2026 NPPES data Family Medicine Physician NPI 1528052362 DO
Verify on CMS →

Robert Garfield, DO

Family Medicine Physician in Worcester, New York.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 147,760 in Family Medicine 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
12K
Medicare Part D claims · 654 beneficiaries · Family Medicine Physician avg: 3K
Generic prescribing
84%
generic claims · 15% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
86.6/100
▲ 3 pts above national avg 83.5 · Above neutral
Industry payments
$443.08
22 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

Robert Garfield, DO reported a CMS MIPS final score of 86.6/100 - above the 83.5 national average - and filed 12,046 Medicare Part D claims in 2023.

86.6/100
MIPS score · +3 vs avg
12K
Part D claims, 2023
84%
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.

CMS NPPES provider registry desk

NPI 1528052362 · Family Medicine Physician

NPI-10 · ENUM-LEGACY · TAX-MEGA · MIPS-ABOVE · RX-HEAVY · BOOK-MID · PHOTO-FINISH

  • NPI-10 1528052362
  • ENUM-LEGACY 2005
  • TAX-MEGA 148K Family Medicine
  • MIPS-ABOVE 86.6/100
  • RX-HEAVY 12K claims
  • BOOK-MID 5,914 in New York
  • PHOTO-FINISH Sudeepta Rakhra · ±0.0

MIPS final-score neighbourhood

Same-specialty nationwide peers by CMS final score, not geographic proximity

MIPS pts

What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).

Source CMS Quality Payment Program (MIPS) As of 2023

Robert Garfield, DO's MIPS score vs every measured U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.

87 ≥ 49th percentile 49% of 454,083 measured providers are in lower value bands

0–10: 8,684 measured providers (2%). Below this entry. 10–20: 3,008 measured providers (1%). Below this entry. 20–30: 3,069 measured providers (1%). Below this entry. 30–40: 2,746 measured providers (1%). Below this entry. 40–50: 2,928 measured providers (1%). Below this entry. 50–60: 5,882 measured providers (1%). Below this entry. 60–70: 13,906 measured providers (3%). Below this entry. 70–80: 94,570 measured providers (21%). Below this entry. 80–90: 129,887 measured providers (29%). This entry sits in this band. 90+: 189,403 measured providers (42%). Above this entry. This provider 0 100 every measured MIPS clinician, bucketed by value

Each bar is a band; taller bars hold more measured 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.

The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Where Robert Garfield, DO sits

This provider among family medicine physician peers

Across the 21,266 family medicine physician providers who report both Medicare Part D prescribing and a MIPS quality score, Robert Garfield, DO writes more Part D claims than 93% of them and scores higher on MIPS quality than 49% - placing this provider in the high-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality02550751000255075100Part D claim volume, percentile in specialtyMIPS quality, percentilePoint, Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 82Point, Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 47Point, Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 68Point, Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 60Point, Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 77Point, Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 33Point, Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 80Point, Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 90Point, Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 37Point, Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 63Point, Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 58Point, Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 40Point, Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 20Point, Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 13Point, Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 98Point, Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 18Point, Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 12Point, Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 32Point, Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 43Point, Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 10Point, Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 72Point, Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 15Point, Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 2Point, Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 8Point, Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 73Point, Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 87Point, Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 3Point, Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 38Point, Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 23Point, Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 97Point, Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 50Point, Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 78Point, Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 5Point, Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 62Point, Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 25Point, Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 28Point, Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 22Point, Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 50Point, Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 15Point, Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 48Point, Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 30Point, Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 7Point, Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 27Point, Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 45Point, Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 82Point, Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 98Point, Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 68Point, Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 73Point, Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 50Point, Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 55Point, Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 63Point, Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 87Point, Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 57Point, Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 67Point, Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 35Robert Garfield, DO, Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 49
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one family medicine physician peer from a representative sample of 60; the gold marker is Robert Garfield, DO. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

Board certification likely (heuristic, not verified)

Robert Garfield, DO 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 Robert Garfield, DO?

High performer (top quartile)

NPI registry status

Active

Issued 09/08/2005

NPI 1528052362

Primary specialty

Family Medicine Physician

High-volume

147,760 US NPIs in this specialty

Medicare Part D claims

12,046 252% vs specialty avg

2023 prescription claims

Specialty avg: 3,418

MIPS final score

86.6/100 3.1 pts vs avg

Above neutral band

vs 83.5 national avg

Specialty distribution in New York

How Family Medicine Physician compares to other specialties among New York providers

New York providers
Student in an Organized Heal…7.8%Registered Nurse5.2%Clinical Social Worker4.9%Social Worker4.5%Speech-Language Pathologist4.5%Licensed Practical Nurse4.3%Family Medicine Physician1.1%
Largest specialties in New York (% of in-state providers)

Medicare quality performance, MIPS

Robert Garfield, DO's 2023 MIPS final score plotted against the Family Medicine Physician national average

High performer (top quartile)
MIPS Final Score
86.6/100
vs 83.5 national avg · 2023 performance year
0%100%National avg84%86.6%
MIPS final score (Family Medicine Physician) - 86.6/100 vs national avg 83.5
How MIPS and board certification work

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).

