2026 NPPES data Sleep Medicine (Otolaryngology) Physician NPI 1497781785 MD
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MARK AGRAMA, MD

Sleep Medicine (Otolaryngology) Physician in JUPITER, Florida. 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
484
Medicare Part D claims · 198 beneficiaries · Sleep Medicine (Otolaryngology) Physician avg: 543
Generic prescribing
96%
generic claims · 4% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
87.5908/100
▲ 4 pts above national avg 83.1 · [object Object]
Industry payments
$77.14
2 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: MARK AGRAMA, MD is a Sleep Medicine (Otolaryngology) Physician ([object Object]) practicing in JUPITER, Florida with a Medicare Part D prescribing footprint of 484 claims across 198 beneficiaries — 4% brand-name prescribing . Their CMS MIPS Final Score of 87.5908/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $77.14 across 2 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: MARK AGRAMA, MD reported a CMS MIPS final score of 87.5908 out of 100, above the 83.1 national average, and filed 484 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)

MARK AGRAMA, 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).

MARK AGRAMA, MD at a glance

High performer (top quartile)

NPI registry status

Active

Issued 06/25/2006

NPI 1497781785

Primary specialty

Sleep Medicine (Otolaryngology) Physician

Rare

98 US NPIs in this specialty

Medicare Part D claims

484 11% vs specialty avg

2023 prescription claims

Specialty avg: 543

MIPS final score

87.5908/100 4.490800000000007% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Florida

How Sleep Medicine (Otolaryngology) Physician compares to other specialties among Florida providers

Florida providers

Sleep Medicine (Otolaryngology) Physician share within Florida

1. Sleep Medicine (Otolaryngology) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Sleep Medicine (Otolaryngology) Physician share within Florida

Medicare quality performance — MIPS

MARK AGRAMA, MD's 2023 MIPS final score plotted against the Sleep Medicine (Otolaryngology) Physician national average

High performer (top quartile)
MIPS Final Score
87.5908/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Sleep Medicine (Otolaryngology) Physician) — 87.5908/100 vs national avg 83.1

0%100%National avg83%87.6%
MIPS final score (Sleep Medicine (Otolaryngology) Physician) — 87.5908/100 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).

MARK AGRAMA, MD is a Sleep Medicine (Otolaryngology) Physician provider practicing in JUPITER, Florida, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1497781785. 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.

MARK AGRAMA, MD appears in the CMS NPPES registry as a Sleep Medicine (Otolaryngology) Physician provider holding MD credentials at 550 HERITAGE DR STE 201, JUPITER, FL, 33458, with a listed phone of (561) 624-5311. NPI 1497781785 was issued on 06/25/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what AGRAMA 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 484 prescription claims written by this provider, covering 198 Medicare beneficiaries and totaling roughly $14K in drug spend, split 4% brand-name and 96% 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 87.5908/100 for the 2023 performance year (Quality 82.3468), compared with the national average of 83.1.

Sleep Medicine (Otolaryngology) Physician is a narrow specialty nationwide, with 98 enrolled providers across 29 states and an average of 543 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

550 HERITAGE DR STE 201
JUPITER, FL 33458

Provider Details

NPI 1497781785
Specialty Sleep Medicine (Otolaryngology) Physician
Credentials MD
Gender Male
NPI Issued 06/25/2006

CMS Quality Score (MIPS)

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

87.5908
Final Score
Avg: 83.1
82.3468
Quality
91
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where MARK AGRAMA, 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.

FLORIDA ENT ASSOCIATES INC
JUPITER, FL

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 MARK AGRAMA, MD. Source: openpaymentsdata.cms.gov.

Total received

$77

Largest payer

Stryker Corporation

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.

License & disciplinary context — Florida FLDOH 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 ~75K Florida medical licensees in 2023 — they are NOT specific to MARK AGRAMA, MD. To verify MARK AGRAMA, MD's current license status, search the FLDOH public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

480
Total board actions, Florida 2023
Across 467 cases
6.40
Actions per 1,000 licensees
Florida statewide rate
monetary fine
Most common action type
138 cases

FLDOH 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 Florida disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Generic-heavy

MARK AGRAMA, MD — brand share 4.0%
Specialty average (est.)

4% brand-name claims vs 96% generic, on 484 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.

484
Total Claims
$14K
Total Drug Cost
198
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
653
Total Day Supply
14,591
Brand vs Generic
4% brand / 96% generic
Brand Drug Cost
$2K
Generic Drug Cost
$12K
Antibiotic Claims
91

Patient Demographics

Average Patient Age
73.5 years
Avg HCC Risk Score
1.16
Gender Split
46% female / 54% male
Age Distribution
<65: 13, 65-74: 101, 75-84: 68, 85+: 16

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Prednisone
88
Clotrimazole
38
Cefdinir
36
Montelukast Sodium
36
Amoxicillin-Clavulanate Potass
Amoxicillin/Potassium Clav
32
Fluticasone Propionate
31
Ipratropium Bromide
31
Chlorhexidine Gluconate
21
Famotidine
18
Mupirocin
18

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

Sleep Medicine (Otolaryngology) Physician Overview

How MARK AGRAMA, MD fits within the Sleep Medicine (Otolaryngology) Physician landscape nationally.

98
Sleep Medicine (Otolaryngology) Physician Providers in US
29
States with Sleep Medicine (Otolaryngology) Physician
543
Avg Claims per Provider

MARK AGRAMA, MD's 484 claims are below the specialty average of 543.

Nearby Sleep Medicine (Otolaryngology) Physician Providers in Florida

Other clinicians with the same primary specialty enrolled in Florida, drawn from the same CMS NPPES roster as AGRAMA.

Compare Sleep Medicine (Otolaryngology) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is MARK AGRAMA, MD's specialty?
MARK AGRAMA, MD specializes in Sleep Medicine (Otolaryngology) Physician and practices in JUPITER, Florida. Credentials: MD.
How much does MARK AGRAMA, MD prescribe under Medicare Part D?
In 2023, MARK AGRAMA, MD wrote 484 Medicare Part D claims totaling $14K in drug costs for 198 beneficiaries.
What is MARK AGRAMA, MD's Medicare quality score?
MARK AGRAMA, MD has a CMS MIPS Final Score of 87.5908/100 (Quality: 82.3468). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is MARK AGRAMA, MD located?
MARK AGRAMA, MD is located at 550 HERITAGE DR STE 201, JUPITER, FL, 33458. Phone: (561) 624-5311.
What is MARK AGRAMA, MD's NPI number?
MARK AGRAMA, MD's National Provider Identifier (NPI) is 1497781785, issued on 06/25/2006.
Does MARK AGRAMA, MD prescribe more brand-name or generic drugs?
MARK AGRAMA, MD's prescribing is 4% brand-name and 96% generic drugs by claim count, with $2K in brand drug costs.
How many Sleep Medicine (Otolaryngology) Physician providers are there in the US?
There are 98 Sleep Medicine (Otolaryngology) Physician providers across 29 states in the US. The average Sleep Medicine (Otolaryngology) Physician provider writes 543 Medicare Part D claims per year.
What drugs does MARK AGRAMA, MD prescribe most often?
Based on 2023 Medicare Part D data, MARK AGRAMA, MD's most frequently prescribed drugs include Prednisone, Clotrimazole, Cefdinir. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does MARK AGRAMA, MD accept Medicare?
MARK AGRAMA, MD appears in CMS Medicare data with 484 Part D claims and 198 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify MARK AGRAMA, MD's credentials?
MARK AGRAMA, MD's NPI is 1497781785 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