2026 NPPES data General Practice Physician NPI 1144297060 M.D.
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PAUL GARFINKLE, M.D.

General Practice Physician in ALLIANCE, Ohio. 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
722
Medicare Part D claims · 303 beneficiaries · General Practice Physician avg: 3K
Generic prescribing
64%
generic claims · 36% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
74.8126/100
▼ 8 pts below national avg 83.1 · [object Object]
Industry payments
$783.58
28 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: PAUL GARFINKLE, M.D. is a General Practice Physician ([object Object]) practicing in ALLIANCE, Ohio with a Medicare Part D prescribing footprint of 722 claims across 303 beneficiaries — 36% brand-name prescribing . Their CMS MIPS Final Score of 74.8126/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $783.58 across 28 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: PAUL GARFINKLE, M.D. reported a CMS MIPS final score of 74.8126 out of 100, below the 83.1 national average, and filed 722 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 GARFINKLE, 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 GARFINKLE, M.D. at a glance

Below national average

NPI registry status

Active

Issued 03/01/2006

NPI 1144297060

Primary specialty

General Practice Physician

Mid-sized

16,677 US NPIs in this specialty

Medicare Part D claims

722 75% vs specialty avg

2023 prescription claims

Specialty avg: 2,872

MIPS final score

74.8126/100 8.287399999999991% pts

Mid-tier band

vs 83.1 national avg

Specialty distribution in Ohio

How General Practice Physician compares to other specialties among Ohio providers

Ohio providers

General Practice Physician share within Ohio

1. General Practice Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
General Practice Physician share within Ohio

Medicare quality performance — MIPS

PAUL GARFINKLE, M.D.'s 2023 MIPS final score plotted against the General Practice Physician national average

Below national average
MIPS Final Score
74.8126/100
vs 83.1 national avg · 2023 performance year

MIPS final score (General Practice Physician) — 74.8126/100 vs national avg 83.1

0%100%National avg83%74.8%
MIPS final score (General Practice Physician) — 74.8126/100 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 GARFINKLE, M.D. is a General Practice Physician provider practicing in ALLIANCE, Ohio, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1144297060. 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 GARFINKLE, M.D. appears in the CMS NPPES registry as a General Practice Physician provider holding M.D. credentials at 985 S SAWBURG RD, ALLIANCE, OH, 44601, with a listed phone of (330) 823-1680. NPI 1144297060 was issued on 03/01/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what GARFINKLE 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 722 prescription claims written by this provider, covering 303 Medicare beneficiaries and totaling roughly $115K in drug spend, split 36% brand-name and 64% 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 74.8126/100 for the 2023 performance year (Quality 100, Cost 16.042), compared with the national average of 83.1.

General Practice Physician is a mid-sized specialty nationwide, with 16,677 enrolled providers across 56 states and an average of 2,872 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

985 S SAWBURG RD
ALLIANCE, OH 44601

Provider Details

NPI 1144297060
Specialty General Practice Physician
Credentials M.D.
Gender Male
NPI Issued 03/01/2006

CMS Quality Score (MIPS)

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

74.8126
Final Score
Avg: 83.1
100
Quality
16.042
Cost

Reporting: Group practice

Hospital and facility affiliations

Facilities where PAUL GARFINKLE, 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.

OHIO EYE ALLIANCE, INC.
ALLIANCE, 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 PAUL GARFINKLE, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$784

Largest payer

Apellis Pharmaceuticals, 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.

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 PAUL GARFINKLE, M.D.. To verify PAUL GARFINKLE, M.D.'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 · Above average

PAUL GARFINKLE, M.D. — brand share 36.0%
Specialty average (est.)

36% brand-name claims vs 64% generic, on 722 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.

722
Total Claims
$115K
Total Drug Cost
303
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,252
Total Day Supply
35,175
Brand vs Generic
36% brand / 64% generic
Brand Drug Cost
$91K
Generic Drug Cost
$25K
Antibiotic Claims
13

Patient Demographics

Average Patient Age
74.8 years
Avg HCC Risk Score
1.39
Gender Split
58% female / 42% male
Age Distribution
<65: 20, 65-74: 131, 75-84: 117, 85+: 35

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Ketorolac Tromethamine
248
Latanoprost
96
Prednisolone Acetate
57
Fluorometholone
31
Restasis
Cyclosporine
31
Timolol Maleate
26
Brimonidine Tartrate
23
Lumigan
Bimatoprost
21
Combigan
Brimonidine Tartrate/Timolol
19
Travoprost
16

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

General Practice Physician Overview

How PAUL GARFINKLE, M.D. fits within the General Practice Physician landscape nationally.

16,677
General Practice Physician Providers in US
56
States with General Practice Physician
2,872
Avg Claims per Provider

PAUL GARFINKLE, M.D.'s 722 claims are below the specialty average of 2,872.

Nearby General Practice Physician Providers in Ohio

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

Compare General Practice Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is PAUL GARFINKLE, M.D.'s specialty?
PAUL GARFINKLE, M.D. specializes in General Practice Physician and practices in ALLIANCE, Ohio. Credentials: M.D..
How much does PAUL GARFINKLE, M.D. prescribe under Medicare Part D?
In 2023, PAUL GARFINKLE, M.D. wrote 722 Medicare Part D claims totaling $115K in drug costs for 303 beneficiaries.
What is PAUL GARFINKLE, M.D.'s Medicare quality score?
PAUL GARFINKLE, M.D. has a CMS MIPS Final Score of 74.8126/100 (Quality: 100, Cost: 16.042). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is PAUL GARFINKLE, M.D. located?
PAUL GARFINKLE, M.D. is located at 985 S SAWBURG RD, ALLIANCE, OH, 44601. Phone: (330) 823-1680.
What is PAUL GARFINKLE, M.D.'s NPI number?
PAUL GARFINKLE, M.D.'s National Provider Identifier (NPI) is 1144297060, issued on 03/01/2006.
Does PAUL GARFINKLE, M.D. prescribe more brand-name or generic drugs?
PAUL GARFINKLE, M.D.'s prescribing is 36% brand-name and 64% generic drugs by claim count, with $91K in brand drug costs.
How many General Practice Physician providers are there in the US?
There are 16,677 General Practice Physician providers across 56 states in the US. The average General Practice Physician provider writes 2,872 Medicare Part D claims per year.
What drugs does PAUL GARFINKLE, M.D. prescribe most often?
Based on 2023 Medicare Part D data, PAUL GARFINKLE, M.D.'s most frequently prescribed drugs include Ketorolac Tromethamine, Latanoprost, Prednisolone Acetate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does PAUL GARFINKLE, M.D. accept Medicare?
PAUL GARFINKLE, M.D. appears in CMS Medicare data with 722 Part D claims and 303 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify PAUL GARFINKLE, M.D.'s credentials?
PAUL GARFINKLE, M.D.'s NPI is 1144297060 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