2026 NPPES data Pulmonary Disease Physician NPI 1013001106 M.D.
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MARC LAVIETES, M.D.

Pulmonary Disease Physician in NEWARK, 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
246
Medicare Part D claims · 42 beneficiaries · Pulmonary Disease Physician avg: 1K
Generic prescribing
58%
generic claims · 42% brand-name · higher generic rates reduce patient out-of-pocket costs

What the federal data shows

MARC LAVIETES, M.D. filed 246 Medicare Part D claims in 2023 as a Pulmonary Disease Physician in NEWARK, New Jersey, prescribing 58% generic.

246
Part D claims, 2023
58%
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.

MARC LAVIETES, M.D.'s Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

246 49th percentile higher than 49% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). This entry sits in this band. 400–600: 90,619 prescribers (7%). Above this entry. 600–800: 56,224 prescribers (4%). Above this entry. 800–1,000: 40,919 prescribers (3%). Above this entry. 1,000–1,200: 31,827 prescribers (2%). Above this entry. 1,200–1,400: 26,224 prescribers (2%). Above this entry. 1,400–1,600: 21,710 prescribers (2%). Above this entry. 1,600–1,800: 19,072 prescribers (1%). Above this entry. 1,800–2,000: 16,451 prescribers (1%). Above this entry. 2,000–2,200: 213,991 prescribers (16%). Above this entry. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

Each bar is a band; taller bars hold more prescribers. 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 Medicare Part D Prescriber Public Use File · 2023

Board certification likely (heuristic — not verified)

MARC LAVIETES, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 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 MARC LAVIETES, M.D.?

Quality data not reported

NPI registry status

Active

Issued 10/03/2006

NPI 1013001106

Primary specialty

Pulmonary Disease Physician

Mid-sized

9,271 US NPIs in this specialty

Medicare Part D claims

246 83% vs specialty avg

2023 prescription claims

Specialty avg: 1,457

Specialty distribution in New Jersey

How Pulmonary Disease Physician compares to other specialties among New Jersey providers

New Jersey providers

Pulmonary Disease Physician share within New Jersey

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

Specialty board-certification context

Estimated specialty board-certified rate — Pulmonary Disease Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Pulmonary Disease Physician ABMS/AOA estimate

Est. board-certified rate (Pulmonary Disease Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Pulmonary Disease Physician) — ABMS / AOA estimate

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).

MARC LAVIETES, M.D. appears in the CMS NPPES registry as a Pulmonary Disease Physician provider holding M.D. credentials at 90 BERGEN ST, NEWARK, NJ, 07103, with a listed phone of (973) 972-2500. NPI 1013001106 was issued on 10/03/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what LAVIETES 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 246 prescription claims written by this provider, covering 42 Medicare beneficiaries and totaling roughly $46K in drug spend, split 42% brand-name and 58% generic by claim count. 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.

Pulmonary Disease Physician is a mid-sized specialty nationwide, with 9,271 enrolled providers across 53 states and an average of 1,457 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

90 BERGEN ST
NEWARK, NJ 07103

Provider Details

NPI 1013001106
Specialty Pulmonary Disease Physician
Credentials M.D.
Gender Male
NPI Issued 10/03/2006

Hospital and facility affiliations

Facilities where MARC LAVIETES, M.D. 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.

UNIVERSITY PHYSICIAN ASSOCIATES OF NEW JERSEY INC
NEWARK, 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).

Brand vs generic prescribing mix · Above average

MARC LAVIETES, M.D. — brand share 42.0%
Specialty average (est.)

42% brand-name claims vs 58% generic, on 246 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.

246
Total Claims
$46K
Total Drug Cost
42
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
272
Total Day Supply
7,558
Brand vs Generic
42% brand / 58% generic
Brand Drug Cost
$36K
Generic Drug Cost
$9K

Patient Demographics

Average Patient Age
64.4 years
Avg HCC Risk Score
2.32
Gender Split
67% female / 33% male
Age Distribution
<65: 16, 65-74: 22, 75-84: N/A, 85+: N/A

Top Prescribed Drugs (Medicare Part D)

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

What MARC LAVIETES, 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
Albuterol Sulfate Hfa
Albuterol Sulfate
63
Montelukast Sodium
38
Fluticasone Propionate
19
Symbicort
Budesonide/Formoterol Fumarate
19
Prednisone
14
Breo Ellipta
Fluticasone/Vilanterol
11
Fluticasone-Salmeterol
Fluticasone Propion/Salmeterol
11

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

Pulmonary Disease Physician Overview

How MARC LAVIETES, M.D. fits within the Pulmonary Disease Physician landscape nationally.

9,271
Pulmonary Disease Physician Providers in US
53
States with Pulmonary Disease Physician
1,457
Avg Claims per Provider

MARC LAVIETES, M.D.'s 246 claims are below the specialty average of 1,457.

Nearby Pulmonary Disease Physician Providers in New Jersey

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

Compare Pulmonary Disease Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is MARC LAVIETES, M.D.'s specialty?
MARC LAVIETES, M.D. specializes in Pulmonary Disease Physician and practices in NEWARK, New Jersey. Credentials: M.D..
How much does MARC LAVIETES, M.D. prescribe under Medicare Part D?
In 2023, MARC LAVIETES, M.D. wrote 246 Medicare Part D claims totaling $46K in drug costs for 42 beneficiaries.
Where is MARC LAVIETES, M.D. located?
MARC LAVIETES, M.D. is located at 90 BERGEN ST, NEWARK, NJ, 07103. Phone: (973) 972-2500.
What is MARC LAVIETES, M.D.'s NPI number?
MARC LAVIETES, M.D.'s National Provider Identifier (NPI) is 1013001106, issued on 10/03/2006.
Does MARC LAVIETES, M.D. prescribe more brand-name or generic drugs?
MARC LAVIETES, M.D.'s prescribing is 42% brand-name and 58% generic drugs by claim count, with $36K in brand drug costs.
How many Pulmonary Disease Physician providers are there in the US?
There are 9,271 Pulmonary Disease Physician providers across 53 states in the US. The average Pulmonary Disease Physician provider writes 1,457 Medicare Part D claims per year.
What drugs does MARC LAVIETES, M.D. prescribe most often?
Based on 2023 Medicare Part D data, MARC LAVIETES, M.D.'s most frequently prescribed drugs include Albuterol Sulfate Hfa, Montelukast Sodium, Fluticasone Propionate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does MARC LAVIETES, M.D. accept Medicare?
MARC LAVIETES, M.D. appears in CMS Medicare data with 246 Part D claims and 42 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify MARC LAVIETES, M.D.'s credentials?
MARC LAVIETES, M.D.'s NPI is 1013001106 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

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.
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