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2026 NPPES data Urology Physician NPI 1598919045 M.D.
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Paul Pyo, M.D.

Urology Physician in Meriden, Connecticut.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 13,606 in Urology 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
6K
Medicare Part D claims · 1K beneficiaries · Urology Physician avg: 1K
Generic prescribing
90%
generic claims · 10% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
84.5/100
▲ 1 pts above national avg 83.5 · Above neutral
Industry payments
$417.29
14 payments · CMS Open Payments (Sunshine Act)
Verify NPI on CMS Methodology
Compiled from official public sources by the editorial process.

What the federal data shows

Paul Pyo, M.D. reported a CMS MIPS final score of 84.5/100 - above the 83.5 national average - and filed 6,247 Medicare Part D claims in 2024.

84.5/100
MIPS score · +1 vs avg
6K
Part D claims, 2024
90%
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 Paul Pyo, M.D.

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 1598919045), first enumerated 11/11/2008.

    Source: CMS NPPES

  • Reported

    Medicare Part D participation

    Filed 6,247 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 84.5/100 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.

    Source: NUCC taxonomy + CMS participation heuristic

  • 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

    $417.29 in reported industry payments (14 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.

    Source: CMS Open Payments

  • 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 1598919045 · Urology Physician

NPI-10 · ENUM-MID · TAX-MID · MIPS-INLINE · RX-MID · BOOK-THIN · PHOTO-FINISH

  • NPI-10 1598919045
  • ENUM-MID 2008
  • TAX-MID 14K Urology Physician
  • MIPS-INLINE 84.5/100
  • RX-MID 6,247
  • BOOK-THIN 166 in Connecticut
  • PHOTO-FINISH David Ahlborn, MD · ±0.0

MIPS final-score neighbourhood

Same-specialty nationwide peers by CMS final score, not geographic proximity

MIPS pts

What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).

Source CMS Quality Payment Program (MIPS) As of 2023

Paul Pyo, M.D.'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.

85 ≥ 42nd percentile 42% of 454,083 measured providers are in lower value bands

0–10: 8,684 measured providers (2%). Below this entry. 10–20: 3,008 measured providers (1%). Below this entry. 20–30: 3,069 measured providers (1%). Below this entry. 30–40: 2,746 measured providers (1%). Below this entry. 40–50: 2,928 measured providers (1%). Below this entry. 50–60: 5,882 measured providers (1%). Below this entry. 60–70: 13,906 measured providers (3%). Below this entry. 70–80: 94,570 measured providers (21%). Below this entry. 80–90: 129,887 measured providers (29%). This entry sits in this band. 90+: 189,403 measured providers (42%). Above this entry. This provider 0 100 every measured MIPS clinician, bucketed by value

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 Paul Pyo, M.D. sits

This provider among urology physician peers

Across the 4,091 urology physician providers who report both Medicare Part D prescribing and a MIPS quality score, Paul Pyo, M.D. writes more Part D claims than 99% of them and scores higher on MIPS quality than 41% - placing this provider in the high-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality0255075100024.949.974.899.8Part D claim volume, percentile in specialtyMIPS quality, percentilePoint, Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 82Point, Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 73Point, Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 40Point, Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 52Point, Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 47Point, Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 57Point, Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 95Point, Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 38Point, Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 30Point, Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 72Point, Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 43Point, Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 3Point, Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 93Point, Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 80Point, Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 18Point, Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 23Point, Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 82Point, Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 28Point, Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 8Point, Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 95Point, Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 63Point, Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 67Point, Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 22Point, Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 50Point, Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 17Point, Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 27Point, Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 90Point, Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 15Point, Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 68Point, Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 95Point, Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 12Point, Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 5Point, Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 30Point, Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 58Point, Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 20Point, Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 55Point, Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 48Point, Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 13Point, Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 10Point, Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 62Point, Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 35Point, Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 75Point, Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 70Point, Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 65Point, Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 78Point, Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 77Point, Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 88Point, Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 82Point, Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 90Point, Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 2Point, Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 95Point, Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 33Point, Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 82Point, Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 37Point, Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 42Point, Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 52Point, Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 60Point, Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 25Point, Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 7Paul Pyo, M.D., Part D claim volume, percentile in specialty: 99 · MIPS quality, percentile: 41
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one urology physician peer from a representative sample of 60; the gold marker is Paul Pyo, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

✓
Board certification likely (heuristic, not verified)

Paul Pyo, 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).

What does the federal data show about Paul Pyo, M.D.?

Near national average

NPI registry status

Active

Issued 11/11/2008

NPI 1598919045

Primary specialty

Urology Physician

Mid-sized

13,606 US NPIs in this specialty

Medicare Part D claims

6,247 361% vs specialty avg

2024 prescription claims

Specialty avg: 1,354

MIPS final score

84.5/100 1 pts vs avg

Above neutral band

vs 83.5 national avg

Specialty distribution in Connecticut

How Urology Physician compares to other specialties among Connecticut providers

Connecticut providers
Clinical Social Worker8.4%Student in an Organized Heal…7.9%Physical Therapist4.2%Pharmacist3.9%Internal Medicine Physician3.4%Mental Health Counselor3.2%Urology Physician0.2%
Largest specialties in Connecticut (% of in-state providers)

Medicare quality performance, MIPS

Paul Pyo, M.D.'s 2023 MIPS final score plotted against the Urology Physician national average

Near national average
MIPS Final Score
84.5/100
vs 83.5 national avg · 2023 performance year
0%100%National avg84%84.5%
MIPS final score (Urology Physician) - 84.5/100 vs national avg 83.5
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

455 LEWIS AVE
Meriden, CT 06451
(203) 238-1241

Provider Details

NPI 1598919045
Specialty Urology Physician
Credentials M.D.
Gender Male
NPI Issued 11/11/2008

CMS Quality Score (MIPS)

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

84.4788
Final Score
Measured-score avg: 83.5
79.2865
Quality
59.5997
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where Paul Pyo, 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.

