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2026 NPPES data Pulmonary Disease Physician NPI 1255425575 M.D.
Verify on CMS →

Joseph Donath, M.D.

Pulmonary Disease Physician in Lawrence, New York.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 9,647 in Pulmonary Disease 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
350
Medicare Part D claims · 64 beneficiaries · Pulmonary Disease Physician avg: 1K
Generic prescribing
49%
generic claims · 51% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
15.4/100
▼ 68 pts below national avg 83.5 · Penalty band
Industry payments
$1.1K
45 payments · CMS Open Payments (Sunshine Act)
Verify NPI on CMS Methodology
Compiled from official public sources by the editorial process.

What the federal data shows

Joseph Donath, M.D. reported a CMS MIPS final score of 15.4/100 - below the 83.5 national average - and filed 350 Medicare Part D claims in 2024.

15.4/100
MIPS score · -68 vs avg
350
Part D claims, 2024
49%
generic prescribing
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.

Federal trust snapshot

What official records show about Joseph Donath, M.D.

Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.

  • Verified

    NPI registry status

    Active listing in the CMS National Provider Identifier Registry (NPI 1255425575), first enumerated 10/03/2006.

    Source: CMS NPPES

  • Reported

    Medicare Part D participation

    Filed 350 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.

    Source: CMS Part D Prescriber PUF

  • Reported

    CMS quality reporting (MIPS)

    Reported a CMS MIPS final score of 15.4/100 in the Quality Payment Program — a federal quality measure, not a patient review.

    Source: CMS Quality Payment Program

  • Reported

    Board certification signal

    Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.

    Source: NUCC taxonomy + CMS participation heuristic

  • Reported

    Hospital affiliations

    1 CMS Care Compare hospital affiliation on record — practice footprint from the Doctors and Clinicians file.

    Source: CMS Care Compare

  • Reported

    Industry payment transparency

    $1.1K in reported industry payments (45 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.

    Source: CMS Open Payments

  • State context

    State board disciplinary context

    New York statewide board action statistics are published annually — these figures describe aggregate state activity, not Joseph Donath, M.D.'s individual license status. Verify directly with the state medical board.

    Source: NYSBPMC annual report 2023

  • Not in federal data

    Individual sanction lookup

    PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.

    Source: State medical board / FSMB

This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.

CMS NPPES provider registry desk

NPI 1255425575 · Pulmonary Disease Physician

NPI-10 · ENUM-LEGACY · TAX-MID · MIPS-LOW · RX-LIGHT · BOOK-LIGHT · PHOTO-FINISH

  • NPI-10 1255425575
  • ENUM-LEGACY 2006
  • TAX-MID 10K Pulmonary Disease
  • MIPS-LOW 15.4/100
  • RX-LIGHT 350
  • BOOK-LIGHT 794 in New York
  • PHOTO-FINISH Pankaj Jain · ±0.1

MIPS final-score neighbourhood

Same-specialty nationwide peers by CMS final score, not geographic proximity

MIPS pts

What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).

Source CMS Quality Payment Program (MIPS) As of 2023

Joseph Donath, M.D.'s MIPS score vs every measured U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.

15 ≥ 2nd percentile 2% of 454,083 measured providers are in lower value bands

0–10: 8,684 measured providers (2%). Below this entry. 10–20: 3,008 measured providers (1%). This entry sits in this band. 20–30: 3,069 measured providers (1%). Above this entry. 30–40: 2,746 measured providers (1%). Above this entry. 40–50: 2,928 measured providers (1%). Above this entry. 50–60: 5,882 measured providers (1%). Above this entry. 60–70: 13,906 measured providers (3%). Above this entry. 70–80: 94,570 measured providers (21%). Above this entry. 80–90: 129,887 measured providers (29%). Above this entry. 90+: 189,403 measured providers (42%). Above this entry. This provider 0 100 every measured MIPS clinician, bucketed by value

Each bar is a band; taller bars hold more measured 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.

