NPI registry status
Active
2026 NPPES data Otolaryngology Physician NPI 1073574166 MD
Verify on CMS → Mark Bianchi, MD
Otolaryngology Physician in New Haven, Connecticut.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 11,060 in Otolaryngology 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
858
Medicare Part D claims · 223 beneficiaries · Otolaryngology Physician avg: 536
Generic prescribing
98%
generic claims · 2% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
73.6/100
▼ 10 pts below national avg 83.5 · Mid-tier
Industry payments
$85.55
3 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2024
What the federal data shows
Mark Bianchi, MD reported a CMS MIPS final score of 73.6/100 - below the 83.5 national average - and filed 858 Medicare Part D claims in 2024.
- 73.6/100
- MIPS score · -10 vs avg
- 858
- Part D claims, 2024
- 98%
- 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.
Federal trust snapshot
What official records show about Mark Bianchi, MD
Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1073574166), first enumerated 03/29/2006.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 858 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- Reported
CMS quality reporting (MIPS)
Reported a CMS MIPS final score of 73.6/100 in the Quality Payment Program — a federal quality measure, not a patient review.
Source: CMS Quality Payment Program
- 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
2 CMS Care Compare hospital affiliations on record — practice footprint from the Doctors and Clinicians file.
Source: CMS Care Compare
- Reported
Industry payment transparency
$85.55 in reported industry payments (3 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.
Source: CMS Open Payments
- 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 1073574166 · Otolaryngology Physician
NPI-10 · ENUM-LEGACY · TAX-MID · MIPS-BELOW · RX-LIGHT · BOOK-THIN · PHOTO-FINISH
- NPI-10 1073574166
- ENUM-LEGACY 2006
- TAX-MID 11K Otolaryngology Physician
- MIPS-BELOW 73.6/100
- RX-LIGHT 858
- BOOK-THIN 137 in Connecticut
- PHOTO-FINISH James Amsberry, M.D. · ±0.0
MIPS final-score neighbourhood
Same-specialty nationwide peers by CMS final score, not geographic proximity
- Bianchi · this p…
Bianchi · this provider
73.6 MIPS pts
- James Amsberry, …
James Amsberry, M.D.
73.6 MIPS pts
- Benjamin Judson,…
Benjamin Judson, M.D.
73.6 MIPS pts
- Avanti Verma · n…
Avanti Verma
73.6 MIPS pts
- Johanna Wickemey…
Johanna Wickemeyer, MD
73.6 MIPS pts
What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).
Mark Bianchi, MD's MIPS score vs every measured U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.
74 ≥ 11th percentile 11% of 454,083 measured providers are in lower value bands
Each bar is a band; taller bars hold more measured 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.
The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where Mark Bianchi, MD sits
This provider among otolaryngology physician peers
Across the 3,290 otolaryngology physician providers who report both Medicare Part D prescribing and a MIPS quality score, Mark Bianchi, MD writes more Part D claims than 78% of them and scores higher on MIPS quality than 18% - placing this provider in the high-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Each dot is one otolaryngology physician peer from a representative sample of 60; the gold marker is Mark Bianchi, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Mark Bianchi, MD 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 Bianchi, MD?
Below national averagePrimary specialty
Otolaryngology Physician
Medicare Part D claims
858 60% vs specialty avg
MIPS final score
73.6/100 9.9 pts vs avg
Specialty distribution in Connecticut
How Otolaryngology Physician compares to other specialties among Connecticut providers
Medicare quality performance, MIPS
Mark Bianchi, MD's 2023 MIPS final score plotted against the Otolaryngology Physician national average
- MIPS Final Score
- 73.6/100
- vs 83.5 national avg · 2023 performance year
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 | 1073574166 |
|---|---|
| Specialty | Otolaryngology Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 03/29/2006 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
73.5637
Final Score
Measured-score avg: 83.5
75.8435
Quality
51.4318
Cost
74
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where Mark Bianchi, 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.
Rehabilitation Associates Inc
Fairfield, CT
Yale University
New Haven, CT
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 Bianchi, MD. Source: openpaymentsdata.cms.gov.
Total received
$86
Largest payer
Regeneron Healthcare Solutions, 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.
Brand vs generic prescribing mix · Generic-heavy
Mark Bianchi, MD - brand share 2.0%
Otolaryngology Physician average
2% brand-name claims vs 98% generic, on 858 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.
