2026 NPPES data Addiction Psychiatry Physician NPI 1568513133 MD
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RICHARD ROSENTHAL, MD

Addiction Psychiatry Physician in NEW YORK, 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
312
Medicare Part D claims · 15 beneficiaries · Addiction Psychiatry Physician avg: 792
Generic prescribing
95%
generic claims · 5% 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

RICHARD ROSENTHAL, MD reported a CMS MIPS final score of 98.5241/100 — above the 83.1 national average — and filed 312 Medicare Part D claims in 2023.

98.5241/100
MIPS score · +15 vs avg
312
Part D claims, 2023
95%
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.

RICHARD ROSENTHAL, 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)

RICHARD ROSENTHAL, 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 RICHARD ROSENTHAL, MD?

High performer (top quartile)

NPI registry status

Active

Issued 01/12/2007

NPI 1568513133

Primary specialty

Addiction Psychiatry Physician

Niche

667 US NPIs in this specialty

Medicare Part D claims

312 61% vs specialty avg

2023 prescription claims

Specialty avg: 792

MIPS final score

98.5241/100 15.42410000000001% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in New York

How Addiction Psychiatry Physician compares to other specialties among New York providers

New York providers

Addiction Psychiatry Physician share within New York

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

Medicare quality performance — MIPS

RICHARD ROSENTHAL, MD's 2023 MIPS final score plotted against the Addiction Psychiatry Physician national average

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

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

0%100%National avg83%98.5%
MIPS final score (Addiction Psychiatry 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).

RICHARD ROSENTHAL, MD appears in the CMS NPPES registry as a Addiction Psychiatry Physician provider holding MD credentials at 1090 AMSTERDAM AVE, NEW YORK, NY, 10025, with a listed phone of (212) 523-5366. NPI 1568513133 was issued on 01/12/2007. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what ROSENTHAL 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 312 prescription claims written by this provider, covering 15 Medicare beneficiaries and totaling roughly $20K in drug spend, split 5% brand-name and 95% 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 98.5241/100 for the 2023 performance year (Quality 82.8545), compared with the national average of 83.1.

Addiction Psychiatry Physician is a narrow specialty nationwide, with 667 enrolled providers across 49 states and an average of 792 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

1090 AMSTERDAM AVE
NEW YORK, NY 10025

Provider Details

NPI 1568513133
Specialty Addiction Psychiatry Physician
Credentials MD
Gender Male
NPI Issued 01/12/2007

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 RICHARD ROSENTHAL, 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 PSYCHIATRIC ASSOCIATES UNIVERSITY FACULTY PRACTICE CORPOR
STONY BROOK, 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 RICHARD ROSENTHAL, MD. To verify RICHARD ROSENTHAL, 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 · Generic-heavy

RICHARD ROSENTHAL, MD — brand share 5.0%
Specialty average (est.)

5% brand-name claims vs 95% generic, on 312 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.

312
Total Claims
$20K
Total Drug Cost
15
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
435
Total Day Supply
12,618
Brand vs Generic
5% brand / 95% generic
Brand Drug Cost
$7K
Generic Drug Cost
$13K

Patient Demographics

Average Patient Age
66.1 years
Avg HCC Risk Score
1.77

Top Prescribed Drugs (Medicare Part D)

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

What RICHARD ROSENTHAL, 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
Trazodone Hcl
23
Escitalopram Oxalate
22
Fluoxetine Hcl
20
Lamotrigine
19
Bupropion Xl
Bupropion Hcl
18
Hydroxyzine Hcl
17
Gabapentin
13
Clonazepam
12
Sertraline Hcl
12
Trintellix
Vortioxetine Hydrobromide
12

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

Addiction Psychiatry Physician Overview

How RICHARD ROSENTHAL, MD fits within the Addiction Psychiatry Physician landscape nationally.

667
Addiction Psychiatry Physician Providers in US
49
States with Addiction Psychiatry Physician
792
Avg Claims per Provider

RICHARD ROSENTHAL, MD's 312 claims are below the specialty average of 792.

Nearby Addiction Psychiatry Physician Providers in New York

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

Compare Addiction Psychiatry Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is RICHARD ROSENTHAL, MD's specialty?
RICHARD ROSENTHAL, MD specializes in Addiction Psychiatry Physician and practices in NEW YORK, New York. Credentials: MD.
How much does RICHARD ROSENTHAL, MD prescribe under Medicare Part D?
In 2023, RICHARD ROSENTHAL, MD wrote 312 Medicare Part D claims totaling $20K in drug costs for 15 beneficiaries.
What is RICHARD ROSENTHAL, MD's Medicare quality score?
RICHARD ROSENTHAL, 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 RICHARD ROSENTHAL, MD located?
RICHARD ROSENTHAL, MD is located at 1090 AMSTERDAM AVE, NEW YORK, NY, 10025. Phone: (212) 523-5366.
What is RICHARD ROSENTHAL, MD's NPI number?
RICHARD ROSENTHAL, MD's National Provider Identifier (NPI) is 1568513133, issued on 01/12/2007.
Does RICHARD ROSENTHAL, MD prescribe more brand-name or generic drugs?
RICHARD ROSENTHAL, MD's prescribing is 5% brand-name and 95% generic drugs by claim count, with $7K in brand drug costs.
How many Addiction Psychiatry Physician providers are there in the US?
There are 667 Addiction Psychiatry Physician providers across 49 states in the US. The average Addiction Psychiatry Physician provider writes 792 Medicare Part D claims per year.
What drugs does RICHARD ROSENTHAL, MD prescribe most often?
Based on 2023 Medicare Part D data, RICHARD ROSENTHAL, MD's most frequently prescribed drugs include Trazodone Hcl, Escitalopram Oxalate, Fluoxetine Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does RICHARD ROSENTHAL, MD accept Medicare?
RICHARD ROSENTHAL, MD appears in CMS Medicare data with 312 Part D claims and 15 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify RICHARD ROSENTHAL, MD's credentials?
RICHARD ROSENTHAL, MD's NPI is 1568513133 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