NPI registry status
Active
2026 NPPES data Emergency Medicine Physician NPI 1316940968 DO
Verify on CMS → Juan Acosta, DO
Emergency Medicine Physician in Bronx, 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 64,398 in Emergency 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.
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
83
Medicare Part D claims · 59 beneficiaries · Emergency Medicine Physician avg: 352
MIPS score
75/100
▼ 8 pts below national avg 83.1 · Above neutral
Industry payments
$252.08
6 payments · CMS Open Payments (Sunshine Act)
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Juan Acosta, DO reported a CMS MIPS final score of 75/100 - below the 83.1 national average - and filed 83 Medicare Part D claims in 2023.
- 75/100
- MIPS score · -8 vs avg
- 83
- Part D claims, 2023
- 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.
Juan Acosta, DO's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
75 15th percentile higher than 15% 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 Juan Acosta, DO sits
This provider among emergency medicine physician peers
Across the 14,967 emergency medicine physician providers who report both Medicare Part D prescribing and a MIPS quality score, Juan Acosta, DO writes more Part D claims than 28% of them and scores higher on MIPS quality than 9% - 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 emergency medicine physician peer from a representative sample of 60; the gold marker is Juan Acosta, DO. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Juan Acosta, DO practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting - 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 Juan Acosta, DO?
Below national averagePrimary specialty
Emergency Medicine Physician
Medicare Part D claims
83 76% vs specialty avg
MIPS final score
75/100 8.1 pts vs avg
Specialty distribution in New York
How Emergency Medicine Physician compares to other specialties among New York providers
Medicare quality performance, MIPS
Juan Acosta, DO's 2023 MIPS final score plotted against the Emergency Medicine Physician national average
- MIPS Final Score
- 75/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Emergency Medicine Physician) - 75/100 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).
Juan Acosta, DO appears in the CMS NPPES registry as a Emergency Medicine Physician provider holding DO credentials at 4422 3RD AVE, Bronx, NY, 10457, with a listed phone of (718) 960-5627. NPI 1316940968 was issued on 05/27/2005.
Medicare Part D records for calendar year 2023 show 83 prescription claims written by this provider, covering 59 Medicare beneficiaries and totaling roughly $829 in drug spend, with an opioid prescribing rate of 18.1%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 75/100 for the 2023 performance year, compared with the national average of 83.1.
Emergency Medicine Physician is a high-volume specialty nationwide, with 64,398 enrolled providers across 56 states and an average of 352 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 | 1316940968 |
|---|---|
| Specialty | Emergency Medicine Physician |
| Credentials | DO |
| Gender | Male |
| NPI Issued | 05/27/2005 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
75
Final Score
Avg: 83.1
Reporting: Group practice
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 Juan Acosta, DO. Source: openpaymentsdata.cms.gov.
Total received
$252
Largest payer
Novo Nordisk 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.
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 Juan Acosta, DO. To verify Juan Acosta, DO'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.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
83
Total Claims
$829
Total Drug Cost
59
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 83
- Total Day Supply
- 910
- Generic Drug Cost
- $728
- Opioid Claims
- 15 (18.1% rate)
- Antibiotic Claims
- 26
Patient Demographics
- Average Patient Age
- 75.3 years
- Avg HCC Risk Score
- 1.63
- Gender Split
- 64% female / 36% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
| Drug | Claims |
|---|---|
| Oxycodone-Acetaminophen Oxycodone Hcl/Acetaminophen | 15 |
| Cephalexin | 13 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Emergency Medicine Physician Overview
How Juan Acosta, DO fits within the Emergency Medicine Physician landscape nationally.
64,398
Emergency Medicine Physician Providers in US
56
States with Emergency Medicine Physician
352
Avg Claims per Provider
Juan Acosta, DO's 83 claims are below the specialty average of 352.
Nearby Emergency Medicine Physician Providers in New York
Other clinicians with the same primary specialty enrolled in New York, drawn from the same CMS NPPES roster as Acosta.
Dr. Matthew Abad
D.O.
Bronx, NY
Nabil Abazaid
New York, NY
Dr. Ethan Abbott
DO
Bronx, NY
Dr. Frederick Abbuhl
MD
Albany, NY
Dr. Minako Abe
MD
New York, NY
Compare Emergency 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 York medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Emergency 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.
Healthcare Guides
Learn more about finding, verifying, and understanding healthcare providers.
How to Find a Doctor
Step-by-step guide to choosing a provider
Verify Credentials
Check NPI, board certification & license status
Medical Specialties Explained
Who treats what and how specialties differ
Understanding Medicare Claims Data
What prescribing data reveals about a provider
In-Network vs Out-of-Network
How insurance networks affect your costs
Telehealth Guide
Virtual care options and coverage in 2026
Explore New York
Frequently Asked Questions
What is Juan Acosta, DO's specialty? ▼
Juan Acosta, DO specializes in Emergency Medicine Physician and practices in Bronx, New York. Credentials: DO.
How much does Juan Acosta, DO prescribe under Medicare Part D? ▼
In 2023, Juan Acosta, DO wrote 83 Medicare Part D claims totaling $829 in drug costs for 59 beneficiaries.
What is Juan Acosta, DO's Medicare quality score? ▼
Juan Acosta, DO has a CMS MIPS Final Score of 75/100. The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Juan Acosta, DO located? ▼
Juan Acosta, DO is located at 4422 3RD AVE, Bronx, NY, 10457. Phone: (718) 960-5627.
What is Juan Acosta, DO's NPI number? ▼
Juan Acosta, DO's National Provider Identifier (NPI) is 1316940968, issued on 05/27/2005.
Does Juan Acosta, DO prescribe opioids? ▼
Yes, Juan Acosta, DO had 15 opioid claims in 2023 with an opioid prescribing rate of 18.1%.
How many Emergency Medicine Physician providers are there in the US? ▼
There are 64,398 Emergency Medicine Physician providers across 56 states in the US. The average Emergency Medicine Physician provider writes 352 Medicare Part D claims per year.
What drugs does Juan Acosta, DO prescribe most often? ▼
Based on 2023 Medicare Part D data, Juan Acosta, DO's most frequently prescribed drugs include Oxycodone-Acetaminophen, Cephalexin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Juan Acosta, DO accept Medicare? ▼
Juan Acosta, DO appears in CMS Medicare data with 83 Part D claims and 59 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Juan Acosta, DO's credentials? ▼
Juan Acosta, DO's NPI is 1316940968 with credentials DO. 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.