2026 NPPES data Advanced Heart Failure and Transplant Cardiology Physician NPI 1609893239 MD
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SABU THOMAS, MD

Advanced Heart Failure and Transplant Cardiology Physician in ROCHESTER, 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
198
Medicare Part D claims · 59 beneficiaries · Advanced Heart Failure and Transplant Cardiology Physician avg: 2K
Generic prescribing
51%
generic claims · 49% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
90.2334/100
▲ 7 pts above national avg 83.1 · [object Object]
Industry payments
$14.3K
17 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: SABU THOMAS, MD is a Advanced Heart Failure and Transplant Cardiology Physician ([object Object]) practicing in ROCHESTER, New York with a Medicare Part D prescribing footprint of 198 claims across 59 beneficiaries — 49% brand-name prescribing . Their CMS MIPS Final Score of 90.2334/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $14.3K across 17 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: SABU THOMAS, MD reported a CMS MIPS final score of 90.2334 out of 100, above the 83.1 national average, and filed 198 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)

SABU THOMAS, 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).

SABU THOMAS, MD at a glance

High performer (top quartile)

NPI registry status

Active

Issued 07/17/2006

NPI 1609893239

Primary specialty

Advanced Heart Failure and Transplant Cardiology Physician

Niche

510 US NPIs in this specialty

Medicare Part D claims

198 89% vs specialty avg

2023 prescription claims

Specialty avg: 1,762

MIPS final score

90.2334/100 7.133400000000009% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in New York

How Advanced Heart Failure and Transplant Cardiology Physician compares to other specialties among New York providers

New York providers

Advanced Heart Failure and Transplant Cardiology Physician share within New York

1. Advanced Heart Failure and Transplant Cardiology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Advanced Heart Failure and Transplant Cardiology Physician share within New York

Medicare quality performance — MIPS

SABU THOMAS, MD's 2023 MIPS final score plotted against the Advanced Heart Failure and Transplant Cardiology Physician national average

High performer (top quartile)
MIPS Final Score
90.2334/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Advanced Heart Failure and Transplant Cardiology Physician) — 90.2334/100 vs national avg 83.1

0%100%National avg83%90.2%
MIPS final score (Advanced Heart Failure and Transplant Cardiology Physician) — 90.2334/100 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).

SABU THOMAS, MD is a Advanced Heart Failure and Transplant Cardiology Physician provider practicing in ROCHESTER, New York, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1609893239. 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.

SABU THOMAS, MD appears in the CMS NPPES registry as a Advanced Heart Failure and Transplant Cardiology Physician provider holding MD credentials at 601 ELMWOOD AVE, ROCHESTER, NY, 14642, with a listed phone of (585) 275-4290. NPI 1609893239 was issued on 07/17/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what THOMAS 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 198 prescription claims written by this provider, covering 59 Medicare beneficiaries and totaling roughly $733K in drug spend, split 49% brand-name and 51% 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 90.2334/100 for the 2023 performance year (Quality 74.688, Cost 70.2532), compared with the national average of 83.1.

Advanced Heart Failure and Transplant Cardiology Physician is a narrow specialty nationwide, with 510 enrolled providers across 48 states and an average of 1,762 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

601 ELMWOOD AVE
ROCHESTER, NY 14642

Provider Details

NPI 1609893239
Specialty Advanced Heart Failure and Transplant Cardiology Physician
Credentials MD
Gender Male
NPI Issued 07/17/2006

CMS Quality Score (MIPS)

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

90.2334
Final Score
Avg: 83.1
74.688
Quality
70.2532
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where SABU THOMAS, 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.

CARDIOLOGY CLINICAL GROUP
DANSVILLE, 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 SABU THOMAS, MD. Source: openpaymentsdata.cms.gov.

Total received

$14.3K

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 SABU THOMAS, MD. To verify SABU THOMAS, 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 · Above average

SABU THOMAS, MD — brand share 49.0%
Specialty average (est.)

49% brand-name claims vs 51% generic, on 198 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.

198
Total Claims
$733K
Total Drug Cost
59
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
248
Total Day Supply
7,181
Brand vs Generic
49% brand / 51% generic
Brand Drug Cost
$731K
Generic Drug Cost
$2K

Patient Demographics

Average Patient Age
68.7 years
Avg HCC Risk Score
2.26
Gender Split
27% female / 73% male
Age Distribution
<65: 22, 65-74: 18, 75-84: N/A, 85+: N/A

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Vyndamax
Tafamidis
34
Entresto
Sacubitril/Valsartan
27
Farxiga
Dapagliflozin Propanediol
18
Metoprolol Succinate
11

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

Advanced Heart Failure and Transplant Cardiology Physician Overview

How SABU THOMAS, MD fits within the Advanced Heart Failure and Transplant Cardiology Physician landscape nationally.

510
Advanced Heart Failure and Transplant Cardiology Physician Providers in US
48
States with Advanced Heart Failure and Transplant Cardiology Physician
1,762
Avg Claims per Provider

SABU THOMAS, MD's 198 claims are below the specialty average of 1,762.

Nearby Advanced Heart Failure and Transplant Cardiology Physician Providers in New York

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

Compare Advanced Heart Failure and Transplant Cardiology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is SABU THOMAS, MD's specialty?
SABU THOMAS, MD specializes in Advanced Heart Failure and Transplant Cardiology Physician and practices in ROCHESTER, New York. Credentials: MD.
How much does SABU THOMAS, MD prescribe under Medicare Part D?
In 2023, SABU THOMAS, MD wrote 198 Medicare Part D claims totaling $733K in drug costs for 59 beneficiaries.
What is SABU THOMAS, MD's Medicare quality score?
SABU THOMAS, MD has a CMS MIPS Final Score of 90.2334/100 (Quality: 74.688, Cost: 70.2532). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is SABU THOMAS, MD located?
SABU THOMAS, MD is located at 601 ELMWOOD AVE, ROCHESTER, NY, 14642. Phone: (585) 275-4290.
What is SABU THOMAS, MD's NPI number?
SABU THOMAS, MD's National Provider Identifier (NPI) is 1609893239, issued on 07/17/2006.
Does SABU THOMAS, MD prescribe more brand-name or generic drugs?
SABU THOMAS, MD's prescribing is 49% brand-name and 51% generic drugs by claim count, with $731K in brand drug costs.
How many Advanced Heart Failure and Transplant Cardiology Physician providers are there in the US?
There are 510 Advanced Heart Failure and Transplant Cardiology Physician providers across 48 states in the US. The average Advanced Heart Failure and Transplant Cardiology Physician provider writes 1,762 Medicare Part D claims per year.
What drugs does SABU THOMAS, MD prescribe most often?
Based on 2023 Medicare Part D data, SABU THOMAS, MD's most frequently prescribed drugs include Vyndamax, Entresto, Farxiga. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does SABU THOMAS, MD accept Medicare?
SABU THOMAS, MD appears in CMS Medicare data with 198 Part D claims and 59 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify SABU THOMAS, MD's credentials?
SABU THOMAS, MD's NPI is 1609893239 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