NPI registry status
Active
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 9,271 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
364
Medicare Part D claims · 65 beneficiaries · Pulmonary Disease Physician avg: 1K
Generic prescribing
36%
generic claims · 64% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
15.4/100
▼ 68 pts below national avg 83.1 · Penalty band
Industry payments
$1.1K
45 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Joseph Donath, M.D. reported a CMS MIPS final score of 15.4/100 - below the 83.1 national average - and filed 364 Medicare Part D claims in 2023.
- 15.4/100
- MIPS score · -68 vs avg
- 364
- Part D claims, 2023
- 36%
- 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.
Joseph Donath, 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
15 2nd percentile higher than 2% 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 Joseph Donath, M.D. sits
This provider among pulmonary disease physician peers
Across the 2,676 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 25% 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.
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 averagePrimary specialty
Pulmonary Disease Physician
Medicare Part D claims
364 75% vs specialty avg
MIPS final score
15.4/100 67.7 pts vs avg
Specialty distribution in New York
How Pulmonary Disease Physician compares to other specialties among New York providers
Medicare quality performance, MIPS
Joseph Donath, M.D.'s 2023 MIPS final score plotted against the Pulmonary Disease Physician national average
- MIPS Final Score
- 15.4/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Pulmonary Disease Physician) - 15.4/100 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).
Joseph Donath, M.D. appears in the CMS NPPES registry as a Pulmonary Disease Physician provider holding M.D. credentials at 360 CENTRAL AVENUE, Lawrence, NY, 11559, with a listed phone of (516) 569-6966. NPI 1255425575 was issued on 10/03/2006.
Medicare Part D records for calendar year 2023 show 364 prescription claims written by this provider, covering 65 Medicare beneficiaries and totaling roughly $227K in drug spend, split 64% brand-name and 36% generic by claim count. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 15.4/100 for the 2023 performance year (Quality 0, Cost 51.3), compared with the national average of 83.1.
Pulmonary Disease Physician is a mid-sized specialty nationwide, with 9,271 enrolled providers across 53 states and an average of 1,457 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 | 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
Avg: 83.1
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 64.0%
Pulmonary Disease Physician average
64% brand-name claims vs 36% generic, on 364 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.
364
Total Claims
$227K
Total Drug Cost
65
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 577
- Total Day Supply
- 16,652
- Brand vs Generic
- 64% brand / 36% generic
- Brand Drug Cost
- $221K
- Generic Drug Cost
- $6K
- Antibiotic Claims
- 13
Patient Demographics
- Average Patient Age
- 74.2 years
- Avg HCC Risk Score
- 1.63
- Gender Split
- 51% female / 49% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Joseph Donath, M.D. prescribes most
Top Medicare Part D drugs by claim count, 2023
- Trelegy Ellipta
Trelegy Ellipta
47 claims
- Breo Ellipta
Breo Ellipta
38 claims
- Albuterol Sulfate …
Albuterol Sulfate Hfa
34 claims
- Nucala
Nucala
23 claims
- Montelukast Sodium 17
Montelukast Sodium
17 claims
- Amlodipine Besylate 14
Amlodipine Besylate
14 claims
- Prednisone 13
Prednisone
13 claims
- Fluticasone-Salmet… 12
Fluticasone-Salmeterol
12 claims
| Drug | Claims |
|---|---|
| Trelegy Ellipta Fluticasone/Umeclidin/Vilanter | 47 |
| Breo Ellipta Fluticasone/Vilanterol | 38 |
| Albuterol Sulfate Hfa Albuterol Sulfate | 34 |
| Nucala Mepolizumab | 23 |
| Montelukast Sodium | 17 |
| Amlodipine Besylate | 14 |
| Prednisone | 13 |
| Fluticasone-Salmeterol Fluticasone Propion/Salmeterol | 12 |
| Spiriva Handihaler Tiotropium Bromide | 12 |
| Advair Diskus Fluticasone Propion/Salmeterol | 11 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Pulmonary Disease Physician Overview
How Joseph Donath, M.D. fits within the Pulmonary Disease Physician landscape nationally.
9,271
Pulmonary Disease Physician Providers in US
53
States with Pulmonary Disease Physician
1,457
Avg Claims per Provider
Joseph Donath, M.D.'s 364 claims are below the specialty average of 1,457.
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.
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 →
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 York medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Pulmonary Disease 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.
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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 2023, Joseph Donath, M.D. wrote 364 Medicare Part D claims totaling $227K in drug costs for 65 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 national average MIPS Final Score is 83.1. 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 64% brand-name and 36% generic drugs by claim count, with $221K in brand drug costs.
How many Pulmonary Disease Physician providers are there in the US? ▼
There are 9,271 Pulmonary Disease Physician providers across 53 states in the US. The average Pulmonary Disease Physician provider writes 1,457 Medicare Part D claims per year.
What drugs does Joseph Donath, M.D. prescribe most often? ▼
Based on 2023 Medicare Part D data, Joseph Donath, M.D.'s most frequently prescribed drugs include Trelegy Ellipta, Breo Ellipta, Albuterol Sulfate Hfa. 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 364 Part D claims and 65 Medicare beneficiaries in 2023. 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 (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.