The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Where Joseph Donath, M.D. sits

This provider among pulmonary disease physician peers

Across the 2,467 pulmonary disease physician providers who report both Medicare Part D prescribing and a MIPS quality score, Joseph Donath, M.D. writes more Part D claims than 26% of them and scores higher on MIPS quality than 2% - placing this provider in the lower-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality0255075100024.448.873.297.5Part D claim volume, percentile in specialtyMIPS quality, percentilePoint, Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 63Point, Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 27Point, Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 62Point, Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 68Point, Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 20Point, Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 52Point, Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 93Point, Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 32Point, Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 22Point, Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 75Point, Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 23Point, Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 5Point, Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 37Point, Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 58Point, Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 45Point, Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 57Point, Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 25Point, Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 55Point, Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 65Point, Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 18Point, Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 42Point, Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 70Point, Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 80Point, Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 30Point, Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 33Point, Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 50Point, Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 47Point, Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 90Point, Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 8Point, Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 12Point, Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 67Point, Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 88Point, Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 53Point, Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 40Point, Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 7Point, Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 60Point, Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 2Point, Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 93Point, Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 17Point, Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 73Point, Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 77Point, Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 72Point, Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 82Point, Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 93Point, Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 43Point, Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 93Point, Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 15Point, Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 27Point, Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 3Point, Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 93Point, Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 13Point, Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 83Point, Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 35Point, Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 38Point, Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 10Point, Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 48Point, Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 78Point, Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 85Joseph Donath, M.D., Part D claim volume, percentile in specialty: 26 · MIPS quality, percentile: 2
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one pulmonary disease physician peer from a representative sample of 60; the gold marker is Joseph Donath, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

✓
Board certification likely (heuristic, not verified)

Joseph Donath, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation - 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 Joseph Donath, M.D.?

Below national average

NPI registry status

Active

Issued 10/03/2006

NPI 1255425575

Primary specialty

Pulmonary Disease Physician

Mid-sized

9,647 US NPIs in this specialty

Medicare Part D claims

350 77% vs specialty avg

2024 prescription claims

Specialty avg: 1,498

MIPS final score

15.4/100 68.1 pts vs avg

Penalty band band

vs 83.5 national avg

Specialty distribution in New York

How Pulmonary Disease Physician compares to other specialties among New York providers

New York providers
Student in an Organized Heal…8%Registered Nurse5.2%Clinical Social Worker4.9%Social Worker4.5%Speech-Language Pathologist4.5%Licensed Practical Nurse4.3%Pulmonary Disease Physician0.1%
Largest specialties in New York (% of in-state providers)

Medicare quality performance, MIPS

Joseph Donath, M.D.'s 2023 MIPS final score plotted against the Pulmonary Disease Physician national average

Below national average
MIPS Final Score
15.4/100
vs 83.5 national avg · 2023 performance year
0%100%National avg84%15.4%
MIPS final score (Pulmonary Disease Physician) - 15.4/100 vs national avg 83.5
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).

Practice Address

360 CENTRAL AVENUE
Lawrence, NY 11559
(516) 569-6966

Provider Details

NPI 1255425575
Specialty Pulmonary Disease Physician
Credentials M.D.
Gender Male
NPI Issued 10/03/2006

CMS Quality Score (MIPS)

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

15.3992
Final Score
Measured-score avg: 83.5
0
Quality
51.3305
Cost

Reporting: Individual

Hospital and facility affiliations

Facilities where Joseph Donath, 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.

South Shore Pulmonary Medicine PC
Lawrence, 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).

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 Donath, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$1.1K

Largest payer

GlaxoSmithKline, LLC.

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 Donath, M.D.. To verify Joseph Donath, 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 · Brand-heavy

Joseph Donath, M.D. - brand share 51.0%
Pulmonary Disease Physician average

51% brand-name claims vs 49% generic, on 350 2024 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 2024.

350
Total Claims
$179K
Total Drug Cost
64
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
523.767
Total Day Supply
15,280
Brand vs Generic
51% brand / 49% generic
Brand Drug Cost
$172K
Generic Drug Cost
$7K
Antibiotic Claims
19

Patient Demographics

Average Patient Age
73.0 years
Avg HCC Risk Score
1.72
Gender Split
61% female / 39% male

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.

