NPI registry status
Active
2026 NPPES data Sports Medicine (Orthopaedic Surgery) Physician NPI 1497802649 M.D.
Verify on CMS → Matthew Garfinkel, M.D.
Sports Medicine (Orthopaedic Surgery) Physician in Edison, New Jersey.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 2,681 in Sports Medicine (Orthopaedic Surgery) 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
32
Medicare Part D claims · 14 beneficiaries · Sports Medicine (Orthopaedic Surgery) Physician avg: 278
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Matthew Garfinkel, M.D. filed 32 Medicare Part D claims in 2023 as a Sports Medicine (Orthopaedic Surgery) Physician in Edison, New Jersey.
- 32
- Part D claims, 2023
- 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.
Matthew Garfinkel, M.D.'s Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023, across all CMS prescribers nationally
32 0th percentile higher than 0% of 1,370,886 prescribers
Each bar is a band; taller bars hold more prescribers. 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.
Source CMS Medicare Part D Prescriber Public Use File · 2023
✓
Board certification likely (heuristic, not verified)
Matthew Garfinkel, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 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 Matthew Garfinkel, M.D.?
Quality data not reportedPrimary specialty
Sports Medicine (Orthopaedic Surgery) Physician
Medicare Part D claims
32 88% vs specialty avg
Specialty distribution in New Jersey
How Sports Medicine (Orthopaedic Surgery) Physician compares to other specialties among New Jersey providers
Board certification
Not published by CMS
CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Sports Medicine (Orthopaedic Surgery) Physician. Verify directly:
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).
Matthew Garfinkel, M.D. appears in the CMS NPPES registry as a Sports Medicine (Orthopaedic Surgery) Physician provider holding M.D. credentials at 10 PARSONAGE RD STE 500, Edison, NJ, 08837, with a listed phone of (732) 494-6226. NPI 1497802649 was issued on 01/03/2007.
Medicare Part D records for calendar year 2023 show 32 prescription claims written by this provider, covering 14 Medicare beneficiaries and totaling roughly $171 in drug spend, with an opioid prescribing rate of 53.1%.
Sports Medicine (Orthopaedic Surgery) Physician is a narrow specialty nationwide, with 2,681 enrolled providers across 53 states and an average of 278 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
Provider Details
| NPI | 1497802649 |
|---|---|
| Specialty | Sports Medicine (Orthopaedic Surgery) Physician |
| Credentials | M.D. |
| Gender | Male |
| NPI Issued | 01/03/2007 |
Hospital and facility affiliations
Facilities where Matthew Garfinkel, 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.
Edison Metuchen Orthopaedic Group PA
Edison, NJ
Premier Brain And Spine LLC
Edison, NJ
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.
32
Total Claims
$171
Total Drug Cost
14
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 32
- Total Day Supply
- 277
- Generic Drug Cost
- $168
- Opioid Claims
- 17 (53.1% rate)
Patient Demographics
- Average Patient Age
- 60.9 years
- Avg HCC Risk Score
- 0.90
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
| Drug | Claims |
|---|---|
| Oxycodone-Acetaminophen Oxycodone Hcl/Acetaminophen | 15 |
| Temazepam | 13 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
More Sports Medicine (Orthopaedic Surgery) Physician in NJ →
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Compare specialties →
Sports Medicine (Orthopaedic Surgery) Physician Overview
How Matthew Garfinkel, M.D. fits within the Sports Medicine (Orthopaedic Surgery) Physician landscape nationally.
2,681
Sports Medicine (Orthopaedic Surgery) Physician Providers in US
53
States with Sports Medicine (Orthopaedic Surgery) Physician
278
Avg Claims per Provider
Matthew Garfinkel, M.D.'s 32 claims are below the specialty average of 278.
Nearby Sports Medicine (Orthopaedic Surgery) Physician Providers in New Jersey
Other clinicians with the same primary specialty enrolled in New Jersey, drawn from the same CMS NPPES roster as Garfinkel.
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the New Jersey medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Sports Medicine (Orthopaedic Surgery) Physician peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
Healthcare Guides
Learn more about finding, verifying, and understanding healthcare providers.
How to Find a Doctor
Step-by-step guide to choosing a provider
Verify Credentials
Check NPI, board certification & license status
Medical Specialties Explained
Who treats what and how specialties differ
Understanding Medicare Claims Data
What prescribing data reveals about a provider
In-Network vs Out-of-Network
How insurance networks affect your costs
Telehealth Guide
Virtual care options and coverage in 2026
Explore New Jersey
Frequently Asked Questions
What is Matthew Garfinkel, M.D.'s specialty? ▼
Matthew Garfinkel, M.D. specializes in Sports Medicine (Orthopaedic Surgery) Physician and practices in Edison, New Jersey. Credentials: M.D..
How much does Matthew Garfinkel, M.D. prescribe under Medicare Part D? ▼
In 2023, Matthew Garfinkel, M.D. wrote 32 Medicare Part D claims totaling $171 in drug costs for 14 beneficiaries.
Where is Matthew Garfinkel, M.D. located? ▼
Matthew Garfinkel, M.D. is located at 10 PARSONAGE RD STE 500, Edison, NJ, 08837. Phone: (732) 494-6226.
What is Matthew Garfinkel, M.D.'s NPI number? ▼
Matthew Garfinkel, M.D.'s National Provider Identifier (NPI) is 1497802649, issued on 01/03/2007.
Does Matthew Garfinkel, M.D. prescribe opioids? ▼
Yes, Matthew Garfinkel, M.D. had 17 opioid claims in 2023 with an opioid prescribing rate of 53.1%.
How many Sports Medicine (Orthopaedic Surgery) Physician providers are there in the US? ▼
There are 2,681 Sports Medicine (Orthopaedic Surgery) Physician providers across 53 states in the US. The average Sports Medicine (Orthopaedic Surgery) Physician provider writes 278 Medicare Part D claims per year.
What drugs does Matthew Garfinkel, M.D. prescribe most often? ▼
Based on 2023 Medicare Part D data, Matthew Garfinkel, M.D.'s most frequently prescribed drugs include Oxycodone-Acetaminophen, Temazepam. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Matthew Garfinkel, M.D. accept Medicare? ▼
Matthew Garfinkel, M.D. appears in CMS Medicare data with 32 Part D claims and 14 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Matthew Garfinkel, M.D.'s credentials? ▼
Matthew Garfinkel, M.D.'s NPI is 1497802649 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
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 (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
- 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
Compiled from official public sources by the PlainDoctor editorial team.