NPI registry status
Active
2026 NPPES data Hematology & Oncology Physician NPI 1205812104 MD
Verify on CMS → Michael Monticelli, MD
Hematology & Oncology Physician in Colorado Springs, Colorado.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 11,215 in Hematology & Oncology 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
1K
Medicare Part D claims · 175 beneficiaries · Hematology & Oncology Physician avg: 847
Generic prescribing
77%
generic claims · 23% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
84.8/100
▲ 2 pts above national avg 83.1 · Above neutral
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Michael Monticelli, MD reported a CMS MIPS final score of 84.8/100 - above the 83.1 national average - and filed 1,074 Medicare Part D claims in 2023.
- 84.8/100
- MIPS score · +2 vs avg
- 1K
- Part D claims, 2023
- 77%
- generic prescribing
- 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.
Michael Monticelli, MD's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
85 45th percentile higher than 45% 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 Michael Monticelli, MD sits
This provider among hematology & oncology physician peers
Across the 4,233 hematology & oncology physician providers who report both Medicare Part D prescribing and a MIPS quality score, Michael Monticelli, MD writes more Part D claims than 66% of them and scores higher on MIPS quality than 44% - placing this provider in the high-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 hematology & oncology physician peer from a representative sample of 60; the gold marker is Michael Monticelli, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Michael Monticelli, 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).
What does the federal data show about Michael Monticelli, MD?
Near national averagePrimary specialty
Hematology & Oncology Physician
Medicare Part D claims
1,074 27% vs specialty avg
MIPS final score
84.8/100 1.7 pts vs avg
Specialty distribution in Colorado
How Hematology & Oncology Physician compares to other specialties among Colorado providers
Medicare quality performance, MIPS
Michael Monticelli, MD's 2023 MIPS final score plotted against the Hematology & Oncology Physician national average
- MIPS Final Score
- 84.8/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Hematology & Oncology Physician) - 84.8/100 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).
Michael Monticelli, MD appears in the CMS NPPES registry as a Hematology & Oncology Physician provider holding MD credentials at 2312 N NEVADA AVE STE 400, Colorado Springs, CO, 80907, with a listed phone of (719) 577-2555. NPI 1205812104 was issued on 12/22/2005.
Medicare Part D records for calendar year 2023 show 1,074 prescription claims written by this provider, covering 175 Medicare beneficiaries and totaling roughly $2.8 million in drug spend, split 23% brand-name and 77% generic by claim count, with an opioid prescribing rate of 6.1%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 84.8/100 for the 2023 performance year (Quality 66.5), compared with the national average of 83.1.
Hematology & Oncology Physician is a mid-sized specialty nationwide, with 11,215 enrolled providers across 54 states and an average of 847 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 | 1205812104 |
|---|---|
| Specialty | Hematology & Oncology Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 12/22/2005 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
84.8074
Final Score
Avg: 83.1
66.4524
Quality
100
Promoting Interoperability
Reporting: Alternative Payment Model
Hospital and facility affiliations
Facilities where Michael Monticelli, 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.
Rocky Mountain Cancer Centers LLP
Colorado Springs, CO
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
Brand vs generic prescribing mix · Typical
Michael Monticelli, MD - brand share 23.0%
Hematology & Oncology Physician average
23% brand-name claims vs 77% generic, on 1,074 2023 Medicare Part D claims.
