NPI registry status
Active
2026 NPPES data Emergency Medicine Physician NPI 1396903969 M.D.
Verify on CMS → Frank Fazio, M.D.
Emergency Medicine Physician in New Hyde Park, New York.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 64,463 in Emergency Medicine 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
107
Medicare Part D claims · 82 beneficiaries · Emergency Medicine Physician avg: 352
MIPS score
84.4/100
▲ 1 pts above national avg 83.1 · Above neutral
What the federal data shows
Frank Fazio, M.D. reported a CMS MIPS final score of 84.4/100 - above the 83.1 national average - and filed 107 Medicare Part D claims in 2023.
- 84.4/100
- MIPS score · +1 vs avg
- 107
- 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.
Frank Fazio, 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
84 45th percentile higher than 45% of 477,587 scored providers
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 Frank Fazio, M.D. sits
This provider among emergency medicine physician peers
Across the 14,967 emergency medicine physician providers who report both Medicare Part D prescribing and a MIPS quality score, Frank Fazio, M.D. writes more Part D claims than 35% of them and scores higher on MIPS quality than 35% - placing this provider in the lower-volume, lower-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
Each dot is one emergency medicine physician peer from a representative sample of 60; the gold marker is Frank Fazio, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Frank Fazio, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 3 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 Frank Fazio, M.D.?
Near national averagePrimary specialty
Emergency Medicine Physician
Medicare Part D claims
107 70% vs specialty avg
MIPS final score
84.4/100 1.3 pts vs avg
Specialty distribution in New York
How Emergency Medicine Physician compares to other specialties among New York providers
Medicare quality performance, MIPS
Frank Fazio, M.D.'s 2023 MIPS final score plotted against the Emergency Medicine Physician national average
- MIPS Final Score
- 84.4/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Emergency Medicine Physician) - 84.4/100 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).
Frank Fazio, M.D. appears in the CMS NPPES registry as an Emergency Medicine Physician provider holding M.D. credentials at 27005 76TH AVE, New Hyde Park, NY, 11040, with a listed phone of (718) 470-7501. NPI 1396903969 was issued on 05/29/2008.
Medicare Part D records for calendar year 2023 show 107 prescription claims written by this provider, covering 82 Medicare beneficiaries and totaling roughly $910 in drug spend. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 84.4/100 for the 2023 performance year (Quality 85.3, Cost 57), compared with the national average of 83.1.
Emergency Medicine Physician is a high-volume specialty nationwide, with 64,463 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
Provider Details
| NPI | 1396903969 |
|---|---|
| Specialty | Emergency Medicine Physician |
| Credentials | M.D. |
| Gender | Male |
| NPI Issued | 05/29/2008 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
84.3962
Final Score
Avg: 83.1
85.347
Quality
57.0255
Cost
100
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where Frank Fazio, 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.
According to CMS billing records, Frank Fazio, M.D. is affiliated with 3 Medicare-billing facilities across 3 states.
Springfield Hospital Inc.
Springfield, VT
St Francis Hospital
Roslyn, NY
W4P LLC
Crystal River, FL
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 Frank Fazio, M.D.. To verify Frank Fazio, 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.
107
Total Claims
$910
Total Drug Cost
82
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 108
- Total Day Supply
- 1,035
- Generic Drug Cost
- $792
- Antibiotic Claims
- 44
Patient Demographics
- Average Patient Age
- 76.0 years
- Avg HCC Risk Score
- 1.14
- Gender Split
- 59% female / 41% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
| Drug | Claims |
|---|---|
| Cefuroxime Cefuroxime Axetil | 17 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Emergency Medicine Physician Overview
How Frank Fazio, M.D. fits within the Emergency Medicine Physician landscape nationally.
64,463
Emergency Medicine Physician Providers in US
56
States with Emergency Medicine Physician
352
Avg Claims per Provider
Frank Fazio, M.D.'s 107 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 Fazio.
Dr. Matthew Abad
D.O.
Bronx, NY
Nabil Abazaid
New York, NY
Dr. Ethan Abbott
DO
Bronx, NY
Dr. Frederick Abbuhl
MD
Albany, NY
Dr. Minako Abe
MD
New York, NY
Compare Emergency Medicine 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 York medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Emergency Medicine 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.
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Frequently Asked Questions
What is Frank Fazio, M.D.'s specialty? ▼
Frank Fazio, M.D. specializes in Emergency Medicine Physician and practices in New Hyde Park, New York. Credentials: M.D..
How much does Frank Fazio, M.D. prescribe under Medicare Part D? ▼
In 2023, Frank Fazio, M.D. wrote 107 Medicare Part D claims totaling $910 in drug costs for 82 beneficiaries.
What is Frank Fazio, M.D.'s Medicare quality score? ▼
Frank Fazio, M.D. has a CMS MIPS Final Score of 84.4/100 (Quality: 85.3, Cost: 57). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Frank Fazio, M.D. located? ▼
Frank Fazio, M.D. is located at 27005 76TH AVE, New Hyde Park, NY, 11040. Phone: (718) 470-7501.
What is Frank Fazio, M.D.'s NPI number? ▼
Frank Fazio, M.D.'s National Provider Identifier (NPI) is 1396903969, issued on 05/29/2008.
How many Emergency Medicine Physician providers are there in the US? ▼
There are 64,463 Emergency Medicine Physician providers across 56 states in the US. The average Emergency Medicine Physician provider writes 352 Medicare Part D claims per year.
What drugs does Frank Fazio, M.D. prescribe most often? ▼
Based on 2023 Medicare Part D data, Frank Fazio, M.D.'s most frequently prescribed drugs include Cefuroxime. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Frank Fazio, M.D. accept Medicare? ▼
Frank Fazio, M.D. appears in CMS Medicare data with 107 Part D claims and 82 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Frank Fazio, M.D.'s credentials? ▼
Frank Fazio, M.D.'s NPI is 1396903969 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
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.