NPI registry status
Active
2026 NPPES data Critical Care Medicine (Internal Medicine) Physician NPI 1205327194 MD
Verify on CMS → Marcus Alpert, MD
Critical Care Medicine (Internal Medicine) Physician in Worcester, Massachusetts.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 6,916 in Critical Care Medicine (Internal Medicine) 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
235
Medicare Part D claims · 58 beneficiaries · Critical Care Medicine (Internal Medicine) Physician avg: 1K
Generic prescribing
39%
generic claims · 61% brand-name · higher generic rates reduce patient out-of-pocket costs
Source: CMS Medicare Part D Prescriber Public Use File, 2024
What the federal data shows
Marcus Alpert, MD filed 235 Medicare Part D claims in 2024 as a Critical Care Medicine (Internal Medicine) Physician in Worcester, Massachusetts, prescribing 39% generic.
- 235
- Part D claims, 2024
- 39%
- generic prescribing
- Likely
- board-certified (heuristic)
- ≥48th
- pct by Part D claim volume (lower-bound band)
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.
Federal trust snapshot
What official records show about Marcus Alpert, MD
Federal records show an active NPI with Medicare Part D prescribing activity — verifiable registry data, not a proprietary rating.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1205327194), first enumerated 05/25/2018.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 235 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- Reported
Board certification signal
Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.
- Reported
Hospital affiliations
1 CMS Care Compare hospital affiliation on record — practice footprint from the Doctors and Clinicians file.
Source: CMS Care Compare
- State context
State board disciplinary context
Massachusetts statewide board action statistics are published annually — these figures describe aggregate state activity, not Marcus Alpert, MD's individual license status. Verify directly with the state medical board.
Source: BORIM annual report 2023
- Not in federal data
Individual sanction lookup
PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.
Source: State medical board / FSMB
This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.
CMS NPPES provider registry desk
NPI 1205327194 · Critical Care Medicine (Internal Medicine) Physician
NPI-10 · ENUM-RECENT · TAX-MID · RX-LIGHT · BOOK-THIN · PHOTO-ENUM
- NPI-10 1205327194
- ENUM-RECENT 2018
- TAX-MID 7K Critical Care
- RX-LIGHT 235
- BOOK-THIN 203 in Massachusetts
- PHOTO-ENUM Aunie Danyalian · 2018
Marcus Alpert, MD's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2024, across all CMS prescribers nationally
235 ≥ 48th percentile 48% of 1,416,883 prescribers are in lower value bands
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.
The percentile is a conservative 100-claim band: it counts only prescribers in lower claim-volume bands. Medicare Part D claim volume is activity context, not a quality measure or recommendation. See methodology § corpus placement.
Source CMS Medicare Part D Prescriber Public Use File · 2024
✓
Board certification likely (heuristic, not verified)
Marcus Alpert, MD 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 Marcus Alpert, MD?
Quality data not reportedPrimary specialty
Critical Care Medicine (Internal Medicine) Physician
Medicare Part D claims
235 79% vs specialty avg
Specialty distribution in Massachusetts
How Critical Care Medicine (Internal Medicine) Physician compares to other specialties among Massachusetts providers
Board certification
Not published by CMS
CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Critical Care Medicine (Internal Medicine) Physician. Verify directly:
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).
Practice Address
Provider Details
| NPI | 1205327194 |
|---|---|
| Specialty | Critical Care Medicine (Internal Medicine) Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 05/25/2018 |
Hospital and facility affiliations
Facilities where Marcus Alpert, 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.
Umass Memorial Medical Group Inc
Worcester, MA
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
License & disciplinary context - Massachusetts BORIM 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 ~38K Massachusetts medical licensees in 2023 - they are NOT specific to Marcus Alpert, MD. To verify Marcus Alpert, MD's current license status, search the BORIM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
80
Total board actions, Massachusetts 2023
Across 78 cases
2.11
Actions per 1,000 licensees
Massachusetts statewide rate
probation
Most common action type
29 cases
BORIM 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 Massachusetts disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Brand vs generic prescribing mix · Brand-heavy
Marcus Alpert, MD - brand share 61.0%
Critical Care Medicine (Internal Medicine) Physician average
61% brand-name claims vs 39% generic, on 235 2024 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 2024.
