$137

Largest payer

Amgen 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 ERIC DECENA, M.D.. To verify ERIC DECENA, M.D.'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.

60
Total Claims
$2K
Total Drug Cost
48
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
61
Total Day Supply
819
Generic Drug Cost
$671
Antibiotic Claims
16

Patient Demographics

Average Patient Age
75.6 years
Avg HCC Risk Score
1.67
Gender Split
65% female / 35% male

Emergency Medicine Physician Overview

How ERIC DECENA, M.D. fits within the Emergency Medicine Physician landscape nationally.

64,398
Emergency Medicine Physician Providers in US
56
States with Emergency Medicine Physician
352
Avg Claims per Provider

ERIC DECENA, M.D.'s 60 claims are below the specialty average of 352.

Nearby Emergency 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 DECENA.

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

Frequently Asked Questions

What is ERIC DECENA, M.D.'s specialty?
ERIC DECENA, M.D. specializes in Emergency Medicine Physician and practices in WEST ISLIP, New York. Credentials: M.D..
How much does ERIC DECENA, M.D. prescribe under Medicare Part D?
In 2023, ERIC DECENA, M.D. wrote 60 Medicare Part D claims totaling $2K in drug costs for 48 beneficiaries.
What is ERIC DECENA, M.D.'s Medicare quality score?
ERIC DECENA, M.D. has a CMS MIPS Final Score of 75/100. The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is ERIC DECENA, M.D. located?
ERIC DECENA, M.D. is located at 1000 MONTAUK HWY, WEST ISLIP, NY, 11795. Phone: (631) 376-3000.
What is ERIC DECENA, M.D.'s NPI number?
ERIC DECENA, M.D.'s National Provider Identifier (NPI) is 1699704007, issued on 06/30/2006.
How many Emergency Medicine Physician providers are there in the US?
There are 64,398 Emergency Medicine Physician providers across 56 states in the US. The average Emergency Medicine Physician provider writes 352 Medicare Part D claims per year.
Does ERIC DECENA, M.D. accept Medicare?
ERIC DECENA, M.D. appears in CMS Medicare data with 60 Part D claims and 48 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify ERIC DECENA, M.D.'s credentials?
ERIC DECENA, M.D.'s NPI is 1699704007 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

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