NPI registry status
Active
2026 NPPES data Sports Medicine (Physical Medicine & Rehabilitation) Physician NPI 1164877064 M.D.
Verify on CMS → Peter Tumminelli, M.D.
Sports Medicine (Physical Medicine & Rehabilitation) Physician in Newark, 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 1,270 in Sports Medicine (Physical Medicine & Rehabilitation) 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
110
Medicare Part D claims · 52 beneficiaries · Sports Medicine (Physical Medicine & Rehabilitation) Physician avg: 579
MIPS score
73.3/100
▼ 10 pts below national avg 83.1 · Mid-tier
Industry payments
$20.93
1 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Peter Tumminelli, M.D. reported a CMS MIPS final score of 73.3/100 - below the 83.1 national average - and filed 110 Medicare Part D claims in 2023.
- 73.3/100
- MIPS score · -10 vs avg
- 110
- 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 Tumminelli, 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
73 11th percentile higher than 11% of 477,587 scored providers
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
Where Peter Tumminelli, M.D. sits
This provider among sports medicine (physical medicine & rehabilitation) physician peers
Across the 148 sports medicine (physical medicine & rehabilitation) physician providers who report both Medicare Part D prescribing and a MIPS quality score, Peter Tumminelli, M.D. writes more Part D claims than 27% of them and scores higher on MIPS quality than 12% - placing this provider in the lower-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Part D claim volume vs MIPS quality, by specialty percentile
Each dot is one sports medicine (physical medicine & rehabilitation) physician peer from a representative sample of 60; the gold marker is Peter Tumminelli, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Peter Tumminelli, 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 Peter Tumminelli, M.D.?
Below national averagePrimary specialty
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Medicare Part D claims
110 81% vs specialty avg
MIPS final score
73.3/100 9.8 pts vs avg
Specialty distribution in New Jersey
How Sports Medicine (Physical Medicine & Rehabilitation) Physician compares to other specialties among New Jersey providers
Medicare quality performance, MIPS
Peter Tumminelli, M.D.'s 2023 MIPS final score plotted against the Sports Medicine (Physical Medicine & Rehabilitation) Physician national average
- MIPS Final Score
- 73.3/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Sports Medicine (Physical Medicine & Rehabilitation) Physician) - 73.3/100 vs national avg 83.1
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).
Peter Tumminelli, M.D. appears in the CMS NPPES registry as a Sports Medicine (Physical Medicine & Rehabilitation) Physician provider holding M.D. credentials at 90 BERGEN ST, Newark, NJ, 07103, with a listed phone of (973) 972-2800. NPI 1164877064 was issued on 04/28/2016.
Medicare Part D records for calendar year 2023 show 110 prescription claims written by this provider, covering 52 Medicare beneficiaries and totaling roughly $2K in drug spend. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 73.3/100 for the 2023 performance year (Quality 44.9, Cost 47.7), compared with the national average of 83.1.
Sports Medicine (Physical Medicine & Rehabilitation) Physician is a narrow specialty nationwide, with 1,270 enrolled providers across 52 states and an average of 579 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 | 1164877064 |
|---|---|
| Specialty | Sports Medicine (Physical Medicine & Rehabilitation) Physician |
| Credentials | M.D. |
| Gender | Male |
| NPI Issued | 04/28/2016 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
73.2773
Final Score
Avg: 83.1
44.8928
Quality
47.6995
Cost
83
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where Peter Tumminelli, 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.
University Physician Associates OF New Jersey Inc
Newark, 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).
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 Tumminelli, M.D.. Source: openpaymentsdata.cms.gov.
Total received
$21
Largest payer
Ferring 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.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
110
Total Claims
$2K
Total Drug Cost
52
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 128
- Total Day Supply
- 3,354
- Brand Drug Cost
- $0
- Generic Drug Cost
- $2K
Patient Demographics
- Average Patient Age
- 71.3 years
- Avg HCC Risk Score
- 1.31
- Gender Split
- 75% female / 25% 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 Tumminelli, M.D. prescribes most
Top Medicare Part D drugs by claim count, 2023
- Duloxetine Hcl
Duloxetine Hcl
42 claims
- Gabapentin
Gabapentin
22 claims
- Naproxen 15
Naproxen
15 claims
| Drug | Claims |
|---|---|
| Duloxetine Hcl | 42 |
| Gabapentin | 22 |
| Naproxen | 15 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
More Sports Medicine (Physical Medicine & Rehabilitation) Physician in NJ →
All providers in New Jersey →
Compare specialties →
Sports Medicine (Physical Medicine & Rehabilitation) Physician Overview
How Peter Tumminelli, M.D. fits within the Sports Medicine (Physical Medicine & Rehabilitation) Physician landscape nationally.
1,270
Sports Medicine (Physical Medicine & Rehabilitation) Physician Providers in US
52
States with Sports Medicine (Physical Medicine & Rehabilitation) Physician
579
Avg Claims per Provider
Peter Tumminelli, M.D.'s 110 claims are below the specialty average of 579.
Nearby Sports Medicine (Physical Medicine & Rehabilitation) Physician Providers in New Jersey
Other clinicians with the same primary specialty enrolled in New Jersey, drawn from the same CMS NPPES roster as Tumminelli.
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 Sports Medicine (Physical Medicine & Rehabilitation) 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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Medical Specialties Explained
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Frequently Asked Questions
What is Peter Tumminelli, M.D.'s specialty? ▼
Peter Tumminelli, M.D. specializes in Sports Medicine (Physical Medicine & Rehabilitation) Physician and practices in Newark, New Jersey. Credentials: M.D..
How much does Peter Tumminelli, M.D. prescribe under Medicare Part D? ▼
In 2023, Peter Tumminelli, M.D. wrote 110 Medicare Part D claims totaling $2K in drug costs for 52 beneficiaries.
What is Peter Tumminelli, M.D.'s Medicare quality score? ▼
Peter Tumminelli, M.D. has a CMS MIPS Final Score of 73.3/100 (Quality: 44.9, Cost: 47.7). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Peter Tumminelli, M.D. located? ▼
Peter Tumminelli, M.D. is located at 90 BERGEN ST, Newark, NJ, 07103. Phone: (973) 972-2800.
What is Peter Tumminelli, M.D.'s NPI number? ▼
Peter Tumminelli, M.D.'s National Provider Identifier (NPI) is 1164877064, issued on 04/28/2016.
How many Sports Medicine (Physical Medicine & Rehabilitation) Physician providers are there in the US? ▼
There are 1,270 Sports Medicine (Physical Medicine & Rehabilitation) Physician providers across 52 states in the US. The average Sports Medicine (Physical Medicine & Rehabilitation) Physician provider writes 579 Medicare Part D claims per year.
What drugs does Peter Tumminelli, M.D. prescribe most often? ▼
Based on 2023 Medicare Part D data, Peter Tumminelli, M.D.'s most frequently prescribed drugs include Duloxetine Hcl, Gabapentin, Naproxen. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Peter Tumminelli, M.D. accept Medicare? ▼
Peter Tumminelli, M.D. appears in CMS Medicare data with 110 Part D claims and 52 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Peter Tumminelli, M.D.'s credentials? ▼
Peter Tumminelli, M.D.'s NPI is 1164877064 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 (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
Compiled from official public sources by the PlainDoctor editorial team.
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.