NPI registry status
Active
2026 NPPES data Neuromusculoskeletal Medicine & OMM Physician NPI 1538132154 D.O.
Verify on CMS → Mike Pappas, D.O.
Neuromusculoskeletal Medicine & OMM Physician in Riverhead, New York.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 1,233 in Neuromusculoskeletal Medicine & OMM 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
78
Medicare Part D claims · 37 beneficiaries · Neuromusculoskeletal Medicine & OMM Physician avg: 1K
MIPS score
0/100
▼ 83 pts below national avg 83.1 · Penalty band
Industry payments
$26.61
1 payments · CMS Open Payments (Sunshine Act)
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
Mike Pappas, D.O. reported a CMS MIPS final score of 0/100 - below the 83.1 national average - and filed 78 Medicare Part D claims in 2023.
- 0/100
- MIPS score · -83 vs avg
- 78
- 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.
Mike Pappas, D.O.'s MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
0 0th percentile higher than 0% 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 Mike Pappas, D.O. sits
This provider among neuromusculoskeletal medicine & omm physician peers
Across the 101 neuromusculoskeletal medicine & omm physician providers who report both Medicare Part D prescribing and a MIPS quality score, Mike Pappas, D.O. writes more Part D claims than 22% of them and scores higher on MIPS quality than 0% - 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 neuromusculoskeletal medicine & omm physician peer from a representative sample of 60; the gold marker is Mike Pappas, D.O.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Mike Pappas, D.O. 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 Mike Pappas, D.O.?
Below national averagePrimary specialty
Neuromusculoskeletal Medicine & OMM Physician
Medicare Part D claims
78 93% vs specialty avg
MIPS final score
0/100 83.1 pts vs avg
Specialty distribution in New York
How Neuromusculoskeletal Medicine & OMM Physician compares to other specialties among New York providers
Medicare quality performance, MIPS
Mike Pappas, D.O.'s 2023 MIPS final score plotted against the Neuromusculoskeletal Medicine & OMM Physician national average
- MIPS Final Score
- 0/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Neuromusculoskeletal Medicine & OMM Physician) - 0/100 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).
Mike Pappas, D.O. appears in the CMS NPPES registry as a Neuromusculoskeletal Medicine & OMM Physician provider holding D.O. credentials at 1274 E MAIN ST, Riverhead, NY, 11901, with a listed phone of (631) 591-0840. NPI 1538132154 was issued on 02/13/2006.
Medicare Part D records for calendar year 2023 show 78 prescription claims written by this provider, covering 37 Medicare beneficiaries and totaling roughly $1K in drug spend, with an opioid prescribing rate of 14.1%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 0/100 for the 2023 performance year (Quality 0), compared with the national average of 83.1.
Neuromusculoskeletal Medicine & OMM Physician is a narrow specialty nationwide, with 1,233 enrolled providers across 51 states and an average of 1,107 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 | 1538132154 |
|---|---|
| Specialty | Neuromusculoskeletal Medicine & OMM Physician |
| Credentials | D.O. |
| Gender | Male |
| NPI Issued | 02/13/2006 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
0
Final Score
Avg: 83.1
0
Quality
Reporting: Individual
Hospital and facility affiliations
Facilities where Mike Pappas, D.O. 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.
Suffolk Rehabilitation Medicine, PLLC
Riverhead, NY
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 Mike Pappas, D.O.. Source: openpaymentsdata.cms.gov.
Total received
$27
Largest payer
DePuy Synthes Sales 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.
License & disciplinary context - New York NYSBPMC 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 ~100K New York medical licensees in 2023 - they are NOT specific to Mike Pappas, D.O.. To verify Mike Pappas, D.O.'s current license status, search the NYSBPMC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
312
Total board actions, New York 2023
Across 302 cases
3.12
Actions per 1,000 licensees
New York statewide rate
probation
Most common action type
89 cases
NYSBPMC 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 New York 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.
78
Total Claims
$1K
Total Drug Cost
37
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 129
- Total Day Supply
- 3,073
- Brand Drug Cost
- $0
- Generic Drug Cost
- $1K
- Opioid Claims
- 11 (14.1% rate)
Patient Demographics
- Average Patient Age
- 73.8 years
- Avg HCC Risk Score
- 0.81
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
| Drug | Claims |
|---|---|
| Methylprednisolone | 17 |
| Tramadol Hcl | 11 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
More Neuromusculoskeletal Medicine & OMM Physician in NY →
All providers in New York →
Compare specialties →
Neuromusculoskeletal Medicine & OMM Physician Overview
How Mike Pappas, D.O. fits within the Neuromusculoskeletal Medicine & OMM Physician landscape nationally.
1,233
Neuromusculoskeletal Medicine & OMM Physician Providers in US
51
States with Neuromusculoskeletal Medicine & OMM Physician
1,107
Avg Claims per Provider
Mike Pappas, D.O.'s 78 claims are below the specialty average of 1,107.
Nearby Neuromusculoskeletal Medicine & OMM Physician Providers in New York
Other clinicians with the same primary specialty enrolled in New York, drawn from the same CMS NPPES roster as Pappas.
Dr. Reem Abu-Sbaih
DO
Old Westbury, NY
Dr. Regina Asaro
D.O.
Middle Village, NY
Dr. Lawrence Barnard
D.O.
Old Bethpage, NY
Dr. Monowara Begum
M.D.
Tappan, NY
Dr. Igor Beneditskiy
MD, DO
Brooklyn, NY
Compare Neuromusculoskeletal Medicine & OMM 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 York medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Neuromusculoskeletal Medicine & OMM 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 Mike Pappas, D.O.'s specialty? ▼
Mike Pappas, D.O. specializes in Neuromusculoskeletal Medicine & OMM Physician and practices in Riverhead, New York. Credentials: D.O..
How much does Mike Pappas, D.O. prescribe under Medicare Part D? ▼
In 2023, Mike Pappas, D.O. wrote 78 Medicare Part D claims totaling $1K in drug costs for 37 beneficiaries.
What is Mike Pappas, D.O.'s Medicare quality score? ▼
Mike Pappas, D.O. has a CMS MIPS Final Score of 0/100 (Quality: 0). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Mike Pappas, D.O. located? ▼
Mike Pappas, D.O. is located at 1274 E MAIN ST, Riverhead, NY, 11901. Phone: (631) 591-0840.
What is Mike Pappas, D.O.'s NPI number? ▼
Mike Pappas, D.O.'s National Provider Identifier (NPI) is 1538132154, issued on 02/13/2006.
Does Mike Pappas, D.O. prescribe opioids? ▼
Yes, Mike Pappas, D.O. had 11 opioid claims in 2023 with an opioid prescribing rate of 14.1%.
How many Neuromusculoskeletal Medicine & OMM Physician providers are there in the US? ▼
There are 1,233 Neuromusculoskeletal Medicine & OMM Physician providers across 51 states in the US. The average Neuromusculoskeletal Medicine & OMM Physician provider writes 1,107 Medicare Part D claims per year.
What drugs does Mike Pappas, D.O. prescribe most often? ▼
Based on 2023 Medicare Part D data, Mike Pappas, D.O.'s most frequently prescribed drugs include Methylprednisolone, Tramadol Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Mike Pappas, D.O. accept Medicare? ▼
Mike Pappas, D.O. appears in CMS Medicare data with 78 Part D claims and 37 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Mike Pappas, D.O.'s credentials? ▼
Mike Pappas, D.O.'s NPI is 1538132154 with credentials D.O.. 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.