NPI registry status
Active
2026 NPPES data Emergency Medicine Physician NPI 1265845473 D.O.
Verify on CMS → Paul Girardi, D.O.
Emergency Medicine Physician in Berkeley Heights, New Jersey.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 64,463 in Emergency Medicine 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
963
Medicare Part D claims · 194 beneficiaries · Emergency Medicine Physician avg: 352
What the federal data shows
Paul Girardi, D.O. filed 963 Medicare Part D claims in 2023 as an Emergency Medicine Physician in Berkeley Heights, New Jersey.
- 963
- Part D claims, 2023
- Likely
- board-certified (heuristic)
- ≥75th
- pct by Part D claim volume (lower-bound band)
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.
Paul Girardi, D.O.'s Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023, across all CMS prescribers nationally
963 ≥ 75th percentile 75% of 1,370,886 prescribers are in lower value bands
Each bar is a band; taller bars hold more prescribers. 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 100-claim band: it counts only prescribers in lower claim-volume bands. Medicare Part D claim volume is activity context, not a quality measure or recommendation. See methodology § corpus placement.
Source CMS Medicare Part D Prescriber Public Use File · 2023
✓
Board certification likely (heuristic, not verified)
Paul Girardi, D.O. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 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 Paul Girardi, D.O.?
Quality data not reportedPrimary specialty
Emergency Medicine Physician
Medicare Part D claims
963 174% vs specialty avg
Specialty distribution in New Jersey
How Emergency Medicine Physician compares to other specialties among New Jersey providers
Board certification
Not published by CMS
CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Emergency Medicine Physician. Verify directly:
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).
Paul Girardi, D.O. appears in the CMS NPPES registry as an Emergency Medicine Physician provider holding D.O. credentials at 1 DIAMOND HILL RD, Berkeley Heights, NJ, 07922, with a listed phone of (908) 277-8625. NPI 1265845473 was issued on 06/05/2014.
Medicare Part D records for calendar year 2023 show 963 prescription claims written by this provider, covering 194 Medicare beneficiaries and totaling roughly $46K in drug spend.
Emergency Medicine Physician is a high-volume specialty nationwide, with 64,463 enrolled providers across 56 states and an average of 352 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
Provider Details
| NPI | 1265845473 |
|---|---|
| Specialty | Emergency Medicine Physician |
| Credentials | D.O. |
| Gender | Male |
| NPI Issued | 06/05/2014 |
Hospital and facility affiliations
Facilities where Paul Girardi, D.O. 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.
Summit Medical Group PA
Berkeley Heights, 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).
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
963
Total Claims
$46K
Total Drug Cost
194
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 2,065
- Total Day Supply
- 59,832
- Generic Drug Cost
- $16K
- Antibiotic Claims
- 41
Patient Demographics
- Average Patient Age
- 74.7 years
- Avg HCC Risk Score
- 1.25
- Gender Split
- 44% female / 56% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Paul Girardi, D.O. prescribes most
Top Medicare Part D drugs by claim count, 2023
- Atorvastatin Calcium
Atorvastatin Calcium
79 claims
- Rosuvastatin Calcium
Rosuvastatin Calcium
69 claims
- Amlodipine Besylate
Amlodipine Besylate
48 claims
- Lisinopril
Lisinopril
38 claims
- Losartan Potassium
Losartan Potassium
36 claims
- Metformin Hcl Er 30
Metformin Hcl Er
30 claims
- Metformin Hcl 26
Metformin Hcl
26 claims
- Escitalopram Oxalate 25
Escitalopram Oxalate
25 claims
| Drug | Claims |
|---|---|
| Atorvastatin Calcium | 79 |
| Rosuvastatin Calcium | 69 |
| Amlodipine Besylate | 48 |
| Lisinopril | 38 |
| Losartan Potassium | 36 |
| Metformin Hcl Er Metformin Hcl | 30 |
| Metformin Hcl | 26 |
| Escitalopram Oxalate | 25 |
| Levothyroxine Sodium | 25 |
| Hydrochlorothiazide | 24 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Emergency Medicine Physician Overview
How Paul Girardi, D.O. fits within the Emergency Medicine Physician landscape nationally.
64,463
Emergency Medicine Physician Providers in US
56
States with Emergency Medicine Physician
352
Avg Claims per Provider
Paul Girardi, D.O.'s 963 claims are above the specialty average of 352.
Nearby Emergency Medicine Physician Providers in New Jersey
Other clinicians with the same primary specialty enrolled in New Jersey, drawn from the same CMS NPPES roster as Girardi.
Dr. Tareef Abbasi
MD
Clifton, NJ
Dr. Mohammad Abboud
MD
Hackensack, NJ
Dr. Moheb Abdelmalek
MD
Perth Amboy, NJ
Dr. Ibrahim Abdullah
M.D.
Willingboro, NJ
Dr. Kate Aberger
MD
Paterson, NJ
Compare Emergency Medicine Physician nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the New Jersey medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Emergency Medicine Physician peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
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Frequently Asked Questions
What is Paul Girardi, D.O.'s specialty? ▼
Paul Girardi, D.O. specializes in Emergency Medicine Physician and practices in Berkeley Heights, New Jersey. Credentials: D.O..
How much does Paul Girardi, D.O. prescribe under Medicare Part D? ▼
In 2023, Paul Girardi, D.O. wrote 963 Medicare Part D claims totaling $46K in drug costs for 194 beneficiaries.
Where is Paul Girardi, D.O. located? ▼
Paul Girardi, D.O. is located at 1 DIAMOND HILL RD, Berkeley Heights, NJ, 07922. Phone: (908) 277-8625.
What is Paul Girardi, D.O.'s NPI number? ▼
Paul Girardi, D.O.'s National Provider Identifier (NPI) is 1265845473, issued on 06/05/2014.
How many Emergency Medicine Physician providers are there in the US? ▼
There are 64,463 Emergency Medicine Physician providers across 56 states in the US. The average Emergency Medicine Physician provider writes 352 Medicare Part D claims per year.
What drugs does Paul Girardi, D.O. prescribe most often? ▼
Based on 2023 Medicare Part D data, Paul Girardi, D.O.'s most frequently prescribed drugs include Atorvastatin Calcium, Rosuvastatin Calcium, Amlodipine Besylate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Paul Girardi, D.O. accept Medicare? ▼
Paul Girardi, D.O. appears in CMS Medicare data with 963 Part D claims and 194 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Paul Girardi, D.O.'s credentials? ▼
Paul Girardi, D.O.'s NPI is 1265845473 with credentials D.O.. 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 (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
- 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
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 May 2026.