2026 NPPES data Sports Medicine (Physical Medicine & Rehabilitation) Physician NPI 1376049130 M.D.
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GERARD D'ONOFRIO, M.D.

Sports Medicine (Physical Medicine & Rehabilitation) Physician in NEW PROVIDENCE, New Jersey. 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
189
Medicare Part D claims · 99 beneficiaries · Sports Medicine (Physical Medicine & Rehabilitation) Physician avg: 579
MIPS score
94.7511/100
▲ 12 pts above national avg 83.1 · [object Object]
Industry payments
$23.31
1 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

GERARD D'ONOFRIO, M.D. reported a CMS MIPS final score of 94.7511/100 — above the 83.1 national average — and filed 189 Medicare Part D claims in 2023.

94.7511/100
MIPS score · +12 vs avg
189
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.

GERARD D'ONOFRIO, 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

95 Top 25% higher than 75% 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%). Below this entry. 90–100: 189,403 scored providers (40%). This entry sits in this band. 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)

GERARD D'ONOFRIO, 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 GERARD D'ONOFRIO, M.D.?

High performer (top quartile)

NPI registry status

Active

Issued 04/02/2018

NPI 1376049130

Primary specialty

Sports Medicine (Physical Medicine & Rehabilitation) Physician

Niche

1,267 US NPIs in this specialty

Medicare Part D claims

189 67% vs specialty avg

2023 prescription claims

Specialty avg: 579

MIPS final score

94.7511/100 11.6511% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in New Jersey

How Sports Medicine (Physical Medicine & Rehabilitation) Physician compares to other specialties among New Jersey providers

New Jersey providers

Sports Medicine (Physical Medicine & Rehabilitation) Physician share within New Jersey

1. Sports Medicine (Physical Medicine & Rehabilitation) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Sports Medicine (Physical Medicine & Rehabilitation) Physician share within New Jersey

Medicare quality performance — MIPS

GERARD D'ONOFRIO, M.D.'s 2023 MIPS final score plotted against the Sports Medicine (Physical Medicine & Rehabilitation) Physician national average

High performer (top quartile)
MIPS Final Score
94.7511/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Sports Medicine (Physical Medicine & Rehabilitation) Physician) — 94.7511/100 vs national avg 83.1

0%100%National avg83%94.8%
MIPS final score (Sports Medicine (Physical Medicine & Rehabilitation) Physician) — 94.7511/100 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).

GERARD D'ONOFRIO, M.D. is a Sports Medicine (Physical Medicine & Rehabilitation) Physician provider practicing in NEW PROVIDENCE, New Jersey, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1376049130. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

GERARD D'ONOFRIO, M.D. appears in the CMS NPPES registry as a Sports Medicine (Physical Medicine & Rehabilitation) Physician provider holding M.D. credentials at 890 MOUNTAIN AVE, NEW PROVIDENCE, NJ, 07974, with a listed phone of (908) 277-8897. NPI 1376049130 was issued on 04/02/2018. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what D'ONOFRIO 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 189 prescription claims written by this provider, covering 99 Medicare beneficiaries and totaling roughly $3K in drug spend, with an opioid prescribing rate of 7.9%. 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 94.7511/100 for the 2023 performance year (Quality 89.5022), compared with the national average of 83.1.

Sports Medicine (Physical Medicine & Rehabilitation) Physician is a narrow specialty nationwide, with 1,267 enrolled providers across 52 states and an average of 579 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

890 MOUNTAIN AVE
NEW PROVIDENCE, NJ 07974

Provider Details

NPI 1376049130
Specialty Sports Medicine (Physical Medicine & Rehabilitation) Physician
Credentials M.D.
Gender Male
NPI Issued 04/02/2018

CMS Quality Score (MIPS)

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

94.7511
Final Score
Avg: 83.1
89.5022
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where GERARD D'ONOFRIO, 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.

SUMMIT MEDICAL GROUP PA
BERKELEY HEIGHTS, 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 GERARD D'ONOFRIO, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$23

Largest payer

Boston Scientific Corporation

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.

189
Total Claims
$3K
Total Drug Cost
99
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
245
Total Day Supply
6,439
Generic Drug Cost
$3K
Opioid Claims
15 (7.9% rate)

Patient Demographics

Average Patient Age
73.4 years
Avg HCC Risk Score
1.05
Gender Split
62% female / 38% 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
Gabapentin
73
Celecoxib
43
Meloxicam
23

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

Sports Medicine (Physical Medicine & Rehabilitation) Physician Overview

How GERARD D'ONOFRIO, M.D. fits within the Sports Medicine (Physical Medicine & Rehabilitation) Physician landscape nationally.

1,267
Sports Medicine (Physical Medicine & Rehabilitation) Physician Providers in US
52
States with Sports Medicine (Physical Medicine & Rehabilitation) Physician
579
Avg Claims per Provider

GERARD D'ONOFRIO, M.D.'s 189 claims are below the specialty average of 579.

Nearby Sports Medicine (Physical Medicine & Rehabilitation) Physician Providers in New Jersey

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

Compare Sports Medicine (Physical Medicine & Rehabilitation) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is GERARD D'ONOFRIO, M.D.'s specialty?
GERARD D'ONOFRIO, M.D. specializes in Sports Medicine (Physical Medicine & Rehabilitation) Physician and practices in NEW PROVIDENCE, New Jersey. Credentials: M.D..
How much does GERARD D'ONOFRIO, M.D. prescribe under Medicare Part D?
In 2023, GERARD D'ONOFRIO, M.D. wrote 189 Medicare Part D claims totaling $3K in drug costs for 99 beneficiaries.
What is GERARD D'ONOFRIO, M.D.'s Medicare quality score?
GERARD D'ONOFRIO, M.D. has a CMS MIPS Final Score of 94.7511/100 (Quality: 89.5022). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is GERARD D'ONOFRIO, M.D. located?
GERARD D'ONOFRIO, M.D. is located at 890 MOUNTAIN AVE, NEW PROVIDENCE, NJ, 07974. Phone: (908) 277-8897.
What is GERARD D'ONOFRIO, M.D.'s NPI number?
GERARD D'ONOFRIO, M.D.'s National Provider Identifier (NPI) is 1376049130, issued on 04/02/2018.
Does GERARD D'ONOFRIO, M.D. prescribe opioids?
Yes, GERARD D'ONOFRIO, M.D. had 15 opioid claims in 2023 with an opioid prescribing rate of 7.9%.
How many Sports Medicine (Physical Medicine & Rehabilitation) Physician providers are there in the US?
There are 1,267 Sports Medicine (Physical Medicine & Rehabilitation) Physician providers across 52 states in the US. The average Sports Medicine (Physical Medicine & Rehabilitation) Physician provider writes 579 Medicare Part D claims per year.
What drugs does GERARD D'ONOFRIO, M.D. prescribe most often?
Based on 2023 Medicare Part D data, GERARD D'ONOFRIO, M.D.'s most frequently prescribed drugs include Gabapentin, Celecoxib, Meloxicam. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does GERARD D'ONOFRIO, M.D. accept Medicare?
GERARD D'ONOFRIO, M.D. appears in CMS Medicare data with 189 Part D claims and 99 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify GERARD D'ONOFRIO, M.D.'s credentials?
GERARD D'ONOFRIO, M.D.'s NPI is 1376049130 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