2026 NPPES data Cardiovascular Disease Physician NPI 1073518411 M.D.
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Fernando Segovia, M.D.

Cardiovascular Disease Physician in Edgewater, 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 24,810 in Cardiovascular Disease Physician, 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
5K
Medicare Part D claims · 821 beneficiaries · Cardiovascular Disease Physician avg: 3K
MIPS score
89.2/100
▲ 6 pts above national avg 83.1 · Exceptional
Industry payments
$296.03
7 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

Fernando Segovia, M.D. reported a CMS MIPS final score of 89.2/100 - above the 83.1 national average - and filed 5,489 Medicare Part D claims in 2023.

89.2/100
MIPS score · +6 vs avg
5K
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.

Fernando Segovia, 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

89 Top 42% higher than 58% 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%). This entry sits in this band. 90+: 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

Where Fernando Segovia, M.D. sits

This provider among cardiovascular disease physician peers

Across the 8,753 cardiovascular disease physician providers who report both Medicare Part D prescribing and a MIPS quality score, Fernando Segovia, M.D. writes more Part D claims than 78% of them and scores higher on MIPS quality than 58% - placing this provider in the high-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Part D claim volume vs MIPS quality, by specialty percentile

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality0255075100023.146.269.392.4Part D claim volume, percentile in specialtyMIPS quality, percentile
Part D claim volume vs MIPS quality, by specialty percentile

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

Board certification likely (heuristic, not verified)

Fernando Segovia, M.D. 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 Fernando Segovia, M.D.?

High performer (top quartile)

NPI registry status

Active

Issued 06/14/2005

NPI 1073518411

Primary specialty

Cardiovascular Disease Physician

Mid-sized

24,810 US NPIs in this specialty

Medicare Part D claims

5,489 81% vs specialty avg

2023 prescription claims

Specialty avg: 3,033

MIPS final score

89.2/100 6.1 pts vs avg

Exceptional band

vs 83.1 national avg

Specialty distribution in New Jersey

How Cardiovascular Disease Physician compares to other specialties among New Jersey providers

New Jersey providers
Mental Health Counselor6.2%Physical Therapist5.9%Clinical Social Worker5.5%Student in an Organized Heal…5.4%Pharmacist5%Internal Medicine Physician3.1%Cardiovascular Disease Physi…0.6%
Largest specialties in New Jersey (% of in-state providers)

Medicare quality performance, MIPS

Fernando Segovia, M.D.'s 2023 MIPS final score plotted against the Cardiovascular Disease Physician national average

High performer (top quartile)
MIPS Final Score
89.2/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Cardiovascular Disease Physician) - 89.2/100 vs national avg 83.1

0%100%National avg83%89.2%
MIPS final score (Cardiovascular Disease Physician) - 89.2/100 vs national avg 83.1
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).

Fernando Segovia, M.D. appears in the CMS NPPES registry as a Cardiovascular Disease Physician provider holding M.D. credentials at 103 RIVER RD, Edgewater, NJ, 07020, with a listed phone of (201) 941-8100. NPI 1073518411 was issued on 06/14/2005.

Medicare Part D records for calendar year 2023 show 5,489 prescription claims written by this provider, covering 821 Medicare beneficiaries and totaling roughly $884K in drug spend. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 89.2/100 for the 2023 performance year (Quality 87.8), compared with the national average of 83.1.

Cardiovascular Disease Physician is a mid-sized specialty nationwide, with 24,810 enrolled providers across 54 states and an average of 3,033 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

103 RIVER RD
Edgewater, NJ 07020

Provider Details

NPI 1073518411
Specialty Cardiovascular Disease Physician
Credentials M.D.
Gender Male
NPI Issued 06/14/2005

CMS Quality Score (MIPS)

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

89.1982
Final Score
Avg: 83.1
87.8492
Quality
73
Promoting Interoperability

Reporting: Individual

Hospital and facility affiliations

Facilities where Fernando Segovia, 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.

Icahn School OF Medicine AT Mount Sinai
Edgewater, 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 Fernando Segovia, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$296

Largest payer

ShockWave 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.

Medicare Part D Prescribing Data

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

5,489
Total Claims
$884K
Total Drug Cost
821
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
14,677
Total Day Supply
438,301
Generic Drug Cost
$221K

Patient Demographics

Average Patient Age
76.5 years
Avg HCC Risk Score
1.43
Gender Split
58% female / 42% male
Age Distribution
<65: 29, 65-74: 337, 75-84: 303, 85+: 152

Top Prescribed Drugs (Medicare Part D)

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

What Fernando Segovia, M.D. 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
578
Rosuvastatin Calcium
504
Amlodipine Besylate
449
Metoprolol Succinate
428
Valsartan
354
Carvedilol
332
Valsartan-Hydrochlorothiazide
Valsartan/Hydrochlorothiazide
296
Clopidogrel
Clopidogrel Bisulfate
247
Eliquis
Apixaban
246
Clonidine
199

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

Cardiovascular Disease Physician Overview

How Fernando Segovia, M.D. fits within the Cardiovascular Disease Physician landscape nationally.

24,810
Cardiovascular Disease Physician Providers in US
54
States with Cardiovascular Disease Physician
3,033
Avg Claims per Provider

Fernando Segovia, M.D.'s 5,489 claims are above the specialty average of 3,033.

Nearby Cardiovascular Disease Physician Providers in New Jersey

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

Compare Cardiovascular Disease Physician nationally: see state-by-state distribution →

Before you book an appointment

Use this federal record as your verification checklist, not as a recommendation.

  • Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
  • Check the active license and any disciplinary history with the New Jersey medical board, federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Cardiovascular Disease Physician peer on Medicare volume and prescribing patterns. Compare providers

Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.

Frequently Asked Questions

What is Fernando Segovia, M.D.'s specialty?
Fernando Segovia, M.D. specializes in Cardiovascular Disease Physician and practices in Edgewater, New Jersey. Credentials: M.D..
How much does Fernando Segovia, M.D. prescribe under Medicare Part D?
In 2023, Fernando Segovia, M.D. wrote 5,489 Medicare Part D claims totaling $884K in drug costs for 821 beneficiaries.
What is Fernando Segovia, M.D.'s Medicare quality score?
Fernando Segovia, M.D. has a CMS MIPS Final Score of 89.2/100 (Quality: 87.8). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Fernando Segovia, M.D. located?
Fernando Segovia, M.D. is located at 103 RIVER RD, Edgewater, NJ, 07020. Phone: (201) 941-8100.
What is Fernando Segovia, M.D.'s NPI number?
Fernando Segovia, M.D.'s National Provider Identifier (NPI) is 1073518411, issued on 06/14/2005.
How many Cardiovascular Disease Physician providers are there in the US?
There are 24,810 Cardiovascular Disease Physician providers across 54 states in the US. The average Cardiovascular Disease Physician provider writes 3,033 Medicare Part D claims per year.
What drugs does Fernando Segovia, M.D. prescribe most often?
Based on 2023 Medicare Part D data, Fernando Segovia, M.D.'s most frequently prescribed drugs include Atorvastatin Calcium, Rosuvastatin Calcium, Amlodipine Besylate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Fernando Segovia, M.D. accept Medicare?
Fernando Segovia, M.D. appears in CMS Medicare data with 5,489 Part D claims and 821 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Fernando Segovia, M.D.'s credentials?
Fernando Segovia, M.D.'s NPI is 1073518411 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 (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

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 May 2026.