NPI registry status
Active
2026 NPPES data Specialist NPI 1689787939 M.D.
Verify on CMS → Marcia Cardelli, M.D.
Specialist in Troy, Michigan.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 69,608 in Specialist, 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
541
Medicare Part D claims · 289 beneficiaries · Specialist avg: 1K
Generic prescribing
93%
generic claims · 7% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
0/100
▼ 83 pts below national avg 83.1 · Penalty band
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
Marcia Cardelli, M.D. reported a CMS MIPS final score of 0/100 - below the 83.1 national average - and filed 541 Medicare Part D claims in 2023.
- 0/100
- MIPS score · -83 vs avg
- 541
- Part D claims, 2023
- 93%
- generic prescribing
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.
Marcia Cardelli, 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
0 0th percentile higher than 0% 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 Marcia Cardelli, M.D. sits
This provider among specialist peers
Across the 4,869 specialist providers who report both Medicare Part D prescribing and a MIPS quality score, Marcia Cardelli, M.D. writes more Part D claims than 39% of them and scores higher on MIPS quality than 0% - 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 specialist peer from a representative sample of 60; the gold marker is Marcia Cardelli, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
What does the federal data show about Marcia Cardelli, M.D.?
Below national averagePrimary specialty
Specialist
Medicare Part D claims
541 63% vs specialty avg
MIPS final score
0/100 83.1 pts vs avg
Specialty distribution in Michigan
How Specialist compares to other specialties among Michigan providers
Medicare quality performance, MIPS
Marcia Cardelli, M.D.'s 2023 MIPS final score plotted against the Specialist national average
- MIPS Final Score
- 0/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Specialist) - 0/100 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).
Marcia Cardelli, M.D. appears in the CMS NPPES registry as a Specialist provider holding M.D. credentials at 4600 INVESTMENT DR, Troy, MI, 48098, with a listed phone of (248) 267-5020. NPI 1689787939 was issued on 08/17/2006.
Medicare Part D records for calendar year 2023 show 541 prescription claims written by this provider, covering 289 Medicare beneficiaries and totaling roughly $70K in drug spend, split 7% brand-name and 93% generic by claim count. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 0/100 for the 2023 performance year (Quality 0), compared with the national average of 83.1.
Specialist is a high-volume specialty nationwide, with 69,608 enrolled providers across 55 states and an average of 1,474 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 | 1689787939 |
|---|---|
| Specialty | Specialist |
| Credentials | M.D. |
| Gender | Female |
| NPI Issued | 08/17/2006 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
0
Final Score
Avg: 83.1
0
Quality
Reporting: Individual
License & disciplinary context - Michigan MI-BOM 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 ~41K Michigan medical licensees in 2023 - they are NOT specific to Marcia Cardelli, M.D.. To verify Marcia Cardelli, M.D.'s current license status, search the MI-BOM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
123
Total board actions, Michigan 2023
Across 120 cases
3.00
Actions per 1,000 licensees
Michigan statewide rate
probation
Most common action type
44 cases
MI-BOM 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 Michigan disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Brand vs generic prescribing mix · Generic-heavy
Marcia Cardelli, M.D. - brand share 7.0%
Specialist average
7% brand-name claims vs 93% generic, on 541 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.
541
Total Claims
$70K
Total Drug Cost
289
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 593
- Total Day Supply
- 15,643
- Brand vs Generic
- 7% brand / 93% generic
- Brand Drug Cost
- $55K
- Generic Drug Cost
- $15K
Patient Demographics
- Average Patient Age
- 75.1 years
- Avg HCC Risk Score
- 0.85
- Gender Split
- 71% female / 29% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Marcia Cardelli, M.D. prescribes most
Top Medicare Part D drugs by claim count, 2023
- Triamcinolone Acet…
Triamcinolone Acetonide
90 claims
- Mupirocin
Mupirocin
52 claims
- Metronidazole
Metronidazole
48 claims
- Ketoconazole
Ketoconazole
47 claims
- Hydrocortisone
Hydrocortisone
46 claims
- Ciclopirox
Ciclopirox
41 claims
- Clobetasol Propion… 28
Clobetasol Propionate
28 claims
- Fluticasone Propio… 21
Fluticasone Propionate
21 claims
| Drug | Claims |
|---|---|
| Triamcinolone Acetonide | 90 |
| Mupirocin | 52 |
| Metronidazole | 48 |
| Ketoconazole | 47 |
| Hydrocortisone | 46 |
| Ciclopirox Ciclopirox Olamine | 41 |
| Clobetasol Propionate | 28 |
| Fluticasone Propionate | 21 |
| Econazole Nitrate | 18 |
| Valacyclovir Valacyclovir Hcl | 18 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Specialist Overview
How Marcia Cardelli, M.D. fits within the Specialist landscape nationally.
69,608
Specialist Providers in US
55
States with Specialist
1,474
Avg Claims per Provider
Marcia Cardelli, M.D.'s 541 claims are below the specialty average of 1,474.
Nearby Specialist Providers in Michigan
Other clinicians with the same primary specialty enrolled in Michigan, drawn from the same CMS NPPES roster as Cardelli.
Dr. Aladdin Abdel-Rahman
MD
Flint, MI
Dr. Muwaffak Abdulhak
M.D
Detroit, MI
Hiroshi Abe
Novi, MI
Matthew Abraira
Pontiac, MI
Dr. Walid Abuhammour
MD
Flint, MI
Compare Specialist 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 Michigan medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Specialist 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 Marcia Cardelli, M.D.'s specialty? ▼
Marcia Cardelli, M.D. specializes in Specialist and practices in Troy, Michigan. Credentials: M.D..
How much does Marcia Cardelli, M.D. prescribe under Medicare Part D? ▼
In 2023, Marcia Cardelli, M.D. wrote 541 Medicare Part D claims totaling $70K in drug costs for 289 beneficiaries.
What is Marcia Cardelli, M.D.'s Medicare quality score? ▼
Marcia Cardelli, M.D. has a CMS MIPS Final Score of 0/100 (Quality: 0). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Marcia Cardelli, M.D. located? ▼
Marcia Cardelli, M.D. is located at 4600 INVESTMENT DR, Troy, MI, 48098. Phone: (248) 267-5020.
What is Marcia Cardelli, M.D.'s NPI number? ▼
Marcia Cardelli, M.D.'s National Provider Identifier (NPI) is 1689787939, issued on 08/17/2006.
Does Marcia Cardelli, M.D. prescribe more brand-name or generic drugs? ▼
Marcia Cardelli, M.D.'s prescribing is 7% brand-name and 93% generic drugs by claim count, with $55K in brand drug costs.
How many Specialist providers are there in the US? ▼
There are 69,608 Specialist providers across 55 states in the US. The average Specialist provider writes 1,474 Medicare Part D claims per year.
What drugs does Marcia Cardelli, M.D. prescribe most often? ▼
Based on 2023 Medicare Part D data, Marcia Cardelli, M.D.'s most frequently prescribed drugs include Triamcinolone Acetonide, Mupirocin, Metronidazole. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Marcia Cardelli, M.D. accept Medicare? ▼
Marcia Cardelli, M.D. appears in CMS Medicare data with 541 Part D claims and 289 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Marcia Cardelli, M.D.'s credentials? ▼
Marcia Cardelli, M.D.'s NPI is 1689787939 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.