2026 NPPES data Cardiovascular Disease Physician NPI 1881695088 MD
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JOSEPH CEFALU, MD

Cardiovascular Disease Physician in BATON ROUGE, Louisiana. 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
8K
Medicare Part D claims · 759 beneficiaries · Cardiovascular Disease Physician avg: 3K
Generic prescribing
92%
generic claims · 8% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
100/100
▲ 17 pts above national avg 83.1 · [object Object]
Industry payments
$96.92
4 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: JOSEPH CEFALU, MD is a Cardiovascular Disease Physician ([object Object]) practicing in BATON ROUGE, Louisiana with a Medicare Part D prescribing footprint of 8K claims across 759 beneficiaries — 8% brand-name prescribing . Their CMS MIPS Final Score of 100/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $96.92 across 4 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: JOSEPH CEFALU, MD reported a CMS MIPS final score of 100 out of 100, above the 83.1 national average, and filed 8,197 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 CEFALU, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 2 hospital affiliations — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

JOSEPH CEFALU, MD at a glance

High performer (top quartile)

NPI registry status

Active

Issued 08/10/2005

NPI 1881695088

Primary specialty

Cardiovascular Disease Physician

Mid-sized

24,795 US NPIs in this specialty

Medicare Part D claims

8,197 170% vs specialty avg

2023 prescription claims

Specialty avg: 3,033

MIPS final score

100/100 16.900000000000006% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Louisiana

How Cardiovascular Disease Physician compares to other specialties among Louisiana providers

Louisiana providers

Cardiovascular Disease Physician share within Louisiana

1. Cardiovascular Disease Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Cardiovascular Disease Physician share within Louisiana

Medicare quality performance — MIPS

JOSEPH CEFALU, MD's 2023 MIPS final score plotted against the Cardiovascular Disease Physician national average

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

MIPS final score (Cardiovascular Disease Physician) — 100/100 vs national avg 83.1

0%100%National avg83%99%
MIPS final score (Cardiovascular Disease 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).

JOSEPH CEFALU, MD is a Cardiovascular Disease Physician provider practicing in BATON ROUGE, Louisiana, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1881695088. 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 CEFALU, MD appears in the CMS NPPES registry as a Cardiovascular Disease Physician provider holding MD credentials at 5231 BRITTANY DR, BATON ROUGE, LA, 70808, with a listed phone of (225) 769-0933. NPI 1881695088 was issued on 08/10/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what CEFALU 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 8,197 prescription claims written by this provider, covering 759 Medicare beneficiaries and totaling roughly $617K in drug spend, split 8% brand-name and 92% 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 100/100 for the 2023 performance year, compared with the national average of 83.1.

Cardiovascular Disease Physician is a mid-sized specialty nationwide, with 24,795 enrolled providers across 54 states and an average of 3,033 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

5231 BRITTANY DR
BATON ROUGE, LA 70808

Provider Details

NPI 1881695088
Specialty Cardiovascular Disease Physician
Credentials MD
Gender Male
NPI Issued 08/10/2005

CMS Quality Score (MIPS)

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

100
Final Score
Avg: 83.1
99
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where JOSEPH CEFALU, 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.

BATON ROUGE CARDIOLOGY CENTER
BATON ROUGE, LA
CARDIOVASCULAR SPECIALTY CARE CENTER OF BATON ROUGE LLC
BATON ROUGE, LA

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 JOSEPH CEFALU, MD. Source: openpaymentsdata.cms.gov.

Total received

$97

Largest payer

Boston Scientific 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.

Brand vs generic prescribing mix · Generic-heavy

JOSEPH CEFALU, MD — brand share 8.0%
Specialty average (est.)

8% brand-name claims vs 92% generic, on 8,197 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.

8,197
Total Claims
$617K
Total Drug Cost
759
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
16,270
Total Day Supply
484,581
Brand vs Generic
8% brand / 92% generic
Brand Drug Cost
$501K
Generic Drug Cost
$116K
Antibiotic Claims
17

Patient Demographics

Average Patient Age
74.9 years
Avg HCC Risk Score
1.32
Gender Split
45% female / 55% male
Age Distribution
<65: 35, 65-74: 348, 75-84: 292, 85+: 84

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Metoprolol Tartrate
580
Clopidogrel
Clopidogrel Bisulfate
568
Amlodipine Besylate
548
Atorvastatin Calcium
463
Losartan Potassium
422
Sotalol
Sotalol Hcl
376
Eliquis
Apixaban
363
Lovastatin
340
Furosemide
203
Hydralazine Hcl
200

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

Cardiovascular Disease Physician Overview

How JOSEPH CEFALU, MD fits within the Cardiovascular Disease Physician landscape nationally.

24,795
Cardiovascular Disease Physician Providers in US
54
States with Cardiovascular Disease Physician
3,033
Avg Claims per Provider

JOSEPH CEFALU, MD's 8,197 claims are above the specialty average of 3,033.

Nearby Cardiovascular Disease Physician Providers in Louisiana

Other clinicians with the same primary specialty enrolled in Louisiana, drawn from the same CMS NPPES roster as CEFALU.

Compare Cardiovascular Disease Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is JOSEPH CEFALU, MD's specialty?
JOSEPH CEFALU, MD specializes in Cardiovascular Disease Physician and practices in BATON ROUGE, Louisiana. Credentials: MD.
How much does JOSEPH CEFALU, MD prescribe under Medicare Part D?
In 2023, JOSEPH CEFALU, MD wrote 8,197 Medicare Part D claims totaling $617K in drug costs for 759 beneficiaries.
What is JOSEPH CEFALU, MD's Medicare quality score?
JOSEPH CEFALU, 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 JOSEPH CEFALU, MD located?
JOSEPH CEFALU, MD is located at 5231 BRITTANY DR, BATON ROUGE, LA, 70808. Phone: (225) 769-0933.
What is JOSEPH CEFALU, MD's NPI number?
JOSEPH CEFALU, MD's National Provider Identifier (NPI) is 1881695088, issued on 08/10/2005.
Does JOSEPH CEFALU, MD prescribe more brand-name or generic drugs?
JOSEPH CEFALU, MD's prescribing is 8% brand-name and 92% generic drugs by claim count, with $501K in brand drug costs.
How many Cardiovascular Disease Physician providers are there in the US?
There are 24,795 Cardiovascular Disease Physician providers across 54 states in the US. The average Cardiovascular Disease Physician provider writes 3,033 Medicare Part D claims per year.
What drugs does JOSEPH CEFALU, MD prescribe most often?
Based on 2023 Medicare Part D data, JOSEPH CEFALU, MD's most frequently prescribed drugs include Metoprolol Tartrate, Clopidogrel, Amlodipine Besylate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JOSEPH CEFALU, MD accept Medicare?
JOSEPH CEFALU, MD appears in CMS Medicare data with 8,197 Part D claims and 759 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JOSEPH CEFALU, MD's credentials?
JOSEPH CEFALU, MD's NPI is 1881695088 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