2026 NPPES data Cardiovascular Disease Physician NPI 1639152564 M.D.
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Seth Dahlberg, M.D.

Cardiovascular Disease Physician in Worcester, Massachusetts. This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 24,795 in Cardiovascular Disease 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
1K
Medicare Part D claims · 203 beneficiaries · Cardiovascular Disease Physician avg: 3K
Generic prescribing
87%
generic claims · 13% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
97/100
▲ 14 pts above national avg 83.1 · Exceptional
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Seth Dahlberg, M.D. reported a CMS MIPS final score of 97/100 - above the 83.1 national average - and filed 1,002 Medicare Part D claims in 2023.

97/100
MIPS score · +14 vs avg
1K
Part D claims, 2023
87%
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.

Seth Dahlberg, M.D.'s MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure

97 Top 15% higher than 85% 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+: 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

Where Seth Dahlberg, M.D. sits

This provider among cardiovascular disease physician peers

Across the 8,753 cardiovascular disease physician providers who report both Medicare Part D prescribing and a MIPS quality score, Seth Dahlberg, M.D. writes more Part D claims than 22% of them and scores higher on MIPS quality than 84% - placing this provider in the lower-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Part D claim volume vs MIPS quality, by specialty percentile

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality0255075100023.146.269.392.4Part D claim volume, percentile in specialtyMIPS quality, percentilePart D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 2Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 28Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 58Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 57Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 38Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 78Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 8Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 7Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 12Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 35Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 22Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 12Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 63Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 40Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 60Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 48Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 68Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 70Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 85Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 25Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 83Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 72Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 12Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 50Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 10Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 62Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 65Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 20Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 67Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 27Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 75Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 33Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 43Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 3Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 12Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 23Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 32Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 87Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 77Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 5Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 45Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 73Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 80Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 12Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 52Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 55Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 53Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 47Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 37Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 42Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 30Seth Dahlberg, M.D.-Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 84
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one cardiovascular disease physician peer from a representative sample of 60; the gold marker is Seth Dahlberg, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

Board certification likely (heuristic, not verified)

Seth Dahlberg, M.D. 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 Seth Dahlberg, M.D.?

High performer (top quartile)

NPI registry status

Active

Issued 11/23/2005

NPI 1639152564

Primary specialty

Cardiovascular Disease Physician

Mid-sized

24,795 US NPIs in this specialty

Medicare Part D claims

1,002 67% vs specialty avg

2023 prescription claims

Specialty avg: 3,033

MIPS final score

97/100 13.9 pts vs avg

Exceptional band

vs 83.1 national avg

Specialty distribution in Massachusetts

How Cardiovascular Disease Physician compares to other specialties among Massachusetts providers

Massachusetts providers

Largest specialties in Massachusetts (% of in-state providers)

Mental Health Counselor - 8.3%Mental Health Counselor8.3%Clinical Social Worker - 7.8%Clinical Social Worker7.8%Student in an Organized Health Care Education/Training Program - 6.2%Student in an Organized Health Care Education/Training Program6.2%Behavior Technician - 4.9%Behavior Technician4.9%Counselor - 4.3%Counselor4.3%Internal Medicine Physician - 3.7%Internal Medicine Physician3.7%Cardiovascular Disease Physician - 0.4%Cardiovascular Disease Physician0.4%
Largest specialties in Massachusetts (% of in-state providers)

Medicare quality performance, MIPS

Seth Dahlberg, M.D.'s 2023 MIPS final score plotted against the Cardiovascular Disease Physician national average

High performer (top quartile)
MIPS Final Score
97/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Cardiovascular Disease Physician) - 97/100 vs national avg 83.1

0%100%National avg83%97%
MIPS final score (Cardiovascular Disease Physician) - 97/100 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).

Seth Dahlberg, M.D. appears in the CMS NPPES registry as a Cardiovascular Disease Physician provider holding M.D. credentials at 55 LAKE AVE N, Worcester, MA, 01655, with a listed phone of (508) 334-3452. NPI 1639152564 was issued on 11/23/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Dahlberg 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 1,002 prescription claims written by this provider, covering 203 Medicare beneficiaries and totaling roughly $169K in drug spend, split 13% brand-name and 87% 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 97/100 for the 2023 performance year (Quality 78.1), compared with the national average of 83.1.

