GERARD VARLOTTA, D.O
Sports Medicine (Preventive Medicine) Physician in NEW YORK, New York. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.
What the federal data shows
GERARD VARLOTTA, D.O reported a CMS MIPS final score of 75/100 — below the 83.1 national average — and filed 1,794 Medicare Part D claims in 2023.
- 75/100
- MIPS score · -8 vs avg
- 2K
- Part D claims, 2023
- 94%
- generic prescribing
- 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 VARLOTTA, D.O'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
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
GERARD VARLOTTA, D.O practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting — 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 VARLOTTA, D.O?
Below national averagePrimary specialty
Medicare Part D claims
MIPS final score
Specialty distribution in New York
How Sports Medicine (Preventive Medicine) Physician compares to other specialties among New York providers
Sports Medicine (Preventive Medicine) Physician share within New York
Sports Medicine (Preventive Medicine) Physician is one of the more visible NUCC categories in New York
Each bar reflects the share of in-state providers whose primary NUCC taxonomy matches the specialty. Long tail of ~690 NUCC codes folded into "Other" to keep the comparison legible.
Medicare quality performance — MIPS
GERARD VARLOTTA, D.O's 2023 MIPS final score plotted against the Sports Medicine (Preventive Medicine) Physician national average
- MIPS Final Score
- 75/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Sports Medicine (Preventive Medicine) Physician) — 75/100 vs national avg 83.1
Quality benchmarks
- National MIPS avg 2023 reporting year
- Specialty volume Sports Medicine (Preventive Medicine) Physician US NPIs
75/100 MIPS final score — 8.1 pts below the 83.1 national average
Quality, Cost, Promoting Interoperability, and Improvement Activities composite score for the 2023 performance year. Specialty: Sports Medicine (Preventive Medicine) Physician.
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 VARLOTTA, D.O appears in the CMS NPPES registry as a Sports Medicine (Preventive Medicine) Physician provider holding D.O credentials at 20 E 46TH ST RM 304, NEW YORK, NY, 10017, with a listed phone of (212) 725-1800. NPI 1003818584 was issued on 08/13/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what VARLOTTA 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 1,794 prescription claims written by this provider, covering 363 Medicare beneficiaries and totaling roughly $89K in drug spend, split 6% brand-name and 94% generic by claim count, 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 75/100 for the 2023 performance year, compared with the national average of 83.1.
Sports Medicine (Preventive Medicine) Physician is a narrow specialty nationwide, with 160 enrolled providers across 38 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 | 1003818584 |
|---|---|
| Specialty | Sports Medicine (Preventive Medicine) Physician |
| Credentials | D.O |
| Gender | Male |
| NPI Issued | 08/13/2005 |
Verify this provider's license
PlainDoctor pulls this profile from the CMS NPPES public registry. Confirm GERARD VARLOTTA, D.O's current license status, disciplinary history, and board certifications with the New York State Education Department, Office of the Professions in New York before relying on this page for a clinical or care decision.
How we sourced this profile
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
Reporting: Individual
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 VARLOTTA, D.O. Source: openpaymentsdata.cms.gov.
Total received
$1.1K
Largest payer
SCILEX PHARMACEUTICALS 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 GERARD VARLOTTA, D.O. To verify GERARD VARLOTTA, D.O's current license status, search the NYSBPMC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
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.
Brand vs generic prescribing mix · Generic-heavy
6% brand-name claims vs 94% generic, on 1,794 2023 Medicare Part D claims.
The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
Prescribing Breakdown
- 30-Day Fills
- 2,042
- Total Day Supply
- 57,097
- Brand vs Generic
- 6% brand / 94% generic
- Brand Drug Cost
- $55K
- Generic Drug Cost
- $34K
- Opioid Claims
- 142 (7.9% rate)
Patient Demographics
- Average Patient Age
- 74.6 years
- Avg HCC Risk Score
- 1.11
- Gender Split
- 56% female / 44% male
- Age Distribution
- <65: 19, 65-74: 170, 75-84: 140, 85+: 34
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What GERARD VARLOTTA, D.O prescribes most
Top Medicare Part D drugs by claim count, 2023
- Gabapentin
Gabapentin
527 claims
- Meloxicam
Meloxicam
477 claims
- Diclofenac Sodium 111
Diclofenac Sodium
111 claims
- Prednisone 102
Prednisone
102 claims
- Pregabalin 88
Pregabalin
88 claims
- Lidocaine 72
Lidocaine
72 claims
- Cyclobenzaprine Hcl 56
Cyclobenzaprine Hcl
56 claims
- Tramadol Hcl 47
Tramadol Hcl
47 claims
| Drug | Claims |
|---|---|
| Gabapentin | 527 |
| Meloxicam | 477 |
| Diclofenac Sodium | 111 |
| Prednisone | 102 |
| Pregabalin | 88 |
| Lidocaine | 72 |
| Cyclobenzaprine Hcl | 56 |
| Tramadol Hcl | 47 |
| Duloxetine Hcl | 37 |
| Tramadol Hcl Er Tramadol Hcl | 22 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Sports Medicine (Preventive Medicine) Physician Overview
How GERARD VARLOTTA, D.O fits within the Sports Medicine (Preventive Medicine) Physician landscape nationally.
GERARD VARLOTTA, D.O's 1,794 claims are above the specialty average of 352.
Nearby Sports Medicine (Preventive 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 VARLOTTA.
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Frequently Asked Questions
What is GERARD VARLOTTA, D.O's specialty? ▼
How much does GERARD VARLOTTA, D.O prescribe under Medicare Part D? ▼
What is GERARD VARLOTTA, D.O's Medicare quality score? ▼
Where is GERARD VARLOTTA, D.O located? ▼
What is GERARD VARLOTTA, D.O's NPI number? ▼
Does GERARD VARLOTTA, D.O prescribe more brand-name or generic drugs? ▼
Does GERARD VARLOTTA, D.O prescribe opioids? ▼
How many Sports Medicine (Preventive Medicine) Physician providers are there in the US? ▼
What drugs does GERARD VARLOTTA, D.O prescribe most often? ▼
Does GERARD VARLOTTA, D.O accept Medicare? ▼
How can I verify GERARD VARLOTTA, D.O's credentials? ▼
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