2026 NPPES data Urology Physician NPI 1053578831 MD
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KEVIN GIOIA, MD

Urology Physician in RUMSON, New Jersey. 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
397
Medicare Part D claims · 167 beneficiaries · Urology Physician avg: 1K
Generic prescribing
49%
generic claims · 51% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
75.8046/100
▼ 7 pts below national avg 83.1 · [object Object]
Industry payments
$18.9K
43 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: KEVIN GIOIA, MD is a Urology Physician ([object Object]) practicing in RUMSON, New Jersey with a Medicare Part D prescribing footprint of 397 claims across 167 beneficiaries — 51% brand-name prescribing . Their CMS MIPS Final Score of 75.8046/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $18.9K across 43 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: KEVIN GIOIA, MD reported a CMS MIPS final score of 75.8046 out of 100, below the 83.1 national average, and filed 397 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

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).

KEVIN GIOIA, MD at a glance

Below national average

NPI registry status

Active

Issued 05/20/2008

NPI 1053578831

Primary specialty

Urology Physician

Mid-sized

13,350 US NPIs in this specialty

Medicare Part D claims

397 69% vs specialty avg

2023 prescription claims

Specialty avg: 1,280

MIPS final score

75.8046/100 7.295400000000001% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in New Jersey

How Urology Physician compares to other specialties among New Jersey providers

New Jersey providers

Urology Physician share within New Jersey

1. Urology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Urology Physician share within New Jersey

Medicare quality performance — MIPS

KEVIN GIOIA, MD's 2023 MIPS final score plotted against the Urology Physician national average

Below national average
MIPS Final Score
75.8046/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Urology Physician) — 75.8046/100 vs national avg 83.1

0%100%National avg83%75.8%
MIPS final score (Urology Physician) — 75.8046/100 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).

KEVIN GIOIA, MD is a Urology Physician provider practicing in RUMSON, New Jersey, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1053578831. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

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. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what GIOIA 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 397 prescription claims written by this provider, covering 167 Medicare beneficiaries and totaling roughly $147K in drug spend, split 51% brand-name and 49% generic by claim count, with an opioid prescribing rate of 18.4%. 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 75.8046/100 for the 2023 performance year (Quality 68.6551, Cost 50.6935), compared with the national average of 83.1.

Urology Physician is a mid-sized specialty nationwide, with 13,350 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

108 AVENUE OF TWO RIVERS
RUMSON, NJ 07760

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%
Specialty average (est.)

51% brand-name claims vs 49% 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 / 49% 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.

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.

13,350
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.

Compare Urology Physician nationally: see state-by-state distribution →

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 75.8046/100 (Quality: 68.6551, Cost: 50.6935). 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 49% 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 13,350 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

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