2026 NPPES data Pain Medicine (Anesthesiology) Physician NPI 1467834820 MD
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MATTHEW SANZALONE, MD

Pain Medicine (Anesthesiology) Physician in SAINT LOUIS, Missouri. 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 · 384 beneficiaries · Pain Medicine (Anesthesiology) Physician avg: 2K
MIPS score
79.292/100
▼ 4 pts below national avg 83.1 · [object Object]
Industry payments
$490.88
16 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: MATTHEW SANZALONE, MD is a Pain Medicine (Anesthesiology) Physician ([object Object]) practicing in SAINT LOUIS, Missouri with a Medicare Part D prescribing footprint of 2K claims across 384 beneficiaries . Their CMS MIPS Final Score of 79.292/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $490.88 across 16 transactions are disclosed under CMS Open Payments (Sunshine Act).

What the federal data shows

MATTHEW SANZALONE, MD reported a CMS MIPS final score of 79.292/100 — below the 83.1 national average — and filed 2,046 Medicare Part D claims in 2023.

79.292/100
MIPS score · -4 vs avg
2K
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 SANZALONE, MD's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

79 30th percentile higher than 30% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). This entry sits in this band. 80–90: 129,887 scored providers (27%). Above this entry. 90–100: 189,403 scored providers (40%). Above this entry. This provider 0 100 every MIPS-scored clinician, bucketed by value

Each bar is a band; taller bars hold more scored providers. 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 Merit-based Incentive Payment System (MIPS) · 2023

Board certification likely (heuristic — not verified)

MATTHEW SANZALONE, 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 SANZALONE, MD at a glance

Near national average

NPI registry status

Active

Issued 06/22/2015

NPI 1467834820

Primary specialty

Pain Medicine (Anesthesiology) Physician

Niche

4,020 US NPIs in this specialty

Medicare Part D claims

2,046 23% vs specialty avg

2023 prescription claims

Specialty avg: 1,657

MIPS final score

79.292/100 3.8079999999999927% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Missouri

How Pain Medicine (Anesthesiology) Physician compares to other specialties among Missouri providers

Missouri providers

Pain Medicine (Anesthesiology) Physician share within Missouri

1. Pain Medicine (Anesthesiology) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Pain Medicine (Anesthesiology) Physician share within Missouri

Medicare quality performance — MIPS

MATTHEW SANZALONE, MD's 2023 MIPS final score plotted against the Pain Medicine (Anesthesiology) Physician national average

Near national average
MIPS Final Score
79.292/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Pain Medicine (Anesthesiology) Physician) — 79.292/100 vs national avg 83.1

0%100%National avg83%79.3%
MIPS final score (Pain Medicine (Anesthesiology) Physician) — 79.292/100 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 SANZALONE, MD is a Pain Medicine (Anesthesiology) Physician provider practicing in SAINT LOUIS, Missouri, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1467834820. 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 SANZALONE, MD appears in the CMS NPPES registry as a Pain Medicine (Anesthesiology) Physician provider holding MD credentials at 4921 PARKVIEW PL, SAINT LOUIS, MO, 63110, with a listed phone of (314) 362-8820. NPI 1467834820 was issued on 06/22/2015. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what SANZALONE 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 2,046 prescription claims written by this provider, covering 384 Medicare beneficiaries and totaling roughly $145K in drug spend, with an opioid prescribing rate of 31.3%. 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 79.292/100 for the 2023 performance year (Quality 71.46, Cost 59.5132), compared with the national average of 83.1.

Pain Medicine (Anesthesiology) Physician is a narrow specialty nationwide, with 4,020 enrolled providers across 53 states and an average of 1,657 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

4921 PARKVIEW PL
SAINT LOUIS, MO 63110

Provider Details

NPI 1467834820
Specialty Pain Medicine (Anesthesiology) Physician
Credentials MD
Gender Male
NPI Issued 06/22/2015

CMS Quality Score (MIPS)

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

79.292
Final Score
Avg: 83.1
71.46
Quality
59.5132
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where MATTHEW SANZALONE, 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.

