NPI registry status
Active
2026 NPPES data Sports Medicine (Preventive Medicine) Physician NPI 1003818584 D.O
Verify on CMS → Gerard Varlotta, D.O
Sports Medicine (Preventive Medicine) Physician in New York, 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 161 in Sports Medicine (Preventive 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
2K
Medicare Part D claims · 363 beneficiaries · Sports Medicine (Preventive Medicine) Physician avg: 352
Generic prescribing
94%
generic claims · 6% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
75/100
CMS neutral threshold · no category scores published
Industry payments
$1.1K
42 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2023
What the federal data shows
Gerard Varlotta, D.O carries the neutral CMS MIPS final score of 75/100, assigned where no category was scored - and filed 1,794 Medicare Part D claims in 2023.
- 75/100
- CMS neutral score · not measured
- 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 Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023, across all CMS prescribers nationally
1,794 ≥ 83rd percentile 83% of 1,370,886 prescribers are in lower value bands
Each bar is a band; taller bars hold more prescribers. 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.
The percentile is a conservative 100-claim band: it counts only prescribers in lower claim-volume bands. Medicare Part D claim volume is activity context, not a quality measure or recommendation. See methodology § corpus placement.
Source CMS Medicare Part D Prescriber Public Use File · 2023
✓
Board certification likely (heuristic, not verified)
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?
CMS neutral score, not measuredPrimary specialty
Sports Medicine (Preventive Medicine) Physician
Medicare Part D claims
1,794 5× vs specialty avg
MIPS final score
75/100
Specialty distribution in New York
How Sports Medicine (Preventive Medicine) Physician compares to other specialties among New York providers
MIPS score not measured
CMS assigned a neutral 75/100 threshold
CMS did not publish any Quality, Cost, Promoting Interoperability, or Improvement Activities category score for this clinician. This administrative threshold is not comparable with the national average of clinicians whose MIPS score was measured.
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).
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.
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%. On the CMS Merit-based Incentive Payment System, this provider carries a Final Score of 75/100 for the 2023 performance year, but CMS published no Quality, Promoting Interoperability, Improvement Activity or Cost score: this is the neutral performance threshold CMS assigns where nothing was scored, so it is not comparable with clinicians whose score was measured.
Sports Medicine (Preventive Medicine) Physician is a narrow specialty nationwide, with 161 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 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
75
Final Score
CMS neutral threshold · not measured
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.
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.
Brand vs generic prescribing mix · Generic-heavy
Gerard Varlotta, D.O - brand share 6.0%
Sports Medicine (Preventive Medicine) Physician average
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.
1,794
Total Claims
$89K
Total Drug Cost
363
Medicare Beneficiaries
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.
More Sports Medicine (Preventive Medicine) Physician in NY →
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Sports Medicine (Preventive Medicine) Physician Overview
How Gerard Varlotta, D.O fits within the Sports Medicine (Preventive Medicine) Physician landscape nationally.
161
Sports Medicine (Preventive Medicine) Physician Providers in US
38
States with Sports Medicine (Preventive Medicine) Physician
352
Avg Claims per Provider
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.
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 Sports Medicine (Preventive 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 Gerard Varlotta, D.O's specialty? ▼
Gerard Varlotta, D.O specializes in Sports Medicine (Preventive Medicine) Physician and practices in New York, New York. Credentials: D.O.
How much does Gerard Varlotta, D.O prescribe under Medicare Part D? ▼
In 2023, Gerard Varlotta, D.O wrote 1,794 Medicare Part D claims totaling $89K in drug costs for 363 beneficiaries.
What is Gerard Varlotta, D.O's Medicare quality score? ▼
Gerard Varlotta, D.O has a CMS MIPS Final Score of 75/100. CMS published no Quality, Promoting Interoperability, Improvement Activity or Cost score for this clinician, so the final score is the neutral performance threshold CMS assigns rather than a measured result. The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Gerard Varlotta, D.O located? ▼
Gerard Varlotta, D.O is located at 20 E 46TH ST RM 304, New York, NY, 10017. Phone: (212) 725-1800.
What is Gerard Varlotta, D.O's NPI number? ▼
Gerard Varlotta, D.O's National Provider Identifier (NPI) is 1003818584, issued on 08/13/2005.
Does Gerard Varlotta, D.O prescribe more brand-name or generic drugs? ▼
Gerard Varlotta, D.O's prescribing is 6% brand-name and 94% generic drugs by claim count, with $55K in brand drug costs.
Does Gerard Varlotta, D.O prescribe opioids? ▼
Yes, Gerard Varlotta, D.O had 142 opioid claims in 2023 with an opioid prescribing rate of 7.9%.
How many Sports Medicine (Preventive Medicine) Physician providers are there in the US? ▼
There are 161 Sports Medicine (Preventive Medicine) Physician providers across 38 states in the US. The average Sports Medicine (Preventive Medicine) Physician provider writes 352 Medicare Part D claims per year.
What drugs does Gerard Varlotta, D.O prescribe most often? ▼
Based on 2023 Medicare Part D data, Gerard Varlotta, D.O's most frequently prescribed drugs include Gabapentin, Meloxicam, Diclofenac Sodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Gerard Varlotta, D.O accept Medicare? ▼
Gerard Varlotta, D.O appears in CMS Medicare data with 1,794 Part D claims and 363 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Gerard Varlotta, D.O's credentials? ▼
Gerard Varlotta, D.O's NPI is 1003818584 with credentials D.O. 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.