NPI registry status
Active
2026 NPPES data Pulmonary Disease Physician NPI 1174542294 MD
Verify on CMS → Nicholas Proia, MD
Pulmonary Disease Physician in Boardman, Ohio.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 9,647 in Pulmonary Disease 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
781
Medicare Part D claims · 196 beneficiaries · Pulmonary Disease Physician avg: 1K
Generic prescribing
38%
generic claims · 62% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
49.9/100
▼ 34 pts below national avg 83.5 · Below average
Industry payments
$1.4K
72 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2024
What the federal data shows
Nicholas Proia, MD reported a CMS MIPS final score of 49.9/100 - below the 83.5 national average - and filed 781 Medicare Part D claims in 2024.
- 49.9/100
- MIPS score · -34 vs avg
- 781
- Part D claims, 2024
- 38%
- 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.
Federal trust snapshot
What official records show about Nicholas Proia, MD
Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1174542294), first enumerated 07/19/2006.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 781 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- Reported
CMS quality reporting (MIPS)
Reported a CMS MIPS final score of 49.9/100 in the Quality Payment Program — a federal quality measure, not a patient review.
Source: CMS Quality Payment Program
- Reported
Board certification signal
Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.
- Reported
Hospital affiliations
1 CMS Care Compare hospital affiliation on record — practice footprint from the Doctors and Clinicians file.
Source: CMS Care Compare
- Reported
Industry payment transparency
$1.4K in reported industry payments (72 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.
Source: CMS Open Payments
- State context
State board disciplinary context
Ohio statewide board action statistics are published annually — these figures describe aggregate state activity, not Nicholas Proia, MD's individual license status. Verify directly with the state medical board.
Source: OMB annual report 2023
- Not in federal data
Individual sanction lookup
PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.
Source: State medical board / FSMB
This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.
CMS NPPES provider registry desk
NPI 1174542294 · Pulmonary Disease Physician
NPI-10 · ENUM-LEGACY · TAX-MID · MIPS-LOW · RX-LIGHT · BOOK-THIN · PHOTO-FINISH
- NPI-10 1174542294
- ENUM-LEGACY 2006
- TAX-MID 10K Pulmonary Disease
- MIPS-LOW 49.9/100
- RX-LIGHT 781
- BOOK-THIN 362 in Ohio
- PHOTO-FINISH Sergio Martinez · ±0.3
MIPS final-score neighbourhood
Same-specialty nationwide peers by CMS final score, not geographic proximity
- Syed Alam, M.D. …
Syed Alam, M.D.
48.8 MIPS pts
- Munaf Siyamwala,…
Munaf Siyamwala, M.D.
49.5 MIPS pts
- Sergio Martinez …
Sergio Martinez
49.6 MIPS pts
- Proia · this pro…
Proia · this provider
49.9 MIPS pts
- Yeshavanth Nayak…
Yeshavanth Nayak, MD
50.9 MIPS pts
What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).
Nicholas Proia, MD's MIPS score vs every measured U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.
50 ≥ 4th percentile 4% of 454,083 measured providers are in lower value bands
Each bar is a band; taller bars hold more measured 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.
The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where Nicholas Proia, MD sits
This provider among pulmonary disease physician peers
Across the 2,467 pulmonary disease physician providers who report both Medicare Part D prescribing and a MIPS quality score, Nicholas Proia, MD writes more Part D claims than 43% of them and scores higher on MIPS quality than 8% - placing this provider in the lower-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Each dot is one pulmonary disease physician peer from a representative sample of 60; the gold marker is Nicholas Proia, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Nicholas Proia, 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 Nicholas Proia, MD?
Below national averagePrimary specialty
Pulmonary Disease Physician
Medicare Part D claims
781 48% vs specialty avg
MIPS final score
49.9/100 33.6 pts vs avg
Specialty distribution in Ohio
How Pulmonary Disease Physician compares to other specialties among Ohio providers
Medicare quality performance, MIPS
Nicholas Proia, MD's 2023 MIPS final score plotted against the Pulmonary Disease Physician national average
- MIPS Final Score
- 49.9/100
- vs 83.5 national avg · 2023 performance year
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).
Practice Address
Provider Details
| NPI | 1174542294 |
|---|---|
| Specialty | Pulmonary Disease Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 07/19/2006 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
49.912
Final Score
Measured-score avg: 83.5
90
Quality
29.7067
Cost
Reporting: Individual
Hospital and facility affiliations
Facilities where Nicholas Proia, 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.
Associates IN Pulmonary And Critical Care Medicine Inc
Boardman, OH
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 Nicholas Proia, MD. Source: openpaymentsdata.cms.gov.
Total received
$1.4K
Largest payer
GlaxoSmithKline, LLC.
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 - Ohio OMB 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 ~48K Ohio medical licensees in 2023 - they are NOT specific to Nicholas Proia, MD. To verify Nicholas Proia, MD's current license status, search the OMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
158
Total board actions, Ohio 2023
Across 154 cases
3.29
Actions per 1,000 licensees
Ohio statewide rate
probation
Most common action type
56 cases
OMB 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 Ohio disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Brand vs generic prescribing mix · Brand-heavy
Nicholas Proia, MD - brand share 62.0%
Pulmonary Disease Physician average
62% brand-name claims vs 38% generic, on 781 2024 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 2024.
