2026 NPPES data Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician NPI 1285633321 M.D.
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PETER SCALIA, M.D.

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in WALL, 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
144
Medicare Part D claims · 63 beneficiaries · Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician avg: 128
MIPS score
11.088/100
▼ 72 pts below national avg 83.1 · [object Object]
Industry payments
$133.07
1 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

PETER SCALIA, M.D. reported a CMS MIPS final score of 11.088/100 — below the 83.1 national average — and filed 144 Medicare Part D claims in 2023.

11.088/100
MIPS score · -72 vs avg
144
Part D claims, 2023
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.

PETER SCALIA, M.D.'s MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

11 2nd percentile higher than 2% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). This entry sits in this band. 20–30: 3,069 scored providers (1%). Above this entry. 30–40: 2,746 scored providers (1%). Above this entry. 40–50: 2,928 scored providers (1%). Above this entry. 50–60: 5,882 scored providers (1%). Above this entry. 60–70: 13,906 scored providers (3%). Above this entry. 70–80: 118,074 scored providers (25%). Above this entry. 80–90: 129,887 scored providers (27%). Above this entry. 90–100: 189,403 scored providers (40%). Above this entry. This provider 0 100 every MIPS-scored clinician, bucketed by value

Each bar is a band; taller bars hold more scored 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.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Board certification likely (heuristic — not verified)

PETER SCALIA, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting — 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 PETER SCALIA, M.D.?

Below national average

NPI registry status

Active

Issued 07/20/2005

NPI 1285633321

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Mid-sized

5,062 US NPIs in this specialty

Medicare Part D claims

144 13% vs specialty avg

2023 prescription claims

Specialty avg: 128

MIPS final score

11.088/100 72.012% pts

Penalty band band

vs 83.1 national avg

Specialty distribution in New Jersey

How Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician compares to other specialties among New Jersey providers

New Jersey providers

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician share within New Jersey

1. Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician share within New Jersey

Medicare quality performance — MIPS

PETER SCALIA, M.D.'s 2023 MIPS final score plotted against the Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician national average

Below national average
MIPS Final Score
11.088/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician) — 11.088/100 vs national avg 83.1

0%100%National avg83%11.1%
MIPS final score (Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician) — 11.088/100 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).

PETER SCALIA, M.D. appears in the CMS NPPES registry as a Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician provider holding M.D. credentials at 1540 HWY 138, WALL, NJ, 07719, with a listed phone of (848) 208-2055. NPI 1285633321 was issued on 07/20/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what SCALIA 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 144 prescription claims written by this provider, covering 63 Medicare beneficiaries and totaling roughly $9K in drug spend, with an opioid prescribing rate of 23.6%. 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 11.088/100 for the 2023 performance year (Quality 0, Cost 36.96), compared with the national average of 83.1.

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician is a mid-sized specialty nationwide, with 5,062 enrolled providers across 52 states and an average of 128 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

1540 HWY 138
WALL, NJ 07719

Provider Details

NPI 1285633321
Specialty Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Credentials M.D.
Gender Male
NPI Issued 07/20/2005

CMS Quality Score (MIPS)

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

11.088
Final Score
Avg: 83.1
0
Quality
36.96
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 SCALIA, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$133

Largest payer

Kerecis Limited

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.

144
Total Claims
$9K
Total Drug Cost
63
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
174
Total Day Supply
3,871
Generic Drug Cost
$2K
Opioid Claims
34 (23.6% rate)
Antibiotic Claims
18

Patient Demographics

Average Patient Age
72.5 years
Avg HCC Risk Score
1.76
Gender Split
52% female / 48% male

Top Prescribed Drugs (Medicare Part D)

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

What PETER SCALIA, M.D. prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Oxycodone-Acetaminophen
Oxycodone Hcl/Acetaminophen
21
Pantoprazole Sodium
14
Doxycycline Hyclate
11

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

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Overview

How PETER SCALIA, M.D. fits within the Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician landscape nationally.

5,062
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Providers in US
52
States with Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
128
Avg Claims per Provider

PETER SCALIA, M.D.'s 144 claims are above the specialty average of 128.

Nearby Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Providers in New Jersey

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

Compare Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is PETER SCALIA, M.D.'s specialty?
PETER SCALIA, M.D. specializes in Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician and practices in WALL, New Jersey. Credentials: M.D..
How much does PETER SCALIA, M.D. prescribe under Medicare Part D?
In 2023, PETER SCALIA, M.D. wrote 144 Medicare Part D claims totaling $9K in drug costs for 63 beneficiaries.
What is PETER SCALIA, M.D.'s Medicare quality score?
PETER SCALIA, M.D. has a CMS MIPS Final Score of 11.088/100 (Quality: 0, Cost: 36.96). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is PETER SCALIA, M.D. located?
PETER SCALIA, M.D. is located at 1540 HWY 138, WALL, NJ, 07719. Phone: (848) 208-2055.
What is PETER SCALIA, M.D.'s NPI number?
PETER SCALIA, M.D.'s National Provider Identifier (NPI) is 1285633321, issued on 07/20/2005.
Does PETER SCALIA, M.D. prescribe opioids?
Yes, PETER SCALIA, M.D. had 34 opioid claims in 2023 with an opioid prescribing rate of 23.6%.
How many Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician providers are there in the US?
There are 5,062 Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician providers across 52 states in the US. The average Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician provider writes 128 Medicare Part D claims per year.
What drugs does PETER SCALIA, M.D. prescribe most often?
Based on 2023 Medicare Part D data, PETER SCALIA, M.D.'s most frequently prescribed drugs include Oxycodone-Acetaminophen, Pantoprazole Sodium, Doxycycline Hyclate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does PETER SCALIA, M.D. accept Medicare?
PETER SCALIA, M.D. appears in CMS Medicare data with 144 Part D claims and 63 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify PETER SCALIA, M.D.'s credentials?
PETER SCALIA, M.D.'s NPI is 1285633321 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