2026 NPPES data Rheumatology Physician NPI 1760465579 MD
Verify on CMS →

NEIL GONTER, MD

Rheumatology Physician in TEANECK, New Jersey. 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
4K
Medicare Part D claims · 579 beneficiaries · Rheumatology Physician avg: 2K
Generic prescribing
87%
generic claims · 13% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
100/100
▲ 17 pts above national avg 83.1 · [object Object]
Industry payments
$291.74
21 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: NEIL GONTER, MD is a Rheumatology Physician ([object Object]) practicing in TEANECK, New Jersey with a Medicare Part D prescribing footprint of 4K claims across 579 beneficiaries — 13% brand-name prescribing . Their CMS MIPS Final Score of 100/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $291.74 across 21 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: NEIL GONTER, MD reported a CMS MIPS final score of 100 out of 100, above the 83.1 national average, and filed 3,536 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

NEIL GONTER, 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).

NEIL GONTER, MD at a glance

High performer (top quartile)

NPI registry status

Active

Issued 11/25/2005

NPI 1760465579

Primary specialty

Rheumatology Physician

Mid-sized

6,181 US NPIs in this specialty

Medicare Part D claims

3,536 72% vs specialty avg

2023 prescription claims

Specialty avg: 2,054

MIPS final score

100/100 16.900000000000006% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in New Jersey

How Rheumatology Physician compares to other specialties among New Jersey providers

New Jersey providers

Rheumatology Physician share within New Jersey

1. Rheumatology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Rheumatology Physician share within New Jersey

Medicare quality performance — MIPS

NEIL GONTER, MD's 2023 MIPS final score plotted against the Rheumatology Physician national average

High performer (top quartile)
MIPS Final Score
100/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Rheumatology Physician) — 100/100 vs national avg 83.1

0%100%National avg83%99%
MIPS final score (Rheumatology Physician) — 100/100 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).

NEIL GONTER, MD is a Rheumatology Physician provider practicing in TEANECK, New Jersey, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1760465579. 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.

NEIL GONTER, MD appears in the CMS NPPES registry as a Rheumatology Physician provider holding MD credentials at 1415 QUEEN ANNE RD, TEANECK, NJ, 07666, with a listed phone of (201) 837-7788. NPI 1760465579 was issued on 11/25/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what GONTER 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 3,536 prescription claims written by this provider, covering 579 Medicare beneficiaries and totaling roughly $2.9 million in drug spend, split 13% brand-name and 87% generic by claim count, with an opioid prescribing rate of 14.2%. 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 100/100 for the 2023 performance year (Quality 86.8066), compared with the national average of 83.1.

Rheumatology Physician is a mid-sized specialty nationwide, with 6,181 enrolled providers across 52 states and an average of 2,054 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

1415 QUEEN ANNE RD
TEANECK, NJ 07666

Provider Details

NPI 1760465579
Specialty Rheumatology Physician
Credentials MD
Gender Male
NPI Issued 11/25/2005

CMS Quality Score (MIPS)

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

100
Final Score
Avg: 83.1
86.8066
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where NEIL GONTER, 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.

RHEUMATOLOGY ASSOCIATES OF NORTH JERSEY
TEANECK, 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).

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 NEIL GONTER, MD. Source: openpaymentsdata.cms.gov.

Total received

$292

Largest payer

Novartis Pharmaceuticals Corporation

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.

Brand vs generic prescribing mix · Typical

NEIL GONTER, MD — brand share 13.0%
Specialty average (est.)

13% brand-name claims vs 87% generic, on 3,536 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.

3,536
Total Claims
$2.9M
Total Drug Cost
579
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
6,354
Total Day Supply
175,096
Brand vs Generic
13% brand / 87% generic
Brand Drug Cost
$2.8M
Generic Drug Cost
$92K
Opioid Claims
501 (14.2% rate)

Patient Demographics

Average Patient Age
75.3 years
Avg HCC Risk Score
1.44
Gender Split
74% female / 26% male
Age Distribution
<65: 40, 65-74: 226, 75-84: 237, 85+: 76

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Methotrexate
Methotrexate Sodium
394
Tramadol Hcl
387
Methylprednisolone
368
Diclofenac Sodium
186
Gabapentin
173
Hydroxychloroquine Sulfate
173
Prednisone
149
Allopurinol
145
Cyclobenzaprine Hcl
127
Folic Acid
91

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

Rheumatology Physician Overview

How NEIL GONTER, MD fits within the Rheumatology Physician landscape nationally.

6,181
Rheumatology Physician Providers in US
52
States with Rheumatology Physician
2,054
Avg Claims per Provider

NEIL GONTER, MD's 3,536 claims are above the specialty average of 2,054.

Nearby Rheumatology Physician Providers in New Jersey

Other clinicians with the same primary specialty enrolled in New Jersey, drawn from the same CMS NPPES roster as GONTER.

Compare Rheumatology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is NEIL GONTER, MD's specialty?
NEIL GONTER, MD specializes in Rheumatology Physician and practices in TEANECK, New Jersey. Credentials: MD.
How much does NEIL GONTER, MD prescribe under Medicare Part D?
In 2023, NEIL GONTER, MD wrote 3,536 Medicare Part D claims totaling $2.9M in drug costs for 579 beneficiaries.
What is NEIL GONTER, MD's Medicare quality score?
NEIL GONTER, MD has a CMS MIPS Final Score of 100/100 (Quality: 86.8066). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is NEIL GONTER, MD located?
NEIL GONTER, MD is located at 1415 QUEEN ANNE RD, TEANECK, NJ, 07666. Phone: (201) 837-7788.
What is NEIL GONTER, MD's NPI number?
NEIL GONTER, MD's National Provider Identifier (NPI) is 1760465579, issued on 11/25/2005.
Does NEIL GONTER, MD prescribe more brand-name or generic drugs?
NEIL GONTER, MD's prescribing is 13% brand-name and 87% generic drugs by claim count, with $2.8M in brand drug costs.
Does NEIL GONTER, MD prescribe opioids?
Yes, NEIL GONTER, MD had 501 opioid claims in 2023 with an opioid prescribing rate of 14.2%.
How many Rheumatology Physician providers are there in the US?
There are 6,181 Rheumatology Physician providers across 52 states in the US. The average Rheumatology Physician provider writes 2,054 Medicare Part D claims per year.
What drugs does NEIL GONTER, MD prescribe most often?
Based on 2023 Medicare Part D data, NEIL GONTER, MD's most frequently prescribed drugs include Methotrexate, Tramadol Hcl, Methylprednisolone. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does NEIL GONTER, MD accept Medicare?
NEIL GONTER, MD appears in CMS Medicare data with 3,536 Part D claims and 579 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify NEIL GONTER, MD's credentials?
NEIL GONTER, MD's NPI is 1760465579 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