2026 NPPES data Plastic Surgery Physician NPI 1972597631 M.D.
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MARK ANTHONY, M.D.

Plastic Surgery Physician in ELMIRA, 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
55
Medicare Part D claims · 38 beneficiaries · Plastic Surgery Physician avg: 84
MIPS score
81.3099/100
▼ 2 pts below national avg 83.1 · [object Object]
Industry payments
$22.01
1 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

MARK ANTHONY, M.D. reported a CMS MIPS final score of 81.3099/100 — below the 83.1 national average — and filed 55 Medicare Part D claims in 2023.

81.3099/100
MIPS score · -2 vs avg
55
Part D claims, 2023
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.

MARK ANTHONY, 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

81 36th percentile higher than 36% 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%). This entry sits in this band. 90–100: 189,403 scored providers (40%). Above this entry. 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)

MARK ANTHONY, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 2 hospital affiliations — 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 MARK ANTHONY, M.D.?

Near national average

NPI registry status

Active

Issued 09/08/2005

NPI 1972597631

Primary specialty

Plastic Surgery Physician

Mid-sized

5,316 US NPIs in this specialty

Medicare Part D claims

55 35% vs specialty avg

2023 prescription claims

Specialty avg: 84

MIPS final score

81.3099/100 1.7900999999999954% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in New York

How Plastic Surgery Physician compares to other specialties among New York providers

New York providers

Plastic Surgery Physician share within New York

1. Plastic Surgery Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Plastic Surgery Physician share within New York

Medicare quality performance — MIPS

MARK ANTHONY, M.D.'s 2023 MIPS final score plotted against the Plastic Surgery Physician national average

Near national average
MIPS Final Score
81.3099/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Plastic Surgery Physician) — 81.3099/100 vs national avg 83.1

0%100%National avg83%81.3%
MIPS final score (Plastic Surgery Physician) — 81.3099/100 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 ANTHONY, M.D. appears in the CMS NPPES registry as a Plastic Surgery Physician provider holding M.D. credentials at 445 E WATER ST, ELMIRA, NY, 14901, with a listed phone of (607) 734-2067. NPI 1972597631 was issued on 09/08/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what ANTHONY 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 55 prescription claims written by this provider, covering 38 Medicare beneficiaries and totaling roughly $1K in drug spend, with an opioid prescribing rate of 38.2%. 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 81.3099/100 for the 2023 performance year (Quality 61.8029, Cost 65.2131), compared with the national average of 83.1.

Plastic Surgery Physician is a mid-sized specialty nationwide, with 5,316 enrolled providers across 52 states and an average of 84 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

445 E WATER ST
ELMIRA, NY 14901

Provider Details

NPI 1972597631
Specialty Plastic Surgery Physician
Credentials M.D.
Gender Male
NPI Issued 09/08/2005

CMS Quality Score (MIPS)

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

81.3099
Final Score
Avg: 83.1
61.8029
Quality
65.2131
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where MARK ANTHONY, 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.

ARNOT OGDEN MEDICAL CENTER
★★☆☆☆ 2/5
ELMIRA, NY
Acute Care Hospitals
CMS CCN: 330090
ARNOT MEDICAL SERVICES PLLC
ELMIRA, NY

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 ANTHONY, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$22

Largest payer

Smith+Nephew, Inc.

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 — 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 MARK ANTHONY, M.D.. To verify MARK ANTHONY, M.D.'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.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

55
Total Claims
$1K
Total Drug Cost
38
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
55
Total Day Supply
521
Generic Drug Cost
$1K
Opioid Claims
21 (38.2% rate)
Antibiotic Claims
23

Patient Demographics

Average Patient Age
68.8 years
Avg HCC Risk Score
1.17
Gender Split
45% female / 55% male

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Cephalexin
19
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
18

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

Plastic Surgery Physician Overview

How MARK ANTHONY, M.D. fits within the Plastic Surgery Physician landscape nationally.

5,316
Plastic Surgery Physician Providers in US
52
States with Plastic Surgery Physician
84
Avg Claims per Provider

MARK ANTHONY, M.D.'s 55 claims are below the specialty average of 84.

Nearby Plastic Surgery Physician Providers in New York

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

Compare Plastic Surgery Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is MARK ANTHONY, M.D.'s specialty?
MARK ANTHONY, M.D. specializes in Plastic Surgery Physician and practices in ELMIRA, New York. Credentials: M.D..
How much does MARK ANTHONY, M.D. prescribe under Medicare Part D?
In 2023, MARK ANTHONY, M.D. wrote 55 Medicare Part D claims totaling $1K in drug costs for 38 beneficiaries.
What is MARK ANTHONY, M.D.'s Medicare quality score?
MARK ANTHONY, M.D. has a CMS MIPS Final Score of 81.3099/100 (Quality: 61.8029, Cost: 65.2131). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is MARK ANTHONY, M.D. located?
MARK ANTHONY, M.D. is located at 445 E WATER ST, ELMIRA, NY, 14901. Phone: (607) 734-2067.
What is MARK ANTHONY, M.D.'s NPI number?
MARK ANTHONY, M.D.'s National Provider Identifier (NPI) is 1972597631, issued on 09/08/2005.
Does MARK ANTHONY, M.D. prescribe opioids?
Yes, MARK ANTHONY, M.D. had 21 opioid claims in 2023 with an opioid prescribing rate of 38.2%.
How many Plastic Surgery Physician providers are there in the US?
There are 5,316 Plastic Surgery Physician providers across 52 states in the US. The average Plastic Surgery Physician provider writes 84 Medicare Part D claims per year.
What drugs does MARK ANTHONY, M.D. prescribe most often?
Based on 2023 Medicare Part D data, MARK ANTHONY, M.D.'s most frequently prescribed drugs include Cephalexin, Hydrocodone-Acetaminophen. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does MARK ANTHONY, M.D. accept Medicare?
MARK ANTHONY, M.D. appears in CMS Medicare data with 55 Part D claims and 38 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify MARK ANTHONY, M.D.'s credentials?
MARK ANTHONY, M.D.'s NPI is 1972597631 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.
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