NPI registry status
Active
2026 NPPES data Specialist NPI 1215944582 M.D.
Verify on CMS → John Dalena, M.D.
Specialist in Florham Park, New Jersey.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 69,608 in Specialist, 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 · 818 beneficiaries · Specialist avg: 1K
Generic prescribing
73%
generic claims · 27% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$1.4K
83 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
John Dalena, M.D. filed 1,773 Medicare Part D claims in 2023 as a Specialist in Florham Park, New Jersey, prescribing 73% generic.
- 2K
- Part D claims, 2023
- 73%
- generic prescribing
- $1.4K
- industry payments (Sunshine Act)
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.
John Dalena, M.D.'s Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023, across all CMS prescribers nationally
1,773 Top 17% higher than 83% of 1,370,886 prescribers
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.
Source CMS Medicare Part D Prescriber Public Use File · 2023
What does the federal data show about John Dalena, M.D.?
Quality data not reportedPrimary specialty
Specialist
Medicare Part D claims
1,773 20% vs specialty avg
Specialty distribution in New Jersey
How Specialist compares to other specialties among New Jersey providers
Board certification
Not published by CMS
CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Specialist. Verify directly:
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).
John Dalena, M.D. appears in the CMS NPPES registry as a Specialist provider holding M.D. credentials at 140 PARK AVE, Florham Park, NJ, 07932, with a listed phone of (973) 401-0500. NPI 1215944582 was issued on 08/01/2006.
Medicare Part D records for calendar year 2023 show 1,773 prescription claims written by this provider, covering 818 Medicare beneficiaries and totaling roughly $842K in drug spend, split 27% brand-name and 73% generic by claim count.
Specialist is a high-volume specialty nationwide, with 69,608 enrolled providers across 55 states and an average of 1,474 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 | 1215944582 |
|---|---|
| Specialty | Specialist |
| Credentials | M.D. |
| Gender | Male |
| NPI Issued | 08/01/2006 |
Hospital and facility affiliations
Facilities where John Dalena, 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.
Summit Medical Group PA
Berkeley Heights, 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 John Dalena, M.D.. Source: openpaymentsdata.cms.gov.
Total received
$1.4K
Largest payer
ABBVIE 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 · Above average
John Dalena, M.D. - brand share 27.0%
Specialist average
27% brand-name claims vs 73% generic, on 1,773 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.
1,773
Total Claims
$842K
Total Drug Cost
818
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 3,258
- Total Day Supply
- 80,075
- Brand vs Generic
- 27% brand / 73% generic
- Brand Drug Cost
- $665K
- Generic Drug Cost
- $178K
- Antibiotic Claims
- 55
Patient Demographics
- Average Patient Age
- 73.5 years
- Avg HCC Risk Score
- 0.99
- Gender Split
- 57% female / 43% male
- Age Distribution
- <65: 23, 65-74: 457, 75-84: 292, 85+: 46
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What John Dalena, M.D. prescribes most
Top Medicare Part D drugs by claim count, 2023
- Pantoprazole Sodium
Pantoprazole Sodium
230 claims
- Omeprazole
Omeprazole
174 claims
- Esomeprazole Magne… 75
Esomeprazole Magnesium
75 claims
- Famotidine 58
Famotidine
58 claims
- Mesalamine 54
Mesalamine
54 claims
- Ursodiol 46
Ursodiol
46 claims
- Hydrocortisone 45
Hydrocortisone
45 claims
- Sutab 40
Sutab
40 claims
| Drug | Claims |
|---|---|
| Pantoprazole Sodium | 230 |
| Omeprazole | 174 |
| Esomeprazole Magnesium | 75 |
| Famotidine | 58 |
| Mesalamine | 54 |
| Ursodiol | 46 |
| Hydrocortisone | 45 |
| Sutab Sod Sulf/Pot Chloride/Mag Sulf | 40 |
| Creon Lipase/Protease/Amylase | 37 |
| Linzess Linaclotide | 37 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Specialist Overview
How John Dalena, M.D. fits within the Specialist landscape nationally.
69,608
Specialist Providers in US
55
States with Specialist
1,474
Avg Claims per Provider
John Dalena, M.D.'s 1,773 claims are above the specialty average of 1,474.
Nearby Specialist Providers in New Jersey
Other clinicians with the same primary specialty enrolled in New Jersey, drawn from the same CMS NPPES roster as Dalena.
Lisa Abate
Hainesport, NJ
Dr. Ziad Abbud
MD
Neptune, NJ
Dr. Yaakov Abdelhak
M.D.
Hackensack, NJ
Aliyah Abdullah-Griffin
Carteret, NJ
Dr. Vanjelo Abellar
RPT
Carteret, NJ
Compare Specialist 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 New Jersey medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Specialist 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.
Healthcare Guides
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Medical Specialties Explained
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Understanding Medicare Claims Data
What prescribing data reveals about a provider
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How insurance networks affect your costs
Telehealth Guide
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Frequently Asked Questions
What is John Dalena, M.D.'s specialty? ▼
John Dalena, M.D. specializes in Specialist and practices in Florham Park, New Jersey. Credentials: M.D..
How much does John Dalena, M.D. prescribe under Medicare Part D? ▼
In 2023, John Dalena, M.D. wrote 1,773 Medicare Part D claims totaling $842K in drug costs for 818 beneficiaries.
Where is John Dalena, M.D. located? ▼
John Dalena, M.D. is located at 140 PARK AVE, Florham Park, NJ, 07932. Phone: (973) 401-0500.
What is John Dalena, M.D.'s NPI number? ▼
John Dalena, M.D.'s National Provider Identifier (NPI) is 1215944582, issued on 08/01/2006.
Does John Dalena, M.D. prescribe more brand-name or generic drugs? ▼
John Dalena, M.D.'s prescribing is 27% brand-name and 73% generic drugs by claim count, with $665K in brand drug costs.
How many Specialist providers are there in the US? ▼
There are 69,608 Specialist providers across 55 states in the US. The average Specialist provider writes 1,474 Medicare Part D claims per year.
What drugs does John Dalena, M.D. prescribe most often? ▼
Based on 2023 Medicare Part D data, John Dalena, M.D.'s most frequently prescribed drugs include Pantoprazole Sodium, Omeprazole, Esomeprazole Magnesium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does John Dalena, M.D. accept Medicare? ▼
John Dalena, M.D. appears in CMS Medicare data with 1,773 Part D claims and 818 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify John Dalena, M.D.'s credentials? ▼
John Dalena, M.D.'s NPI is 1215944582 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
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.
- 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.
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.