2026 NPPES data Oral and Maxillofacial Pathology Dentistry NPI 1730258286 D.D.S.
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JOHN FANTASIA, D.D.S.

Oral and Maxillofacial Pathology Dentistry in NEW HYDE PARK, 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
491
Medicare Part D claims · 154 beneficiaries · Oral and Maxillofacial Pathology Dentistry avg: 303
MIPS score
91.2532/100
▲ 8 pts above national avg 83.1 · [object Object]
What the federal data reveals: JOHN FANTASIA, D.D.S. is a Oral and Maxillofacial Pathology Dentistry ([object Object]) practicing in NEW HYDE PARK, New York with a Medicare Part D prescribing footprint of 491 claims across 154 beneficiaries . Their CMS MIPS Final Score of 91.2532/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities .

What stands out: JOHN FANTASIA, D.D.S. reported a CMS MIPS final score of 91.2532 out of 100, above the 83.1 national average, and filed 491 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

JOHN FANTASIA, D.D.S. at a glance

High performer (top quartile)

NPI registry status

Active

Issued 11/07/2006

NPI 1730258286

Primary specialty

Oral and Maxillofacial Pathology Dentistry

Niche

690 US NPIs in this specialty

Medicare Part D claims

491 62% vs specialty avg

2023 prescription claims

Specialty avg: 303

MIPS final score

91.2532/100 8.153200000000012% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in New York

How Oral and Maxillofacial Pathology Dentistry compares to other specialties among New York providers

New York providers

Oral and Maxillofacial Pathology Dentistry share within New York

1. Oral and Maxillofacial Pathology Dentistry42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Oral and Maxillofacial Pathology Dentistry share within New York

Medicare quality performance — MIPS

JOHN FANTASIA, D.D.S.'s 2023 MIPS final score plotted against the Oral and Maxillofacial Pathology Dentistry national average

High performer (top quartile)
MIPS Final Score
91.2532/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Oral and Maxillofacial Pathology Dentistry) — 91.2532/100 vs national avg 83.1

0%100%National avg83%91.3%
MIPS final score (Oral and Maxillofacial Pathology Dentistry) — 91.2532/100 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).

JOHN FANTASIA, D.D.S. is a Oral and Maxillofacial Pathology Dentistry provider practicing in NEW HYDE PARK, New York, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: D.D.S.. NPI: 1730258286. 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.

JOHN FANTASIA, D.D.S. appears in the CMS NPPES registry as a Oral and Maxillofacial Pathology Dentistry provider holding D.D.S. credentials at 27005 76TH AVE, NEW HYDE PARK, NY, 11040, with a listed phone of (718) 470-7116. NPI 1730258286 was issued on 11/07/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what FANTASIA 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 491 prescription claims written by this provider, covering 154 Medicare beneficiaries and totaling roughly $21K in drug spend. 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 91.2532/100 for the 2023 performance year (Quality 74.9203), compared with the national average of 83.1.

Oral and Maxillofacial Pathology Dentistry is a narrow specialty nationwide, with 690 enrolled providers across 48 states and an average of 303 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

27005 76TH AVE
NEW HYDE PARK, NY 11040

Provider Details

NPI 1730258286
Specialty Oral and Maxillofacial Pathology Dentistry
Credentials D.D.S.
Gender Male
NPI Issued 11/07/2006

CMS Quality Score (MIPS)

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

91.2532
Final Score
Avg: 83.1
74.9203
Quality
91.6794
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where JOHN FANTASIA, D.D.S. 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.

BLACK HALL DENTAL PC
NEW HYDE PARK, NY
WHITE HALL DENTAL, PC
RIVERHEAD, NY

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

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 JOHN FANTASIA, D.D.S.. To verify JOHN FANTASIA, D.D.S.'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.

Medicare Part D Prescribing Data

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

491
Total Claims
$21K
Total Drug Cost
154
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,053
Total Day Supply
30,615
Generic Drug Cost
$21K
Antibiotic Claims
12

Patient Demographics

Average Patient Age
74.9 years
Avg HCC Risk Score
1.14
Gender Split
75% female / 25% male

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Doxycycline Hyclate
155
Hydroxychloroquine Sulfate
91
Clobetasol Propionate
59
Prednisone
49
Chlorhexidine Gluconate
47
Azathioprine
14
Dexamethasone
13
Lidocaine Hcl Viscous
Lidocaine Hcl
11

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

Oral and Maxillofacial Pathology Dentistry Overview

How JOHN FANTASIA, D.D.S. fits within the Oral and Maxillofacial Pathology Dentistry landscape nationally.

690
Oral and Maxillofacial Pathology Dentistry Providers in US
48
States with Oral and Maxillofacial Pathology Dentistry
303
Avg Claims per Provider

JOHN FANTASIA, D.D.S.'s 491 claims are above the specialty average of 303.

Nearby Oral and Maxillofacial Pathology Dentistry Providers in New York

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

Compare Oral and Maxillofacial Pathology Dentistry nationally: see state-by-state distribution →

Frequently Asked Questions

What is JOHN FANTASIA, D.D.S.'s specialty?
JOHN FANTASIA, D.D.S. specializes in Oral and Maxillofacial Pathology Dentistry and practices in NEW HYDE PARK, New York. Credentials: D.D.S..
How much does JOHN FANTASIA, D.D.S. prescribe under Medicare Part D?
In 2023, JOHN FANTASIA, D.D.S. wrote 491 Medicare Part D claims totaling $21K in drug costs for 154 beneficiaries.
What is JOHN FANTASIA, D.D.S.'s Medicare quality score?
JOHN FANTASIA, D.D.S. has a CMS MIPS Final Score of 91.2532/100 (Quality: 74.9203). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is JOHN FANTASIA, D.D.S. located?
JOHN FANTASIA, D.D.S. is located at 27005 76TH AVE, NEW HYDE PARK, NY, 11040. Phone: (718) 470-7116.
What is JOHN FANTASIA, D.D.S.'s NPI number?
JOHN FANTASIA, D.D.S.'s National Provider Identifier (NPI) is 1730258286, issued on 11/07/2006.
How many Oral and Maxillofacial Pathology Dentistry providers are there in the US?
There are 690 Oral and Maxillofacial Pathology Dentistry providers across 48 states in the US. The average Oral and Maxillofacial Pathology Dentistry provider writes 303 Medicare Part D claims per year.
What drugs does JOHN FANTASIA, D.D.S. prescribe most often?
Based on 2023 Medicare Part D data, JOHN FANTASIA, D.D.S.'s most frequently prescribed drugs include Doxycycline Hyclate, Hydroxychloroquine Sulfate, Clobetasol Propionate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JOHN FANTASIA, D.D.S. accept Medicare?
JOHN FANTASIA, D.D.S. appears in CMS Medicare data with 491 Part D claims and 154 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JOHN FANTASIA, D.D.S.'s credentials?
JOHN FANTASIA, D.D.S.'s NPI is 1730258286 with credentials D.D.S.. 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