Gerald C. Smaldone, M.D., PHD
Pulmonary Disease Physician · East Setauket, NY
Gerald C. Smaldone, M.D., PHD is a pulmonary disease physician with a practice address in East Setauket, New York, and NPI 1891710828, issued on Jul 12, 2006. Check the license (New York 142684, as entered in NPPES) on the NYS Education Department, Office of the Professions; the Medicare figures below come from public CMS files.
- Name
- Gerald C. Smaldone
- Credential
- M.D., PHD
- Primary taxonomy
- Pulmonary Disease Physician 207RP1001X
- License number
- 142684 NY
Self-reported in NPPES; status is on the state search - Practice location
- 26 Research Way, East Setauket, NY 11733
- Phone
- (631) 444-0580
- Enumerated
- Jul 12, 2006
- Record last updated
- Apr 10, 2022
- Medicaid ID
- 00524630 NY
- Medicare enrollment
- Enrolled (PECOS I20100128000551); accepts Medicare assignment
- Medical or professional school
- New York University School Of Medicine, 1975
- Telehealth
- Offers telehealth (CMS)
- Entity
- Type 1 · individual
8 nearest pulmonary disease physician records → All 1,230 in New York → Look up another NPI →
Also registered at 26 Research Way
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Mersema Abate, MDNephrology Physician1497950133
- Sahar Ahmad, M.D.Pulmonary Disease Physician1669756193
- Ibrahim Almasry, MDInternal Medicine Physician1518953462
- Leonard Arbeit, M.D.Nephrology Physician1124052774
- Ayse Bag Ozbek, M.D.Student in an Organized Health Care Education/Training Program1386886042
- Mark Borek, M.D.Cardiovascular Disease Physician1922012707
Verify Gerald C. Smaldone in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersNYS Education Department, Office of the Professions
Search for license 142684Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
56% fewer Medicare Part D claims than the average pulmonary disease physician in 2024
634 Medicare Part D claims for 93 beneficiaries, against an average of 1,425 among the 11,596 providers of this specialty who prescribed in Part D. Brand-name drugs were 65% of claims.
Most prescribed
- Albuterol Sulfate Hfa81 claims
- Trelegy Ellipta67 claims
- Prednisone59 claims
- Spiriva Respimat46 claims
- Budesonide-Formoterol Fumarate45 claims
- Symbicort44 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The MIPS final score for 2023 (Medicare payment program): 98.5 of 100
The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).
Gerald C. Smaldone among 1,230 pulmonary disease physician records in New York
Gerald C. Smaldone, M.D., PHD is one of 1,230 pulmonary disease physician records with a practice address in New York. 87% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 11% of them.
- NPI issued2006 · 11% of these records are older, 47% newer
- In a Medicare fileYes · 87% of these records are
- In the CMS Doctors and Clinicians fileYes · 77% of these records are
- Graduated1975 · median 1999 among the 943 with a school on file
- Record last updated2022 · 60% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207RP1001X and a New York practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Pulmonary Disease Physician providers in New York
There are 1,230 pulmonary disease physician records in New York.
All 1,230 in New York → Every provider in East Setauket → Pulmonary Disease Physician nationwide →
The 8 pulmonary disease physician records with the nearest ZIP codes
- Sahar Ahmad, M.D.East Setauket, NY 117331669756193
- Sunil Dhuper, M.D.East Setauket, NY 117331386779296
- Norman Edelman, M.D.East Setauket, NY 117331881629582
- Mohamed Mansour, M.D.East Setauket, NY 117331225276488
- Thomas O'Riordan, M.D.East Setauket, NY 117331992720189
- Lucy Palmer, M.D.East Setauket, NY 117331689699878
- Rajeev Patel, M.D.East Setauket, NY 117331174769996
- Paul Richman, M.D.East Setauket, NY 117331780609859
Common questions
What is Gerald C. Smaldone, M.D., PHD's NPI number?
Gerald C. Smaldone, M.D., PHD's National Provider Identifier (NPI) is 1891710828, issued on Jul 12, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Gerald C. Smaldone, M.D., PHD located?
The NPPES record lists a practice address at 26 Research Way, East Setauket, NY, 11733. Phone: (631) 444-0580. Providers update this record themselves, so call before visiting.
How can I verify Gerald C. Smaldone, M.D., PHD's license?
NPPES lists New York license number 142684, as entered by the provider. Search the NYS Education Department, Office of the Professions at https://www.op.nysed.gov/services/verifications/online-verification-searches. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Gerald C. Smaldone, M.D., PHD prescribe under Medicare Part D?
In 2024, Gerald C. Smaldone, M.D., PHD had 634 Medicare Part D claims for 93 beneficiaries; the average among pulmonary disease physician prescribers was 1,425. Part D covers Medicare prescriptions only.
What is Gerald C. Smaldone, M.D., PHD's MIPS final score?
The 2023 MIPS final score is 98.5 of 100. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.