2026 NPPES data Plastic and Reconstructive Surgery Physician NPI 1134122096 MD
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MARK POTENZA, MD

Plastic and Reconstructive Surgery Physician in CAMILLUS, 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
78
Medicare Part D claims · 63 beneficiaries · Plastic and Reconstructive Surgery Physician avg: 86
MIPS score
99.75/100
▲ 17 pts above national avg 83.1 · [object Object]
What the federal data reveals: MARK POTENZA, MD is a Plastic and Reconstructive Surgery Physician ([object Object]) practicing in CAMILLUS, New York with a Medicare Part D prescribing footprint of 78 claims across 63 beneficiaries . Their CMS MIPS Final Score of 99.75/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities .

What stands out: MARK POTENZA, MD reported a CMS MIPS final score of 99.75 out of 100, above the 83.1 national average, and filed 78 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 POTENZA, 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 POTENZA, MD at a glance

High performer (top quartile)

NPI registry status

Active

Issued 05/24/2005

NPI 1134122096

Primary specialty

Plastic and Reconstructive Surgery Physician

Niche

2,352 US NPIs in this specialty

Medicare Part D claims

78 9% vs specialty avg

2023 prescription claims

Specialty avg: 86

MIPS final score

99.75/100 16.650000000000006% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in New York

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

New York providers

Plastic and Reconstructive Surgery Physician share within New York

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

Medicare quality performance — MIPS

MARK POTENZA, MD's 2023 MIPS final score plotted against the Plastic and Reconstructive Surgery Physician national average

High performer (top quartile)
MIPS Final Score
99.75/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Plastic and Reconstructive Surgery Physician) — 99.75/100 vs national avg 83.1

0%100%National avg83%99%
MIPS final score (Plastic and Reconstructive Surgery Physician) — 99.75/100 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 POTENZA, MD is a Plastic and Reconstructive Surgery Physician provider practicing in CAMILLUS, New York, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1134122096. 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 POTENZA, MD appears in the CMS NPPES registry as a Plastic and Reconstructive Surgery Physician provider holding MD credentials at 5700 W GENESEE ST, CAMILLUS, NY, 13031, with a listed phone of (315) 487-5858. NPI 1134122096 was issued on 05/24/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what POTENZA 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 78 prescription claims written by this provider, covering 63 Medicare beneficiaries and totaling roughly $2K 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 99.75/100 for the 2023 performance year (Quality 100, Cost 100), compared with the national average of 83.1.

Plastic and Reconstructive Surgery Physician is a narrow specialty nationwide, with 2,352 enrolled providers across 54 states and an average of 86 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

5700 W GENESEE ST
CAMILLUS, NY 13031

Provider Details

NPI 1134122096
Specialty Plastic and Reconstructive Surgery Physician
Credentials MD
Gender Male
NPI Issued 05/24/2005

CMS Quality Score (MIPS)

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

99.75
Final Score
Avg: 83.1
100
Quality
100
Cost
99
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where MARK POTENZA, 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.

AESTHETIC PLASTIC SURGERY OF SYRACUSE PLLC
CAMILLUS, 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).

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 POTENZA, MD. To verify MARK POTENZA, MD'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.

78
Total Claims
$2K
Total Drug Cost
63
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
78
Total Day Supply
1,019
Generic Drug Cost
$2K
Antibiotic Claims
52

Patient Demographics

Average Patient Age
75.0 years
Avg HCC Risk Score
0.88
Gender Split
41% female / 59% 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
40
Fluorouracil
12

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

Plastic and Reconstructive Surgery Physician Overview

How MARK POTENZA, MD fits within the Plastic and Reconstructive Surgery Physician landscape nationally.

2,352
Plastic and Reconstructive Surgery Physician Providers in US
54
States with Plastic and Reconstructive Surgery Physician
86
Avg Claims per Provider

MARK POTENZA, MD's 78 claims are below the specialty average of 86.

Nearby Plastic and Reconstructive 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 POTENZA.

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

Frequently Asked Questions

What is MARK POTENZA, MD's specialty?
MARK POTENZA, MD specializes in Plastic and Reconstructive Surgery Physician and practices in CAMILLUS, New York. Credentials: MD.
How much does MARK POTENZA, MD prescribe under Medicare Part D?
In 2023, MARK POTENZA, MD wrote 78 Medicare Part D claims totaling $2K in drug costs for 63 beneficiaries.
What is MARK POTENZA, MD's Medicare quality score?
MARK POTENZA, MD has a CMS MIPS Final Score of 99.75/100 (Quality: 100, Cost: 100). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is MARK POTENZA, MD located?
MARK POTENZA, MD is located at 5700 W GENESEE ST, CAMILLUS, NY, 13031. Phone: (315) 487-5858.
What is MARK POTENZA, MD's NPI number?
MARK POTENZA, MD's National Provider Identifier (NPI) is 1134122096, issued on 05/24/2005.
How many Plastic and Reconstructive Surgery Physician providers are there in the US?
There are 2,352 Plastic and Reconstructive Surgery Physician providers across 54 states in the US. The average Plastic and Reconstructive Surgery Physician provider writes 86 Medicare Part D claims per year.
What drugs does MARK POTENZA, MD prescribe most often?
Based on 2023 Medicare Part D data, MARK POTENZA, MD's most frequently prescribed drugs include Cephalexin, Fluorouracil. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does MARK POTENZA, MD accept Medicare?
MARK POTENZA, MD appears in CMS Medicare data with 78 Part D claims and 63 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify MARK POTENZA, MD's credentials?
MARK POTENZA, MD's NPI is 1134122096 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