The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
1,074
Total Claims
$2.8M
Total Drug Cost
175
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 1,467
- Total Day Supply
- 37,578
- Brand vs Generic
- 23% brand / 77% generic
- Brand Drug Cost
- $2.6M
- Generic Drug Cost
- $184K
- Opioid Claims
- 66 (6.1% rate)
- Antibiotic Claims
- 29
Patient Demographics
- Average Patient Age
- 73.4 years
- Avg HCC Risk Score
- 2.29
- Gender Split
- 61% female / 39% male
- Age Distribution
- <65: 16, 65-74: 86, 75-84: 58, 85+: 15
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Michael Monticelli, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Xarelto
Xarelto
55 claims
- Prednisone
Prednisone
51 claims
- Prochlorperazine M…
Prochlorperazine Maleate
46 claims
- Dexamethasone
Dexamethasone
39 claims
- Eliquis
Eliquis
39 claims
- Acyclovir
Acyclovir
37 claims
- Potassium Chloride
Potassium Chloride
37 claims
- Lorazepam
Lorazepam
35 claims
| Drug | Claims |
|---|---|
| Xarelto Rivaroxaban | 55 |
| Prednisone | 51 |
| Prochlorperazine Maleate | 46 |
| Dexamethasone | 39 |
| Eliquis Apixaban | 39 |
| Acyclovir | 37 |
| Potassium Chloride | 37 |
| Lorazepam | 35 |
| Revlimid Lenalidomide | 34 |
| Warfarin Sodium | 31 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Hematology & Oncology Physician Overview
How Michael Monticelli, MD fits within the Hematology & Oncology Physician landscape nationally.
11,215
Hematology & Oncology Physician Providers in US
54
States with Hematology & Oncology Physician
847
Avg Claims per Provider
Michael Monticelli, MD's 1,074 claims are above the specialty average of 847.
Nearby Hematology & Oncology Physician Providers in Colorado
Other clinicians with the same primary specialty enrolled in Colorado, drawn from the same CMS NPPES roster as Monticelli.
Dr. Anosheh Afghahi
MD
Aurora, CO
Dr. Raul Alvarez
M.D.
Englewood, CO
Dr. Maria Amaya
MD
Aurora, CO
Dr. David Andorsky
MD
Boulder, CO
Dr. Travis Archuleta
MD
Pueblo, CO
Compare Hematology & Oncology 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 Colorado medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Hematology & Oncology 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 Michael Monticelli, MD's specialty? ▼
Michael Monticelli, MD specializes in Hematology & Oncology Physician and practices in Colorado Springs, Colorado. Credentials: MD.
How much does Michael Monticelli, MD prescribe under Medicare Part D? ▼
In 2023, Michael Monticelli, MD wrote 1,074 Medicare Part D claims totaling $2.8M in drug costs for 175 beneficiaries.
What is Michael Monticelli, MD's Medicare quality score? ▼
Michael Monticelli, MD has a CMS MIPS Final Score of 84.8/100 (Quality: 66.5). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Michael Monticelli, MD located? ▼
Michael Monticelli, MD is located at 2312 N NEVADA AVE STE 400, Colorado Springs, CO, 80907. Phone: (719) 577-2555.
What is Michael Monticelli, MD's NPI number? ▼
Michael Monticelli, MD's National Provider Identifier (NPI) is 1205812104, issued on 12/22/2005.
Does Michael Monticelli, MD prescribe more brand-name or generic drugs? ▼
Michael Monticelli, MD's prescribing is 23% brand-name and 77% generic drugs by claim count, with $2.6M in brand drug costs.
Does Michael Monticelli, MD prescribe opioids? ▼
Yes, Michael Monticelli, MD had 66 opioid claims in 2023 with an opioid prescribing rate of 6.1%.
How many Hematology & Oncology Physician providers are there in the US? ▼
There are 11,215 Hematology & Oncology Physician providers across 54 states in the US. The average Hematology & Oncology Physician provider writes 847 Medicare Part D claims per year.
What drugs does Michael Monticelli, MD prescribe most often? ▼
Based on 2023 Medicare Part D data, Michael Monticelli, MD's most frequently prescribed drugs include Xarelto, Prednisone, Prochlorperazine Maleate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Michael Monticelli, MD accept Medicare? ▼
Michael Monticelli, MD appears in CMS Medicare data with 1,074 Part D claims and 175 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Michael Monticelli, MD's credentials? ▼
Michael Monticelli, MD's NPI is 1205812104 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
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.