2026 NPPES data Sleep Medicine (Internal Medicine) Physician NPI 1891762431 D.O.
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JOSEPH ROWANE, D.O.

Sleep Medicine (Internal Medicine) Physician in ERIE, Pennsylvania. 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
2K
Medicare Part D claims · 272 beneficiaries · Sleep Medicine (Internal Medicine) Physician avg: 1K
Generic prescribing
33%
generic claims · 67% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
93.7848/100
▲ 11 pts above national avg 83.1 · [object Object]
Industry payments
$278.6
3 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

JOSEPH ROWANE, D.O. reported a CMS MIPS final score of 93.7848/100 — above the 83.1 national average — and filed 1,740 Medicare Part D claims in 2023.

93.7848/100
MIPS score · +11 vs avg
2K
Part D claims, 2023
33%
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 ROWANE, D.O.'s MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

94 Top 29% higher than 71% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). Below this entry. 90–100: 189,403 scored providers (40%). This entry sits in this band. This provider 0 100 every MIPS-scored clinician, bucketed by value

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

Board certification likely (heuristic — not verified)

JOSEPH ROWANE, D.O. 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).

What does the federal data show about JOSEPH ROWANE, D.O.?

High performer (top quartile)

NPI registry status

Active

Issued 03/02/2006

NPI 1891762431

Primary specialty

Sleep Medicine (Internal Medicine) Physician

Niche

857 US NPIs in this specialty

Medicare Part D claims

1,740 33% vs specialty avg

2023 prescription claims

Specialty avg: 1,310

MIPS final score

93.7848/100 10.68480000000001% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Pennsylvania

How Sleep Medicine (Internal Medicine) Physician compares to other specialties among Pennsylvania providers

Pennsylvania providers

Sleep Medicine (Internal Medicine) Physician share within Pennsylvania

1. Sleep Medicine (Internal Medicine) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Sleep Medicine (Internal Medicine) Physician share within Pennsylvania

Medicare quality performance — MIPS

JOSEPH ROWANE, D.O.'s 2023 MIPS final score plotted against the Sleep Medicine (Internal Medicine) Physician national average

High performer (top quartile)
MIPS Final Score
93.7848/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Sleep Medicine (Internal Medicine) Physician) — 93.7848/100 vs national avg 83.1

0%100%National avg83%93.8%
MIPS final score (Sleep Medicine (Internal Medicine) Physician) — 93.7848/100 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 ROWANE, D.O. appears in the CMS NPPES registry as a Sleep Medicine (Internal Medicine) Physician provider holding D.O. credentials at 204 W 26TH ST, ERIE, PA, 16508, with a listed phone of (814) 864-4755. NPI 1891762431 was issued on 03/02/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what ROWANE 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 1,740 prescription claims written by this provider, covering 272 Medicare beneficiaries and totaling roughly $660K in drug spend, split 67% brand-name and 33% 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 93.7848/100 for the 2023 performance year (Quality 85.0781), compared with the national average of 83.1.

Sleep Medicine (Internal Medicine) Physician is a narrow specialty nationwide, with 857 enrolled providers across 52 states and an average of 1,310 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

204 W 26TH ST
ERIE, PA 16508

Provider Details

NPI 1891762431
Specialty Sleep Medicine (Internal Medicine) Physician
Credentials D.O.
Gender Male
NPI Issued 03/02/2006

CMS Quality Score (MIPS)

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

93.7848
Final Score
Avg: 83.1
85.0781
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where JOSEPH ROWANE, D.O. 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.

PHYSICIANSPECIALTYNETWORK PLLC
ERIE, PA
ST VINCENT MEDICAL EDUCATION AND RESEARCH INSTITUTE INC
ALBION, PA

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 ROWANE, D.O.. Source: openpaymentsdata.cms.gov.

Total received

$279

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 — Pennsylvania PA-BOM 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 ~45K Pennsylvania medical licensees in 2023 — they are NOT specific to JOSEPH ROWANE, D.O.. To verify JOSEPH ROWANE, D.O.'s current license status, search the PA-BOM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

133
Total board actions, Pennsylvania 2023
Across 129 cases
2.96
Actions per 1,000 licensees
Pennsylvania statewide rate
probation
Most common action type
48 cases

PA-BOM 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 Pennsylvania disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Brand-heavy

JOSEPH ROWANE, D.O. — brand share 67.0%
Specialty average (est.)