858
Total Claims
$22K
Total Drug Cost
223
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 1,307.4
- Total Day Supply
- 36,120
- Brand vs Generic
- 2% brand / 98% generic
- Brand Drug Cost
- $4K
- Generic Drug Cost
- $19K
- Antibiotic Claims
- 46
Patient Demographics
- Average Patient Age
- 70.6 years
- Avg HCC Risk Score
- 1.28
- Gender Split
- 58% female / 42% male
- Age Distribution
- <65: 46, 65-74: 96, 75-84: 58, 85+: 23
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
What Mark Bianchi, MD prescribes most
Top Medicare Part D drugs by claim count, 2024
- Fluticasone Propio…
Fluticasone Propionate
189 claims
- Montelukast Sodium
Montelukast Sodium
169 claims
- Azelastine Hcl
Azelastine Hcl
93 claims
- Famotidine 60
Famotidine
60 claims
- Levocetirizine Dih… 28
Levocetirizine Dihydrochloride
28 claims
- Prednisone 27
Prednisone
27 claims
- Omeprazole 25
Omeprazole
25 claims
- Pantoprazole Sodium 25
Pantoprazole Sodium
25 claims
| Drug | Claims |
|---|---|
| Fluticasone Propionate | 189 |
| Montelukast Sodium | 169 |
| Azelastine Hcl | 93 |
| Famotidine | 60 |
| Levocetirizine Dihydrochloride | 28 |
| Prednisone | 27 |
| Omeprazole | 25 |
| Pantoprazole Sodium | 25 |
| Clotrimazole-Betamethasone Clotrimazole/Betamethasone Dip | 22 |
| Azithromycin | 20 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Otolaryngology Physician Overview
How Mark Bianchi, MD fits within the Otolaryngology Physician landscape nationally.
11,060
Otolaryngology Physician Providers in US
54
States with Otolaryngology Physician
536
Avg Claims per Provider
Mark Bianchi, MD's 858 claims are above the specialty average of 536.
Nationwide Otolaryngology Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Bianchi, both outside Connecticut so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (73.6 here).
Same NPPES enumeration year (2006)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Otolaryngology Physician Providers in Connecticut
Other clinicians with the same primary specialty enrolled in Connecticut, drawn from the same CMS NPPES roster as Bianchi.
One of 137 Otolaryngology Physician providers enrolled in Connecticut, 5 are shown here.
Dr. Paul Alberti
M.D.
North Haven, CT
Dr. Erin Alday
MD
Farmington, CT
Ali Alkabasi
Farmington, CT
Dr. Abdel Allam
M.D.
Bristol, CT
Dr. David Astrachan
MD
Hamden, CT
Compare Otolaryngology Physician nationally: see state-by-state distribution →
Frequently Asked Questions
What is Mark Bianchi, MD's specialty? ▼
Mark Bianchi, MD specializes in Otolaryngology Physician and practices in New Haven, Connecticut. Credentials: MD.
How much does Mark Bianchi, MD prescribe under Medicare Part D? ▼
In 2024, Mark Bianchi, MD wrote 858 Medicare Part D claims totaling $22K in drug costs for 223 beneficiaries.
What is Mark Bianchi, MD's Medicare quality score? ▼
Mark Bianchi, MD has a CMS MIPS Final Score of 73.6/100 (Quality: 75.8, Cost: 51.4). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Mark Bianchi, MD located? ▼
Mark Bianchi, MD is located at 55 LOCK STREET, New Haven, CT, 06511. Phone: (203) 375-0050.
What is Mark Bianchi, MD's NPI number? ▼
Mark Bianchi, MD's National Provider Identifier (NPI) is 1073574166, issued on 03/29/2006.
Does Mark Bianchi, MD prescribe more brand-name or generic drugs? ▼
Mark Bianchi, MD's prescribing is 2% brand-name and 98% generic drugs by claim count, with $4K in brand drug costs.
How many Otolaryngology Physician providers are there in the US? ▼
There are 11,060 Otolaryngology Physician providers across 54 states in the US. The average Otolaryngology Physician provider writes 536 Medicare Part D claims per year.
What drugs does Mark Bianchi, MD prescribe most often? ▼
Based on 2024 Medicare Part D data, Mark Bianchi, MD's most frequently prescribed drugs include Fluticasone Propionate, Montelukast Sodium, Azelastine Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Mark Bianchi, MD accept Medicare? ▼
Mark Bianchi, MD appears in CMS Medicare data with 858 Part D claims and 223 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Mark Bianchi, MD's credentials? ▼
Mark Bianchi, MD's NPI is 1073574166 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.
- 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 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.