2026 NPPES data Orthopaedic Surgery Physician NPI 1346257581 M.D.
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Ken Cubelli, M.D.

Orthopaedic Surgery Physician in Denville, 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 25,775 in Orthopaedic Surgery 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
336
Medicare Part D claims · 149 beneficiaries · Orthopaedic Surgery Physician avg: 324
Generic prescribing
96%
generic claims · 4% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
64.5/100
▼ 19 pts below national avg 83.1 · Mid-tier
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Ken Cubelli, M.D. reported a CMS MIPS final score of 64.5/100 - below the 83.1 national average - and filed 336 Medicare Part D claims in 2023.

64.5/100
MIPS score · -19 vs avg
336
Part D claims, 2023
96%
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.

Ken Cubelli, 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

65 6th percentile higher than 6% 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%). This entry sits in this band. 70–80: 118,074 scored providers (25%). Above this entry. 80–90: 129,887 scored providers (27%). Above this entry. 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 Ken Cubelli, M.D. sits

This provider among orthopaedic surgery physician peers

Across the 8,194 orthopaedic surgery physician providers who report both Medicare Part D prescribing and a MIPS quality score, Ken Cubelli, M.D. writes more Part D claims than 60% of them and scores higher on MIPS quality than 11% - placing this provider in the high-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

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: 80 · MIPS quality, percentile: 90Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 90Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 22Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 77Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 87Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 85Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 83Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 25Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 97Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 73Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 27Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 82Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 95Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 65Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 42Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 62Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 35Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 5Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 32Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 68Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 97Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 17Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 70Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 13Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 67Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 50Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 93Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 18Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 63Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 22Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 80Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 58Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 20Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 40Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 10Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 52Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 12Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 57Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 97Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 45Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 53Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 78Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 28Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 3Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 28Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 43Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 33Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 55Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 60Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 15Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 7Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 47Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 72Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 37Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 48Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 75Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 38Ken Cubelli, M.D.-Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 11
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one orthopaedic surgery physician peer from a representative sample of 60; the gold marker is Ken Cubelli, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

Board certification likely (heuristic, not verified)

Ken Cubelli, M.D. 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 Ken Cubelli, M.D.?

Below national average

NPI registry status

Active

Issued 08/01/2006

NPI 1346257581

Primary specialty

Orthopaedic Surgery Physician

Mid-sized

25,775 US NPIs in this specialty

Medicare Part D claims

336 4% vs specialty avg

2023 prescription claims

Specialty avg: 324

MIPS final score

64.5/100 18.6 pts vs avg

Mid-tier band

vs 83.1 national avg

Specialty distribution in New Jersey

How Orthopaedic Surgery Physician compares to other specialties among New Jersey providers

New Jersey providers
Mental Health Counselor - 6.2%Mental Health Counselor6.2%Physical Therapist - 5.9%Physical Therapist5.9%Clinical Social Worker - 5.5%Clinical Social Worker5.5%Student in an Organized Health Care Education/Training Program - 5.4%Student in an Organized Health Care Education/Training Program5.4%Pharmacist - 5%Pharmacist5%Internal Medicine Physician - 3.1%Internal Medicine Physician3.1%Orthopaedic Surgery Physician - 0.4%Orthopaedic Surgery Physician0.4%
Largest specialties in New Jersey (% of in-state providers)

Medicare quality performance, MIPS

Ken Cubelli, M.D.'s 2023 MIPS final score plotted against the Orthopaedic Surgery Physician national average

Below national average
MIPS Final Score
64.5/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Orthopaedic Surgery Physician) - 64.5/100 vs national avg 83.1

0%100%National avg83%64.5%
MIPS final score (Orthopaedic Surgery Physician) - 64.5/100 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).

Ken Cubelli, M.D. appears in the CMS NPPES registry as an Orthopaedic Surgery Physician provider holding M.D. credentials at 109 US HIGHWAY 46, Denville, NJ, 07834, with a listed phone of (973) 625-1221. NPI 1346257581 was issued on 08/01/2006.

Medicare Part D records for calendar year 2023 show 336 prescription claims written by this provider, covering 149 Medicare beneficiaries and totaling roughly $5K in drug spend, split 4% brand-name and 96% generic by claim count, with an opioid prescribing rate of 15.2%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 64.5/100 for the 2023 performance year (Quality 84.4, Cost 47.2), compared with the national average of 83.1.

