2026 NPPES data Orthopaedic Surgery Physician NPI 1609872555 DO
Verify on CMS →

Samuel Epstein, DO

Orthopaedic Surgery Physician in Manahawkin, New Jersey.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 26,109 in Orthopaedic Surgery 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
25
Medicare Part D claims · 12 beneficiaries · Orthopaedic Surgery Physician avg: 344
MIPS score
75/100
CMS neutral threshold · no category scores published

What the federal data shows

Samuel Epstein, DO carries the neutral CMS MIPS final score of 75/100, assigned where no category was scored - and filed 25 Medicare Part D claims in 2024.

75/100
CMS neutral score · not measured
25
Part D claims, 2024
Likely
board-certified (heuristic)
≥0th
pct by Part D claim volume (lower-bound band)

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.

Federal trust snapshot

What official records show about Samuel Epstein, DO

Federal records show an active NPI with Medicare Part D prescribing activity — verifiable registry data, not a proprietary rating.

  • Verified

    NPI registry status

    Active listing in the CMS National Provider Identifier Registry (NPI 1609872555), first enumerated 06/24/2005.

    Source: CMS NPPES

  • Reported

    Medicare Part D participation

    Filed 25 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.

    Source: CMS Part D Prescriber PUF

  • Reported

    CMS quality reporting (MIPS)

    CMS assigned a neutral MIPS final score of 75/100 where no performance category was scored — not a measured quality rank.

    Source: CMS Quality Payment Program

  • Reported

    Board certification signal

    Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.

    Source: NUCC taxonomy + CMS participation heuristic

  • Not in federal data

    Individual sanction lookup

    PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.

    Source: State medical board / FSMB

This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.

CMS NPPES provider registry desk

NPI 1609872555 · Orthopaedic Surgery Physician

NPI-10 · ENUM-LEGACY · TAX-MID · MIPS-NEUTRAL · RX-TRACE · BOOK-LIGHT · PHOTO-ENUM

  • NPI-10 1609872555
  • ENUM-LEGACY 2005
  • TAX-MID 26K Orthopaedic Surgery
  • MIPS-NEUTRAL 75/100
  • RX-TRACE 25
  • BOOK-LIGHT 689 in New Jersey
  • PHOTO-ENUM Robert Knowlan, MD · 2005

Samuel Epstein, DO's Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2024, across all CMS prescribers nationally

25 ≥ 0th percentile 0% of 1,416,883 prescribers are in lower value bands

0–200: 679,947 prescribers (48%). This entry sits in this band. 200–400: 188,835 prescribers (13%). Above this entry. 400–600: 95,866 prescribers (7%). Above this entry. 600–800: 60,107 prescribers (4%). Above this entry. 800–1,000: 43,043 prescribers (3%). Above this entry. 1,000–1,200: 33,612 prescribers (2%). Above this entry. 1,200–1,400: 27,889 prescribers (2%). Above this entry. 1,400–1,600: 23,183 prescribers (2%). Above this entry. 1,600–1,800: 19,917 prescribers (1%). Above this entry. 1,800–2,000: 17,585 prescribers (1%). Above this entry. 2K+: 226,899 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.

The percentile is a conservative 100-claim band: it counts only prescribers in lower claim-volume bands. Medicare Part D claim volume is activity context, not a quality measure or recommendation. See methodology § corpus placement.

Source CMS Medicare Part D Prescriber Public Use File · 2024

Board certification likely (heuristic, not verified)

Samuel Epstein, DO 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).

What does the federal data show about Samuel Epstein, DO?

