NPI registry status
Active
2026 NPPES data Urology Physician NPI 1053578831 MD
Verify on CMS → Kevin Gioia, MD
Urology Physician in Rumson, 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 13,367 in Urology 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
397
Medicare Part D claims · 167 beneficiaries · Urology Physician avg: 1K
Generic prescribing
0%
generic claims · 51% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
75.8/100
▼ 7 pts below national avg 83.1 · Above neutral
Industry payments
$18.9K
43 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Kevin Gioia, MD reported a CMS MIPS final score of 75.8/100 - below the 83.1 national average - and filed 397 Medicare Part D claims in 2023.
- 75.8/100
- MIPS score · -7 vs avg
- 397
- Part D claims, 2023
- 0%
- 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.
Kevin Gioia, MD's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
76 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 Kevin Gioia, MD sits
This provider among urology physician peers
Across the 4,623 urology physician providers who report both Medicare Part D prescribing and a MIPS quality score, Kevin Gioia, MD writes more Part D claims than 18% of them and scores higher on MIPS quality than 25% - 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 urology physician peer from a representative sample of 60; the gold marker is Kevin Gioia, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Kevin Gioia, 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 Kevin Gioia, MD?
Below national averagePrimary specialty
Urology Physician
Medicare Part D claims
397 69% vs specialty avg
MIPS final score
75.8/100 7.3 pts vs avg
Specialty distribution in New Jersey
How Urology Physician compares to other specialties among New Jersey providers
Medicare quality performance, MIPS
Kevin Gioia, MD's 2023 MIPS final score plotted against the Urology Physician national average
- MIPS Final Score
- 75.8/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Urology Physician) - 75.8/100 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).
Kevin Gioia, MD appears in the CMS NPPES registry as a Urology Physician provider holding MD credentials at 108 AVENUE OF TWO RIVERS, Rumson, NJ, 07760, with a listed phone of (732) 263-7903. NPI 1053578831 was issued on 05/20/2008.
Medicare Part D records for calendar year 2023 show 397 prescription claims written by this provider, covering 167 Medicare beneficiaries and totaling roughly $147K in drug spend, split 51% brand-name and 0% generic by claim count, with an opioid prescribing rate of 18.4%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 75.8/100 for the 2023 performance year (Quality 68.7, Cost 50.7), compared with the national average of 83.1.
Urology Physician is a mid-sized specialty nationwide, with 13,367 enrolled providers across 54 states and an average of 1,280 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 | 1053578831 |
|---|---|
| Specialty | Urology Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 05/20/2008 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
75.8046
Final Score
Avg: 83.1
68.6551
Quality
50.6935
Cost
100
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where Kevin Gioia, 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.
Hackensack Meridian Health Medical Group - Specialty Care PC
Red Bank, NJ
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 Kevin Gioia, MD. Source: openpaymentsdata.cms.gov.
Total received
$18.9K
Largest payer
INTUITIVE SURGICAL, 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 · Brand-heavy
Kevin Gioia, MD - brand share 51.0%
Urology Physician average
51% brand-name claims vs 0% generic, on 397 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.
397
Total Claims
$147K
Total Drug Cost
167
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 606
- Total Day Supply
- 14,888
- Brand vs Generic
- 51% brand / 0% generic
- Brand Drug Cost
- $139K
- Opioid Claims
- 73 (18.4% rate)
- Antibiotic Claims
- 53
Patient Demographics
- Average Patient Age
- 75.2 years
- Avg HCC Risk Score
- 1.04
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Kevin Gioia, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Myrbetriq
Myrbetriq
104 claims
- Gemtesa
Gemtesa
85 claims
- Tramadol Hcl 39
Tramadol Hcl
39 claims
- Oxycodone-Acetamin… 34
Oxycodone-Acetaminophen
34 claims
- Oxybutynin Chlorid… 23
Oxybutynin Chloride Er
23 claims
- Sulfamethoxazole-T… 20
Sulfamethoxazole-Trimethoprim
20 claims
- Oxybutynin Chloride 16
Oxybutynin Chloride
16 claims
- Nitrofurantoin 13
Nitrofurantoin
13 claims
| Drug | Claims |
|---|---|
| Myrbetriq Mirabegron | 104 |
| Gemtesa Vibegron | 85 |
| Tramadol Hcl | 39 |
| Oxycodone-Acetaminophen Oxycodone Hcl/Acetaminophen | 34 |
| Oxybutynin Chloride Er Oxybutynin Chloride | 23 |
| Sulfamethoxazole-Trimethoprim Sulfamethoxazole/Trimethoprim | 20 |
| Oxybutynin Chloride | 16 |
| Nitrofurantoin Nitrofurantoin Macrocrystal | 13 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Urology Physician Overview
How Kevin Gioia, MD fits within the Urology Physician landscape nationally.
13,367
Urology Physician Providers in US
54
States with Urology Physician
1,280
Avg Claims per Provider
Kevin Gioia, MD's 397 claims are below the specialty average of 1,280.
Nearby Urology Physician Providers in New Jersey
Other clinicians with the same primary specialty enrolled in New Jersey, drawn from the same CMS NPPES roster as Gioia.
Joel Abramowitz
Jersey City, NJ
Dr. Anika Ackerman
MD
Morristown, NJ
Dr. Randy Ackerman
MD
Cherry Hill, NJ
Dr. Philip Affuso
MD
Englewood, NJ
Dr. Saurabh Agarwal
MD
Midland Park, NJ
Compare Urology 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 Urology 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.
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Frequently Asked Questions
What is Kevin Gioia, MD's specialty? ▼
Kevin Gioia, MD specializes in Urology Physician and practices in Rumson, New Jersey. Credentials: MD.
How much does Kevin Gioia, MD prescribe under Medicare Part D? ▼
In 2023, Kevin Gioia, MD wrote 397 Medicare Part D claims totaling $147K in drug costs for 167 beneficiaries.
What is Kevin Gioia, MD's Medicare quality score? ▼
Kevin Gioia, MD has a CMS MIPS Final Score of 75.8/100 (Quality: 68.7, Cost: 50.7). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Kevin Gioia, MD located? ▼
Kevin Gioia, MD is located at 108 AVENUE OF TWO RIVERS, Rumson, NJ, 07760. Phone: (732) 263-7903.
What is Kevin Gioia, MD's NPI number? ▼
Kevin Gioia, MD's National Provider Identifier (NPI) is 1053578831, issued on 05/20/2008.
Does Kevin Gioia, MD prescribe more brand-name or generic drugs? ▼
Kevin Gioia, MD's prescribing is 51% brand-name and 0% generic drugs by claim count, with $139K in brand drug costs.
Does Kevin Gioia, MD prescribe opioids? ▼
Yes, Kevin Gioia, MD had 73 opioid claims in 2023 with an opioid prescribing rate of 18.4%.
How many Urology Physician providers are there in the US? ▼
There are 13,367 Urology Physician providers across 54 states in the US. The average Urology Physician provider writes 1,280 Medicare Part D claims per year.
What drugs does Kevin Gioia, MD prescribe most often? ▼
Based on 2023 Medicare Part D data, Kevin Gioia, MD's most frequently prescribed drugs include Myrbetriq, Gemtesa, Tramadol Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Kevin Gioia, MD accept Medicare? ▼
Kevin Gioia, MD appears in CMS Medicare data with 397 Part D claims and 167 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Kevin Gioia, MD's credentials? ▼
Kevin Gioia, MD's NPI is 1053578831 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
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.