2026 NPPES data Otolaryngology Physician NPI 1457390916 M.D.
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RICHARD DEMAIO, M.D.

Otolaryngology Physician in NEW WINDSOR, 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
636
Medicare Part D claims · 201 beneficiaries · Otolaryngology Physician avg: 509
Generic prescribing
97%
generic claims · 3% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
91.2882/100
▲ 8 pts above national avg 83.1 · [object Object]
Industry payments
$45.66
2 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: RICHARD DEMAIO, M.D. is a Otolaryngology Physician ([object Object]) practicing in NEW WINDSOR, New York with a Medicare Part D prescribing footprint of 636 claims across 201 beneficiaries — 3% brand-name prescribing . Their CMS MIPS Final Score of 91.2882/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $45.66 across 2 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: RICHARD DEMAIO, M.D. reported a CMS MIPS final score of 91.2882 out of 100, above the 83.1 national average, and filed 636 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

RICHARD DEMAIO, 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).

RICHARD DEMAIO, M.D. at a glance

High performer (top quartile)

NPI registry status

Active

Issued 06/06/2006

NPI 1457390916

Primary specialty

Otolaryngology Physician

Mid-sized

10,895 US NPIs in this specialty

Medicare Part D claims

636 25% vs specialty avg

2023 prescription claims

Specialty avg: 509

MIPS final score

91.2882/100 8.188200000000009% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in New York

How Otolaryngology Physician compares to other specialties among New York providers

New York providers

Otolaryngology Physician share within New York

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

Medicare quality performance — MIPS

RICHARD DEMAIO, M.D.'s 2023 MIPS final score plotted against the Otolaryngology Physician national average

High performer (top quartile)
MIPS Final Score
91.2882/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Otolaryngology Physician) — 91.2882/100 vs national avg 83.1

0%100%National avg83%91.3%
MIPS final score (Otolaryngology Physician) — 91.2882/100 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 DEMAIO, M.D. is a Otolaryngology Physician provider practicing in NEW WINDSOR, New York, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1457390916. 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.

RICHARD DEMAIO, M.D. appears in the CMS NPPES registry as a Otolaryngology Physician provider holding M.D. credentials at 4 CROTTY LN, NEW WINDSOR, NY, 12553, with a listed phone of (845) 562-0760. NPI 1457390916 was issued on 06/06/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what DEMAIO 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 636 prescription claims written by this provider, covering 201 Medicare beneficiaries and totaling roughly $17K 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 91.2882/100 for the 2023 performance year (Quality 84.1603), compared with the national average of 83.1.

Otolaryngology Physician is a mid-sized specialty nationwide, with 10,895 enrolled providers across 54 states and an average of 509 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

4 CROTTY LN
NEW WINDSOR, NY 12553

Provider Details

NPI 1457390916
Specialty Otolaryngology Physician
Credentials M.D.
Gender Male
NPI Issued 06/06/2006

CMS Quality Score (MIPS)

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

91.2882
Final Score
Avg: 83.1
84.1603
Quality
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where RICHARD DEMAIO, 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.

ENT AND ALLERGY ASSOCIATES LLP
YONKERS, 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).

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 RICHARD DEMAIO, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$46

Largest payer

Inspire Medical Systems, 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.

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 RICHARD DEMAIO, M.D.. To verify RICHARD DEMAIO, 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

RICHARD DEMAIO, M.D. — brand share 3.0%
Specialty average (est.)

3% brand-name claims vs 97% generic, on 636 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.

636
Total Claims
$17K
Total Drug Cost
201
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
979
Total Day Supply
27,043
Brand vs Generic
3% brand / 97% generic
Brand Drug Cost
$4K
Generic Drug Cost
$14K
Antibiotic Claims
28

Patient Demographics

Average Patient Age
74.3 years
Avg HCC Risk Score
1.21
Gender Split
54% female / 46% male
Age Distribution
<65: 18, 65-74: 86, 75-84: 79, 85+: 18

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Famotidine
252
Omeprazole
64
Ipratropium Bromide
53
Azelastine Hcl
36
Pantoprazole Sodium
31
Methylprednisolone
23
Ciprofloxacin-Dexamethasone
Ciprofloxacin Hcl/Dexameth
18
Fluticasone Propionate
18
Fluocinolone Acetonide Oil
13
Acetazolamide
12

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

Otolaryngology Physician Overview

How RICHARD DEMAIO, M.D. fits within the Otolaryngology Physician landscape nationally.

10,895
Otolaryngology Physician Providers in US
54
States with Otolaryngology Physician
509
Avg Claims per Provider

RICHARD DEMAIO, M.D.'s 636 claims are above the specialty average of 509.

Nearby Otolaryngology Physician Providers in New York

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

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

Frequently Asked Questions

What is RICHARD DEMAIO, M.D.'s specialty?
RICHARD DEMAIO, M.D. specializes in Otolaryngology Physician and practices in NEW WINDSOR, New York. Credentials: M.D..
How much does RICHARD DEMAIO, M.D. prescribe under Medicare Part D?
In 2023, RICHARD DEMAIO, M.D. wrote 636 Medicare Part D claims totaling $17K in drug costs for 201 beneficiaries.
What is RICHARD DEMAIO, M.D.'s Medicare quality score?
RICHARD DEMAIO, M.D. has a CMS MIPS Final Score of 91.2882/100 (Quality: 84.1603). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is RICHARD DEMAIO, M.D. located?
RICHARD DEMAIO, M.D. is located at 4 CROTTY LN, NEW WINDSOR, NY, 12553. Phone: (845) 562-0760.
What is RICHARD DEMAIO, M.D.'s NPI number?
RICHARD DEMAIO, M.D.'s National Provider Identifier (NPI) is 1457390916, issued on 06/06/2006.
Does RICHARD DEMAIO, M.D. prescribe more brand-name or generic drugs?
RICHARD DEMAIO, M.D.'s prescribing is 3% brand-name and 97% generic drugs by claim count, with $4K in brand drug costs.
How many Otolaryngology Physician providers are there in the US?
There are 10,895 Otolaryngology Physician providers across 54 states in the US. The average Otolaryngology Physician provider writes 509 Medicare Part D claims per year.
What drugs does RICHARD DEMAIO, M.D. prescribe most often?
Based on 2023 Medicare Part D data, RICHARD DEMAIO, M.D.'s most frequently prescribed drugs include Famotidine, Omeprazole, Ipratropium Bromide. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does RICHARD DEMAIO, M.D. accept Medicare?
RICHARD DEMAIO, M.D. appears in CMS Medicare data with 636 Part D claims and 201 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify RICHARD DEMAIO, M.D.'s credentials?
RICHARD DEMAIO, M.D.'s NPI is 1457390916 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