NPI registry status
Active
2026 NPPES data Hematology (Internal Medicine) Physician NPI 1891906459 MD
Verify on CMS → Gina Matacia, MD
Hematology (Internal Medicine) Physician in Cincinnati, Ohio.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 1,436 in Hematology (Internal 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
882
Medicare Part D claims · 259 beneficiaries · Hematology (Internal Medicine) Physician avg: 693
Generic prescribing
78%
generic claims · 22% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
90.4/100
▲ 7 pts above national avg 83.1 · Exceptional
Industry payments
$210.93
11 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Gina Matacia, MD reported a CMS MIPS final score of 90.4/100 - above the 83.1 national average - and filed 882 Medicare Part D claims in 2023.
- 90.4/100
- MIPS score · +7 vs avg
- 882
- Part D claims, 2023
- 78%
- 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.
Gina Matacia, MD's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
90 Top 40% higher than 60% 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
Where Gina Matacia, MD sits
This provider among hematology (internal medicine) physician peers
Across the 570 hematology (internal medicine) physician providers who report both Medicare Part D prescribing and a MIPS quality score, Gina Matacia, MD writes more Part D claims than 65% of them and scores higher on MIPS quality than 65% - placing this provider in the high-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Part D claim volume vs MIPS quality, by specialty percentile
Each dot is one hematology (internal medicine) physician peer from a representative sample of 60; the gold marker is Gina Matacia, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Gina Matacia, MD 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 Gina Matacia, MD?
High performer (top quartile)Primary specialty
Hematology (Internal Medicine) Physician
Medicare Part D claims
882 27% vs specialty avg
MIPS final score
90.4/100 7.3 pts vs avg
Specialty distribution in Ohio
How Hematology (Internal Medicine) Physician compares to other specialties among Ohio providers
Medicare quality performance, MIPS
Gina Matacia, MD's 2023 MIPS final score plotted against the Hematology (Internal Medicine) Physician national average
- MIPS Final Score
- 90.4/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Hematology (Internal Medicine) Physician) - 90.4/100 vs national avg 83.1
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).
Gina Matacia, MD appears in the CMS NPPES registry as a Hematology (Internal Medicine) Physician provider holding MD credentials at 5520 CHEVIOT RD, Cincinnati, OH, 45247, with a listed phone of (513) 451-4033. NPI 1891906459 was issued on 05/25/2007.
Medicare Part D records for calendar year 2023 show 882 prescription claims written by this provider, covering 259 Medicare beneficiaries and totaling roughly $761K in drug spend, split 22% brand-name and 78% generic by claim count, with an opioid prescribing rate of 2.8%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 90.4/100 for the 2023 performance year (Quality 80.8), compared with the national average of 83.1.
Hematology (Internal Medicine) Physician is a narrow specialty nationwide, with 1,436 enrolled providers across 50 states and an average of 693 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 | 1891906459 |
|---|---|
| Specialty | Hematology (Internal Medicine) Physician |
| Credentials | MD |
| Gender | Female |
| NPI Issued | 05/25/2007 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
90.3837
Final Score
Avg: 83.1
80.7674
Quality
100
Promoting Interoperability
Reporting: Alternative Payment Model
Hospital and facility affiliations
Facilities where Gina Matacia, MD 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.
Trihealth H LLC
Montgomery, OH
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 Gina Matacia, MD. Source: openpaymentsdata.cms.gov.
Total received
$211
Largest payer
PFIZER 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 - Ohio OMB 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 ~48K Ohio medical licensees in 2023 - they are NOT specific to Gina Matacia, MD. To verify Gina Matacia, MD's current license status, search the OMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
158
Total board actions, Ohio 2023
Across 154 cases
3.29
Actions per 1,000 licensees
Ohio statewide rate
probation
Most common action type
56 cases
OMB 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 Ohio disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Brand vs generic prescribing mix · Typical
Gina Matacia, MD - brand share 22.0%
Hematology (Internal Medicine) Physician average
22% brand-name claims vs 78% generic, on 882 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.