What Joseph Donath, M.D. prescribes most

Top Medicare Part D drugs by claim count, 2024

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2024
Drug Claims
Breo Ellipta
Fluticasone/Vilanterol
48
Trelegy Ellipta
Fluticasone/Umeclidin/Vilanter
45
Fluticasone-Salmeterol
Fluticasone Propion/Salmeterol
27
Nucala
Mepolizumab
23
Arnuity Ellipta
Fluticasone Furoate
22
Azithromycin
 18
Rifampin
 18
Albuterol Sulfate Hfa
Albuterol Sulfate
17
Montelukast Sodium
 17
Ethambutol Hcl
 15

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

More Pulmonary Disease Physician in NY → All providers in New York → Compare specialties →

Pulmonary Disease Physician Overview

How Joseph Donath, M.D. fits within the Pulmonary Disease Physician landscape nationally.

9,647
Pulmonary Disease Physician Providers in US
53
States with Pulmonary Disease Physician
1,498
Avg Claims per Provider

Joseph Donath, M.D.'s 350 claims are below the specialty average of 1,498.

Nationwide Pulmonary Disease Physician peers with similar MIPS or enrollment year

Two federal-record peer sets for Donath, both outside New York so the neighborhoods are not geographic containment.

Similar MIPS final score

Nearest same-specialty clinicians by CMS MIPS final score (15.4 here).

Pankaj Jain 15.3 IL Francis Healy 14.9 CA Muhammad Ehtesham 14.9 MI Awani Kumar 15.9 NJ

Same NPPES enumeration year (2006)

Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.

Michael Layton Sebastian, FL Mohammad Paracha Oklahoma City, OK James Griffin Fairhope, AL Paula Carvalho Boise, ID

Nearby Pulmonary Disease Physician Providers in New York

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

One of 794 Pulmonary Disease Physician providers enrolled in New York, 5 are shown here.

Dr. Antoine Tony Abed
MD
New York, NY
Dr. Michael Aboodi
M.D.
New York, NY
Dr. Jose Acevedo-Ramos
M.D.
Geneva, NY
Dr. Angelo Acquista
MD
New York, NY
Dr. Francis Adams
M.D.
New York, NY

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

Frequently Asked Questions

What is Joseph Donath, M.D.'s specialty? ▼
Joseph Donath, M.D. specializes in Pulmonary Disease Physician and practices in Lawrence, New York. Credentials: M.D..
How much does Joseph Donath, M.D. prescribe under Medicare Part D? ▼
In 2024, Joseph Donath, M.D. wrote 350 Medicare Part D claims totaling $179K in drug costs for 64 beneficiaries.
What is Joseph Donath, M.D.'s Medicare quality score? ▼
Joseph Donath, M.D. has a CMS MIPS Final Score of 15.4/100 (Quality: 0, Cost: 51.3). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Joseph Donath, M.D. located? ▼
Joseph Donath, M.D. is located at 360 CENTRAL AVENUE, Lawrence, NY, 11559. Phone: (516) 569-6966.
What is Joseph Donath, M.D.'s NPI number? ▼
Joseph Donath, M.D.'s National Provider Identifier (NPI) is 1255425575, issued on 10/03/2006.
Does Joseph Donath, M.D. prescribe more brand-name or generic drugs? ▼
Joseph Donath, M.D.'s prescribing is 51% brand-name and 49% generic drugs by claim count, with $172K in brand drug costs.
How many Pulmonary Disease Physician providers are there in the US? ▼
There are 9,647 Pulmonary Disease Physician providers across 53 states in the US. The average Pulmonary Disease Physician provider writes 1,498 Medicare Part D claims per year.
What drugs does Joseph Donath, M.D. prescribe most often? ▼
Based on 2024 Medicare Part D data, Joseph Donath, M.D.'s most frequently prescribed drugs include Breo Ellipta, Trelegy Ellipta, Fluticasone-Salmeterol. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Joseph Donath, M.D. accept Medicare? ▼
Joseph Donath, M.D. appears in CMS Medicare data with 350 Part D claims and 64 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Joseph Donath, M.D.'s credentials? ▼
Joseph Donath, M.D.'s NPI is 1255425575 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 (2024). 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 August 2026 (NPPES) / 2024 (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 editorial process.

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 August 2026.