2026 NPPES data Specialist NPI 1164428207 M.D.
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MARK BLITZER, M.D.

Specialist in NEW HAVEN, Connecticut. 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
2K
Medicare Part D claims · 526 beneficiaries · Specialist avg: 1K
Generic prescribing
72%
generic claims · 28% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
73.5637/100
▼ 10 pts below national avg 83.1 · [object Object]
Industry payments
$3.6K
8 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: MARK BLITZER, M.D. is a Specialist ([object Object]) practicing in NEW HAVEN, Connecticut with a Medicare Part D prescribing footprint of 2K claims across 526 beneficiaries — 28% brand-name prescribing . Their CMS MIPS Final Score of 73.5637/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $3.6K across 8 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: MARK BLITZER, M.D. reported a CMS MIPS final score of 73.5637 out of 100, below the 83.1 national average, and filed 2,439 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

MARK BLITZER, M.D. at a glance

Below national average

NPI registry status

Active

Issued 06/23/2005

NPI 1164428207

Primary specialty

Specialist

High-volume

69,658 US NPIs in this specialty

Medicare Part D claims

2,439 65% vs specialty avg

2023 prescription claims

Specialty avg: 1,474

MIPS final score

73.5637/100 9.536299999999997% pts

Mid-tier band

vs 83.1 national avg

Specialty distribution in Connecticut

How Specialist compares to other specialties among Connecticut providers

Connecticut providers

Specialist share within Connecticut

1. Specialist42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Specialist share within Connecticut

Medicare quality performance — MIPS

MARK BLITZER, M.D.'s 2023 MIPS final score plotted against the Specialist national average

Below national average
MIPS Final Score
73.5637/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Specialist) — 73.5637/100 vs national avg 83.1

0%100%National avg83%73.6%
MIPS final score (Specialist) — 73.5637/100 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 BLITZER, M.D. is a Specialist provider practicing in NEW HAVEN, Connecticut, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1164428207. 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 BLITZER, M.D. appears in the CMS NPPES registry as a Specialist provider holding M.D. credentials at 330 ORCHARD ST., NEW HAVEN, CT, 06511, with a listed phone of (203) 867-5400. NPI 1164428207 was issued on 06/23/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BLITZER 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 2,439 prescription claims written by this provider, covering 526 Medicare beneficiaries and totaling roughly $977K in drug spend, split 28% brand-name and 72% 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 73.5637/100 for the 2023 performance year (Quality 75.8435, Cost 51.4318), compared with the national average of 83.1.

Specialist is a high-volume specialty nationwide, with 69,658 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

330 ORCHARD ST.
NEW HAVEN, CT 06511

Provider Details

NPI 1164428207
Specialty Specialist
Credentials M.D.
Gender Male
NPI Issued 06/23/2005

CMS Quality Score (MIPS)

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

73.5637
Final Score
Avg: 83.1
75.8435
Quality
51.4318
Cost
74
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where MARK BLITZER, 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.

YALE UNIVERSITY
NORWICH, 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 BLITZER, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$3.6K

Largest payer

Boston Scientific 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.

Brand vs generic prescribing mix · Above average

MARK BLITZER, M.D. — brand share 28.0%
Specialty average (est.)

28% brand-name claims vs 72% generic, on 2,439 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.

2,439
Total Claims
$977K
Total Drug Cost
526
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
6,575
Total Day Supply
196,336
Brand vs Generic
28% brand / 72% generic
Brand Drug Cost
$892K
Generic Drug Cost
$85K

Patient Demographics

Average Patient Age
76.6 years
Avg HCC Risk Score
1.73
Gender Split
45% female / 55% male
Age Distribution
<65: 29, 65-74: 178, 75-84: 229, 85+: 90

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Metoprolol Succinate
487
Eliquis
Apixaban
461
Flecainide Acetate
220
Xarelto
Rivaroxaban
173
Amiodarone Hcl
138
Diltiazem 24hr Er (Cd)
Diltiazem Hcl
137
Sotalol
Sotalol Hcl
112
Carvedilol
74
Amlodipine Besylate
62
Metoprolol Tartrate
59

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

Specialist Overview

How MARK BLITZER, M.D. fits within the Specialist landscape nationally.

69,658
Specialist Providers in US
55
States with Specialist
1,474
Avg Claims per Provider

MARK BLITZER, M.D.'s 2,439 claims are above the specialty average of 1,474.

Nearby Specialist Providers in Connecticut

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

Compare Specialist nationally: see state-by-state distribution →

Frequently Asked Questions

What is MARK BLITZER, M.D.'s specialty?
MARK BLITZER, M.D. specializes in Specialist and practices in NEW HAVEN, Connecticut. Credentials: M.D..
How much does MARK BLITZER, M.D. prescribe under Medicare Part D?
In 2023, MARK BLITZER, M.D. wrote 2,439 Medicare Part D claims totaling $977K in drug costs for 526 beneficiaries.
What is MARK BLITZER, M.D.'s Medicare quality score?
MARK BLITZER, M.D. has a CMS MIPS Final Score of 73.5637/100 (Quality: 75.8435, Cost: 51.4318). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is MARK BLITZER, M.D. located?
MARK BLITZER, M.D. is located at 330 ORCHARD ST., NEW HAVEN, CT, 06511. Phone: (203) 867-5400.
What is MARK BLITZER, M.D.'s NPI number?
MARK BLITZER, M.D.'s National Provider Identifier (NPI) is 1164428207, issued on 06/23/2005.
Does MARK BLITZER, M.D. prescribe more brand-name or generic drugs?
MARK BLITZER, M.D.'s prescribing is 28% brand-name and 72% generic drugs by claim count, with $892K in brand drug costs.
How many Specialist providers are there in the US?
There are 69,658 Specialist providers across 55 states in the US. The average Specialist provider writes 1,474 Medicare Part D claims per year.
What drugs does MARK BLITZER, M.D. prescribe most often?
Based on 2023 Medicare Part D data, MARK BLITZER, M.D.'s most frequently prescribed drugs include Metoprolol Succinate, Eliquis, Flecainide Acetate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does MARK BLITZER, M.D. accept Medicare?
MARK BLITZER, M.D. appears in CMS Medicare data with 2,439 Part D claims and 526 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify MARK BLITZER, M.D.'s credentials?
MARK BLITZER, M.D.'s NPI is 1164428207 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