781
Total Claims
$479K
Total Drug Cost
196
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 1,175.667
- Total Day Supply
- 32,289
- Brand vs Generic
- 62% brand / 38% generic
- Brand Drug Cost
- $471K
- Generic Drug Cost
- $8K
- Antibiotic Claims
- 26
Patient Demographics
- Average Patient Age
- 74.5 years
- Avg HCC Risk Score
- 1.68
- Gender Split
- 50% female / 50% male
- Age Distribution
- <65: 15, 65-74: 82, 75-84: 76, 85+: 23
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
What Nicholas Proia, MD prescribes most
Top Medicare Part D drugs by claim count, 2024
- Trelegy Ellipta
Trelegy Ellipta
138 claims
- Prednisone
Prednisone
72 claims
- Albuterol Sulfate …
Albuterol Sulfate Hfa
57 claims
- Breo Ellipta 54
Breo Ellipta
54 claims
- Montelukast Sodium 43
Montelukast Sodium
43 claims
- Eliquis 34
Eliquis
34 claims
- Breztri Aerosphere 32
Breztri Aerosphere
32 claims
- Esomeprazole Magne… 31
Esomeprazole Magnesium
31 claims
| Drug | Claims |
|---|---|
| Trelegy Ellipta Fluticasone/Umeclidin/Vilanter | 138 |
| Prednisone | 72 |
| Albuterol Sulfate Hfa Albuterol Sulfate | 57 |
| Breo Ellipta Fluticasone/Vilanterol | 54 |
| Montelukast Sodium | 43 |
| Eliquis Apixaban | 34 |
| Breztri Aerosphere Budesonide/Glycopyr/Formoterol | 32 |
| Esomeprazole Magnesium | 31 |
| Levalbuterol Tartrate Hfa Levalbuterol Tartrate | 28 |
| Dupixent Pen Dupilumab | 26 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Pulmonary Disease Physician Overview
How Nicholas Proia, MD fits within the Pulmonary Disease Physician landscape nationally.
9,647
Pulmonary Disease Physician Providers in US
53
States with Pulmonary Disease Physician
1,498
Avg Claims per Provider
Nicholas Proia, MD's 781 claims are below the specialty average of 1,498.
Nationwide Pulmonary Disease Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Proia, both outside Ohio so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (49.9 here).
Same NPPES enumeration year (2006)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Pulmonary Disease Physician Providers in Ohio
Other clinicians with the same primary specialty enrolled in Ohio, drawn from the same CMS NPPES roster as Proia.
One of 362 Pulmonary Disease Physician providers enrolled in Ohio, 5 are shown here.
Dr. Mustafa Abas
M.D.,
Chardon, OH
Mohammed Abdalla
Cleveland, OH
Dr. Rania Abdallah
MD
Cleveland, OH
Dr. Ahmad Abdelwahed
M.D.
Sylvania, OH
Dr. Rania Abdul Rahman
MD
Cleveland, OH
Compare Pulmonary Disease Physician nationally: see state-by-state distribution →
Frequently Asked Questions
What is Nicholas Proia, MD's specialty? ▼
Nicholas Proia, MD specializes in Pulmonary Disease Physician and practices in Boardman, Ohio. Credentials: MD.
How much does Nicholas Proia, MD prescribe under Medicare Part D? ▼
In 2024, Nicholas Proia, MD wrote 781 Medicare Part D claims totaling $479K in drug costs for 196 beneficiaries.
What is Nicholas Proia, MD's Medicare quality score? ▼
Nicholas Proia, MD has a CMS MIPS Final Score of 49.9/100 (Quality: 90, Cost: 29.7). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Nicholas Proia, MD located? ▼
Nicholas Proia, MD is located at 8423 MARKET ST STE 100, Boardman, OH, 44512. Phone: (330) 707-5864.
What is Nicholas Proia, MD's NPI number? ▼
Nicholas Proia, MD's National Provider Identifier (NPI) is 1174542294, issued on 07/19/2006.
Does Nicholas Proia, MD prescribe more brand-name or generic drugs? ▼
Nicholas Proia, MD's prescribing is 62% brand-name and 38% generic drugs by claim count, with $471K in brand drug costs.
How many Pulmonary Disease Physician providers are there in the US? ▼
There are 9,647 Pulmonary Disease Physician providers across 53 states in the US. The average Pulmonary Disease Physician provider writes 1,498 Medicare Part D claims per year.
What drugs does Nicholas Proia, MD prescribe most often? ▼
Based on 2024 Medicare Part D data, Nicholas Proia, MD's most frequently prescribed drugs include Trelegy Ellipta, Prednisone, Albuterol Sulfate Hfa. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Nicholas Proia, MD accept Medicare? ▼
Nicholas Proia, MD appears in CMS Medicare data with 781 Part D claims and 196 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Nicholas Proia, MD's credentials? ▼
Nicholas Proia, MD's NPI is 1174542294 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 (2024). 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 August 2026 (NPPES) / 2024 (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
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 August 2026.