NPI registry status
Active
2026 NPPES data Colon & Rectal Surgery Physician NPI 1306068788 M.D.
Verify on CMS → Melissa Alvarez-Downing, M.D.
Colon & Rectal Surgery Physician in Newark, 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 1,611 in Colon & Rectal 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
93
Medicare Part D claims · 39 beneficiaries · Colon & Rectal Surgery Physician avg: 196
MIPS score
73.3/100
▼ 10 pts below national avg 83.1 · Mid-tier
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Melissa Alvarez-Downing, M.D. reported a CMS MIPS final score of 73.3/100 - below the 83.1 national average - and filed 93 Medicare Part D claims in 2023.
- 73.3/100
- MIPS score · -10 vs avg
- 93
- 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.
Melissa Alvarez-Downing, M.D.'s MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
73 11th percentile higher than 11% of 477,587 scored providers
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
Where Melissa Alvarez-Downing, M.D. sits
This provider among colon & rectal surgery physician peers
Across the 536 colon & rectal surgery physician providers who report both Medicare Part D prescribing and a MIPS quality score, Melissa Alvarez-Downing, M.D. writes more Part D claims than 31% of them and scores higher on MIPS quality than 12% - placing this provider in the lower-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Part D claim volume vs MIPS quality, by specialty percentile
Each dot is one colon & rectal surgery physician peer from a representative sample of 60; the gold marker is Melissa Alvarez-Downing, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Melissa Alvarez-Downing, M.D. 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).
What does the federal data show about Melissa Alvarez-Downing, M.D.?
Below national averagePrimary specialty
Colon & Rectal Surgery Physician
Medicare Part D claims
93 53% vs specialty avg
MIPS final score
73.3/100 9.8 pts vs avg
Specialty distribution in New Jersey
How Colon & Rectal Surgery Physician compares to other specialties among New Jersey providers
Medicare quality performance, MIPS
Melissa Alvarez-Downing, M.D.'s 2023 MIPS final score plotted against the Colon & Rectal Surgery Physician national average
- MIPS Final Score
- 73.3/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Colon & Rectal Surgery Physician) - 73.3/100 vs national avg 83.1
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).
Melissa Alvarez-Downing, M.D. appears in the CMS NPPES registry as a Colon & Rectal Surgery Physician provider holding M.D. credentials at 90 BERGEN ST FL 7, Newark, NJ, 07103, with a listed phone of (972) 972-2400. NPI 1306068788 was issued on 05/03/2007.
Medicare Part D records for calendar year 2023 show 93 prescription claims written by this provider, covering 39 Medicare beneficiaries and totaling roughly $3K in drug spend. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 73.3/100 for the 2023 performance year (Quality 44.9, Cost 47.7), compared with the national average of 83.1.
Colon & Rectal Surgery Physician is a narrow specialty nationwide, with 1,611 enrolled providers across 50 states and an average of 196 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 | 1306068788 |
|---|---|
| Specialty | Colon & Rectal Surgery Physician |
| Credentials | M.D. |
| Gender | Female |
| NPI Issued | 05/03/2007 |
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 Melissa Alvarez-Downing, 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.
University Physician Associates OF New Jersey Inc
Newark, 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.
93
Total Claims
$3K
Total Drug Cost
39
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 96
- Total Day Supply
- 1,310
- Generic Drug Cost
- $3K
Patient Demographics
- Average Patient Age
- 66.7 years
- Avg HCC Risk Score
- 1.60
- Gender Split
- 72% female / 28% male
- Age Distribution
- <65: 13, 65-74: 22, 75-84: N/A, 85+: N/A
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
| Drug | Claims |
|---|---|
| Loperamide Loperamide Hcl | 15 |
| Imiquimod | 13 |
| Gavilyte-G "Peg3350/Sod Sulf | N/A |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Colon & Rectal Surgery Physician Overview
How Melissa Alvarez-Downing, M.D. fits within the Colon & Rectal Surgery Physician landscape nationally.
1,611
Colon & Rectal Surgery Physician Providers in US
50
States with Colon & Rectal Surgery Physician
196
Avg Claims per Provider
Melissa Alvarez-Downing, M.D.'s 93 claims are below the specialty average of 196.
Nearby Colon & Rectal 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 Alvarez-Downing.
Analena Alcabes
South Plainfield, NJ
Dr. Marjan Aleali
MD
Maywood, NJ
Dr. Michael Arvanitis
MD
Eatontown, NJ
Dr. Gregg Baranski
M.D.
Moorestown, NJ
Dr. Valerie Bauer
MD
Cherry Hill, NJ
Compare Colon & Rectal Surgery Physician nationally: see state-by-state distribution →
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 Colon & Rectal 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.
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Frequently Asked Questions
What is Melissa Alvarez-Downing, M.D.'s specialty? ▼
Melissa Alvarez-Downing, M.D. specializes in Colon & Rectal Surgery Physician and practices in Newark, New Jersey. Credentials: M.D..
How much does Melissa Alvarez-Downing, M.D. prescribe under Medicare Part D? ▼
In 2023, Melissa Alvarez-Downing, M.D. wrote 93 Medicare Part D claims totaling $3K in drug costs for 39 beneficiaries.
What is Melissa Alvarez-Downing, M.D.'s Medicare quality score? ▼
Melissa Alvarez-Downing, M.D. has a CMS MIPS Final Score of 73.3/100 (Quality: 44.9, Cost: 47.7). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Melissa Alvarez-Downing, M.D. located? ▼
Melissa Alvarez-Downing, M.D. is located at 90 BERGEN ST FL 7, Newark, NJ, 07103. Phone: (972) 972-2400.
What is Melissa Alvarez-Downing, M.D.'s NPI number? ▼
Melissa Alvarez-Downing, M.D.'s National Provider Identifier (NPI) is 1306068788, issued on 05/03/2007.
How many Colon & Rectal Surgery Physician providers are there in the US? ▼
There are 1,611 Colon & Rectal Surgery Physician providers across 50 states in the US. The average Colon & Rectal Surgery Physician provider writes 196 Medicare Part D claims per year.
What drugs does Melissa Alvarez-Downing, M.D. prescribe most often? ▼
Based on 2023 Medicare Part D data, Melissa Alvarez-Downing, M.D.'s most frequently prescribed drugs include Loperamide, Imiquimod, Gavilyte-G. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Melissa Alvarez-Downing, M.D. accept Medicare? ▼
Melissa Alvarez-Downing, M.D. appears in CMS Medicare data with 93 Part D claims and 39 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Melissa Alvarez-Downing, M.D.'s credentials? ▼
Melissa Alvarez-Downing, M.D.'s NPI is 1306068788 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.
- 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
Compiled from official public sources by the PlainDoctor editorial team.
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of May 2026.