2026 NPPES data Sports Medicine (Physical Medicine & Rehabilitation) Physician NPI 1164877064 M.D.
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PETER TUMMINELLI, M.D.

Sports Medicine (Physical Medicine & Rehabilitation) Physician in NEWARK, 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
110
Medicare Part D claims · 52 beneficiaries · Sports Medicine (Physical Medicine & Rehabilitation) Physician avg: 579
MIPS score
73.2773/100
▼ 10 pts below national avg 83.1 · [object Object]
Industry payments
$20.93
1 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

PETER TUMMINELLI, M.D. reported a CMS MIPS final score of 73.2773/100 — below the 83.1 national average — and filed 110 Medicare Part D claims in 2023.

73.2773/100
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

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). This entry sits in this band. 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 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 average

NPI registry status

Active

Issued 04/28/2016

NPI 1164877064

Primary specialty

Sports Medicine (Physical Medicine & Rehabilitation) Physician

Niche

1,267 US NPIs in this specialty

Medicare Part D claims

110 81% vs specialty avg

2023 prescription claims

Specialty avg: 579

MIPS final score

73.2773/100 9.822699999999998% pts

Mid-tier band

vs 83.1 national avg

Specialty distribution in New Jersey

How Sports Medicine (Physical Medicine & Rehabilitation) Physician compares to other specialties among New Jersey providers

New Jersey providers

Sports Medicine (Physical Medicine & Rehabilitation) Physician share within New Jersey

1. Sports Medicine (Physical Medicine & Rehabilitation) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Sports Medicine (Physical Medicine & Rehabilitation) Physician share within New Jersey

Medicare quality performance — MIPS

PETER TUMMINELLI, M.D.'s 2023 MIPS final score plotted against the Sports Medicine (Physical Medicine & Rehabilitation) Physician national average

Below national average
MIPS Final Score
73.2773/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Sports Medicine (Physical Medicine & Rehabilitation) Physician) — 73.2773/100 vs national avg 83.1

0%100%National avg83%73.3%
MIPS final score (Sports Medicine (Physical Medicine & Rehabilitation) Physician) — 73.2773/100 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 TUMMINELLI, M.D. is a Sports Medicine (Physical Medicine & Rehabilitation) Physician provider practicing in NEWARK, New Jersey, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1164877064. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

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. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what TUMMINELLI 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 110 prescription claims written by this provider, covering 52 Medicare beneficiaries and totaling roughly $2K in drug spend. 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 73.2773/100 for the 2023 performance year (Quality 44.8928, Cost 47.6995), compared with the national average of 83.1.

Sports Medicine (Physical Medicine & Rehabilitation) Physician is a narrow specialty nationwide, with 1,267 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

90 BERGEN ST
NEWARK, NJ 07103

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.

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.

Sports Medicine (Physical Medicine & Rehabilitation) Physician Overview

How PETER TUMMINELLI, M.D. fits within the Sports Medicine (Physical Medicine & Rehabilitation) Physician landscape nationally.

1,267
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.

Compare Sports Medicine (Physical Medicine & Rehabilitation) Physician nationally: see state-by-state distribution →

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 73.2773/100 (Quality: 44.8928, Cost: 47.6995). 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 1,267 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

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