2026 NPPES data Gynecology Physician NPI 1356421812 MD
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MARK EINSTEIN, MD

Gynecology Physician in NEWARK, New Jersey. 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
29
Medicare Part D claims · Gynecology Physician avg: 295
MIPS score
73.2773/100
▼ 10 pts below national avg 83.1 · [object Object]
What the federal data reveals: MARK EINSTEIN, MD is a Gynecology Physician ([object Object]) practicing in NEWARK, New Jersey with a Medicare Part D prescribing footprint of 29 claims . Their CMS MIPS Final Score of 73.2773/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities .

What stands out: MARK EINSTEIN, MD reported a CMS MIPS final score of 73.2773 out of 100, below the 83.1 national average, and filed 29 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 EINSTEIN, 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 EINSTEIN, MD at a glance

Below national average

NPI registry status

Active

Issued 10/17/2006

NPI 1356421812

Primary specialty

Gynecology Physician

Niche

3,902 US NPIs in this specialty

Medicare Part D claims

29 90% vs specialty avg

2023 prescription claims

Specialty avg: 295

MIPS final score

73.2773/100 9.822699999999998% pts

Mid-tier band

vs 83.1 national avg

Specialty distribution in New Jersey

How Gynecology Physician compares to other specialties among New Jersey providers

New Jersey providers

Gynecology Physician share within New Jersey

1. Gynecology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Gynecology Physician share within New Jersey

Medicare quality performance — MIPS

MARK EINSTEIN, MD's 2023 MIPS final score plotted against the Gynecology Physician national average

Below national average
MIPS Final Score
73.2773/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Gynecology Physician) — 73.2773/100 vs national avg 83.1

0%100%National avg83%73.3%
MIPS final score (Gynecology Physician) — 73.2773/100 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 EINSTEIN, MD is a Gynecology Physician provider practicing in NEWARK, New Jersey, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1356421812. 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 EINSTEIN, MD appears in the CMS NPPES registry as a Gynecology Physician provider holding MD credentials at 185 S ORANGE AVE, NEWARK, NJ, 07103, with a listed phone of (973) 972-5266. NPI 1356421812 was issued on 10/17/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what EINSTEIN 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 29 prescription claims written by this provider, covering N/A Medicare beneficiaries and totaling roughly $478 in drug spend. 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 73.2773/100 for the 2023 performance year (Quality 44.8928, Cost 47.6995), compared with the national average of 83.1.

Gynecology Physician is a narrow specialty nationwide, with 3,902 enrolled providers across 53 states and an average of 295 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

185 S ORANGE AVE
NEWARK, NJ 07103

Provider Details

NPI 1356421812
Specialty Gynecology Physician
Credentials MD
Gender Male
NPI Issued 10/17/2006

CMS Quality Score (MIPS)

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

73.2773
Final Score
Avg: 83.1
44.8928
Quality
47.6995
Cost
83
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where MARK EINSTEIN, 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.

MONTEFIORE MEDICAL CENTER
★★★☆☆ 3/5
BRONX, NY
Acute Care Hospitals
CMS CCN: 330059

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Medicare Part D Prescribing Data

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

29
Total Claims
$478
Total Drug Cost
N/A
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
29
Total Day Supply
553
Generic Drug Cost
$376

Patient Demographics

Average Patient Age
66.9 years
Avg HCC Risk Score
1.43

Gynecology Physician Overview

How MARK EINSTEIN, MD fits within the Gynecology Physician landscape nationally.

3,902
Gynecology Physician Providers in US
53
States with Gynecology Physician
295
Avg Claims per Provider

MARK EINSTEIN, MD's 29 claims are below the specialty average of 295.

Nearby Gynecology Physician Providers in New Jersey

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

Compare Gynecology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is MARK EINSTEIN, MD's specialty?
MARK EINSTEIN, MD specializes in Gynecology Physician and practices in NEWARK, New Jersey. Credentials: MD.
How much does MARK EINSTEIN, MD prescribe under Medicare Part D?
In 2023, MARK EINSTEIN, MD wrote 29 Medicare Part D claims totaling $478 in drug costs for N/A beneficiaries.
What is MARK EINSTEIN, MD's Medicare quality score?
MARK EINSTEIN, MD has a CMS MIPS Final Score of 73.2773/100 (Quality: 44.8928, Cost: 47.6995). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is MARK EINSTEIN, MD located?
MARK EINSTEIN, MD is located at 185 S ORANGE AVE, NEWARK, NJ, 07103. Phone: (973) 972-5266.
What is MARK EINSTEIN, MD's NPI number?
MARK EINSTEIN, MD's National Provider Identifier (NPI) is 1356421812, issued on 10/17/2006.
How many Gynecology Physician providers are there in the US?
There are 3,902 Gynecology Physician providers across 53 states in the US. The average Gynecology Physician provider writes 295 Medicare Part D claims per year.
Does MARK EINSTEIN, MD accept Medicare?
MARK EINSTEIN, MD appears in CMS Medicare data with 29 Part D claims and N/A Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify MARK EINSTEIN, MD's credentials?
MARK EINSTEIN, MD's NPI is 1356421812 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