Practice Address

4 DECATUR ST
Worcester, NY 12197

Provider Details

NPI 1528052362
Specialty Family Medicine Physician
Credentials DO
Gender Male
NPI Issued 09/08/2005

CMS Quality Score (MIPS)

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

86.6449
Final Score
Measured-score avg: 83.5
80.1318
Quality
74
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where Robert Garfield, DO 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.

Mary Imogene Bassett Hospital
Stamford, 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 Robert Garfield, DO. Source: openpaymentsdata.cms.gov.

Total received

$443

Largest payer

AstraZeneca Pharmaceuticals LP

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 Robert Garfield, DO. To verify Robert Garfield, DO'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 · Typical

Robert Garfield, DO - brand share 15.0%
Family Medicine Physician average

15% brand-name claims vs 84% generic, on 12,046 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.

12,046
Total Claims
$1.1M
Total Drug Cost
654
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
19,791
Total Day Supply
550,349
Brand vs Generic
15% brand / 84% generic
Brand Drug Cost
$836K
Generic Drug Cost
$271K
Opioid Claims
1,058 (8.8% rate)
Antibiotic Claims
216

Patient Demographics

Average Patient Age
72.6 years
Avg HCC Risk Score
1.27
Gender Split
52% female / 48% male
Age Distribution
<65: 127, 65-74: 227, 75-84: 199, 85+: 101

Top Prescribed Drugs (Medicare Part D)

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

What Robert Garfield, DO 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
Atorvastatin Calcium
479
Lisinopril
402
Levothyroxine Sodium
397
Gabapentin
390
Eliquis
Apixaban
324
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
318
Hydrochlorothiazide
315
Oxycodone Hcl
277
Furosemide
262
Metoprolol Succinate
256

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

Family Medicine Physician Overview

How Robert Garfield, DO fits within the Family Medicine Physician landscape nationally.

147,760
Family Medicine Physician Providers in US
56
States with Family Medicine Physician
3,418
Avg Claims per Provider

Robert Garfield, DO's 12,046 claims are above the specialty average of 3,418.

Nationwide Family Medicine Physician peers with similar MIPS or enrollment year

Two federal-record peer sets for Garfield, both outside New York so the neighborhoods are not geographic containment.

Similar MIPS final score

Nearest same-specialty clinicians by CMS MIPS final score (86.6 here).

Same NPPES enumeration year (2005)

Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.

Nearby Family Medicine Physician Providers in New York

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

One of 5,914 Family Medicine Physician providers enrolled in New York, 5 are shown here.

Compare Family Medicine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is Robert Garfield, DO's specialty?
Robert Garfield, DO specializes in Family Medicine Physician and practices in Worcester, New York. Credentials: DO.
How much does Robert Garfield, DO prescribe under Medicare Part D?
In 2023, Robert Garfield, DO wrote 12,046 Medicare Part D claims totaling $1.1M in drug costs for 654 beneficiaries.
What is Robert Garfield, DO's Medicare quality score?
Robert Garfield, DO has a CMS MIPS Final Score of 86.6/100 (Quality: 80.1). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Robert Garfield, DO located?
Robert Garfield, DO is located at 4 DECATUR ST, Worcester, NY, 12197. Phone: (607) 397-1725.
What is Robert Garfield, DO's NPI number?
Robert Garfield, DO's National Provider Identifier (NPI) is 1528052362, issued on 09/08/2005.
Does Robert Garfield, DO prescribe more brand-name or generic drugs?
Robert Garfield, DO's prescribing is 15% brand-name and 84% generic drugs by claim count, with $836K in brand drug costs.
Does Robert Garfield, DO prescribe opioids?
Yes, Robert Garfield, DO had 1,058 opioid claims in 2023 with an opioid prescribing rate of 8.8%.
How many Family Medicine Physician providers are there in the US?
There are 147,760 Family Medicine Physician providers across 56 states in the US. The average Family Medicine Physician provider writes 3,418 Medicare Part D claims per year.
What drugs does Robert Garfield, DO prescribe most often?
Based on 2023 Medicare Part D data, Robert Garfield, DO's most frequently prescribed drugs include Atorvastatin Calcium, Lisinopril, Levothyroxine Sodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Robert Garfield, DO accept Medicare?
Robert Garfield, DO appears in CMS Medicare data with 12,046 Part D claims and 654 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Robert Garfield, DO's credentials?
Robert Garfield, DO's NPI is 1528052362 with credentials DO. 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

View source datasets and methodology notes
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

Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of May 2026.