NAZIR LONE, MD, MPH
Internal Medicine Physician in COOPERSTOWN, New York. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.
What the federal data shows
NAZIR LONE, MD, MPH reported a CMS MIPS final score of 91.2532/100 — above the 83.1 national average — and filed 851 Medicare Part D claims in 2023.
- 91.2532/100
- MIPS score · +8 vs avg
- 851
- Part D claims, 2023
- 40%
- 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.
NAZIR LONE, MD, MPH's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure
91 Top 37% higher than 63% 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
NAZIR LONE, MD, MPH practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 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 NAZIR LONE, MD, MPH?
High performer (top quartile)Primary specialty
Medicare Part D claims
MIPS final score
Specialty distribution in New York
How Internal Medicine Physician compares to other specialties among New York providers
Internal Medicine Physician share within New York
Internal Medicine Physician is one of the more visible NUCC categories in New York
Each bar reflects the share of in-state providers whose primary NUCC taxonomy matches the specialty. Long tail of ~690 NUCC codes folded into "Other" to keep the comparison legible.
Medicare quality performance — MIPS
NAZIR LONE, MD, MPH's 2023 MIPS final score plotted against the Internal Medicine Physician national average
- MIPS Final Score
- 91.2532/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Internal Medicine Physician) — 91.2532/100 vs national avg 83.1
Quality benchmarks
- National MIPS avg 2023 reporting year
- Quality dim CMS Quality category
- Specialty volume Internal Medicine Physician US NPIs
91.2532/100 MIPS final score — 8.2 pts above the 83.1 national average
Quality, Cost, Promoting Interoperability, and Improvement Activities composite score for the 2023 performance year. Specialty: Internal Medicine Physician. Quality dim: 74.9203.
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).
NAZIR LONE, MD, MPH appears in the CMS NPPES registry as a Internal Medicine Physician provider holding MD, MPH credentials at 1 ATWELL RD, COOPERSTOWN, NY, 13326, with a listed phone of (607) 547-2598. NPI 1912053307 was issued on 01/26/2007. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what LONE 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 851 prescription claims written by this provider, covering 200 Medicare beneficiaries and totaling roughly $688K in drug spend, split 60% brand-name and 40% generic by claim count. 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 91.2532/100 for the 2023 performance year (Quality 74.9203), compared with the national average of 83.1.
Internal Medicine Physician is a high-volume specialty nationwide, with 172,858 enrolled providers across 56 states and an average of 2,716 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 | 1912053307 |
|---|---|
| Specialty | Internal Medicine Physician |
| Credentials | MD, MPH |
| Gender | Male |
| NPI Issued | 01/26/2007 |
Verify this provider's license
PlainDoctor pulls this profile from the CMS NPPES public registry. Confirm NAZIR LONE, MD, MPH's current license status, disciplinary history, and board certifications with the New York State Education Department, Office of the Professions in New York before relying on this page for a clinical or care decision.
How we sourced this profile
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
Reporting: Alternative Payment Model
Hospital and facility affiliations
Facilities where NAZIR LONE, MD, MPH 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.
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 NAZIR LONE, MD, MPH. Source: openpaymentsdata.cms.gov.
Total received
$3.7K
Largest payer
INTUITIVE SURGICAL, INC.
Most common payment type
Travel and Lodging
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 NAZIR LONE, MD, MPH. To verify NAZIR LONE, MD, MPH's current license status, search the NYSBPMC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
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.
Brand vs generic prescribing mix · Brand-heavy
60% brand-name claims vs 40% generic, on 851 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.
Prescribing Breakdown
- 30-Day Fills
- 1,390
- Total Day Supply
- 38,214
- Brand vs Generic
- 60% brand / 40% generic
- Brand Drug Cost
- $679K
- Generic Drug Cost
- $10K
- Antibiotic Claims
- 20
Patient Demographics
- Average Patient Age
- 73.0 years
- Avg HCC Risk Score
- 1.92
- Gender Split
- 57% female / 44% male
- Age Distribution
- <65: 26, 65-74: 88, 75-84: 67, 85+: 19
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What NAZIR LONE, MD, MPH prescribes most
Top Medicare Part D drugs by claim count, 2023
- Trelegy Ellipta
Trelegy Ellipta
201 claims
- Prednisone
Prednisone
124 claims
- Albuterol Sulfate …
Albuterol Sulfate Hfa
108 claims
- Anoro Ellipta 46
Anoro Ellipta
46 claims
- Omeprazole 31
Omeprazole
31 claims
- Symbicort 31
Symbicort
31 claims
- Montelukast Sodium 28
Montelukast Sodium
28 claims
- Stiolto Respimat 28
Stiolto Respimat
28 claims
| Drug | Claims |
|---|---|
| Trelegy Ellipta Fluticasone/Umeclidin/Vilanter | 201 |
| Prednisone | 124 |
| Albuterol Sulfate Hfa Albuterol Sulfate | 108 |
| Anoro Ellipta Umeclidinium Brm/Vilanterol Tr | 46 |
| Omeprazole | 31 |
| Symbicort Budesonide/Formoterol Fumarate | 31 |
| Montelukast Sodium | 28 |
| Stiolto Respimat Tiotropium Br/Olodaterol Hcl | 28 |
| Breztri Aerosphere Budesonide/Glycopyr/Formoterol | 26 |
| Pantoprazole Sodium | 22 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Internal Medicine Physician Overview
How NAZIR LONE, MD, MPH fits within the Internal Medicine Physician landscape nationally.
NAZIR LONE, MD, MPH's 851 claims are below the specialty average of 2,716.
Nearby Internal Medicine Physician Providers in New York
Other clinicians with the same primary specialty enrolled in New York, drawn from the same CMS NPPES roster as LONE.
Compare Internal Medicine Physician nationally: see state-by-state distribution →
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Frequently Asked Questions
What is NAZIR LONE, MD, MPH's specialty? ▼
How much does NAZIR LONE, MD, MPH prescribe under Medicare Part D? ▼
What is NAZIR LONE, MD, MPH's Medicare quality score? ▼
Where is NAZIR LONE, MD, MPH located? ▼
What is NAZIR LONE, MD, MPH's NPI number? ▼
Does NAZIR LONE, MD, MPH prescribe more brand-name or generic drugs? ▼
How many Internal Medicine Physician providers are there in the US? ▼
What drugs does NAZIR LONE, MD, MPH prescribe most often? ▼
Does NAZIR LONE, MD, MPH accept Medicare? ▼
How can I verify NAZIR LONE, MD, MPH's credentials? ▼
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