235
Total Claims
$194K
Total Drug Cost
58
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 300.433
- Total Day Supply
- 8,479
- Brand vs Generic
- 61% brand / 39% generic
- Brand Drug Cost
- $189K
- Generic Drug Cost
- $5K
- Antibiotic Claims
- 16
Patient Demographics
- Average Patient Age
- 71.6 years
- Avg HCC Risk Score
- 1.84
- Gender Split
- 53% female / 47% male
- Age Distribution
- <65: 11, 65-74: 23, 75-84: N/A, 85+: N/A
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
What Marcus Alpert, MD prescribes most
Top Medicare Part D drugs by claim count, 2024
- Trelegy Ellipta
Trelegy Ellipta
39 claims
- Dupixent Pen
Dupixent Pen
30 claims
- Fluticasone Propio…
Fluticasone Propionate
27 claims
- Albuterol Sulfate …
Albuterol Sulfate Hfa
23 claims
- Budesonide-Formote… 13
Budesonide-Formoterol Fumarate
13 claims
- Azithromycin 11
Azithromycin
11 claims
| Drug | Claims |
|---|---|
| Trelegy Ellipta Fluticasone/Umeclidin/Vilanter | 39 |
| Dupixent Pen Dupilumab | 30 |
| Fluticasone Propionate | 27 |
| Albuterol Sulfate Hfa Albuterol Sulfate | 23 |
| Budesonide-Formoterol Fumarate Budesonide/Formoterol Fumarate | 13 |
| Azithromycin | 11 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
More Critical Care Medicine (Internal Medicine) Physician in MA →
All providers in Massachusetts →
Compare specialties →
Critical Care Medicine (Internal Medicine) Physician Overview
How Marcus Alpert, MD fits within the Critical Care Medicine (Internal Medicine) Physician landscape nationally.
6,916
Critical Care Medicine (Internal Medicine) Physician Providers in US
53
States with Critical Care Medicine (Internal Medicine) Physician
1,103
Avg Claims per Provider
Marcus Alpert, MD's 235 claims are below the specialty average of 1,103.
Nationwide Critical Care Medicine (Internal Medicine) Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Alpert, both outside Massachusetts so the neighborhoods are not geographic containment.
Same NPPES enumeration year (2018)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Critical Care Medicine (Internal Medicine) Physician Providers in Massachusetts
Other clinicians with the same primary specialty enrolled in Massachusetts, drawn from the same CMS NPPES roster as Alpert.
One of 203 Critical Care Medicine (Internal Medicine) Physician providers enrolled in Massachusetts, 5 are shown here.
Frequently Asked Questions
What is Marcus Alpert, MD's specialty? ▼
Marcus Alpert, MD specializes in Critical Care Medicine (Internal Medicine) Physician and practices in Worcester, Massachusetts. Credentials: MD.
How much does Marcus Alpert, MD prescribe under Medicare Part D? ▼
In 2024, Marcus Alpert, MD wrote 235 Medicare Part D claims totaling $194K in drug costs for 58 beneficiaries.
Where is Marcus Alpert, MD located? ▼
Marcus Alpert, MD is located at 55 LAKE AVE N, Worcester, MA, 01655. Phone: (508) 334-1975.
What is Marcus Alpert, MD's NPI number? ▼
Marcus Alpert, MD's National Provider Identifier (NPI) is 1205327194, issued on 05/25/2018.
Does Marcus Alpert, MD prescribe more brand-name or generic drugs? ▼
Marcus Alpert, MD's prescribing is 61% brand-name and 39% generic drugs by claim count, with $189K in brand drug costs.
How many Critical Care Medicine (Internal Medicine) Physician providers are there in the US? ▼
There are 6,916 Critical Care Medicine (Internal Medicine) Physician providers across 53 states in the US. The average Critical Care Medicine (Internal Medicine) Physician provider writes 1,103 Medicare Part D claims per year.
What drugs does Marcus Alpert, MD prescribe most often? ▼
Based on 2024 Medicare Part D data, Marcus Alpert, MD's most frequently prescribed drugs include Trelegy Ellipta, Dupixent Pen, Fluticasone Propionate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Marcus Alpert, MD accept Medicare? ▼
Marcus Alpert, MD appears in CMS Medicare data with 235 Part D claims and 58 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Marcus Alpert, MD's credentials? ▼
Marcus Alpert, MD's NPI is 1205327194 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 (2024). 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 August 2026 (NPPES) / 2024 (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
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 August 2026.