WASHINGTON UNIVERSITY
ST LOUIS, MO

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 MATTHEW SANZALONE, MD. Source: openpaymentsdata.cms.gov.

Total received

$491

Largest payer

Medtronic, Inc.

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.

Medicare Part D Prescribing Data

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

2,046
Total Claims
$145K
Total Drug Cost
384
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
2,283
Total Day Supply
64,726
Generic Drug Cost
$119K
Opioid Claims
640 (31.3% rate)

Patient Demographics

Average Patient Age
67.2 years
Avg HCC Risk Score
1.58
Gender Split
64% female / 36% male
Age Distribution
<65: 116, 65-74: 160, 75-84: 88, 85+: 20

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Pregabalin
462
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
192
Gabapentin
118
Methocarbamol
118
Cyclobenzaprine Hcl
116
Duloxetine Hcl
115
Tizanidine Hcl
115
Oxycodone-Acetaminophen
Oxycodone Hcl/Acetaminophen
113
Oxycodone Hcl
97
Tramadol Hcl
70

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

Pain Medicine (Anesthesiology) Physician Overview

How MATTHEW SANZALONE, MD fits within the Pain Medicine (Anesthesiology) Physician landscape nationally.

4,020
Pain Medicine (Anesthesiology) Physician Providers in US
53
States with Pain Medicine (Anesthesiology) Physician
1,657
Avg Claims per Provider

MATTHEW SANZALONE, MD's 2,046 claims are above the specialty average of 1,657.

Nearby Pain Medicine (Anesthesiology) Physician Providers in Missouri

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

Compare Pain Medicine (Anesthesiology) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is MATTHEW SANZALONE, MD's specialty?
MATTHEW SANZALONE, MD specializes in Pain Medicine (Anesthesiology) Physician and practices in SAINT LOUIS, Missouri. Credentials: MD.
How much does MATTHEW SANZALONE, MD prescribe under Medicare Part D?
In 2023, MATTHEW SANZALONE, MD wrote 2,046 Medicare Part D claims totaling $145K in drug costs for 384 beneficiaries.
What is MATTHEW SANZALONE, MD's Medicare quality score?
MATTHEW SANZALONE, MD has a CMS MIPS Final Score of 79.292/100 (Quality: 71.46, Cost: 59.5132). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is MATTHEW SANZALONE, MD located?
MATTHEW SANZALONE, MD is located at 4921 PARKVIEW PL, SAINT LOUIS, MO, 63110. Phone: (314) 362-8820.
What is MATTHEW SANZALONE, MD's NPI number?
MATTHEW SANZALONE, MD's National Provider Identifier (NPI) is 1467834820, issued on 06/22/2015.
Does MATTHEW SANZALONE, MD prescribe opioids?
Yes, MATTHEW SANZALONE, MD had 640 opioid claims in 2023 with an opioid prescribing rate of 31.3%.
How many Pain Medicine (Anesthesiology) Physician providers are there in the US?
There are 4,020 Pain Medicine (Anesthesiology) Physician providers across 53 states in the US. The average Pain Medicine (Anesthesiology) Physician provider writes 1,657 Medicare Part D claims per year.
What drugs does MATTHEW SANZALONE, MD prescribe most often?
Based on 2023 Medicare Part D data, MATTHEW SANZALONE, MD's most frequently prescribed drugs include Pregabalin, Hydrocodone-Acetaminophen, Gabapentin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does MATTHEW SANZALONE, MD accept Medicare?
MATTHEW SANZALONE, MD appears in CMS Medicare data with 2,046 Part D claims and 384 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify MATTHEW SANZALONE, MD's credentials?
MATTHEW SANZALONE, MD's NPI is 1467834820 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