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2026 NPPES data Specialist NPI 1164467197 M.D.
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Peter Rubin, M.D.

Specialist in New York, New York.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 69,567 in Specialist, 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
3K
Medicare Part D claims · 341 beneficiaries · Specialist avg: 2K
Generic prescribing
82%
generic claims · 18% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
17.9/100
▼ 66 pts below national avg 83.5 · Penalty band
Industry payments
$3.1K
126 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

Peter Rubin, M.D. reported a CMS MIPS final score of 17.9/100 - below the 83.5 national average - and filed 2,537 Medicare Part D claims in 2024.

17.9/100
MIPS score · -66 vs avg
3K
Part D claims, 2024
82%
generic prescribing
$3.1K
industry payments (Sunshine Act)

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 Peter Rubin, 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 1164467197), first enumerated 06/16/2006.

    Source: CMS NPPES

  • Reported

    Medicare Part D participation

    Filed 2,537 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 17.9/100 in the Quality Payment Program — a federal quality measure, not a patient review.

    Source: CMS Quality Payment Program

  • Reported

    Industry payment transparency

    $3.1K in reported industry payments (126 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.

    Source: CMS Open Payments

  • State context

    State board disciplinary context

    New York statewide board action statistics are published annually — these figures describe aggregate state activity, not Peter Rubin, M.D.'s individual license status. Verify directly with the state medical board.

    Source: NYSBPMC annual report 2023

  • 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 1164467197 · Specialist

NPI-10 · ENUM-LEGACY · TAX-MEGA · MIPS-LOW · RX-MID · BOOK-MID · PHOTO-FINISH

  • NPI-10 1164467197
  • ENUM-LEGACY 2006
  • TAX-MEGA 70K Specialist
  • MIPS-LOW 17.9/100
  • RX-MID 2,537
  • BOOK-MID 23,149 in New York
  • PHOTO-FINISH David Worman · ±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

Peter Rubin, 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.

18 ≥ 2nd percentile 2% 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%). This entry sits in this band. 20–30: 3,069 measured providers (1%). Above this entry. 30–40: 2,746 measured providers (1%). Above this entry. 40–50: 2,928 measured providers (1%). Above this entry. 50–60: 5,882 measured providers (1%). Above this entry. 60–70: 13,906 measured providers (3%). Above this entry. 70–80: 94,570 measured providers (21%). Above this entry. 80–90: 129,887 measured providers (29%). Above this entry. 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 Peter Rubin, M.D. sits

This provider among specialist peers

Across the 4,261 specialist providers who report both Medicare Part D prescribing and a MIPS quality score, Peter Rubin, M.D. writes more Part D claims than 77% of them and scores higher on MIPS quality than 10% - 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 quality0255075100024.148.372.496.6Part D claim volume, percentile in specialtyMIPS quality, percentilePoint, Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 38Point, Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 90Point, Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 27Point, Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 25Point, Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 82Point, Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 80Point, Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 63Point, Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 78Point, Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 58Point, Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 48Point, Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 68Point, Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 23Point, Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 53Point, Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 35Point, Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 70Point, Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 40Point, Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 52Point, Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 8Point, Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 22Point, Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 32Point, Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 67Point, Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 13Point, Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 18Point, Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 42Point, Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 15Point, Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 88Point, Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 45Point, Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 37Point, Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 75Point, Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 33Point, Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 43Point, Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 47Point, Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 57Point, Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 10Point, Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 83Point, Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 28Point, Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 60Point, Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 87Point, Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 72Point, Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 73Point, Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 50Point, Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 30Point, Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 17Point, Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 55Point, Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 65Point, Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 77Point, Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 62Point, Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 7Point, Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 20Point, Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 0Peter Rubin, M.D., Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 10
Part D claim volume vs MIPS quality, by specialty percentile

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

What does the federal data show about Peter Rubin, M.D.?

Below national average

NPI registry status

Active

Issued 06/16/2006

NPI 1164467197

Primary specialty

Specialist

High-volume

69,567 US NPIs in this specialty

Medicare Part D claims

2,537 66% vs specialty avg

2024 prescription claims

Specialty avg: 1,524

MIPS final score

17.9/100 65.6 pts vs avg

Penalty band band

vs 83.5 national avg

Specialty distribution in New York

How Specialist compares to other specialties among New York providers

New York providers
Student in an Organized Heal…8%Registered Nurse5.2%Clinical Social Worker4.9%Social Worker4.5%Speech-Language Pathologist4.5%Licensed Practical Nurse4.3%Specialist4.2%
Largest specialties in New York (% of in-state providers)

Medicare quality performance, MIPS

Peter Rubin, M.D.'s 2023 MIPS final score plotted against the Specialist national average

Below national average
MIPS Final Score
17.9/100
vs 83.5 national avg · 2023 performance year
0%100%National avg84%17.9%
MIPS final score (Specialist) - 17.9/100 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

920 PARK AVE
New York, NY 10028
(212) 535-3400

Provider Details

NPI 1164467197
Specialty Specialist
Credentials M.D.
Gender Male
NPI Issued 06/16/2006

CMS Quality Score (MIPS)

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

17.8671
Final Score
Measured-score avg: 83.5
0
Quality
59.5569
Cost

Reporting: Individual

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 Peter Rubin, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$3.1K

Largest payer

ABBVIE 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 - New York NYSBPMC 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 ~100K New York medical licensees in 2023 - they are NOT specific to Peter Rubin, M.D.. To verify Peter Rubin, M.D.'s current license status, search the NYSBPMC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

312
Total board actions, New York 2023
Across 302 cases
3.12
Actions per 1,000 licensees
New York statewide rate
probation
Most common action type
89 cases

NYSBPMC 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 New York disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

Peter Rubin, M.D. - brand share 18.0%
Specialist average

18% brand-name claims vs 82% generic, on 2,537 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.