882
Total Claims
$761K
Total Drug Cost
259
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 1,637
- Total Day Supply
- 46,382
- Brand vs Generic
- 22% brand / 78% generic
- Brand Drug Cost
- $705K
- Generic Drug Cost
- $57K
- Opioid Claims
- 25 (2.8% rate)
- Antibiotic Claims
- 17
Patient Demographics
- Average Patient Age
- 72.5 years
- Avg HCC Risk Score
- 1.50
- Gender Split
- 86% female / 14% male
- Age Distribution
- <65: 25, 65-74: 133, 75-84: 82, 85+: 19
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Gina Matacia, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Anastrozole
Anastrozole
251 claims
- Xarelto 82
Xarelto
82 claims
- Letrozole 62
Letrozole
62 claims
- Tamoxifen Citrate 52
Tamoxifen Citrate
52 claims
- Exemestane 38
Exemestane
38 claims
- Prochlorperazine M… 31
Prochlorperazine Maleate
31 claims
- Eliquis 27
Eliquis
27 claims
- Alendronate Sodium 19
Alendronate Sodium
19 claims
| Drug | Claims |
|---|---|
| Anastrozole | 251 |
| Xarelto Rivaroxaban | 82 |
| Letrozole | 62 |
| Tamoxifen Citrate | 52 |
| Exemestane | 38 |
| Prochlorperazine Maleate | 31 |
| Eliquis Apixaban | 27 |
| Alendronate Sodium | 19 |
| Dexamethasone | 19 |
| Ibrance Palbociclib | 19 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Hematology (Internal Medicine) Physician Overview
How Gina Matacia, MD fits within the Hematology (Internal Medicine) Physician landscape nationally.
1,436
Hematology (Internal Medicine) Physician Providers in US
50
States with Hematology (Internal Medicine) Physician
693
Avg Claims per Provider
Gina Matacia, MD's 882 claims are above the specialty average of 693.
Nearby Hematology (Internal Medicine) Physician Providers in Ohio
Other clinicians with the same primary specialty enrolled in Ohio, drawn from the same CMS NPPES roster as Matacia.
Dr. Utkarsh Acharya
D.O.
Columbus, OH
Dr. Anjali Advani
M.D.
Cleveland, OH
Dr. Lapo Alinari
M.D., PHD
Columbus, OH
Dr. Omar Alkharabsheh
MD
Cincinnati, OH
Dr. Aseel Alsouqi
MD
Columbus, OH
Compare Hematology (Internal Medicine) Physician nationally: see state-by-state distribution →
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 Ohio medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Hematology (Internal 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 Gina Matacia, MD's specialty? ▼
Gina Matacia, MD specializes in Hematology (Internal Medicine) Physician and practices in Cincinnati, Ohio. Credentials: MD.
How much does Gina Matacia, MD prescribe under Medicare Part D? ▼
In 2023, Gina Matacia, MD wrote 882 Medicare Part D claims totaling $761K in drug costs for 259 beneficiaries.
What is Gina Matacia, MD's Medicare quality score? ▼
Gina Matacia, MD has a CMS MIPS Final Score of 90.4/100 (Quality: 80.8). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Gina Matacia, MD located? ▼
Gina Matacia, MD is located at 5520 CHEVIOT RD, Cincinnati, OH, 45247. Phone: (513) 451-4033.
What is Gina Matacia, MD's NPI number? ▼
Gina Matacia, MD's National Provider Identifier (NPI) is 1891906459, issued on 05/25/2007.
Does Gina Matacia, MD prescribe more brand-name or generic drugs? ▼
Gina Matacia, MD's prescribing is 22% brand-name and 78% generic drugs by claim count, with $705K in brand drug costs.
Does Gina Matacia, MD prescribe opioids? ▼
Yes, Gina Matacia, MD had 25 opioid claims in 2023 with an opioid prescribing rate of 2.8%.
How many Hematology (Internal Medicine) Physician providers are there in the US? ▼
There are 1,436 Hematology (Internal Medicine) Physician providers across 50 states in the US. The average Hematology (Internal Medicine) Physician provider writes 693 Medicare Part D claims per year.
What drugs does Gina Matacia, MD prescribe most often? ▼
Based on 2023 Medicare Part D data, Gina Matacia, MD's most frequently prescribed drugs include Anastrozole, Xarelto, Letrozole. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Gina Matacia, MD accept Medicare? ▼
Gina Matacia, MD appears in CMS Medicare data with 882 Part D claims and 259 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Gina Matacia, MD's credentials? ▼
Gina Matacia, MD's NPI is 1891906459 with credentials MD. 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
Compiled from official public sources by the PlainDoctor editorial team.