2026 NPPES data Rheumatology Physician NPI 1447344940 M.D.
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RICHARD ZANGARA, M.D.

Rheumatology Physician in LEXINGTON, Massachusetts. 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
29
Medicare Part D claims · Rheumatology Physician avg: 2K
Generic prescribing
55%
generic claims · 45% brand-name · higher generic rates reduce patient out-of-pocket costs

What the federal data shows

RICHARD ZANGARA, M.D. filed 29 Medicare Part D claims in 2023 as a Rheumatology Physician in LEXINGTON, Massachusetts, prescribing 55% generic.

29
Part D claims, 2023
55%
generic prescribing

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 ZANGARA, M.D.'s Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

29 0th percentile higher than 0% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). This entry sits in this band. 200–400: 182,923 prescribers (13%). Above this entry. 400–600: 90,619 prescribers (7%). Above this entry. 600–800: 56,224 prescribers (4%). Above this entry. 800–1,000: 40,919 prescribers (3%). Above this entry. 1,000–1,200: 31,827 prescribers (2%). Above this entry. 1,200–1,400: 26,224 prescribers (2%). Above this entry. 1,400–1,600: 21,710 prescribers (2%). Above this entry. 1,600–1,800: 19,072 prescribers (1%). Above this entry. 1,800–2,000: 16,451 prescribers (1%). Above this entry. 2,000–2,200: 213,991 prescribers (16%). Above this entry. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

Each bar is a band; taller bars hold more prescribers. 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 Medicare Part D Prescriber Public Use File · 2023

Board-eligible specialty (heuristic — not verified)

RICHARD ZANGARA, M.D. practices in an ABMS-board-eligible specialty but we don't have enough CMS-participation signals to confirm active board-certified status. Consult CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about RICHARD ZANGARA, M.D.?

Quality data not reported

NPI registry status

Active

Issued 10/02/2006

NPI 1447344940

Primary specialty

Rheumatology Physician

Mid-sized

6,181 US NPIs in this specialty

Medicare Part D claims

29 99% vs specialty avg

2023 prescription claims

Specialty avg: 2,054

Specialty distribution in Massachusetts

How Rheumatology Physician compares to other specialties among Massachusetts providers

Massachusetts providers

Rheumatology Physician share within Massachusetts

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

Specialty board-certification context

Estimated specialty board-certified rate — Rheumatology Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Rheumatology Physician ABMS/AOA estimate

Est. board-certified rate (Rheumatology Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Rheumatology Physician) — ABMS / AOA estimate

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 ZANGARA, M.D. appears in the CMS NPPES registry as a Rheumatology Physician provider holding M.D. credentials at 16 HAYDEN AVENUE, LEXINGTON, MA, 02421, with a listed phone of (781) 372-7100. NPI 1447344940 was issued on 10/02/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what ZANGARA 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 29 prescription claims written by this provider, covering N/A Medicare beneficiaries and totaling roughly $7K in drug spend, split 45% brand-name and 55% 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.

Rheumatology Physician is a mid-sized specialty nationwide, with 6,181 enrolled providers across 52 states and an average of 2,054 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

16 HAYDEN AVENUE
LEXINGTON, MA 02421

Provider Details

NPI 1447344940
Specialty Rheumatology Physician
Credentials M.D.
Gender Male
NPI Issued 10/02/2006

License & disciplinary context — Massachusetts BORIM 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 ~38K Massachusetts medical licensees in 2023 — they are NOT specific to RICHARD ZANGARA, M.D.. To verify RICHARD ZANGARA, M.D.'s current license status, search the BORIM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

80
Total board actions, Massachusetts 2023
Across 78 cases
2.11
Actions per 1,000 licensees
Massachusetts statewide rate
probation
Most common action type
29 cases

BORIM 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 Massachusetts disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Above average

RICHARD ZANGARA, M.D. — brand share 45.0%
Specialty average (est.)

45% brand-name claims vs 55% generic, on 29 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.

29
Total Claims
$7K
Total Drug Cost
N/A
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
29
Total Day Supply
791
Brand vs Generic
45% brand / 55% generic
Brand Drug Cost
$7K
Generic Drug Cost
$552

Patient Demographics

Average Patient Age
79.0 years
Avg HCC Risk Score
0.70

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Tradjenta
Linagliptin
13

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

Rheumatology Physician Overview

How RICHARD ZANGARA, M.D. fits within the Rheumatology Physician landscape nationally.

6,181
Rheumatology Physician Providers in US
52
States with Rheumatology Physician
2,054
Avg Claims per Provider

RICHARD ZANGARA, M.D.'s 29 claims are below the specialty average of 2,054.

Nearby Rheumatology Physician Providers in Massachusetts

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

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

Frequently Asked Questions

What is RICHARD ZANGARA, M.D.'s specialty?
RICHARD ZANGARA, M.D. specializes in Rheumatology Physician and practices in LEXINGTON, Massachusetts. Credentials: M.D..
How much does RICHARD ZANGARA, M.D. prescribe under Medicare Part D?
In 2023, RICHARD ZANGARA, M.D. wrote 29 Medicare Part D claims totaling $7K in drug costs for N/A beneficiaries.
Where is RICHARD ZANGARA, M.D. located?
RICHARD ZANGARA, M.D. is located at 16 HAYDEN AVENUE, LEXINGTON, MA, 02421. Phone: (781) 372-7100.
What is RICHARD ZANGARA, M.D.'s NPI number?
RICHARD ZANGARA, M.D.'s National Provider Identifier (NPI) is 1447344940, issued on 10/02/2006.
Does RICHARD ZANGARA, M.D. prescribe more brand-name or generic drugs?
RICHARD ZANGARA, M.D.'s prescribing is 45% brand-name and 55% generic drugs by claim count, with $7K in brand drug costs.
How many Rheumatology Physician providers are there in the US?
There are 6,181 Rheumatology Physician providers across 52 states in the US. The average Rheumatology Physician provider writes 2,054 Medicare Part D claims per year.
What drugs does RICHARD ZANGARA, M.D. prescribe most often?
Based on 2023 Medicare Part D data, RICHARD ZANGARA, M.D.'s most frequently prescribed drugs include Tradjenta. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does RICHARD ZANGARA, M.D. accept Medicare?
RICHARD ZANGARA, M.D. appears in CMS Medicare data with 29 Part D claims and N/A Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify RICHARD ZANGARA, M.D.'s credentials?
RICHARD ZANGARA, M.D.'s NPI is 1447344940 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.
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