2,537
Total Claims
$974K
Total Drug Cost
341
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
4,652.767
Total Day Supply
131,527
Brand vs Generic
18% brand / 82% generic
Brand Drug Cost
$902K
Generic Drug Cost
$68K
Opioid Claims
36 (1.4% rate)
Antibiotic Claims
125

Patient Demographics

Average Patient Age
79.1 years
Avg HCC Risk Score
1.24
Gender Split
62% female / 38% male

Top Prescribed Drugs (Medicare Part D)

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

What Peter Rubin, 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
Atorvastatin Calcium
 163
Dicyclomine Hcl
 96
Metoprolol Succinate
 85
Rosuvastatin Calcium
 84
Clenpiq
Sod Picosulf/Mag Ox/Citric Ac
79
Famotidine
 69
Omeprazole
 68
Pantoprazole Sodium
 68
Amlodipine Besylate
 67
Levothyroxine Sodium
 66

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

More Specialist in NY → All providers in New York → Compare specialties →

Specialist Overview

How Peter Rubin, M.D. fits within the Specialist landscape nationally.

69,567
Specialist Providers in US
55
States with Specialist
1,524
Avg Claims per Provider

Peter Rubin, M.D.'s 2,537 claims are above the specialty average of 1,524.

Nationwide Specialist peers with similar MIPS or enrollment year

Two federal-record peer sets for Rubin, both outside New York so the neighborhoods are not geographic containment.

Similar MIPS final score

Nearest same-specialty clinicians by CMS MIPS final score (17.9 here).

David Worman 17.9 MA John Covalesky 17.8 NJ Pauline Ho 18 CA Michael Duval 17.8 LA

Same NPPES enumeration year (2006)

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

Mubadda Salim Baltimore, MD James Smith Macon, GA Brian Behlau Sewell, NJ Abdul-Masih Farha Houston, TX

Nearby Specialist Providers in New York

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

One of 23,149 Specialist providers enrolled in New York, 5 are shown here.

Caroline A Borum
Oswego, NY
Kerry Aaron
Fairport, NY
Bracha Aaronson
SPECIAL EDUCATOR
Brooklyn, NY
Gayle Aaronson
SPECIALIST
New York, NY
Kerly Abad Avila
New York, NY

Compare Specialist nationally: see state-by-state distribution →

Frequently Asked Questions

What is Peter Rubin, M.D.'s specialty? ▼
Peter Rubin, M.D. specializes in Specialist and practices in New York, New York. Credentials: M.D..
How much does Peter Rubin, M.D. prescribe under Medicare Part D? ▼
In 2024, Peter Rubin, M.D. wrote 2,537 Medicare Part D claims totaling $974K in drug costs for 341 beneficiaries.
What is Peter Rubin, M.D.'s Medicare quality score? ▼
Peter Rubin, M.D. has a CMS MIPS Final Score of 17.9/100 (Quality: 0, 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 Peter Rubin, M.D. located? ▼
Peter Rubin, M.D. is located at 920 PARK AVE, New York, NY, 10028. Phone: (212) 535-3400.
What is Peter Rubin, M.D.'s NPI number? ▼
Peter Rubin, M.D.'s National Provider Identifier (NPI) is 1164467197, issued on 06/16/2006.
Does Peter Rubin, M.D. prescribe more brand-name or generic drugs? ▼
Peter Rubin, M.D.'s prescribing is 18% brand-name and 82% generic drugs by claim count, with $902K in brand drug costs.
Does Peter Rubin, M.D. prescribe opioids? ▼
Yes, Peter Rubin, M.D. had 36 opioid claims in 2024 with an opioid prescribing rate of 1.4%.
How many Specialist providers are there in the US? ▼
There are 69,567 Specialist providers across 55 states in the US. The average Specialist provider writes 1,524 Medicare Part D claims per year.
What drugs does Peter Rubin, M.D. prescribe most often? ▼
Based on 2024 Medicare Part D data, Peter Rubin, M.D.'s most frequently prescribed drugs include Atorvastatin Calcium, Dicyclomine Hcl, Metoprolol Succinate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Peter Rubin, M.D. accept Medicare? ▼
Peter Rubin, M.D. appears in CMS Medicare data with 2,537 Part D claims and 341 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Peter Rubin, M.D.'s credentials? ▼
Peter Rubin, M.D.'s NPI is 1164467197 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.