Cardiovascular Disease Physician is a mid-sized specialty nationwide, with 24,795 enrolled providers across 54 states and an average of 3,033 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

55 LAKE AVE N
Worcester, MA 01655

Provider Details

NPI 1639152564
Specialty Cardiovascular Disease Physician
Credentials M.D.
Gender Male
NPI Issued 11/23/2005

CMS Quality Score (MIPS)

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

97.0218
Final Score
Avg: 83.1
78.0983
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

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 Seth Dahlberg, M.D.. To verify Seth Dahlberg, 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 · Typical

Seth Dahlberg, M.D. - brand share 13.0%
Cardiovascular Disease Physician average

13% brand-name claims vs 87% generic, on 1,002 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.

1,002
Total Claims
$169K
Total Drug Cost
203
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
2,534
Total Day Supply
75,594
Brand vs Generic
13% brand / 87% generic
Brand Drug Cost
$141K
Generic Drug Cost
$28K

Patient Demographics

Average Patient Age
74.8 years
Avg HCC Risk Score
1.56
Gender Split
39% female / 61% male
Age Distribution
<65: 19, 65-74: 74, 75-84: 83, 85+: 27

Top Prescribed Drugs (Medicare Part D)

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

What Seth Dahlberg, M.D. 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
150
Metoprolol Succinate
121
Carvedilol
83
Eliquis
Apixaban
76
Lisinopril
59
Rosuvastatin Calcium
56
Ezetimibe
52
Losartan Potassium
49
Furosemide
43
Isosorbide Mononitrate Er
Isosorbide Mononitrate
33

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

Cardiovascular Disease Physician Overview

How Seth Dahlberg, M.D. fits within the Cardiovascular Disease Physician landscape nationally.

24,795
Cardiovascular Disease Physician Providers in US
54
States with Cardiovascular Disease Physician
3,033
Avg Claims per Provider

Seth Dahlberg, M.D.'s 1,002 claims are below the specialty average of 3,033.

Nearby Cardiovascular Disease Physician Providers in Massachusetts

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

Compare Cardiovascular Disease Physician nationally: see state-by-state distribution →

Before you book an appointment

Use this federal record as your verification checklist, not as a recommendation.

  • Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
  • Check the active license and any disciplinary history with the Massachusetts medical board, federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Cardiovascular Disease Physician peer on Medicare volume and prescribing patterns. Compare providers

Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.

Frequently Asked Questions

What is Seth Dahlberg, M.D.'s specialty?
Seth Dahlberg, M.D. specializes in Cardiovascular Disease Physician and practices in Worcester, Massachusetts. Credentials: M.D..
How much does Seth Dahlberg, M.D. prescribe under Medicare Part D?
In 2023, Seth Dahlberg, M.D. wrote 1,002 Medicare Part D claims totaling $169K in drug costs for 203 beneficiaries.
What is Seth Dahlberg, M.D.'s Medicare quality score?
Seth Dahlberg, M.D. has a CMS MIPS Final Score of 97/100 (Quality: 78.1). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Seth Dahlberg, M.D. located?
Seth Dahlberg, M.D. is located at 55 LAKE AVE N, Worcester, MA, 01655. Phone: (508) 334-3452.
What is Seth Dahlberg, M.D.'s NPI number?
Seth Dahlberg, M.D.'s National Provider Identifier (NPI) is 1639152564, issued on 11/23/2005.
Does Seth Dahlberg, M.D. prescribe more brand-name or generic drugs?
Seth Dahlberg, M.D.'s prescribing is 13% brand-name and 87% generic drugs by claim count, with $141K in brand drug costs.
How many Cardiovascular Disease Physician providers are there in the US?
There are 24,795 Cardiovascular Disease Physician providers across 54 states in the US. The average Cardiovascular Disease Physician provider writes 3,033 Medicare Part D claims per year.
What drugs does Seth Dahlberg, M.D. prescribe most often?
Based on 2023 Medicare Part D data, Seth Dahlberg, M.D.'s most frequently prescribed drugs include Atorvastatin Calcium, Metoprolol Succinate, Carvedilol. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Seth Dahlberg, M.D. accept Medicare?
Seth Dahlberg, M.D. appears in CMS Medicare data with 1,002 Part D claims and 203 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Seth Dahlberg, M.D.'s credentials?
Seth Dahlberg, M.D.'s NPI is 1639152564 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.
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

Compiled from official public sources by the PlainDoctor editorial team.