2026 NPPES data Sports Medicine (Preventive Medicine) Physician NPI 1003818584 D.O
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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.

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
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
▼ 8 pts below national avg 83.1 · [object Object]
Industry payments
$1.1K
42 payments · CMS Open Payments (Sunshine Act)

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

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%). This entry sits in this band. 80–90: 129,887 scored providers (27%). Above this entry. 90–100: 189,403 scored providers (40%). Above this entry. 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 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 average

NPI registry status

Active

Issued 08/13/2005

NPI 1003818584

Primary specialty

Sports Medicine (Preventive Medicine) Physician

Rare

160 US NPIs in this specialty

Medicare Part D claims

1,794 410% vs specialty avg

2023 prescription claims

Specialty avg: 352

MIPS final score

75/100 8.099999999999994% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in New York

How Sports Medicine (Preventive Medicine) Physician compares to other specialties among New York providers

New York providers

Sports Medicine (Preventive Medicine) Physician share within New York

1. Sports Medicine (Preventive Medicine) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Sports Medicine (Preventive Medicine) Physician share within New York

Medicare quality performance — MIPS

GERARD VARLOTTA, D.O's 2023 MIPS final score plotted against the Sports Medicine (Preventive Medicine) Physician national average

Below 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

0%100%National avg83%75%
MIPS final score (Sports Medicine (Preventive Medicine) Physician) — 75/100 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 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

20 E 46TH ST RM 304
NEW YORK, NY 10017

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
Avg: 83.1

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%
Specialty average (est.)

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

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
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.

160
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.

Compare Sports Medicine (Preventive Medicine) Physician nationally: see state-by-state distribution →

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. The national average MIPS Final Score is 83.1. 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 160 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

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