2026 NPPES data Gastroenterology Physician NPI 1376583492 MD
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PAUL GAGLIO, MD

Gastroenterology Physician in NEWARK, 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
183
Medicare Part D claims · 49 beneficiaries · Gastroenterology Physician avg: 833
MIPS score
75.8046/100
▼ 7 pts below national avg 83.1 · [object Object]
Industry payments
$49.7K
44 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: PAUL GAGLIO, MD is a Gastroenterology Physician ([object Object]) practicing in NEWARK, New Jersey with a Medicare Part D prescribing footprint of 183 claims across 49 beneficiaries . Their CMS MIPS Final Score of 75.8046/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $49.7K across 44 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: PAUL GAGLIO, MD reported a CMS MIPS final score of 75.8046 out of 100, below the 83.1 national average, and filed 183 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 GAGLIO, MD 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).

PAUL GAGLIO, MD at a glance

Below national average

NPI registry status

Active

Issued 06/07/2006

NPI 1376583492

Primary specialty

Gastroenterology Physician

Mid-sized

16,567 US NPIs in this specialty

Medicare Part D claims

183 78% vs specialty avg

2023 prescription claims

Specialty avg: 833

MIPS final score

75.8046/100 7.295400000000001% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in New Jersey

How Gastroenterology Physician compares to other specialties among New Jersey providers

New Jersey providers

Gastroenterology Physician share within New Jersey

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

Medicare quality performance — MIPS

PAUL GAGLIO, MD's 2023 MIPS final score plotted against the Gastroenterology Physician national average

Below national average
MIPS Final Score
75.8046/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Gastroenterology Physician) — 75.8046/100 vs national avg 83.1

0%100%National avg83%75.8%
MIPS final score (Gastroenterology Physician) — 75.8046/100 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 GAGLIO, MD is a Gastroenterology Physician provider practicing in NEWARK, New Jersey, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1376583492. 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 GAGLIO, MD appears in the CMS NPPES registry as a Gastroenterology Physician provider holding MD credentials at DOCTORS OFFICE CENTER 90 BERGEN STREET, NEWARK, NJ, 07631, with a listed phone of (973) 972-5252. NPI 1376583492 was issued on 06/07/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what GAGLIO 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 183 prescription claims written by this provider, covering 49 Medicare beneficiaries and totaling roughly $91K in drug spend. 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 75.8046/100 for the 2023 performance year (Quality 68.6551, Cost 50.6935), compared with the national average of 83.1.

Gastroenterology Physician is a mid-sized specialty nationwide, with 16,567 enrolled providers across 54 states and an average of 833 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

DOCTORS OFFICE CENTER 90 BERGEN STREET
NEWARK, NJ 07631

Provider Details

NPI 1376583492
Specialty Gastroenterology Physician
Credentials MD
Gender Male
NPI Issued 06/07/2006

CMS Quality Score (MIPS)

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

75.8046
Final Score
Avg: 83.1
68.6551
Quality
50.6935
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where PAUL GAGLIO, 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.

BARNABAS HEALTH MEDICAL GROUP PC
FLORHAM PARK, NJ
UNIVERSITY PHYSICIAN ASSOCIATES OF NEW JERSEY INC
NEWARK, 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 PAUL GAGLIO, MD. Source: openpaymentsdata.cms.gov.

Total received

$49.7K

Largest payer

Gilead Sciences, 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.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

183
Total Claims
$91K
Total Drug Cost
49
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
435
Total Day Supply
12,915
Generic Drug Cost
$32K
Antibiotic Claims
12

Patient Demographics

Average Patient Age
69.3 years
Avg HCC Risk Score
1.94
Gender Split
57% female / 43% 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
Ursodiol
43
Carvedilol
33
Mycophenolate Mofetil
15
Entecavir
12
Xifaxan
Rifaximin
12

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

Gastroenterology Physician Overview

How PAUL GAGLIO, MD fits within the Gastroenterology Physician landscape nationally.

16,567
Gastroenterology Physician Providers in US
54
States with Gastroenterology Physician
833
Avg Claims per Provider

PAUL GAGLIO, MD's 183 claims are below the specialty average of 833.

Nearby Gastroenterology Physician Providers in New Jersey

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

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

Frequently Asked Questions

What is PAUL GAGLIO, MD's specialty?
PAUL GAGLIO, MD specializes in Gastroenterology Physician and practices in NEWARK, New Jersey. Credentials: MD.
How much does PAUL GAGLIO, MD prescribe under Medicare Part D?
In 2023, PAUL GAGLIO, MD wrote 183 Medicare Part D claims totaling $91K in drug costs for 49 beneficiaries.
What is PAUL GAGLIO, MD's Medicare quality score?
PAUL GAGLIO, MD has a CMS MIPS Final Score of 75.8046/100 (Quality: 68.6551, Cost: 50.6935). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is PAUL GAGLIO, MD located?
PAUL GAGLIO, MD is located at DOCTORS OFFICE CENTER 90 BERGEN STREET, NEWARK, NJ, 07631. Phone: (973) 972-5252.
What is PAUL GAGLIO, MD's NPI number?
PAUL GAGLIO, MD's National Provider Identifier (NPI) is 1376583492, issued on 06/07/2006.
How many Gastroenterology Physician providers are there in the US?
There are 16,567 Gastroenterology Physician providers across 54 states in the US. The average Gastroenterology Physician provider writes 833 Medicare Part D claims per year.
What drugs does PAUL GAGLIO, MD prescribe most often?
Based on 2023 Medicare Part D data, PAUL GAGLIO, MD's most frequently prescribed drugs include Ursodiol, Carvedilol, Mycophenolate Mofetil. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does PAUL GAGLIO, MD accept Medicare?
PAUL GAGLIO, MD appears in CMS Medicare data with 183 Part D claims and 49 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify PAUL GAGLIO, MD's credentials?
PAUL GAGLIO, MD's NPI is 1376583492 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