2026 NPPES data Rheumatology Physician NPI 1912104142 MD
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QINGPING YAO, MD

Rheumatology Physician in EAST SETAUKET, New York. 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
452
Medicare Part D claims · 71 beneficiaries · Rheumatology Physician avg: 2K
Generic prescribing
70%
generic claims · 30% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
98.5241/100
▲ 15 pts above national avg 83.1 · [object Object]

What the federal data shows

QINGPING YAO, MD reported a CMS MIPS final score of 98.5241/100 — above the 83.1 national average — and filed 452 Medicare Part D claims in 2023.

98.5241/100
MIPS score · +15 vs avg
452
Part D claims, 2023
70%
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.

QINGPING YAO, MD's MIPS score vs every scored U.S. clinician

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

99 Top 11% higher than 89% 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%). Below this entry. 80–90: 129,887 scored providers (27%). Below this entry. 90–100: 189,403 scored providers (40%). This entry sits in this band. 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)

QINGPING YAO, MD 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 QINGPING YAO, MD?

High performer (top quartile)

NPI registry status

Active

Issued 06/29/2007

NPI 1912104142

Primary specialty

Rheumatology Physician

Mid-sized

6,181 US NPIs in this specialty

Medicare Part D claims

452 78% vs specialty avg

2023 prescription claims

Specialty avg: 2,054

MIPS final score

98.5241/100 15.42410000000001% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in New York

How Rheumatology Physician compares to other specialties among New York providers

New York providers

Rheumatology Physician share within New York

1. Rheumatology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Rheumatology Physician share within New York

Medicare quality performance — MIPS

QINGPING YAO, MD's 2023 MIPS final score plotted against the Rheumatology Physician national average

High performer (top quartile)
MIPS Final Score
98.5241/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Rheumatology Physician) — 98.5241/100 vs national avg 83.1

0%100%National avg83%98.5%
MIPS final score (Rheumatology Physician) — 98.5241/100 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).

QINGPING YAO, MD appears in the CMS NPPES registry as a Rheumatology Physician provider holding MD credentials at 26 RESEARCH WAY, EAST SETAUKET, NY, 11733, with a listed phone of (631) 444-0580. NPI 1912104142 was issued on 06/29/2007. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what YAO 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 452 prescription claims written by this provider, covering 71 Medicare beneficiaries and totaling roughly $1.4 million in drug spend, split 30% brand-name and 70% generic by claim count, with an opioid prescribing rate of 4.2%. 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 98.5241/100 for the 2023 performance year (Quality 82.8545), compared with the national average of 83.1.

Rheumatology Physician is a mid-sized specialty nationwide, with 6,181 enrolled providers across 52 states and an average of 2,054 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

26 RESEARCH WAY
EAST SETAUKET, NY 11733

Provider Details

NPI 1912104142
Specialty Rheumatology Physician
Credentials MD
Gender Male
NPI Issued 06/29/2007

CMS Quality Score (MIPS)

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

98.5241
Final Score
Avg: 83.1
82.8545
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where QINGPING YAO, MD 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.

STONY BROOK INTERNISTS UNIVERSITY FACULTY PRACTICE CORPORATION
EAST SETAUKET, NY

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

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 QINGPING YAO, MD. To verify QINGPING YAO, MD'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 · Above average

QINGPING YAO, MD — brand share 30.0%
Specialty average (est.)

30% brand-name claims vs 70% generic, on 452 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.

452
Total Claims
$1.4M
Total Drug Cost
71
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
662
Total Day Supply
18,746
Brand vs Generic
30% brand / 70% generic
Brand Drug Cost
$1.4M
Generic Drug Cost
$9K
Opioid Claims
19 (4.2% rate)

Patient Demographics

Average Patient Age
66.0 years
Avg HCC Risk Score
1.70
Gender Split
69% female / 31% male
Age Distribution
<65: 25, 65-74: 22, 75-84: 24, 85+: 0

Top Prescribed Drugs (Medicare Part D)

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

What QINGPING YAO, MD 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
Prednisone
97
Enbrel Sureclick
Etanercept
54
Ilaris
Canakinumab/Pf
45
Hydroxychloroquine Sulfate
43
Alendronate Sodium
26
Sulfasalazine
26
Methotrexate
Methotrexate Sodium
17
Meloxicam
14
Azathioprine
13
Oxycodone-Acetaminophen
Oxycodone Hcl/Acetaminophen
11

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

Rheumatology Physician Overview

How QINGPING YAO, MD fits within the Rheumatology Physician landscape nationally.

6,181
Rheumatology Physician Providers in US
52
States with Rheumatology Physician
2,054
Avg Claims per Provider

QINGPING YAO, MD's 452 claims are below the specialty average of 2,054.

Nearby Rheumatology Physician Providers in New York

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

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

Frequently Asked Questions

What is QINGPING YAO, MD's specialty?
QINGPING YAO, MD specializes in Rheumatology Physician and practices in EAST SETAUKET, New York. Credentials: MD.
How much does QINGPING YAO, MD prescribe under Medicare Part D?
In 2023, QINGPING YAO, MD wrote 452 Medicare Part D claims totaling $1.4M in drug costs for 71 beneficiaries.
What is QINGPING YAO, MD's Medicare quality score?
QINGPING YAO, MD has a CMS MIPS Final Score of 98.5241/100 (Quality: 82.8545). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is QINGPING YAO, MD located?
QINGPING YAO, MD is located at 26 RESEARCH WAY, EAST SETAUKET, NY, 11733. Phone: (631) 444-0580.
What is QINGPING YAO, MD's NPI number?
QINGPING YAO, MD's National Provider Identifier (NPI) is 1912104142, issued on 06/29/2007.
Does QINGPING YAO, MD prescribe more brand-name or generic drugs?
QINGPING YAO, MD's prescribing is 30% brand-name and 70% generic drugs by claim count, with $1.4M in brand drug costs.
Does QINGPING YAO, MD prescribe opioids?
Yes, QINGPING YAO, MD had 19 opioid claims in 2023 with an opioid prescribing rate of 4.2%.
How many Rheumatology Physician providers are there in the US?
There are 6,181 Rheumatology Physician providers across 52 states in the US. The average Rheumatology Physician provider writes 2,054 Medicare Part D claims per year.
What drugs does QINGPING YAO, MD prescribe most often?
Based on 2023 Medicare Part D data, QINGPING YAO, MD's most frequently prescribed drugs include Prednisone, Enbrel Sureclick, Ilaris. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does QINGPING YAO, MD accept Medicare?
QINGPING YAO, MD appears in CMS Medicare data with 452 Part D claims and 71 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify QINGPING YAO, MD's credentials?
QINGPING YAO, MD's NPI is 1912104142 with credentials MD. 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