CMS neutral score, not measured

NPI registry status

Active

Issued 06/24/2005

NPI 1609872555

Primary specialty

Orthopaedic Surgery Physician

Mid-sized

26,109 US NPIs in this specialty

Medicare Part D claims

25 93% vs specialty avg

2024 prescription claims

Specialty avg: 344

MIPS final score

75/100

CMS neutral score, not measured

No category scores published; CMS assigned the performance threshold

Specialty distribution in New Jersey

How Orthopaedic Surgery Physician compares to other specialties among New Jersey providers

New Jersey providers
Mental Health Counselor6.2%Physical Therapist5.8%Student in an Organized Heal…5.6%Clinical Social Worker5.5%Pharmacist5%Internal Medicine Physician3.1%Orthopaedic Surgery Physician0.4%
Largest specialties in New Jersey (% of in-state providers)

MIPS score not measured

CMS assigned a neutral 75/100 threshold

CMS did not publish any Quality, Cost, Promoting Interoperability, or Improvement Activities category score for this clinician. This administrative threshold is not comparable with the national average of clinicians whose MIPS score was measured.

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

1168 BEACON AVE
Manahawkin, NJ 08050

Provider Details

NPI 1609872555
Specialty Orthopaedic Surgery Physician
Credentials DO
Gender Male
NPI Issued 06/24/2005

CMS Quality Score (MIPS)

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

75
Final Score
CMS neutral threshold · not measured

Reporting: Group practice

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2024.

25
Total Claims
$3K
Total Drug Cost
12
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
49
Total Day Supply
1,409
Brand Drug Cost
$0
Generic Drug Cost
$3K

Patient Demographics

Average Patient Age
74.5 years
Avg HCC Risk Score
0.68
Age Distribution
<65: 0, 65-74: N/A, 75-84: N/A, 85+: N/A

Orthopaedic Surgery Physician Overview

How Samuel Epstein, DO fits within the Orthopaedic Surgery Physician landscape nationally.

26,109
Orthopaedic Surgery Physician Providers in US
56
States with Orthopaedic Surgery Physician
344
Avg Claims per Provider

Samuel Epstein, DO's 25 claims are below the specialty average of 344.

Nationwide Orthopaedic Surgery Physician peers with similar MIPS or enrollment year

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

Similar MIPS final score

Nearest same-specialty clinicians by CMS MIPS final score (75 here).

Same NPPES enumeration year (2005)

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

Nearby Orthopaedic Surgery Physician Providers in New Jersey

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

One of 689 Orthopaedic Surgery Physician providers enrolled in New Jersey, 5 are shown here.

Compare Orthopaedic Surgery Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is Samuel Epstein, DO's specialty?
Samuel Epstein, DO specializes in Orthopaedic Surgery Physician and practices in Manahawkin, New Jersey. Credentials: DO.
How much does Samuel Epstein, DO prescribe under Medicare Part D?
In 2024, Samuel Epstein, DO wrote 25 Medicare Part D claims totaling $3K in drug costs for 12 beneficiaries.
What is Samuel Epstein, DO's Medicare quality score?
Samuel Epstein, DO has a CMS MIPS Final Score of 75/100. CMS published no Quality, Promoting Interoperability, Improvement Activity or Cost score for this clinician, so the final score is the neutral performance threshold CMS assigns rather than a measured result. 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 Samuel Epstein, DO located?
Samuel Epstein, DO is located at 1168 BEACON AVE, Manahawkin, NJ, 08050. Phone: (609) 597-6092.
What is Samuel Epstein, DO's NPI number?
Samuel Epstein, DO's National Provider Identifier (NPI) is 1609872555, issued on 06/24/2005.
How many Orthopaedic Surgery Physician providers are there in the US?
There are 26,109 Orthopaedic Surgery Physician providers across 56 states in the US. The average Orthopaedic Surgery Physician provider writes 344 Medicare Part D claims per year.
Does Samuel Epstein, DO accept Medicare?
Samuel Epstein, DO appears in CMS Medicare data with 25 Part D claims and 12 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Samuel Epstein, DO's credentials?
Samuel Epstein, DO's NPI is 1609872555 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 (2024). 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 August 2026 (NPPES) / 2024 (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 August 2026.