Hartford Healthcare Medical Group Specialists PLLC
Meriden, 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 Pyo, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$417

Largest payer

Astellas Pharma US 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.

Brand vs generic prescribing mix · Typical

Paul Pyo, M.D. - brand share 10.0%
Urology Physician average

10% brand-name claims vs 90% generic, on 6,247 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.

6,247
Total Claims
$614K
Total Drug Cost
1,235
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
13,348.367
Total Day Supply
385,969
Brand vs Generic
10% brand / 90% generic
Brand Drug Cost
$483K
Generic Drug Cost
$131K
Opioid Claims
54 (0.9% rate)
Antibiotic Claims
519

Patient Demographics

Average Patient Age
74.9 years
Avg HCC Risk Score
1.47
Gender Split
15% female / 85% male
Age Distribution
<65: 95, 65-74: 496, 75-84: 487, 85+: 157

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.

What Paul Pyo, M.D. prescribes most

Top Medicare Part D drugs by claim count, 2024

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2024
Drug Claims
Tamsulosin Hcl
 1,970
Finasteride
 1,308
Alfuzosin Hcl Er
Alfuzosin Hcl
466
Oxybutynin Chloride Er
Oxybutynin Chloride
332
Myrbetriq
Mirabegron
285
Gemtesa
Vibegron
282
Methenamine Hippurate
 181
Sulfamethoxazole-Trimethoprim
Sulfamethoxazole/Trimethoprim
116
Nitrofurantoin Mono-Macro
Nitrofurantoin Monohyd/M-Cryst
112
Levofloxacin
 86

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

More Urology Physician in CT → All providers in Connecticut → Compare specialties →

Urology Physician Overview

How Paul Pyo, M.D. fits within the Urology Physician landscape nationally.

13,606
Urology Physician Providers in US
54
States with Urology Physician
1,354
Avg Claims per Provider

Paul Pyo, M.D.'s 6,247 claims are above the specialty average of 1,354.

Nationwide Urology Physician peers with similar MIPS or enrollment year

Two federal-record peer sets for Pyo, both outside Connecticut so the neighborhoods are not geographic containment.

Similar MIPS final score

Nearest same-specialty clinicians by CMS MIPS final score (84.5 here).

David Ahlborn 84.5 NJ Jeffrey Ranta 84.5 PA Brandon Stahl 84.5 ME Shervin Badkhshan 84.5 NY

Same NPPES enumeration year (2008)

Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.

Benjamin Montgomery Lovington, NM Hao Nguyen Sacramento, CA Nora Kern Charlottesville, VA Cesar Ercole Tampa, FL

Nearby Urology Physician Providers in Connecticut

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

One of 166 Urology Physician providers enrolled in Connecticut, 5 are shown here.

Dr. Syed Alam
MD
New Haven, CT
Dr. Peter Albertsen
M.D.
Farmington, CT
Dr. Catherine Alonzo
M.D.
Greenwich, CT
Dr. Rudy Andriani
MD
Stamford, CT
Dr. Joseph Antoci
M. D.
Middlebury, CT

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

Frequently Asked Questions

What is Paul Pyo, M.D.'s specialty? ▼
Paul Pyo, M.D. specializes in Urology Physician and practices in Meriden, Connecticut. Credentials: M.D..
How much does Paul Pyo, M.D. prescribe under Medicare Part D? ▼
In 2024, Paul Pyo, M.D. wrote 6,247 Medicare Part D claims totaling $614K in drug costs for 1,235 beneficiaries.
What is Paul Pyo, M.D.'s Medicare quality score? ▼
Paul Pyo, M.D. has a CMS MIPS Final Score of 84.5/100 (Quality: 79.3, Cost: 59.6). 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 Paul Pyo, M.D. located? ▼
Paul Pyo, M.D. is located at 455 LEWIS AVE, Meriden, CT, 06451. Phone: (203) 238-1241.
What is Paul Pyo, M.D.'s NPI number? ▼
Paul Pyo, M.D.'s National Provider Identifier (NPI) is 1598919045, issued on 11/11/2008.
Does Paul Pyo, M.D. prescribe more brand-name or generic drugs? ▼
Paul Pyo, M.D.'s prescribing is 10% brand-name and 90% generic drugs by claim count, with $483K in brand drug costs.
Does Paul Pyo, M.D. prescribe opioids? ▼
Yes, Paul Pyo, M.D. had 54 opioid claims in 2024 with an opioid prescribing rate of 0.9%.
How many Urology Physician providers are there in the US? ▼
There are 13,606 Urology Physician providers across 54 states in the US. The average Urology Physician provider writes 1,354 Medicare Part D claims per year.
What drugs does Paul Pyo, M.D. prescribe most often? ▼
Based on 2024 Medicare Part D data, Paul Pyo, M.D.'s most frequently prescribed drugs include Tamsulosin Hcl, Finasteride, Alfuzosin Hcl Er. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Paul Pyo, M.D. accept Medicare? ▼
Paul Pyo, M.D. appears in CMS Medicare data with 6,247 Part D claims and 1,235 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Paul Pyo, M.D.'s credentials? ▼
Paul Pyo, M.D.'s NPI is 1598919045 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

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

Compiled from official public sources by the editorial process.

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.