2026 NPPES data Psychiatry Physician NPI 1851461198 M.D.
Verify on CMS →

Philip Bialer, M.D.

Psychiatry Physician 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 53,104 in Psychiatry 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
541
Medicare Part D claims · 64 beneficiaries · Psychiatry Physician avg: 1K
Generic prescribing
97%
generic claims · 3% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
61.3/100
▼ 22 pts below national avg 83.1 · Mid-tier
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Philip Bialer, M.D. reported a CMS MIPS final score of 61.3/100 - below the 83.1 national average - and filed 541 Medicare Part D claims in 2023.

61.3/100
MIPS score · -22 vs avg
541
Part D claims, 2023
97%
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.

Philip Bialer, 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

61 6th percentile higher than 6% 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%). This entry sits in this band. 70–80: 118,074 scored providers (25%). Above this entry. 80–90: 129,887 scored providers (27%). Above this entry. 90+: 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

Where Philip Bialer, M.D. sits

This provider among psychiatry physician peers

Across the 4,659 psychiatry physician providers who report both Medicare Part D prescribing and a MIPS quality score, Philip Bialer, M.D. writes more Part D claims than 55% of them and scores higher on MIPS quality than 7% - placing this provider in the high-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

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality0255075100024.949.974.899.8Part D claim volume, percentile in specialtyMIPS quality, percentilePart D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 67Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 58Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 92Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 57Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 53Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 3Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 95Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 85Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 50Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 12Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 22Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 22Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 95Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 80Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 38Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 82Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 40Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 22Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 43Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 73Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 72Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 8Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 62Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 45Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 70Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 55Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 33Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 52Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 12Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 35Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 37Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 62Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 20Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 77Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 47Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 93Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 67Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 22Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 85Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 22Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 75Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 7Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 95Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 60Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 78Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 17Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 12Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 30Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 48Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 32Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 17Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 95Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 62Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 83Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 10Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 40Philip Bialer, M.D.-Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 7
Part D claim volume vs MIPS quality, by specialty percentile

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

Board certification likely (heuristic, not verified)

Philip Bialer, 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 Philip Bialer, M.D.?

Below national average

NPI registry status

Active

Issued 11/08/2006

NPI 1851461198

Primary specialty

Psychiatry Physician

High-volume

53,104 US NPIs in this specialty

Medicare Part D claims

541 48% vs specialty avg

2023 prescription claims

Specialty avg: 1,038

MIPS final score

61.3/100 21.8 pts vs avg

Mid-tier band

vs 83.1 national avg

Specialty distribution in New York

How Psychiatry Physician compares to other specialties among New York providers

New York providers
Student in an Organized Health Care Education/Training Program - 7.8%Student in an Organized Health Care Education/Training Program7.8%Registered Nurse - 5.2%Registered Nurse5.2%Clinical Social Worker - 4.9%Clinical Social Worker4.9%Social Worker - 4.5%Social Worker4.5%Speech-Language Pathologist - 4.5%Speech-Language Pathologist4.5%Licensed Practical Nurse - 4.3%Licensed Practical Nurse4.3%Psychiatry Physician - 1.1%Psychiatry Physician1.1%
Largest specialties in New York (% of in-state providers)

Medicare quality performance, MIPS

Philip Bialer, M.D.'s 2023 MIPS final score plotted against the Psychiatry Physician national average

Below national average
MIPS Final Score
61.3/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Psychiatry Physician) - 61.3/100 vs national avg 83.1

0%100%National avg83%61.3%
MIPS final score (Psychiatry Physician) - 61.3/100 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).

Philip Bialer, M.D. appears in the CMS NPPES registry as a Psychiatry Physician provider holding M.D. credentials at 1275 YORK AVE, New York, NY, 10065, with a listed phone of (646) 888-0009. NPI 1851461198 was issued on 11/08/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Bialer 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 541 prescription claims written by this provider, covering 64 Medicare beneficiaries and totaling roughly $27K in drug spend, split 3% brand-name and 97% generic by claim count. 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 61.3/100 for the 2023 performance year (Quality 75.1), compared with the national average of 83.1.

