2026 NPPES data Gastroenterology Physician NPI 1477651602 MD
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MATTHEW APTER, MD

Gastroenterology Physician in MAITLAND, Florida. 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 · 542 beneficiaries · Gastroenterology Physician avg: 833
MIPS score
78.0121/100
▼ 5 pts below national avg 83.1 · [object Object]
What the federal data reveals: MATTHEW APTER, MD is a Gastroenterology Physician ([object Object]) practicing in MAITLAND, Florida with a Medicare Part D prescribing footprint of 2K claims across 542 beneficiaries . Their CMS MIPS Final Score of 78.0121/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities .

What stands out: MATTHEW APTER, MD reported a CMS MIPS final score of 78.0121 out of 100, below the 83.1 national average, and filed 1,632 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)

MATTHEW APTER, 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).

MATTHEW APTER, MD at a glance

Below national average

NPI registry status

Active

Issued 09/20/2006

NPI 1477651602

Primary specialty

Gastroenterology Physician

Mid-sized

16,567 US NPIs in this specialty

Medicare Part D claims

1,632 96% vs specialty avg

2023 prescription claims

Specialty avg: 833

MIPS final score

78.0121/100 5.0878999999999905% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Florida

How Gastroenterology Physician compares to other specialties among Florida providers

Florida providers

Gastroenterology Physician share within Florida

1. Gastroenterology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Gastroenterology Physician share within Florida

Medicare quality performance — MIPS

MATTHEW APTER, MD's 2023 MIPS final score plotted against the Gastroenterology Physician national average

Below national average
MIPS Final Score
78.0121/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Gastroenterology Physician) — 78.0121/100 vs national avg 83.1

0%100%National avg83%78%
MIPS final score (Gastroenterology Physician) — 78.0121/100 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).

MATTHEW APTER, MD is a Gastroenterology Physician provider practicing in MAITLAND, Florida, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1477651602. 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.

MATTHEW APTER, MD appears in the CMS NPPES registry as a Gastroenterology Physician provider holding MD credentials at 100 E SYBELIA AVE, MAITLAND, FL, 32751, with a listed phone of (407) 644-2525. NPI 1477651602 was issued on 09/20/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what APTER 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 1,632 prescription claims written by this provider, covering 542 Medicare beneficiaries and totaling roughly $245K 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 78.0121/100 for the 2023 performance year (Quality 57.5188, Cost 69.1882), compared with the national average of 83.1.

Gastroenterology Physician is a mid-sized specialty nationwide, with 16,567 enrolled providers across 54 states and an average of 833 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

100 E SYBELIA AVE
MAITLAND, FL 32751

Provider Details

NPI 1477651602
Specialty Gastroenterology Physician
Credentials MD
Gender Male
NPI Issued 09/20/2006

CMS Quality Score (MIPS)

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

78.0121
Final Score
Avg: 83.1
57.5188
Quality
69.1882
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where MATTHEW APTER, 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.

FLORIDA HOSPITAL MEDICAL GROUP INC
MAITLAND, FL

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 — Florida FLDOH 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 ~75K Florida medical licensees in 2023 — they are NOT specific to MATTHEW APTER, MD. To verify MATTHEW APTER, MD's current license status, search the FLDOH public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

480
Total board actions, Florida 2023
Across 467 cases
6.40
Actions per 1,000 licensees
Florida statewide rate
monetary fine
Most common action type
138 cases

FLDOH 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 Florida 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.

1,632
Total Claims
$245K
Total Drug Cost
542
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
3,172
Total Day Supply
88,613
Generic Drug Cost
$110K
Antibiotic Claims
35

Patient Demographics

Average Patient Age
73.3 years
Avg HCC Risk Score
1.15
Gender Split
58% female / 42% male
Age Distribution
<65: 28, 65-74: 275, 75-84: 212, 85+: 27

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Omeprazole
452
Dicyclomine Hcl
279
Pantoprazole Sodium
102
Linzess
Linaclotide
63
Mesalamine
55
Dexlansoprazole Dr
Dexlansoprazole
47
Budesonide Dr
Budesonide
39
Budesonide Ec
Budesonide
28
Colesevelam Hcl
28
Esomeprazole Magnesium
27

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

Gastroenterology Physician Overview

How MATTHEW APTER, MD fits within the Gastroenterology Physician landscape nationally.

16,567
Gastroenterology Physician Providers in US
54
States with Gastroenterology Physician
833
Avg Claims per Provider

MATTHEW APTER, MD's 1,632 claims are above the specialty average of 833.

Nearby Gastroenterology Physician Providers in Florida

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

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

Frequently Asked Questions

What is MATTHEW APTER, MD's specialty?
MATTHEW APTER, MD specializes in Gastroenterology Physician and practices in MAITLAND, Florida. Credentials: MD.
How much does MATTHEW APTER, MD prescribe under Medicare Part D?
In 2023, MATTHEW APTER, MD wrote 1,632 Medicare Part D claims totaling $245K in drug costs for 542 beneficiaries.
What is MATTHEW APTER, MD's Medicare quality score?
MATTHEW APTER, MD has a CMS MIPS Final Score of 78.0121/100 (Quality: 57.5188, Cost: 69.1882). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is MATTHEW APTER, MD located?
MATTHEW APTER, MD is located at 100 E SYBELIA AVE, MAITLAND, FL, 32751. Phone: (407) 644-2525.
What is MATTHEW APTER, MD's NPI number?
MATTHEW APTER, MD's National Provider Identifier (NPI) is 1477651602, issued on 09/20/2006.
How many Gastroenterology Physician providers are there in the US?
There are 16,567 Gastroenterology Physician providers across 54 states in the US. The average Gastroenterology Physician provider writes 833 Medicare Part D claims per year.
What drugs does MATTHEW APTER, MD prescribe most often?
Based on 2023 Medicare Part D data, MATTHEW APTER, MD's most frequently prescribed drugs include Omeprazole, Dicyclomine Hcl, Pantoprazole Sodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does MATTHEW APTER, MD accept Medicare?
MATTHEW APTER, MD appears in CMS Medicare data with 1,632 Part D claims and 542 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify MATTHEW APTER, MD's credentials?
MATTHEW APTER, MD's NPI is 1477651602 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