2026 NPPES data Ophthalmology Physician NPI 1497723688 M.D.
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JOSEPH BERARDI, M.D.

Ophthalmology Physician in AMHERST, 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
824
Medicare Part D claims · 290 beneficiaries · Ophthalmology Physician avg: 1K
Generic prescribing
75%
generic claims · 25% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
72.3368/100
▼ 11 pts below national avg 83.1 · [object Object]
Industry payments
$969.06
33 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: JOSEPH BERARDI, M.D. is a Ophthalmology Physician ([object Object]) practicing in AMHERST, New York with a Medicare Part D prescribing footprint of 824 claims across 290 beneficiaries — 25% brand-name prescribing . Their CMS MIPS Final Score of 72.3368/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $969.06 across 33 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: JOSEPH BERARDI, M.D. reported a CMS MIPS final score of 72.3368 out of 100, below the 83.1 national average, and filed 824 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)

JOSEPH BERARDI, 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).

JOSEPH BERARDI, M.D. at a glance

Below national average

NPI registry status

Active

Issued 03/14/2006

NPI 1497723688

Primary specialty

Ophthalmology Physician

Mid-sized

22,090 US NPIs in this specialty

Medicare Part D claims

824 42% vs specialty avg

2023 prescription claims

Specialty avg: 1,420

MIPS final score

72.3368/100 10.763199999999998% pts

Mid-tier band

vs 83.1 national avg

Specialty distribution in New York

How Ophthalmology Physician compares to other specialties among New York providers

New York providers

Ophthalmology Physician share within New York

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

Medicare quality performance — MIPS

JOSEPH BERARDI, M.D.'s 2023 MIPS final score plotted against the Ophthalmology Physician national average

Below national average
MIPS Final Score
72.3368/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Ophthalmology Physician) — 72.3368/100 vs national avg 83.1

0%100%National avg83%72.3%
MIPS final score (Ophthalmology Physician) — 72.3368/100 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).

JOSEPH BERARDI, M.D. is a Ophthalmology Physician provider practicing in AMHERST, New York, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1497723688. 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.

JOSEPH BERARDI, M.D. appears in the CMS NPPES registry as a Ophthalmology Physician provider holding M.D. credentials at 3580 SHERIDAN DRIVE, AMHERST, NY, 14226, with a listed phone of (716) 839-4949. NPI 1497723688 was issued on 03/14/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BERARDI 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 824 prescription claims written by this provider, covering 290 Medicare beneficiaries and totaling roughly $98K in drug spend, split 25% brand-name and 75% generic by claim count. 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 72.3368/100 for the 2023 performance year (Quality 93.3403, Cost 24.449), compared with the national average of 83.1.

Ophthalmology Physician is a mid-sized specialty nationwide, with 22,090 enrolled providers across 56 states and an average of 1,420 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

3580 SHERIDAN DRIVE
AMHERST, NY 14226

Provider Details

NPI 1497723688
Specialty Ophthalmology Physician
Credentials M.D.
Gender Male
NPI Issued 03/14/2006

CMS Quality Score (MIPS)

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

72.3368
Final Score
Avg: 83.1
93.3403
Quality
24.449
Cost
88
Promoting Interoperability

Reporting: Group practice

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 JOSEPH BERARDI, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$969

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.

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 JOSEPH BERARDI, M.D.. To verify JOSEPH BERARDI, M.D.'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.

Brand vs generic prescribing mix · Above average

JOSEPH BERARDI, M.D. — brand share 25.0%
Specialty average (est.)

25% brand-name claims vs 75% generic, on 824 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.

824
Total Claims
$98K
Total Drug Cost
290
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,538
Total Day Supply
43,625
Brand vs Generic
25% brand / 75% generic
Brand Drug Cost
$64K
Generic Drug Cost
$34K

Patient Demographics

Average Patient Age
76.8 years
Avg HCC Risk Score
1.03
Gender Split
61% female / 39% 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
Latanoprost
194
Ofloxacin
100
Timolol Maleate
93
Difluprednate
74
Dorzolamide-Timolol
Dorzolamide Hcl/Timolol Maleat
49
Lumigan
Bimatoprost
48
Tobramycin-Dexamethasone
Tobramycin/Dexamethasone
45
Prednisolone Acetate
30
Valacyclovir
Valacyclovir Hcl
22
Erythromycin
Erythromycin Base
17

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

Ophthalmology Physician Overview

How JOSEPH BERARDI, M.D. fits within the Ophthalmology Physician landscape nationally.

22,090
Ophthalmology Physician Providers in US
56
States with Ophthalmology Physician
1,420
Avg Claims per Provider

JOSEPH BERARDI, M.D.'s 824 claims are below the specialty average of 1,420.

Nearby Ophthalmology Physician Providers in New York

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

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

Frequently Asked Questions

What is JOSEPH BERARDI, M.D.'s specialty?
JOSEPH BERARDI, M.D. specializes in Ophthalmology Physician and practices in AMHERST, New York. Credentials: M.D..
How much does JOSEPH BERARDI, M.D. prescribe under Medicare Part D?
In 2023, JOSEPH BERARDI, M.D. wrote 824 Medicare Part D claims totaling $98K in drug costs for 290 beneficiaries.
What is JOSEPH BERARDI, M.D.'s Medicare quality score?
JOSEPH BERARDI, M.D. has a CMS MIPS Final Score of 72.3368/100 (Quality: 93.3403, Cost: 24.449). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is JOSEPH BERARDI, M.D. located?
JOSEPH BERARDI, M.D. is located at 3580 SHERIDAN DRIVE, AMHERST, NY, 14226. Phone: (716) 839-4949.
What is JOSEPH BERARDI, M.D.'s NPI number?
JOSEPH BERARDI, M.D.'s National Provider Identifier (NPI) is 1497723688, issued on 03/14/2006.
Does JOSEPH BERARDI, M.D. prescribe more brand-name or generic drugs?
JOSEPH BERARDI, M.D.'s prescribing is 25% brand-name and 75% generic drugs by claim count, with $64K in brand drug costs.
How many Ophthalmology Physician providers are there in the US?
There are 22,090 Ophthalmology Physician providers across 56 states in the US. The average Ophthalmology Physician provider writes 1,420 Medicare Part D claims per year.
What drugs does JOSEPH BERARDI, M.D. prescribe most often?
Based on 2023 Medicare Part D data, JOSEPH BERARDI, M.D.'s most frequently prescribed drugs include Latanoprost, Ofloxacin, Timolol Maleate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JOSEPH BERARDI, M.D. accept Medicare?
JOSEPH BERARDI, M.D. appears in CMS Medicare data with 824 Part D claims and 290 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JOSEPH BERARDI, M.D.'s credentials?
JOSEPH BERARDI, M.D.'s NPI is 1497723688 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