NPI registry status
Active
2026 NPPES data Gynecology Physician NPI 1023057726 M.D.
Verify on CMS → John Pelligra, M.D.
Gynecology Physician in Sea Girt, 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 3,906 in Gynecology 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
563
Medicare Part D claims · 137 beneficiaries · Gynecology Physician avg: 295
MIPS score
93.7/100
▲ 11 pts above national avg 83.1 · Exceptional
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
John Pelligra, M.D. reported a CMS MIPS final score of 93.7/100 - above the 83.1 national average - and filed 563 Medicare Part D claims in 2023.
- 93.7/100
- MIPS score · +11 vs avg
- 563
- 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.
John Pelligra, M.D.'s MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
94 Top 29% higher than 71% 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 John Pelligra, M.D. sits
This provider among gynecology physician peers
Across the 551 gynecology physician providers who report both Medicare Part D prescribing and a MIPS quality score, John Pelligra, M.D. writes more Part D claims than 77% of them and scores higher on MIPS quality than 80% - 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 gynecology physician peer from a representative sample of 60; the gold marker is John Pelligra, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
John Pelligra, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting - 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 John Pelligra, M.D.?
High performer (top quartile)Primary specialty
Gynecology Physician
Medicare Part D claims
563 91% vs specialty avg
MIPS final score
93.7/100 10.6 pts vs avg
Specialty distribution in New Jersey
How Gynecology Physician compares to other specialties among New Jersey providers
Medicare quality performance, MIPS
John Pelligra, M.D.'s 2023 MIPS final score plotted against the Gynecology Physician national average
- MIPS Final Score
- 93.7/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Gynecology Physician) - 93.7/100 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).
John Pelligra, M.D. appears in the CMS NPPES registry as a Gynecology Physician provider holding M.D. credentials at 2164 HIGHWAY 35, Sea Girt, NJ, 08750, with a listed phone of (732) 974-0320. NPI 1023057726 was issued on 06/06/2006.
Medicare Part D records for calendar year 2023 show 563 prescription claims written by this provider, covering 137 Medicare beneficiaries and totaling roughly $40K in drug spend, with an opioid prescribing rate of 2.8%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 93.7/100 for the 2023 performance year (Quality 77.8), compared with the national average of 83.1.
Gynecology Physician is a narrow specialty nationwide, with 3,906 enrolled providers across 53 states and an average of 295 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 | 1023057726 |
|---|---|
| Specialty | Gynecology Physician |
| Credentials | M.D. |
| Gender | Male |
| NPI Issued | 06/06/2006 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
93.7128
Final Score
Avg: 83.1
77.7931
Quality
100
Promoting Interoperability
Reporting: Alternative Payment Model
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
563
Total Claims
$40K
Total Drug Cost
137
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 1,008
- Total Day Supply
- 25,193
- Generic Drug Cost
- $23K
- Opioid Claims
- 16 (2.8% rate)
- Antibiotic Claims
- 71
Patient Demographics
- Average Patient Age
- 71.2 years
- Avg HCC Risk Score
- 0.86
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What John Pelligra, M.D. prescribes most
Top Medicare Part D drugs by claim count, 2023
- Fluconazole
Fluconazole
58 claims
- Estradiol
Estradiol
45 claims
- Clotrimazole-Betam…
Clotrimazole-Betamethasone
42 claims
- Terconazole
Terconazole
39 claims
- Nitrofurantoin Mon…
Nitrofurantoin Mono-Macro
36 claims
- Alendronate Sodium
Alendronate Sodium
34 claims
- Valacyclovir
Valacyclovir
32 claims
- Ibandronate Sodium
Ibandronate Sodium
28 claims
| Drug | Claims |
|---|---|
| Fluconazole | 58 |
| Estradiol | 45 |
| Clotrimazole-Betamethasone Clotrimazole/Betamethasone Dip | 42 |
| Terconazole | 39 |
| Nitrofurantoin Mono-Macro Nitrofurantoin Monohyd/M-Cryst | 36 |
| Alendronate Sodium | 34 |
| Valacyclovir Valacyclovir Hcl | 32 |
| Ibandronate Sodium | 28 |
| Alprazolam | 16 |
| Acyclovir | 15 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Gynecology Physician Overview
How John Pelligra, M.D. fits within the Gynecology Physician landscape nationally.
3,906
Gynecology Physician Providers in US
53
States with Gynecology Physician
295
Avg Claims per Provider
John Pelligra, M.D.'s 563 claims are above the specialty average of 295.
Nearby Gynecology Physician Providers in New Jersey
Other clinicians with the same primary specialty enrolled in New Jersey, drawn from the same CMS NPPES roster as Pelligra.
Dr. Lisa Abeshaus
M.D.
Summit, NJ
Dr. Richard Akawie
M.D.
East Brunswick, NJ
Dr. Joseph Alvaro
MD
Somerset, NJ
Dr. Jewel Naakarley Amui-Bellon
MD
Camden, NJ
Dr. Anthony Anzalone
M.D.
Clifton, NJ
Compare Gynecology 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 New Jersey medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Gynecology 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.
Healthcare Guides
Learn more about finding, verifying, and understanding healthcare providers.
How to Find a Doctor
Step-by-step guide to choosing a provider
Verify Credentials
Check NPI, board certification & license status
Medical Specialties Explained
Who treats what and how specialties differ
Understanding Medicare Claims Data
What prescribing data reveals about a provider
In-Network vs Out-of-Network
How insurance networks affect your costs
Telehealth Guide
Virtual care options and coverage in 2026
Explore New Jersey
Frequently Asked Questions
What is John Pelligra, M.D.'s specialty? ▼
John Pelligra, M.D. specializes in Gynecology Physician and practices in Sea Girt, New Jersey. Credentials: M.D..
How much does John Pelligra, M.D. prescribe under Medicare Part D? ▼
In 2023, John Pelligra, M.D. wrote 563 Medicare Part D claims totaling $40K in drug costs for 137 beneficiaries.
What is John Pelligra, M.D.'s Medicare quality score? ▼
John Pelligra, M.D. has a CMS MIPS Final Score of 93.7/100 (Quality: 77.8). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is John Pelligra, M.D. located? ▼
John Pelligra, M.D. is located at 2164 HIGHWAY 35, Sea Girt, NJ, 08750. Phone: (732) 974-0320.
What is John Pelligra, M.D.'s NPI number? ▼
John Pelligra, M.D.'s National Provider Identifier (NPI) is 1023057726, issued on 06/06/2006.
Does John Pelligra, M.D. prescribe opioids? ▼
Yes, John Pelligra, M.D. had 16 opioid claims in 2023 with an opioid prescribing rate of 2.8%.
How many Gynecology Physician providers are there in the US? ▼
There are 3,906 Gynecology Physician providers across 53 states in the US. The average Gynecology Physician provider writes 295 Medicare Part D claims per year.
What drugs does John Pelligra, M.D. prescribe most often? ▼
Based on 2023 Medicare Part D data, John Pelligra, M.D.'s most frequently prescribed drugs include Fluconazole, Estradiol, Clotrimazole-Betamethasone. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does John Pelligra, M.D. accept Medicare? ▼
John Pelligra, M.D. appears in CMS Medicare data with 563 Part D claims and 137 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify John Pelligra, M.D.'s credentials? ▼
John Pelligra, M.D.'s NPI is 1023057726 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.
- 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.
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.