2026 NPPES data Orthopaedic Surgery of the Spine Physician NPI 1568596328 MD
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JAMES SANFILIPPO, MD

Orthopaedic Surgery of the Spine Physician in MOORESTOWN, 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
335
Medicare Part D claims · 149 beneficiaries · Orthopaedic Surgery of the Spine Physician avg: 362
MIPS score
100/100
▲ 17 pts above national avg 83.1 · [object Object]
Industry payments
$66.0K
69 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

JAMES SANFILIPPO, MD reported a CMS MIPS final score of 100/100 — above the 83.1 national average — and filed 335 Medicare Part D claims in 2023.

100/100
MIPS score · +17 vs avg
335
Part D claims, 2023
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.

JAMES SANFILIPPO, MD's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

100 Top 7% higher than 93% 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%). Below this entry. 80–90: 129,887 scored providers (27%). Below this entry. 90–100: 189,403 scored providers (40%). This entry sits in this band. 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)

JAMES SANFILIPPO, 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 JAMES SANFILIPPO, MD?

High performer (top quartile)

NPI registry status

Active

Issued 03/15/2007

NPI 1568596328

Primary specialty

Orthopaedic Surgery of the Spine Physician

Niche

1,773 US NPIs in this specialty

Medicare Part D claims

335 7% vs specialty avg

2023 prescription claims

Specialty avg: 362

MIPS final score

100/100 16.900000000000006% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in New Jersey

How Orthopaedic Surgery of the Spine Physician compares to other specialties among New Jersey providers

New Jersey providers

Orthopaedic Surgery of the Spine Physician share within New Jersey

1. Orthopaedic Surgery of the Spine Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Orthopaedic Surgery of the Spine Physician share within New Jersey

Medicare quality performance — MIPS

JAMES SANFILIPPO, MD's 2023 MIPS final score plotted against the Orthopaedic Surgery of the Spine Physician national average

High performer (top quartile)
MIPS Final Score
100/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Orthopaedic Surgery of the Spine Physician) — 100/100 vs national avg 83.1

0%100%National avg83%99%
MIPS final score (Orthopaedic Surgery of the Spine Physician) — 100/100 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 SANFILIPPO, MD appears in the CMS NPPES registry as a Orthopaedic Surgery of the Spine Physician provider holding MD credentials at 300 W ROUTE 38 STE A, MOORESTOWN, NJ, 08057, with a listed phone of (609) 267-9400. NPI 1568596328 was issued on 03/15/2007. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what SANFILIPPO 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 335 prescription claims written by this provider, covering 149 Medicare beneficiaries and totaling roughly $4K in drug spend, with an opioid prescribing rate of 14.3%. 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 100/100 for the 2023 performance year, compared with the national average of 83.1.

Orthopaedic Surgery of the Spine Physician is a narrow specialty nationwide, with 1,773 enrolled providers across 51 states and an average of 362 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

300 W ROUTE 38 STE A
MOORESTOWN, NJ 08057

Provider Details

NPI 1568596328
Specialty Orthopaedic Surgery of the Spine Physician
Credentials MD
Gender Male
NPI Issued 03/15/2007

CMS Quality Score (MIPS)

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

100
Final Score
Avg: 83.1
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where JAMES SANFILIPPO, 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.

VIRTUA MEDICAL GROUP, PA
VOORHEES, 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 SANFILIPPO, MD. Source: openpaymentsdata.cms.gov.

Total received

$66.0K

Largest payer

Stryker Corporation

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.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

335
Total Claims
$4K
Total Drug Cost
149
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
381
Total Day Supply
8,605
Generic Drug Cost
$4K
Opioid Claims
48 (14.3% rate)

Patient Demographics

Average Patient Age
72.7 years
Avg HCC Risk Score
1.06
Gender Split
60% female / 40% male

Top Prescribed Drugs (Medicare Part D)

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

What JAMES SANFILIPPO, MD 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
Methylprednisolone
69
Gabapentin
67
Tizanidine Hcl
45
Celecoxib
28
Naproxen
27
Oxycodone-Acetaminophen
Oxycodone Hcl/Acetaminophen
23
Tramadol Hcl
12
Prednisone
11

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

Orthopaedic Surgery of the Spine Physician Overview

How JAMES SANFILIPPO, MD fits within the Orthopaedic Surgery of the Spine Physician landscape nationally.

1,773
Orthopaedic Surgery of the Spine Physician Providers in US
51
States with Orthopaedic Surgery of the Spine Physician
362
Avg Claims per Provider

JAMES SANFILIPPO, MD's 335 claims are below the specialty average of 362.

Nearby Orthopaedic Surgery of the Spine Physician Providers in New Jersey

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

Compare Orthopaedic Surgery of the Spine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is JAMES SANFILIPPO, MD's specialty?
JAMES SANFILIPPO, MD specializes in Orthopaedic Surgery of the Spine Physician and practices in MOORESTOWN, New Jersey. Credentials: MD.
How much does JAMES SANFILIPPO, MD prescribe under Medicare Part D?
In 2023, JAMES SANFILIPPO, MD wrote 335 Medicare Part D claims totaling $4K in drug costs for 149 beneficiaries.
What is JAMES SANFILIPPO, MD's Medicare quality score?
JAMES SANFILIPPO, MD has a CMS MIPS Final Score of 100/100. The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is JAMES SANFILIPPO, MD located?
JAMES SANFILIPPO, MD is located at 300 W ROUTE 38 STE A, MOORESTOWN, NJ, 08057. Phone: (609) 267-9400.
What is JAMES SANFILIPPO, MD's NPI number?
JAMES SANFILIPPO, MD's National Provider Identifier (NPI) is 1568596328, issued on 03/15/2007.
Does JAMES SANFILIPPO, MD prescribe opioids?
Yes, JAMES SANFILIPPO, MD had 48 opioid claims in 2023 with an opioid prescribing rate of 14.3%.
How many Orthopaedic Surgery of the Spine Physician providers are there in the US?
There are 1,773 Orthopaedic Surgery of the Spine Physician providers across 51 states in the US. The average Orthopaedic Surgery of the Spine Physician provider writes 362 Medicare Part D claims per year.
What drugs does JAMES SANFILIPPO, MD prescribe most often?
Based on 2023 Medicare Part D data, JAMES SANFILIPPO, MD's most frequently prescribed drugs include Methylprednisolone, Gabapentin, Tizanidine Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JAMES SANFILIPPO, MD accept Medicare?
JAMES SANFILIPPO, MD appears in CMS Medicare data with 335 Part D claims and 149 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JAMES SANFILIPPO, MD's credentials?
JAMES SANFILIPPO, MD's NPI is 1568596328 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

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