Orthopaedic Surgery Physician is a mid-sized specialty nationwide, with 25,775 enrolled providers across 56 states and an average of 324 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

109 US HIGHWAY 46
Denville, NJ 07834

Provider Details

NPI 1346257581
Specialty Orthopaedic Surgery Physician
Credentials M.D.
Gender Male
NPI Issued 08/01/2006

CMS Quality Score (MIPS)

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

64.4772
Final Score
Avg: 83.1
84.3814
Quality
47.2093
Cost
70
Promoting Interoperability

Reporting: Group practice

Brand vs generic prescribing mix · Generic-heavy

Ken Cubelli, M.D. - brand share 4.0%
Orthopaedic Surgery Physician average

4% brand-name claims vs 96% generic, on 336 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.

336
Total Claims
$5K
Total Drug Cost
149
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
352
Total Day Supply
7,573
Brand vs Generic
4% brand / 96% generic
Brand Drug Cost
$588
Generic Drug Cost
$5K
Opioid Claims
51 (15.2% rate)
Antibiotic Claims
19

Patient Demographics

Average Patient Age
76.2 years
Avg HCC Risk Score
1.07
Gender Split
68% female / 32% male

Top Prescribed Drugs (Medicare Part D)

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

What Ken Cubelli, 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
Diclofenac Sodium
60
Etodolac
56
Meloxicam
42
Methylprednisolone
37
Tramadol Hcl
31
Cyclobenzaprine Hcl
20
Oxycodone-Acetaminophen
Oxycodone Hcl/Acetaminophen
14
Synthroid
Levothyroxine Sodium
12

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

Orthopaedic Surgery Physician Overview

How Ken Cubelli, M.D. fits within the Orthopaedic Surgery Physician landscape nationally.

25,775
Orthopaedic Surgery Physician Providers in US
56
States with Orthopaedic Surgery Physician
324
Avg Claims per Provider

Ken Cubelli, M.D.'s 336 claims are above the specialty average of 324.

Nearby Orthopaedic Surgery Physician Providers in New Jersey

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

Compare Orthopaedic 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 New Jersey medical board, federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Orthopaedic 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 Ken Cubelli, M.D.'s specialty?
Ken Cubelli, M.D. specializes in Orthopaedic Surgery Physician and practices in Denville, New Jersey. Credentials: M.D..
How much does Ken Cubelli, M.D. prescribe under Medicare Part D?
In 2023, Ken Cubelli, M.D. wrote 336 Medicare Part D claims totaling $5K in drug costs for 149 beneficiaries.
What is Ken Cubelli, M.D.'s Medicare quality score?
Ken Cubelli, M.D. has a CMS MIPS Final Score of 64.5/100 (Quality: 84.4, Cost: 47.2). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Ken Cubelli, M.D. located?
Ken Cubelli, M.D. is located at 109 US HIGHWAY 46, Denville, NJ, 07834. Phone: (973) 625-1221.
What is Ken Cubelli, M.D.'s NPI number?
Ken Cubelli, M.D.'s National Provider Identifier (NPI) is 1346257581, issued on 08/01/2006.
Does Ken Cubelli, M.D. prescribe more brand-name or generic drugs?
Ken Cubelli, M.D.'s prescribing is 4% brand-name and 96% generic drugs by claim count, with $588 in brand drug costs.
Does Ken Cubelli, M.D. prescribe opioids?
Yes, Ken Cubelli, M.D. had 51 opioid claims in 2023 with an opioid prescribing rate of 15.2%.
How many Orthopaedic Surgery Physician providers are there in the US?
There are 25,775 Orthopaedic Surgery Physician providers across 56 states in the US. The average Orthopaedic Surgery Physician provider writes 324 Medicare Part D claims per year.
What drugs does Ken Cubelli, M.D. prescribe most often?
Based on 2023 Medicare Part D data, Ken Cubelli, M.D.'s most frequently prescribed drugs include Diclofenac Sodium, Etodolac, Meloxicam. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Ken Cubelli, M.D. accept Medicare?
Ken Cubelli, M.D. appears in CMS Medicare data with 336 Part D claims and 149 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Ken Cubelli, M.D.'s credentials?
Ken Cubelli, M.D.'s NPI is 1346257581 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

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.

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.