2026 NPPES data Medical Oncology Physician NPI 1578543948 M.D.
Verify on CMS →

RICHARD LOCICERO, M.D.

Medical Oncology Physician in GAINESVILLE, Georgia. 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
1K
Medicare Part D claims · 226 beneficiaries · Medical Oncology Physician avg: 689
Generic prescribing
84%
generic claims · 16% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
76.5817/100
▼ 7 pts below national avg 83.1 · [object Object]
Industry payments
$72.2
3 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: RICHARD LOCICERO, M.D. is a Medical Oncology Physician ([object Object]) practicing in GAINESVILLE, Georgia with a Medicare Part D prescribing footprint of 1K claims across 226 beneficiaries — 16% brand-name prescribing . Their CMS MIPS Final Score of 76.5817/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $72.2 across 3 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: RICHARD LOCICERO, M.D. reported a CMS MIPS final score of 76.5817 out of 100, below the 83.1 national average, and filed 1,491 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 LOCICERO, 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).

RICHARD LOCICERO, M.D. at a glance

Below national average

NPI registry status

Active

Issued 01/20/2006

NPI 1578543948

Primary specialty

Medical Oncology Physician

Niche

3,792 US NPIs in this specialty

Medicare Part D claims

1,491 116% vs specialty avg

2023 prescription claims

Specialty avg: 689

MIPS final score

76.5817/100 6.518299999999996% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Georgia

How Medical Oncology Physician compares to other specialties among Georgia providers

Georgia providers

Medical Oncology Physician share within Georgia

1. Medical Oncology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Medical Oncology Physician share within Georgia

Medicare quality performance — MIPS

RICHARD LOCICERO, M.D.'s 2023 MIPS final score plotted against the Medical Oncology Physician national average

Below national average
MIPS Final Score
76.5817/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Medical Oncology Physician) — 76.5817/100 vs national avg 83.1

0%100%National avg83%76.6%
MIPS final score (Medical Oncology Physician) — 76.5817/100 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 LOCICERO, M.D. is a Medical Oncology Physician provider practicing in GAINESVILLE, Georgia, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1578543948. 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 LOCICERO, M.D. appears in the CMS NPPES registry as a Medical Oncology Physician provider holding M.D. credentials at 725 JESSE JEWELL PKWY SE, GAINESVILLE, GA, 30501, with a listed phone of (770) 297-5700. NPI 1578543948 was issued on 01/20/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what LOCICERO 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 1,491 prescription claims written by this provider, covering 226 Medicare beneficiaries and totaling roughly $3.7 million in drug spend, split 16% brand-name and 84% generic by claim count, with an opioid prescribing rate of 10.0%. 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 76.5817/100 for the 2023 performance year (Quality 85.6318, Cost 72.1405), compared with the national average of 83.1.

Medical Oncology Physician is a narrow specialty nationwide, with 3,792 enrolled providers across 53 states and an average of 689 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

725 JESSE JEWELL PKWY SE
GAINESVILLE, GA 30501

Provider Details

NPI 1578543948
Specialty Medical Oncology Physician
Credentials M.D.
Gender Male
NPI Issued 01/20/2006

CMS Quality Score (MIPS)

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

76.5817
Final Score
Avg: 83.1
85.6318
Quality
72.1405
Cost
87
Promoting Interoperability

Reporting: Group practice

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 LOCICERO, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$72

Largest payer

Eisai 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.

Brand vs generic prescribing mix · Typical

RICHARD LOCICERO, M.D. — brand share 16.0%
Specialty average (est.)

16% brand-name claims vs 84% generic, on 1,491 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.

1,491
Total Claims
$3.7M
Total Drug Cost
226
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
2,030
Total Day Supply
55,593
Brand vs Generic
16% brand / 84% generic
Brand Drug Cost
$3.0M
Generic Drug Cost
$761K
Opioid Claims
149 (10.0% rate)
Antibiotic Claims
28

Patient Demographics

Average Patient Age
74.2 years
Avg HCC Risk Score
2.03
Gender Split
65% female / 35% male
Age Distribution
<65: 18, 65-74: 100, 75-84: 81, 85+: 27

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Anastrozole
193
Letrozole
104
Lenalidomide
54
Potassium Chloride
54
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
49
Imbruvica
Ibrutinib
39
Ondansetron Odt
Ondansetron
37
Revlimid
Lenalidomide
35
Prednisone
34
Prochlorperazine Maleate
31

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

Medical Oncology Physician Overview

How RICHARD LOCICERO, M.D. fits within the Medical Oncology Physician landscape nationally.

3,792
Medical Oncology Physician Providers in US
53
States with Medical Oncology Physician
689
Avg Claims per Provider

RICHARD LOCICERO, M.D.'s 1,491 claims are above the specialty average of 689.

Nearby Medical Oncology Physician Providers in Georgia

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

Compare Medical Oncology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is RICHARD LOCICERO, M.D.'s specialty?
RICHARD LOCICERO, M.D. specializes in Medical Oncology Physician and practices in GAINESVILLE, Georgia. Credentials: M.D..
How much does RICHARD LOCICERO, M.D. prescribe under Medicare Part D?
In 2023, RICHARD LOCICERO, M.D. wrote 1,491 Medicare Part D claims totaling $3.7M in drug costs for 226 beneficiaries.
What is RICHARD LOCICERO, M.D.'s Medicare quality score?
RICHARD LOCICERO, M.D. has a CMS MIPS Final Score of 76.5817/100 (Quality: 85.6318, Cost: 72.1405). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is RICHARD LOCICERO, M.D. located?
RICHARD LOCICERO, M.D. is located at 725 JESSE JEWELL PKWY SE, GAINESVILLE, GA, 30501. Phone: (770) 297-5700.
What is RICHARD LOCICERO, M.D.'s NPI number?
RICHARD LOCICERO, M.D.'s National Provider Identifier (NPI) is 1578543948, issued on 01/20/2006.
Does RICHARD LOCICERO, M.D. prescribe more brand-name or generic drugs?
RICHARD LOCICERO, M.D.'s prescribing is 16% brand-name and 84% generic drugs by claim count, with $3.0M in brand drug costs.
Does RICHARD LOCICERO, M.D. prescribe opioids?
Yes, RICHARD LOCICERO, M.D. had 149 opioid claims in 2023 with an opioid prescribing rate of 10.0%.
How many Medical Oncology Physician providers are there in the US?
There are 3,792 Medical Oncology Physician providers across 53 states in the US. The average Medical Oncology Physician provider writes 689 Medicare Part D claims per year.
What drugs does RICHARD LOCICERO, M.D. prescribe most often?
Based on 2023 Medicare Part D data, RICHARD LOCICERO, M.D.'s most frequently prescribed drugs include Anastrozole, Letrozole, Lenalidomide. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does RICHARD LOCICERO, M.D. accept Medicare?
RICHARD LOCICERO, M.D. appears in CMS Medicare data with 1,491 Part D claims and 226 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify RICHARD LOCICERO, M.D.'s credentials?
RICHARD LOCICERO, M.D.'s NPI is 1578543948 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