2026 NPPES data Family Medicine Physician NPI 1871598995 M.D.
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Raymond Marotta, M.D.

Family Medicine Physician in Charlottesville, Virginia. 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
567
Medicare Part D claims · 129 beneficiaries · Family Medicine Physician avg: 3K
MIPS score
18.5/100
▼ 65 pts below national avg 83.1 · [object Object]
Industry payments
$371.68
19 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

Raymond Marotta, M.D. reported a CMS MIPS final score of 18.5/100 — below the 83.1 national average — and filed 567 Medicare Part D claims in 2023.

18.5/100
MIPS score · -65 vs avg
567
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.

Raymond Marotta, 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

19 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)

Raymond Marotta, 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 Raymond Marotta, M.D.?

Below national average

NPI registry status

Active

Issued 06/15/2005

NPI 1871598995

Primary specialty

Family Medicine Physician

High-volume

147,640 US NPIs in this specialty

Medicare Part D claims

567 83% vs specialty avg

2023 prescription claims

Specialty avg: 3,418

MIPS final score

18.5/100 64.6 pts vs avg

Penalty band band

vs 83.1 national avg

Specialty distribution in Virginia

How Family Medicine Physician compares to other specialties among Virginia providers

Virginia providers

Family Medicine Physician share within Virginia

1. Family Medicine Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Family Medicine Physician share within Virginia

Medicare quality performance — MIPS

Raymond Marotta, M.D.'s 2023 MIPS final score plotted against the Family Medicine Physician national average

Below national average
MIPS Final Score
18.5/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Family Medicine Physician) — 18.5/100 vs national avg 83.1

0%100%National avg83%18.5%
MIPS final score (Family Medicine Physician) — 18.5/100 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).

Raymond Marotta, M.D. appears in the CMS NPPES registry as a Family Medicine Physician provider holding M.D. credentials at 1450 SACHEM PL, Charlottesville, VA, 22901, with a listed phone of (434) 973-9744. NPI 1871598995 was issued on 06/15/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Marotta 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 567 prescription claims written by this provider, covering 129 Medicare beneficiaries and totaling roughly $47K 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 18.5/100 for the 2023 performance year (Quality 0, Cost 61.5), compared with the national average of 83.1.

Family Medicine Physician is a high-volume specialty nationwide, with 147,640 enrolled providers across 56 states and an average of 3,418 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

1450 SACHEM PL
Charlottesville, VA 22901

Provider Details

NPI 1871598995
Specialty Family Medicine Physician
Credentials M.D.
Gender Male
NPI Issued 06/15/2005

CMS Quality Score (MIPS)

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

18.4648
Final Score
Avg: 83.1
0
Quality
61.5494
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 Raymond Marotta, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$372

Largest payer

ABBVIE 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.

567
Total Claims
$47K
Total Drug Cost
129
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,255
Total Day Supply
36,691
Generic Drug Cost
$9K
Antibiotic Claims
17

Patient Demographics

Average Patient Age
73.5 years
Avg HCC Risk Score
0.75
Gender Split
53% female / 47% male

Top Prescribed Drugs (Medicare Part D)

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

What Raymond Marotta, 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
Lisinopril
38
Atorvastatin Calcium
32
Losartan Potassium
30
Levothyroxine Sodium
29
Hydrochlorothiazide
26
Rosuvastatin Calcium
25
Metoprolol Tartrate
23
Amlodipine Besylate
20
Simvastatin
17
Ezetimibe
16

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

Family Medicine Physician Overview

How Raymond Marotta, M.D. fits within the Family Medicine Physician landscape nationally.

147,640
Family Medicine Physician Providers in US
56
States with Family Medicine Physician
3,418
Avg Claims per Provider

Raymond Marotta, M.D.'s 567 claims are below the specialty average of 3,418.

Nearby Family Medicine Physician Providers in Virginia

Other clinicians with the same primary specialty enrolled in Virginia, drawn from the same CMS NPPES roster as Marotta.

Compare Family Medicine 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 Virginia medical board — federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Family Medicine 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 Raymond Marotta, M.D.'s specialty?
Raymond Marotta, M.D. specializes in Family Medicine Physician and practices in Charlottesville, Virginia. Credentials: M.D..
How much does Raymond Marotta, M.D. prescribe under Medicare Part D?
In 2023, Raymond Marotta, M.D. wrote 567 Medicare Part D claims totaling $47K in drug costs for 129 beneficiaries.
What is Raymond Marotta, M.D.'s Medicare quality score?
Raymond Marotta, M.D. has a CMS MIPS Final Score of 18.5/100 (Quality: 0, Cost: 61.5). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Raymond Marotta, M.D. located?
Raymond Marotta, M.D. is located at 1450 SACHEM PL, Charlottesville, VA, 22901. Phone: (434) 973-9744.
What is Raymond Marotta, M.D.'s NPI number?
Raymond Marotta, M.D.'s National Provider Identifier (NPI) is 1871598995, issued on 06/15/2005.
How many Family Medicine Physician providers are there in the US?
There are 147,640 Family Medicine Physician providers across 56 states in the US. The average Family Medicine Physician provider writes 3,418 Medicare Part D claims per year.
What drugs does Raymond Marotta, M.D. prescribe most often?
Based on 2023 Medicare Part D data, Raymond Marotta, M.D.'s most frequently prescribed drugs include Lisinopril, Atorvastatin Calcium, Losartan Potassium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Raymond Marotta, M.D. accept Medicare?
Raymond Marotta, M.D. appears in CMS Medicare data with 567 Part D claims and 129 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Raymond Marotta, M.D.'s credentials?
Raymond Marotta, M.D.'s NPI is 1871598995 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