2026 NPPES data Orthopaedic Surgery Physician NPI 1871589952 MD
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Richard Borgatti, MD

Orthopaedic Surgery Physician in Toms River, 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 25,781 in Orthopaedic Surgery 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
72
Medicare Part D claims · 43 beneficiaries · Orthopaedic Surgery Physician avg: 324
MIPS score
66.4/100
▼ 17 pts below national avg 83.1 · Mid-tier
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Richard Borgatti, MD reported a CMS MIPS final score of 66.4/100 - below the 83.1 national average - and filed 72 Medicare Part D claims in 2023.

66.4/100
MIPS score · -17 vs avg
72
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.

Richard Borgatti, MD's MIPS score vs every scored U.S. clinician

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

66 7th percentile higher than 7% 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 Richard Borgatti, MD sits

This provider among orthopaedic surgery physician peers

Across the 8,194 orthopaedic surgery physician providers who report both Medicare Part D prescribing and a MIPS quality score, Richard Borgatti, MD writes more Part D claims than 19% 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

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality02550751000255075100Part D claim volume, percentile in specialtyMIPS quality, percentilePart D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 90Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 90Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 22Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 77Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 87Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 85Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 83Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 25Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 97Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 73Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 27Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 82Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 95Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 65Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 42Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 62Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 35Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 5Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 32Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 68Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 97Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 17Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 70Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 13Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 67Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 50Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 93Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 18Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 63Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 22Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 80Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 58Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 20Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 40Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 10Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 52Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 12Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 57Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 97Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 45Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 53Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 78Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 28Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 3Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 28Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 43Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 33Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 55Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 60Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 15Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 7Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 47Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 72Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 37Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 48Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 75Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 38Richard Borgatti, MD-Part D claim volume, percentile in specialty: 19 · MIPS quality, percentile: 12
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one orthopaedic surgery physician peer from a representative sample of 60; the gold marker is Richard Borgatti, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

Board certification likely (heuristic, not verified)

Richard Borgatti, MD 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 Richard Borgatti, MD?

Below national average

NPI registry status

Active

Issued 09/23/2005

NPI 1871589952

Primary specialty

Orthopaedic Surgery Physician

Mid-sized

25,781 US NPIs in this specialty

Medicare Part D claims

72 78% vs specialty avg

2023 prescription claims

Specialty avg: 324

MIPS final score

66.4/100 16.7 pts vs avg

Mid-tier band

vs 83.1 national avg

Specialty distribution in New Jersey

How Orthopaedic Surgery Physician compares to other specialties among New Jersey providers

New Jersey providers

Largest specialties in New Jersey (% of in-state providers)

Mental Health Counselor - 6.2%Mental Health Counselor6.2%Physical Therapist - 5.9%Physical Therapist5.9%Clinical Social Worker - 5.5%Clinical Social Worker5.5%Student in an Organized Health Care Education/Training Program - 5.4%Student in an Organized Health Care Education/Training Program5.4%Pharmacist - 5%Pharmacist5%Internal Medicine Physician - 3.1%Internal Medicine Physician3.1%Orthopaedic Surgery Physician - 0.4%Orthopaedic Surgery Physician0.4%
Largest specialties in New Jersey (% of in-state providers)

Medicare quality performance, MIPS

Richard Borgatti, MD's 2023 MIPS final score plotted against the Orthopaedic Surgery Physician national average

Below national average
MIPS Final Score
66.4/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Orthopaedic Surgery Physician) - 66.4/100 vs national avg 83.1

0%100%National avg83%66.4%
MIPS final score (Orthopaedic Surgery Physician) - 66.4/100 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).

Richard Borgatti, MD appears in the CMS NPPES registry as a Orthopaedic Surgery Physician provider holding MD credentials at 1430 HOOPER AVE, Toms River, NJ, 08753, with a listed phone of (732) 244-4544. NPI 1871589952 was issued on 09/23/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Borgatti 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 72 prescription claims written by this provider, covering 43 Medicare beneficiaries and totaling roughly $1K 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 66.4/100 for the 2023 performance year (Quality 42.5, Cost 52.1), compared with the national average of 83.1.

Orthopaedic Surgery Physician is a mid-sized specialty nationwide, with 25,781 enrolled providers across 56 states and an average of 324 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

1430 HOOPER AVE
Toms River, NJ 08753

Provider Details

NPI 1871589952
Specialty Orthopaedic Surgery Physician
Credentials MD
Gender Male
NPI Issued 09/23/2005

CMS Quality Score (MIPS)

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

66.3842
Final Score
Avg: 83.1
42.515
Quality
52.099
Cost
92
Promoting Interoperability

Reporting: Group practice

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

72
Total Claims
$1K
Total Drug Cost
43
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
74
Total Day Supply
1,769
Generic Drug Cost
$1K

Patient Demographics

Average Patient Age
74.5 years
Avg HCC Risk Score
0.81
Gender Split
63% female / 37% 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
Meloxicam
45

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

Orthopaedic Surgery Physician Overview

How Richard Borgatti, MD fits within the Orthopaedic Surgery Physician landscape nationally.

25,781
Orthopaedic Surgery Physician Providers in US
56
States with Orthopaedic Surgery Physician
324
Avg Claims per Provider

Richard Borgatti, MD's 72 claims are below the specialty average of 324.

Nearby Orthopaedic Surgery Physician Providers in New Jersey

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

Compare Orthopaedic Surgery 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 Jersey medical board, federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Orthopaedic Surgery 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 Richard Borgatti, MD's specialty?
Richard Borgatti, MD specializes in Orthopaedic Surgery Physician and practices in Toms River, New Jersey. Credentials: MD.
How much does Richard Borgatti, MD prescribe under Medicare Part D?
In 2023, Richard Borgatti, MD wrote 72 Medicare Part D claims totaling $1K in drug costs for 43 beneficiaries.
What is Richard Borgatti, MD's Medicare quality score?
Richard Borgatti, MD has a CMS MIPS Final Score of 66.4/100 (Quality: 42.5, Cost: 52.1). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Richard Borgatti, MD located?
Richard Borgatti, MD is located at 1430 HOOPER AVE, Toms River, NJ, 08753. Phone: (732) 244-4544.
What is Richard Borgatti, MD's NPI number?
Richard Borgatti, MD's National Provider Identifier (NPI) is 1871589952, issued on 09/23/2005.
How many Orthopaedic Surgery Physician providers are there in the US?
There are 25,781 Orthopaedic Surgery Physician providers across 56 states in the US. The average Orthopaedic Surgery Physician provider writes 324 Medicare Part D claims per year.
What drugs does Richard Borgatti, MD prescribe most often?
Based on 2023 Medicare Part D data, Richard Borgatti, MD's most frequently prescribed drugs include Meloxicam. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Richard Borgatti, MD accept Medicare?
Richard Borgatti, MD appears in CMS Medicare data with 72 Part D claims and 43 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Richard Borgatti, MD's credentials?
Richard Borgatti, MD's NPI is 1871589952 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

Compiled from official public sources by the PlainDoctor editorial team.