2026 NPPES data Obstetrics & Gynecology Physician NPI 1790899458 MD
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MARCELINO D'SOUZA, MD

Obstetrics & Gynecology Physician in EAST AMHERST, New York. 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
463
Medicare Part D claims · 145 beneficiaries · Obstetrics & Gynecology Physician avg: 179
Generic prescribing
77%
generic claims · 23% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
94.3107/100
▲ 11 pts above national avg 83.1 · [object Object]

What the federal data shows

MARCELINO D'SOUZA, MD reported a CMS MIPS final score of 94.3107/100 — above the 83.1 national average — and filed 463 Medicare Part D claims in 2023.

94.3107/100
MIPS score · +11 vs avg
463
Part D claims, 2023
77%
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.

MARCELINO D'SOUZA, MD's MIPS score vs every scored U.S. clinician

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

94 Top 25% higher than 75% 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%). Below this entry. 90–100: 189,403 scored providers (40%). This entry sits in this band. 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

Board certification likely (heuristic — not verified)

MARCELINO D'SOUZA, MD 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 MARCELINO D'SOUZA, MD?

High performer (top quartile)

NPI registry status

Active

Issued 08/19/2006

NPI 1790899458

Primary specialty

Obstetrics & Gynecology Physician

Mid-sized

44,313 US NPIs in this specialty

Medicare Part D claims

463 159% vs specialty avg

2023 prescription claims

Specialty avg: 179

MIPS final score

94.3107/100 11.210700000000003% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in New York

How Obstetrics & Gynecology Physician compares to other specialties among New York providers

New York providers

Obstetrics & Gynecology Physician share within New York

1. Obstetrics & Gynecology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Obstetrics & Gynecology Physician share within New York

Medicare quality performance — MIPS

MARCELINO D'SOUZA, MD's 2023 MIPS final score plotted against the Obstetrics & Gynecology Physician national average

High performer (top quartile)
MIPS Final Score
94.3107/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Obstetrics & Gynecology Physician) — 94.3107/100 vs national avg 83.1

0%100%National avg83%94.3%
MIPS final score (Obstetrics & Gynecology Physician) — 94.3107/100 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).

MARCELINO D'SOUZA, MD appears in the CMS NPPES registry as a Obstetrics & Gynecology Physician provider holding MD credentials at 8750 TRANSIT RD, EAST AMHERST, NY, 14051, with a listed phone of (716) 639-7970. NPI 1790899458 was issued on 08/19/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what D'SOUZA 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 463 prescription claims written by this provider, covering 145 Medicare beneficiaries and totaling roughly $64K in drug spend, split 23% brand-name and 77% 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. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 94.3107/100 for the 2023 performance year (Quality 78.8409, Cost 68.8613), compared with the national average of 83.1.

Obstetrics & Gynecology Physician is a mid-sized specialty nationwide, with 44,313 enrolled providers across 56 states and an average of 179 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

8750 TRANSIT RD
EAST AMHERST, NY 14051

Provider Details

NPI 1790899458
Specialty Obstetrics & Gynecology Physician
Credentials MD
Gender Male
NPI Issued 08/19/2006

CMS Quality Score (MIPS)

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

94.3107
Final Score
Avg: 83.1
78.8409
Quality
68.8613
Cost
100
Promoting Interoperability

Reporting: Group practice

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 MARCELINO D'SOUZA, MD. To verify MARCELINO D'SOUZA, 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.

Brand vs generic prescribing mix · Typical

MARCELINO D'SOUZA, MD — brand share 23.0%
Specialty average (est.)

23% brand-name claims vs 77% generic, on 463 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.

463
Total Claims
$64K
Total Drug Cost
145
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,160
Total Day Supply
33,907
Brand vs Generic
23% brand / 77% generic
Brand Drug Cost
$48K
Generic Drug Cost
$17K
Antibiotic Claims
17

Patient Demographics

Average Patient Age
69.0 years
Avg HCC Risk Score
0.79
Gender Split
100% female / 0% male

Top Prescribed Drugs (Medicare Part D)

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

What MARCELINO D'SOUZA, 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
Estradiol
132
Alendronate Sodium
48
Clobetasol Propionate
25
Norethindron-Ethinyl Estradiol
Norethindrone Ac-Eth Estradiol
23
Valacyclovir
Valacyclovir Hcl
16
Medroxyprogesterone Acetate
15
Estradiol (Once Weekly)
Estradiol
12
Premarin
"Estrogens
N/A
Prempro
"Estrogen
N/A
Progesterone
"Progesterone
N/A

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

Obstetrics & Gynecology Physician Overview

How MARCELINO D'SOUZA, MD fits within the Obstetrics & Gynecology Physician landscape nationally.

44,313
Obstetrics & Gynecology Physician Providers in US
56
States with Obstetrics & Gynecology Physician
179
Avg Claims per Provider

MARCELINO D'SOUZA, MD's 463 claims are above the specialty average of 179.

Nearby Obstetrics & Gynecology Physician Providers in New York

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

Compare Obstetrics & Gynecology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is MARCELINO D'SOUZA, MD's specialty?
MARCELINO D'SOUZA, MD specializes in Obstetrics & Gynecology Physician and practices in EAST AMHERST, New York. Credentials: MD.
How much does MARCELINO D'SOUZA, MD prescribe under Medicare Part D?
In 2023, MARCELINO D'SOUZA, MD wrote 463 Medicare Part D claims totaling $64K in drug costs for 145 beneficiaries.
What is MARCELINO D'SOUZA, MD's Medicare quality score?
MARCELINO D'SOUZA, MD has a CMS MIPS Final Score of 94.3107/100 (Quality: 78.8409, Cost: 68.8613). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is MARCELINO D'SOUZA, MD located?
MARCELINO D'SOUZA, MD is located at 8750 TRANSIT RD, EAST AMHERST, NY, 14051. Phone: (716) 639-7970.
What is MARCELINO D'SOUZA, MD's NPI number?
MARCELINO D'SOUZA, MD's National Provider Identifier (NPI) is 1790899458, issued on 08/19/2006.
Does MARCELINO D'SOUZA, MD prescribe more brand-name or generic drugs?
MARCELINO D'SOUZA, MD's prescribing is 23% brand-name and 77% generic drugs by claim count, with $48K in brand drug costs.
How many Obstetrics & Gynecology Physician providers are there in the US?
There are 44,313 Obstetrics & Gynecology Physician providers across 56 states in the US. The average Obstetrics & Gynecology Physician provider writes 179 Medicare Part D claims per year.
What drugs does MARCELINO D'SOUZA, MD prescribe most often?
Based on 2023 Medicare Part D data, MARCELINO D'SOUZA, MD's most frequently prescribed drugs include Estradiol, Alendronate Sodium, Clobetasol Propionate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does MARCELINO D'SOUZA, MD accept Medicare?
MARCELINO D'SOUZA, MD appears in CMS Medicare data with 463 Part D claims and 145 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify MARCELINO D'SOUZA, MD's credentials?
MARCELINO D'SOUZA, MD's NPI is 1790899458 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