2026 NPPES data Gastroenterology Physician NPI 1417932278 MD
Verify on CMS →

Karl Bednarek, MD

Gastroenterology Physician in New York, 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 16,567 in Gastroenterology 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
2K
Medicare Part D claims · 588 beneficiaries · Gastroenterology Physician avg: 833
MIPS score
84.5/100
▲ 1 pts above national avg 83.1 · Above neutral
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Karl Bednarek, MD reported a CMS MIPS final score of 84.5/100 - above the 83.1 national average - and filed 1,548 Medicare Part D claims in 2023.

84.5/100
MIPS score · +1 vs avg
2K
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.

Karl Bednarek, MD's MIPS score vs every scored U.S. clinician

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

85 45th percentile higher than 45% 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%). This entry sits in this band. 90+: 189,403 scored providers (40%). Above this entry. 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

Where Karl Bednarek, MD sits

This provider among gastroenterology physician peers

Across the 5,957 gastroenterology physician providers who report both Medicare Part D prescribing and a MIPS quality score, Karl Bednarek, MD writes more Part D claims than 82% of them and scores higher on MIPS quality than 50% - 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

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality02550751000255075100Part D claim volume, percentile in specialtyMIPS quality, percentilePart D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 83Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 70Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 8Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 87Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 38Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 77Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 30Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 45Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 7Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 47Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 58Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 3Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 20Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 10Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 97Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 27Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 57Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 15Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 97Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 48Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 78Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 80Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 22Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 23Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 43Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 67Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 42Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 25Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 82Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 50Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 30Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 92Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 60Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 13Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 10Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 63Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 52Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 28Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 85Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 40Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 37Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 3Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 17Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 68Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 92Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 30Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 75Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 2Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 18Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 97Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 70Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 65Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 30Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 52Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 95Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 70Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 52Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 0Karl Bednarek, MD-Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 50
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one gastroenterology physician peer from a representative sample of 60; the gold marker is Karl Bednarek, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

Board certification likely (heuristic, not verified)

Karl Bednarek, MD 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 Karl Bednarek, MD?

Near national average

NPI registry status

Active

Issued 12/14/2005

NPI 1417932278

Primary specialty

Gastroenterology Physician

Mid-sized

16,567 US NPIs in this specialty

Medicare Part D claims

1,548 86% vs specialty avg

2023 prescription claims

Specialty avg: 833

MIPS final score

84.5/100 1.4 pts vs avg

Above neutral band

vs 83.1 national avg

Specialty distribution in New York

How Gastroenterology Physician compares to other specialties among New York providers

New York providers
Student in an Organized Health Care Education/Training Program - 7.8%Student in an Organized Health Care Education/Training Program7.8%Registered Nurse - 5.2%Registered Nurse5.2%Clinical Social Worker - 4.9%Clinical Social Worker4.9%Social Worker - 4.5%Social Worker4.5%Speech-Language Pathologist - 4.5%Speech-Language Pathologist4.5%Licensed Practical Nurse - 4.3%Licensed Practical Nurse4.3%Gastroenterology Physician - 0.3%Gastroenterology Physician0.3%
Largest specialties in New York (% of in-state providers)

Medicare quality performance, MIPS

Karl Bednarek, MD's 2023 MIPS final score plotted against the Gastroenterology Physician national average

Near national average
MIPS Final Score
84.5/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Gastroenterology Physician) - 84.5/100 vs national avg 83.1

0%100%National avg83%84.5%
MIPS final score (Gastroenterology Physician) - 84.5/100 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).

Karl Bednarek, MD appears in the CMS NPPES registry as a Gastroenterology Physician provider holding MD credentials at 10 UNION SQ E, New York, NY, 10003, with a listed phone of (212) 844-6335. NPI 1417932278 was issued on 12/14/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Bednarek 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 1,548 prescription claims written by this provider, covering 588 Medicare beneficiaries and totaling roughly $322K in drug spend. 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 84.5/100 for the 2023 performance year (Quality 93.3, Cost 54.9), compared with the national average of 83.1.

Gastroenterology Physician is a mid-sized specialty nationwide, with 16,567 enrolled providers across 54 states and an average of 833 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

10 UNION SQ E
New York, NY 10003

Provider Details

NPI 1417932278
Specialty Gastroenterology Physician
Credentials MD
Gender Male
NPI Issued 12/14/2005

CMS Quality Score (MIPS)

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

84.4744
Final Score
Avg: 83.1
93.334
Quality
54.914
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where Karl Bednarek, MD 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.

New York University
New York, 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).

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 Karl Bednarek, MD. To verify Karl Bednarek, MD'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.

1,548
Total Claims
$322K
Total Drug Cost
588
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
3,012
Total Day Supply
78,913
Generic Drug Cost
$91K
Antibiotic Claims
43

Patient Demographics

Average Patient Age
72.9 years
Avg HCC Risk Score
1.05
Gender Split
61% female / 39% male
Age Distribution
<65: 29, 65-74: 340, 75-84: 189, 85+: 30

Top Prescribed Drugs (Medicare Part D)

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

What Karl Bednarek, MD 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
Pantoprazole Sodium
314
Omeprazole
313
Hydrocortisone
123
Famotidine
95
Procto-Med Hc
Hydrocortisone
61
Proctozone-Hc
Hydrocortisone
51
Linzess
Linaclotide
44
Dexlansoprazole Dr
Dexlansoprazole
32
Esomeprazole Magnesium
28
Creon
Lipase/Protease/Amylase
23

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

Gastroenterology Physician Overview

How Karl Bednarek, MD fits within the Gastroenterology Physician landscape nationally.

16,567
Gastroenterology Physician Providers in US
54
States with Gastroenterology Physician
833
Avg Claims per Provider

Karl Bednarek, MD's 1,548 claims are above the specialty average of 833.

Nearby Gastroenterology Physician Providers in New York

Other clinicians with the same primary specialty enrolled in New York, drawn from the same CMS NPPES roster as Bednarek.

Compare Gastroenterology 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 Gastroenterology 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 Karl Bednarek, MD's specialty?
Karl Bednarek, MD specializes in Gastroenterology Physician and practices in New York, New York. Credentials: MD.
How much does Karl Bednarek, MD prescribe under Medicare Part D?
In 2023, Karl Bednarek, MD wrote 1,548 Medicare Part D claims totaling $322K in drug costs for 588 beneficiaries.
What is Karl Bednarek, MD's Medicare quality score?
Karl Bednarek, MD has a CMS MIPS Final Score of 84.5/100 (Quality: 93.3, Cost: 54.9). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Karl Bednarek, MD located?
Karl Bednarek, MD is located at 10 UNION SQ E, New York, NY, 10003. Phone: (212) 844-6335.
What is Karl Bednarek, MD's NPI number?
Karl Bednarek, MD's National Provider Identifier (NPI) is 1417932278, issued on 12/14/2005.
How many Gastroenterology Physician providers are there in the US?
There are 16,567 Gastroenterology Physician providers across 54 states in the US. The average Gastroenterology Physician provider writes 833 Medicare Part D claims per year.
What drugs does Karl Bednarek, MD prescribe most often?
Based on 2023 Medicare Part D data, Karl Bednarek, MD's most frequently prescribed drugs include Pantoprazole Sodium, Omeprazole, Hydrocortisone. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Karl Bednarek, MD accept Medicare?
Karl Bednarek, MD appears in CMS Medicare data with 1,548 Part D claims and 588 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Karl Bednarek, MD's credentials?
Karl Bednarek, MD's NPI is 1417932278 with credentials MD. 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

Compiled from official public sources by the PlainDoctor editorial team.