2026 NPPES data Neurological Surgery Physician NPI 1609010719 M.D.
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Joshua Marcus, M.D.

Neurological Surgery Physician in Danbury, Connecticut. 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
166
Medicare Part D claims · 69 beneficiaries · Neurological Surgery Physician avg: 181
Generic prescribing
92%
generic claims · 8% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
94.2/100
▲ 11 pts above national avg 83.1 · [object Object]
Industry payments
$35.4K
71 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

Joshua Marcus, M.D. reported a CMS MIPS final score of 94.2/100 — above the 83.1 national average — and filed 166 Medicare Part D claims in 2023.

94.2/100
MIPS score · +11 vs avg
166
Part D claims, 2023
92%
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.

Joshua Marcus, 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

94 Top 25% higher than 75% 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)

Joshua Marcus, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 4 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 Joshua Marcus, M.D.?

High performer (top quartile)

NPI registry status

Active

Issued 04/21/2009

NPI 1609010719

Primary specialty

Neurological Surgery Physician

Mid-sized

8,100 US NPIs in this specialty

Medicare Part D claims

166 8% vs specialty avg

2023 prescription claims

Specialty avg: 181

MIPS final score

94.2/100 11.1 pts vs avg

Exceptional band

vs 83.1 national avg

Specialty distribution in Connecticut

How Neurological Surgery Physician compares to other specialties among Connecticut providers

Connecticut providers

Neurological Surgery Physician share within Connecticut

1. Neurological Surgery Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Neurological Surgery Physician share within Connecticut

Medicare quality performance — MIPS

Joshua Marcus, M.D.'s 2023 MIPS final score plotted against the Neurological Surgery Physician national average

High performer (top quartile)
MIPS Final Score
94.2/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Neurological Surgery Physician) — 94.2/100 vs national avg 83.1

0%100%National avg83%94.2%
MIPS final score (Neurological Surgery Physician) — 94.2/100 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).

Joshua Marcus, M.D. appears in the CMS NPPES registry as a Neurological Surgery Physician provider holding M.D. credentials at 33 HOSPITAL AVE., Danbury, CT, 06810, with a listed phone of (203) 792-2003. NPI 1609010719 was issued on 04/21/2009. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Marcus 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 166 prescription claims written by this provider, covering 69 Medicare beneficiaries and totaling roughly $11K in drug spend, split 8% brand-name and 92% generic by claim count, with an opioid prescribing rate of 17.5%. 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 94.2/100 for the 2023 performance year (Quality 78.3), compared with the national average of 83.1.

Neurological Surgery Physician is a mid-sized specialty nationwide, with 8,100 enrolled providers across 53 states and an average of 181 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

33 HOSPITAL AVE.
Danbury, CT 06810

Provider Details

NPI 1609010719
Specialty Neurological Surgery Physician
Credentials M.D.
Gender Male
NPI Issued 04/21/2009

CMS Quality Score (MIPS)

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

94.2464
Final Score
Avg: 83.1
78.2615
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where Joshua Marcus, 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.

Nuvance Health Medical Practice CT Inc
Danbury, CT
Nuvance Health Medical Practice PC
Poughkeepsie, NY
Ptsma Inc
Fairfield, CT
Yale University
Greenwich, CT

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 Joshua Marcus, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$35.4K

Largest payer

SI-BONE, INC.

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

Joshua Marcus, M.D. — brand share 8.0%
Specialty average (est.)

8% brand-name claims vs 92% generic, on 166 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.

166
Total Claims
$11K
Total Drug Cost
69
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
190
Total Day Supply
4,632
Brand vs Generic
8% brand / 92% generic
Brand Drug Cost
$10K
Generic Drug Cost
$2K
Opioid Claims
29 (17.5% rate)

Patient Demographics

Average Patient Age
73.1 years
Avg HCC Risk Score
1.21
Gender Split
67% female / 33% male

Top Prescribed Drugs (Medicare Part D)

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

What Joshua Marcus, M.D. 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
Meloxicam
53
Gabapentin
24
Tramadol Hcl
15
Brilinta
Ticagrelor
13
Methocarbamol
11

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

Neurological Surgery Physician Overview

How Joshua Marcus, M.D. fits within the Neurological Surgery Physician landscape nationally.

8,100
Neurological Surgery Physician Providers in US
53
States with Neurological Surgery Physician
181
Avg Claims per Provider

Joshua Marcus, M.D.'s 166 claims are below the specialty average of 181.

Nearby Neurological Surgery Physician Providers in Connecticut

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

Compare Neurological Surgery 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 Connecticut medical board — federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Neurological Surgery 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.

Frequently Asked Questions

What is Joshua Marcus, M.D.'s specialty?
Joshua Marcus, M.D. specializes in Neurological Surgery Physician and practices in Danbury, Connecticut. Credentials: M.D..
How much does Joshua Marcus, M.D. prescribe under Medicare Part D?
In 2023, Joshua Marcus, M.D. wrote 166 Medicare Part D claims totaling $11K in drug costs for 69 beneficiaries.
What is Joshua Marcus, M.D.'s Medicare quality score?
Joshua Marcus, M.D. has a CMS MIPS Final Score of 94.2/100 (Quality: 78.3). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Joshua Marcus, M.D. located?
Joshua Marcus, M.D. is located at 33 HOSPITAL AVE., Danbury, CT, 06810. Phone: (203) 792-2003.
What is Joshua Marcus, M.D.'s NPI number?
Joshua Marcus, M.D.'s National Provider Identifier (NPI) is 1609010719, issued on 04/21/2009.
Does Joshua Marcus, M.D. prescribe more brand-name or generic drugs?
Joshua Marcus, M.D.'s prescribing is 8% brand-name and 92% generic drugs by claim count, with $10K in brand drug costs.
Does Joshua Marcus, M.D. prescribe opioids?
Yes, Joshua Marcus, M.D. had 29 opioid claims in 2023 with an opioid prescribing rate of 17.5%.
How many Neurological Surgery Physician providers are there in the US?
There are 8,100 Neurological Surgery Physician providers across 53 states in the US. The average Neurological Surgery Physician provider writes 181 Medicare Part D claims per year.
What drugs does Joshua Marcus, M.D. prescribe most often?
Based on 2023 Medicare Part D data, Joshua Marcus, M.D.'s most frequently prescribed drugs include Meloxicam, Gabapentin, Tramadol Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Joshua Marcus, M.D. accept Medicare?
Joshua Marcus, M.D. appears in CMS Medicare data with 166 Part D claims and 69 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Joshua Marcus, M.D.'s credentials?
Joshua Marcus, M.D.'s NPI is 1609010719 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

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