Joseph Fernicola
Internal Medicine Physician in Ramsey, 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 172,737 in Internal Medicine 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.
Source: CMS Medicare Part D Prescriber Public Use File, 2023
What the federal data shows
Joseph Fernicola reported a CMS MIPS final score of 98.7/100 - above the 83.1 national average - and filed 5,978 Medicare Part D claims in 2023.
- 98.7/100
- MIPS score · +16 vs avg
- 6K
- Part D claims, 2023
- 89%
- 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 Fernicola's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
99 Top 11% higher than 89% 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 Fernicola sits
This provider among internal medicine physician peers
Across the 36,260 internal medicine physician providers who report both Medicare Part D prescribing and a MIPS quality score, Joseph Fernicola writes more Part D claims than 83% of them and scores higher on MIPS quality than 91% - 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 internal medicine physician peer from a representative sample of 60; the gold marker is Joseph Fernicola. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
Joseph Fernicola 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 Fernicola?
High performer (top quartile)Primary specialty
Medicare Part D claims
MIPS final score
Specialty distribution in New Jersey
How Internal Medicine Physician compares to other specialties among New Jersey providers
Internal Medicine Physician ranks #6 among New Jersey's specialties (3.1% of in-state providers)
Each bar is a specialty's share of the New Jersey provider total, by primary NUCC taxonomy. The highlighted bar is Internal Medicine Physician; the long tail of smaller specialties is omitted for legibility.
Medicare quality performance, MIPS
Joseph Fernicola's 2023 MIPS final score plotted against the Internal Medicine Physician national average
- MIPS Final Score
- 98.7/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Internal Medicine Physician) - 98.7/100 vs national avg 83.1
Quality benchmarks
- National MIPS avg 2023 reporting year
- Quality dim CMS Quality category
- Specialty volume Internal Medicine Physician US NPIs
98.7/100 MIPS final score - 15.6 pts above the 83.1 national average
Quality, Cost, Promoting Interoperability, and Improvement Activities composite score for the 2023 performance year. Specialty: Internal Medicine Physician. Quality dim: 93.6.
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 Fernicola appears in the CMS NPPES registry as an Internal Medicine Physician provider at 470 N FRANKLIN TPKE, Ramsey, NJ, 07446, with a listed phone of (201) 327-8765. NPI 1063467314 was issued on 05/24/2006.
Medicare Part D records for calendar year 2023 show 5,978 prescription claims written by this provider, covering 665 Medicare beneficiaries and totaling roughly $608K in drug spend, split 11% brand-name and 89% generic by claim count, with an opioid prescribing rate of 0.7%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 98.7/100 for the 2023 performance year (Quality 93.6), compared with the national average of 83.1.
Internal Medicine Physician is a high-volume specialty nationwide, with 172,737 enrolled providers across 56 states and an average of 2,716 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 | 1063467314 |
|---|---|
| Specialty | Internal Medicine Physician |
| Gender | Male |
| NPI Issued | 05/24/2006 |
Verify this provider's license
PlainDoctor pulls this profile from the CMS NPPES public registry. Confirm Joseph Fernicola's current license status, disciplinary history, and board certifications with the New Jersey State Board of Medical Examiners in New Jersey before relying on this page for a clinical or care decision.
How we sourced this profile
Profile fields combine the CMS NPPES monthly snapshot (provider directory, taxonomy, and address) with calendar-year 2023 Medicare Part D and MIPS public-use files when records are present. NPI 1063467314 is the unique 10-digit identifier CMS uses to link Fernicola across every Medicare, Medicaid, and HIPAA-covered transaction. Read full methodology →
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
Reporting: Alternative Payment Model
Hospital and facility affiliations
Facilities where Joseph Fernicola 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.
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
Brand vs generic prescribing mix · Typical
11% brand-name claims vs 89% generic, on 5,978 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.
Prescribing Breakdown
- 30-Day Fills
- 14,601
- Total Day Supply
- 426,269
- Brand vs Generic
- 11% brand / 89% generic
- Brand Drug Cost
- $482K
- Generic Drug Cost
- $125K
- Opioid Claims
- 43 (0.7% rate)
- Antibiotic Claims
- 174
Patient Demographics
- Average Patient Age
- 75.9 years
- Avg HCC Risk Score
- 1.16
- Gender Split
- 41% female / 59% male
- Age Distribution
- <65: 16, 65-74: 300, 75-84: 239, 85+: 110
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Joseph Fernicola prescribes most
Top Medicare Part D drugs by claim count, 2023
- Atorvastatin Calcium
Atorvastatin Calcium
597 claims
- Rosuvastatin Calcium
Rosuvastatin Calcium
348 claims
- Amlodipine Besylate
Amlodipine Besylate
324 claims
- Hydrochlorothiazide 235
Hydrochlorothiazide
235 claims
- Alprazolam 191
Alprazolam
191 claims
- Levothyroxine Sodium 180
Levothyroxine Sodium
180 claims
- Losartan Potassium 146
Losartan Potassium
146 claims
- Lisinopril 141
Lisinopril
141 claims
| Drug | Claims |
|---|---|
| Atorvastatin Calcium | 597 |
| Rosuvastatin Calcium | 348 |
| Amlodipine Besylate | 324 |
| Hydrochlorothiazide | 235 |
| Alprazolam | 191 |
| Levothyroxine Sodium | 180 |
| Losartan Potassium | 146 |
| Lisinopril | 141 |
| Metoprolol Succinate | 121 |
| Metformin Hcl Er Metformin Hcl | 105 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Internal Medicine Physician Overview
How Joseph Fernicola fits within the Internal Medicine Physician landscape nationally.
Joseph Fernicola's 5,978 claims are above the specialty average of 2,716.
Nearby Internal Medicine Physician Providers in New Jersey
Other clinicians with the same primary specialty enrolled in New Jersey, drawn from the same CMS NPPES roster as Fernicola.
Compare Internal Medicine 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 Internal Medicine 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
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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
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.
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