2026 NPPES data Urology Physician NPI 1588635916 M.D.
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JAMES ROTOLO, M.D.

Urology Physician in BRICK, 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
2K
Medicare Part D claims · 598 beneficiaries · Urology Physician avg: 1K
Generic prescribing
88%
generic claims · 12% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
5.4441/100
▼ 78 pts below national avg 83.1 · [object Object]
Industry payments
$131.78
8 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: JAMES ROTOLO, M.D. is a Urology Physician ([object Object]) practicing in BRICK, New Jersey with a Medicare Part D prescribing footprint of 2K claims across 598 beneficiaries — 12% brand-name prescribing . Their CMS MIPS Final Score of 5.4441/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $131.78 across 8 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: JAMES ROTOLO, M.D. reported a CMS MIPS final score of 5.4441 out of 100, below the 83.1 national average, and filed 2,443 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

JAMES ROTOLO, 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).

JAMES ROTOLO, M.D. at a glance

Below national average

NPI registry status

Active

Issued 02/01/2006

NPI 1588635916

Primary specialty

Urology Physician

Mid-sized

13,350 US NPIs in this specialty

Medicare Part D claims

2,443 91% vs specialty avg

2023 prescription claims

Specialty avg: 1,280

MIPS final score

5.4441/100 77.65589999999999% pts

Penalty band band

vs 83.1 national avg

Specialty distribution in New Jersey

How Urology Physician compares to other specialties among New Jersey providers

New Jersey providers

Urology Physician share within New Jersey

1. Urology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Urology Physician share within New Jersey

Medicare quality performance — MIPS

JAMES ROTOLO, M.D.'s 2023 MIPS final score plotted against the Urology Physician national average

Below national average
MIPS Final Score
5.4441/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Urology Physician) — 5.4441/100 vs national avg 83.1

0%100%National avg83%5.4%
MIPS final score (Urology Physician) — 5.4441/100 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).

JAMES ROTOLO, M.D. is a Urology Physician provider practicing in BRICK, New Jersey, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1588635916. 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.

JAMES ROTOLO, M.D. appears in the CMS NPPES registry as a Urology Physician provider holding M.D. credentials at 1696 ROUTE 88, BRICK, NJ, 08724, with a listed phone of (732) 903-7655. NPI 1588635916 was issued on 02/01/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what ROTOLO 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 2,443 prescription claims written by this provider, covering 598 Medicare beneficiaries and totaling roughly $397K in drug spend, split 12% brand-name and 88% generic by claim count, with an opioid prescribing rate of 3.3%. 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 5.4441/100 for the 2023 performance year (Quality 0, Cost 18.147), compared with the national average of 83.1.

Urology Physician is a mid-sized specialty nationwide, with 13,350 enrolled providers across 54 states and an average of 1,280 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

1696 ROUTE 88
BRICK, NJ 08724

Provider Details

NPI 1588635916
Specialty Urology Physician
Credentials M.D.
Gender Male
NPI Issued 02/01/2006

CMS Quality Score (MIPS)

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

5.4441
Final Score
Avg: 83.1
0
Quality
18.147
Cost

Reporting: Individual

Hospital and facility affiliations

Facilities where JAMES ROTOLO, 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.

BARNABAS HEALTH MEDICAL GROUP PC
TOMS RIVER, 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 JAMES ROTOLO, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$132

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.

Brand vs generic prescribing mix · Typical

JAMES ROTOLO, M.D. — brand share 12.0%
Specialty average (est.)

12% brand-name claims vs 88% generic, on 2,443 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.

2,443
Total Claims
$397K
Total Drug Cost
598
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
5,277
Total Day Supply
148,344
Brand vs Generic
12% brand / 88% generic
Brand Drug Cost
$328K
Generic Drug Cost
$69K
Opioid Claims
81 (3.3% rate)
Antibiotic Claims
464

Patient Demographics

Average Patient Age
77.7 years
Avg HCC Risk Score
1.39
Gender Split
19% female / 81% male
Age Distribution
<65: 15, 65-74: 186, 75-84: 286, 85+: 111

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Tamsulosin Hcl
868
Finasteride
358
Ciprofloxacin Hcl
117
Myrbetriq
Mirabegron
115
Levofloxacin
88
Silodosin
80
Nitrofurantoin Mono-Macro
Nitrofurantoin Monohyd/M-Cryst
68
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
62
Nitrofurantoin
Nitrofurantoin Macrocrystal
62
Tolterodine Tartrate Er
Tolterodine Tartrate
60

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

Urology Physician Overview

How JAMES ROTOLO, M.D. fits within the Urology Physician landscape nationally.

13,350
Urology Physician Providers in US
54
States with Urology Physician
1,280
Avg Claims per Provider

JAMES ROTOLO, M.D.'s 2,443 claims are above the specialty average of 1,280.

Nearby Urology Physician Providers in New Jersey

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

Compare Urology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is JAMES ROTOLO, M.D.'s specialty?
JAMES ROTOLO, M.D. specializes in Urology Physician and practices in BRICK, New Jersey. Credentials: M.D..
How much does JAMES ROTOLO, M.D. prescribe under Medicare Part D?
In 2023, JAMES ROTOLO, M.D. wrote 2,443 Medicare Part D claims totaling $397K in drug costs for 598 beneficiaries.
What is JAMES ROTOLO, M.D.'s Medicare quality score?
JAMES ROTOLO, M.D. has a CMS MIPS Final Score of 5.4441/100 (Quality: 0, Cost: 18.147). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is JAMES ROTOLO, M.D. located?
JAMES ROTOLO, M.D. is located at 1696 ROUTE 88, BRICK, NJ, 08724. Phone: (732) 903-7655.
What is JAMES ROTOLO, M.D.'s NPI number?
JAMES ROTOLO, M.D.'s National Provider Identifier (NPI) is 1588635916, issued on 02/01/2006.
Does JAMES ROTOLO, M.D. prescribe more brand-name or generic drugs?
JAMES ROTOLO, M.D.'s prescribing is 12% brand-name and 88% generic drugs by claim count, with $328K in brand drug costs.
Does JAMES ROTOLO, M.D. prescribe opioids?
Yes, JAMES ROTOLO, M.D. had 81 opioid claims in 2023 with an opioid prescribing rate of 3.3%.
How many Urology Physician providers are there in the US?
There are 13,350 Urology Physician providers across 54 states in the US. The average Urology Physician provider writes 1,280 Medicare Part D claims per year.
What drugs does JAMES ROTOLO, M.D. prescribe most often?
Based on 2023 Medicare Part D data, JAMES ROTOLO, M.D.'s most frequently prescribed drugs include Tamsulosin Hcl, Finasteride, Ciprofloxacin Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JAMES ROTOLO, M.D. accept Medicare?
JAMES ROTOLO, M.D. appears in CMS Medicare data with 2,443 Part D claims and 598 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JAMES ROTOLO, M.D.'s credentials?
JAMES ROTOLO, M.D.'s NPI is 1588635916 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