2026 NPPES data Otolaryngology Physician NPI 1821101080 M.D.
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PAUL ALBERTI, M.D.

Otolaryngology Physician in NORTH HAVEN, Connecticut. 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
900
Medicare Part D claims · 305 beneficiaries · Otolaryngology Physician avg: 509
Generic prescribing
91%
generic claims · 9% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
94.1777/100
▲ 11 pts above national avg 83.1 · [object Object]
Industry payments
$693.12
26 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: PAUL ALBERTI, M.D. is a Otolaryngology Physician ([object Object]) practicing in NORTH HAVEN, Connecticut with a Medicare Part D prescribing footprint of 900 claims across 305 beneficiaries — 9% brand-name prescribing . Their CMS MIPS Final Score of 94.1777/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $693.12 across 26 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: PAUL ALBERTI, M.D. reported a CMS MIPS final score of 94.1777 out of 100, above the 83.1 national average, and filed 900 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)

PAUL ALBERTI, M.D. 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).

PAUL ALBERTI, M.D. at a glance

High performer (top quartile)

NPI registry status

Active

Issued 08/15/2006

NPI 1821101080

Primary specialty

Otolaryngology Physician

Mid-sized

10,895 US NPIs in this specialty

Medicare Part D claims

900 77% vs specialty avg

2023 prescription claims

Specialty avg: 509

MIPS final score

94.1777/100 11.077700000000007% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Connecticut

How Otolaryngology Physician compares to other specialties among Connecticut providers

Connecticut providers

Otolaryngology Physician share within Connecticut

1. Otolaryngology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Otolaryngology Physician share within Connecticut

Medicare quality performance — MIPS

PAUL ALBERTI, M.D.'s 2023 MIPS final score plotted against the Otolaryngology Physician national average

High performer (top quartile)
MIPS Final Score
94.1777/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Otolaryngology Physician) — 94.1777/100 vs national avg 83.1

0%100%National avg83%94.2%
MIPS final score (Otolaryngology Physician) — 94.1777/100 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).

PAUL ALBERTI, M.D. is a Otolaryngology Physician provider practicing in NORTH HAVEN, Connecticut, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1821101080. 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.

PAUL ALBERTI, M.D. appears in the CMS NPPES registry as a Otolaryngology Physician provider holding M.D. credentials at 31 BROADWAY, NORTH HAVEN, CT, 06473, with a listed phone of (203) 234-1324. NPI 1821101080 was issued on 08/15/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what ALBERTI 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 900 prescription claims written by this provider, covering 305 Medicare beneficiaries and totaling roughly $70K in drug spend, split 9% brand-name and 91% 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 94.1777/100 for the 2023 performance year (Quality 81.9442), compared with the national average of 83.1.

Otolaryngology Physician is a mid-sized specialty nationwide, with 10,895 enrolled providers across 54 states and an average of 509 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

31 BROADWAY
NORTH HAVEN, CT 06473

Provider Details

NPI 1821101080
Specialty Otolaryngology Physician
Credentials M.D.
Gender Male
NPI Issued 08/15/2006

CMS Quality Score (MIPS)

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

94.1777
Final Score
Avg: 83.1
81.9442
Quality
99.3986
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where PAUL ALBERTI, M.D. 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.

EAR, NOSE AND THROAT MEDICAL AND SURGICAL GROUP, LLC
NORTH HAVEN, CT

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 PAUL ALBERTI, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$693

Largest payer

Neurent Medical Limited

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 · Generic-heavy

PAUL ALBERTI, M.D. — brand share 9.0%
Specialty average (est.)

9% brand-name claims vs 91% generic, on 900 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.

900
Total Claims
$70K
Total Drug Cost
305
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,476
Total Day Supply
38,840
Brand vs Generic
9% brand / 91% generic
Brand Drug Cost
$44K
Generic Drug Cost
$27K
Antibiotic Claims
110

Patient Demographics

Average Patient Age
75.2 years
Avg HCC Risk Score
1.02
Gender Split
61% female / 39% male

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Montelukast Sodium
166
Azelastine Hcl
163
Fluticasone Propionate
55
Prednisone
44
Fluocinolone Acetonide Oil
33
Albuterol Sulfate Hfa
Albuterol Sulfate
25
Amoxicillin-Clavulanate Potass
Amoxicillin/Potassium Clav
24
Ofloxacin
22
Azithromycin
20
Mupirocin
19

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

Otolaryngology Physician Overview

How PAUL ALBERTI, M.D. fits within the Otolaryngology Physician landscape nationally.

10,895
Otolaryngology Physician Providers in US
54
States with Otolaryngology Physician
509
Avg Claims per Provider

PAUL ALBERTI, M.D.'s 900 claims are above the specialty average of 509.

Nearby Otolaryngology Physician Providers in Connecticut

Other clinicians with the same primary specialty enrolled in Connecticut, drawn from the same CMS NPPES roster as ALBERTI.

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

Frequently Asked Questions

What is PAUL ALBERTI, M.D.'s specialty?
PAUL ALBERTI, M.D. specializes in Otolaryngology Physician and practices in NORTH HAVEN, Connecticut. Credentials: M.D..
How much does PAUL ALBERTI, M.D. prescribe under Medicare Part D?
In 2023, PAUL ALBERTI, M.D. wrote 900 Medicare Part D claims totaling $70K in drug costs for 305 beneficiaries.
What is PAUL ALBERTI, M.D.'s Medicare quality score?
PAUL ALBERTI, M.D. has a CMS MIPS Final Score of 94.1777/100 (Quality: 81.9442). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is PAUL ALBERTI, M.D. located?
PAUL ALBERTI, M.D. is located at 31 BROADWAY, NORTH HAVEN, CT, 06473. Phone: (203) 234-1324.
What is PAUL ALBERTI, M.D.'s NPI number?
PAUL ALBERTI, M.D.'s National Provider Identifier (NPI) is 1821101080, issued on 08/15/2006.
Does PAUL ALBERTI, M.D. prescribe more brand-name or generic drugs?
PAUL ALBERTI, M.D.'s prescribing is 9% brand-name and 91% generic drugs by claim count, with $44K in brand drug costs.
How many Otolaryngology Physician providers are there in the US?
There are 10,895 Otolaryngology Physician providers across 54 states in the US. The average Otolaryngology Physician provider writes 509 Medicare Part D claims per year.
What drugs does PAUL ALBERTI, M.D. prescribe most often?
Based on 2023 Medicare Part D data, PAUL ALBERTI, M.D.'s most frequently prescribed drugs include Montelukast Sodium, Azelastine Hcl, Fluticasone Propionate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does PAUL ALBERTI, M.D. accept Medicare?
PAUL ALBERTI, M.D. appears in CMS Medicare data with 900 Part D claims and 305 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify PAUL ALBERTI, M.D.'s credentials?
PAUL ALBERTI, M.D.'s NPI is 1821101080 with credentials M.D.. 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