67% brand-name claims vs 33% generic, on 1,740 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.

1,740
Total Claims
$660K
Total Drug Cost
272
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
2,248
Total Day Supply
62,766
Brand vs Generic
67% brand / 33% generic
Brand Drug Cost
$605K
Antibiotic Claims
32

Patient Demographics

Average Patient Age
72.2 years
Avg HCC Risk Score
1.70
Gender Split
61% female / 39% male
Age Distribution
<65: 42, 65-74: 113, 75-84: 90, 85+: 27

Top Prescribed Drugs (Medicare Part D)

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

What JOSEPH ROWANE, D.O. prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Trelegy Ellipta
Fluticasone/Umeclidin/Vilanter
327
Albuterol Sulfate Hfa
Albuterol Sulfate
266
Breo Ellipta
Fluticasone/Vilanterol
180
Prednisone
114
Montelukast Sodium
76
Symbicort
Budesonide/Formoterol Fumarate
65
Anoro Ellipta
Umeclidinium Brm/Vilanterol Tr
62
Spiriva Respimat
Tiotropium Bromide
44
Advair Diskus
Fluticasone Propion/Salmeterol
42
Flovent Hfa
Fluticasone Propionate
41

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

Sleep Medicine (Internal Medicine) Physician Overview

How JOSEPH ROWANE, D.O. fits within the Sleep Medicine (Internal Medicine) Physician landscape nationally.

857
Sleep Medicine (Internal Medicine) Physician Providers in US
52
States with Sleep Medicine (Internal Medicine) Physician
1,310
Avg Claims per Provider

JOSEPH ROWANE, D.O.'s 1,740 claims are above the specialty average of 1,310.

Nearby Sleep Medicine (Internal Medicine) Physician Providers in Pennsylvania

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

Compare Sleep Medicine (Internal Medicine) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is JOSEPH ROWANE, D.O.'s specialty?
JOSEPH ROWANE, D.O. specializes in Sleep Medicine (Internal Medicine) Physician and practices in ERIE, Pennsylvania. Credentials: D.O..
How much does JOSEPH ROWANE, D.O. prescribe under Medicare Part D?
In 2023, JOSEPH ROWANE, D.O. wrote 1,740 Medicare Part D claims totaling $660K in drug costs for 272 beneficiaries.
What is JOSEPH ROWANE, D.O.'s Medicare quality score?
JOSEPH ROWANE, D.O. has a CMS MIPS Final Score of 93.7848/100 (Quality: 85.0781). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is JOSEPH ROWANE, D.O. located?
JOSEPH ROWANE, D.O. is located at 204 W 26TH ST, ERIE, PA, 16508. Phone: (814) 864-4755.
What is JOSEPH ROWANE, D.O.'s NPI number?
JOSEPH ROWANE, D.O.'s National Provider Identifier (NPI) is 1891762431, issued on 03/02/2006.
Does JOSEPH ROWANE, D.O. prescribe more brand-name or generic drugs?
JOSEPH ROWANE, D.O.'s prescribing is 67% brand-name and 33% generic drugs by claim count, with $605K in brand drug costs.
How many Sleep Medicine (Internal Medicine) Physician providers are there in the US?
There are 857 Sleep Medicine (Internal Medicine) Physician providers across 52 states in the US. The average Sleep Medicine (Internal Medicine) Physician provider writes 1,310 Medicare Part D claims per year.
What drugs does JOSEPH ROWANE, D.O. prescribe most often?
Based on 2023 Medicare Part D data, JOSEPH ROWANE, D.O.'s most frequently prescribed drugs include Trelegy Ellipta, Albuterol Sulfate Hfa, Breo Ellipta. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JOSEPH ROWANE, D.O. accept Medicare?
JOSEPH ROWANE, D.O. appears in CMS Medicare data with 1,740 Part D claims and 272 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JOSEPH ROWANE, D.O.'s credentials?
JOSEPH ROWANE, D.O.'s NPI is 1891762431 with credentials D.O.. 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