Psychiatry Physician is a high-volume specialty nationwide, with 53,104 enrolled providers across 56 states and an average of 1,038 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

1275 YORK AVE
New York, NY 10065

Provider Details

NPI 1851461198
Specialty Psychiatry Physician
Credentials M.D.
Gender Male
NPI Issued 11/08/2006

CMS Quality Score (MIPS)

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

61.3105
Final Score
Avg: 83.1
75.11
Quality
0
Promoting Interoperability

Reporting: Group practice

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 Philip Bialer, M.D.. To verify Philip Bialer, 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 · Generic-heavy

Philip Bialer, M.D. - brand share 3.0%
Psychiatry Physician average

3% brand-name claims vs 97% generic, on 541 2023 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 2023.

541
Total Claims
$27K
Total Drug Cost
64
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
725
Total Day Supply
21,686
Brand vs Generic
3% brand / 97% generic
Brand Drug Cost
$16K
Generic Drug Cost
$10K

Patient Demographics

Average Patient Age
67.8 years
Avg HCC Risk Score
2.42
Gender Split
48% female / 52% male
Age Distribution
<65: 20, 65-74: 27, 75-84: N/A, 85+: N/A

Top Prescribed Drugs (Medicare Part D)

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

What Philip Bialer, 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
Clonazepam
71
Venlafaxine Hcl Er
Venlafaxine Hcl
64
Escitalopram Oxalate
58
Bupropion Xl
Bupropion Hcl
54
Sertraline Hcl
40
Duloxetine Hcl
37
Zolpidem Tartrate
24
Trazodone Hcl
23
Quetiapine Fumarate
21
Risperidone
17

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

Psychiatry Physician Overview

How Philip Bialer, M.D. fits within the Psychiatry Physician landscape nationally.

53,104
Psychiatry Physician Providers in US
56
States with Psychiatry Physician
1,038
Avg Claims per Provider

Philip Bialer, M.D.'s 541 claims are below the specialty average of 1,038.

Nearby Psychiatry Physician Providers in New York

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

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

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 York medical board, federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Psychiatry 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.

Frequently Asked Questions

What is Philip Bialer, M.D.'s specialty?
Philip Bialer, M.D. specializes in Psychiatry Physician and practices in New York, New York. Credentials: M.D..
How much does Philip Bialer, M.D. prescribe under Medicare Part D?
In 2023, Philip Bialer, M.D. wrote 541 Medicare Part D claims totaling $27K in drug costs for 64 beneficiaries.
What is Philip Bialer, M.D.'s Medicare quality score?
Philip Bialer, M.D. has a CMS MIPS Final Score of 61.3/100 (Quality: 75.1). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Philip Bialer, M.D. located?
Philip Bialer, M.D. is located at 1275 YORK AVE, New York, NY, 10065. Phone: (646) 888-0009.
What is Philip Bialer, M.D.'s NPI number?
Philip Bialer, M.D.'s National Provider Identifier (NPI) is 1851461198, issued on 11/08/2006.
Does Philip Bialer, M.D. prescribe more brand-name or generic drugs?
Philip Bialer, M.D.'s prescribing is 3% brand-name and 97% generic drugs by claim count, with $16K in brand drug costs.
How many Psychiatry Physician providers are there in the US?
There are 53,104 Psychiatry Physician providers across 56 states in the US. The average Psychiatry Physician provider writes 1,038 Medicare Part D claims per year.
What drugs does Philip Bialer, M.D. prescribe most often?
Based on 2023 Medicare Part D data, Philip Bialer, M.D.'s most frequently prescribed drugs include Clonazepam, Venlafaxine Hcl Er, Escitalopram Oxalate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Philip Bialer, M.D. accept Medicare?
Philip Bialer, M.D. appears in CMS Medicare data with 541 Part D claims and 64 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Philip Bialer, M.D.'s credentials?
Philip Bialer, M.D.'s NPI is 1851461198 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

Compiled from official public sources by the PlainDoctor editorial team.