2026 NPPES data Cardiovascular Disease Physician NPI 1801852058 MD
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TED BIALY, MD

Cardiovascular Disease Physician in FLEMINGTON, New Jersey. 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
8K
Medicare Part D claims · 745 beneficiaries · Cardiovascular Disease Physician avg: 3K
MIPS score
77.7069/100
▼ 5 pts below national avg 83.1 · [object Object]
Industry payments
$850.39
32 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

TED BIALY, MD reported a CMS MIPS final score of 77.7069/100 — below the 83.1 national average — and filed 7,576 Medicare Part D claims in 2023.

77.7069/100
MIPS score · -5 vs avg
8K
Part D claims, 2023
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.

TED BIALY, MD's MIPS score vs every scored U.S. clinician

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

78 24th percentile higher than 24% 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%). This entry sits in this band. 80–90: 129,887 scored providers (27%). Above this entry. 90–100: 189,403 scored providers (40%). Above this entry. 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

Board certification likely (heuristic — not verified)

TED BIALY, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 2 hospital affiliations — 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 TED BIALY, MD?

Below national average

NPI registry status

Active

Issued 04/25/2006

NPI 1801852058

Primary specialty

Cardiovascular Disease Physician

Mid-sized

24,795 US NPIs in this specialty

Medicare Part D claims

7,576 150% vs specialty avg

2023 prescription claims

Specialty avg: 3,033

MIPS final score

77.7069/100 5.39309999999999% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in New Jersey

How Cardiovascular Disease Physician compares to other specialties among New Jersey providers

New Jersey providers

Cardiovascular Disease Physician share within New Jersey

1. Cardiovascular Disease Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Cardiovascular Disease Physician share within New Jersey

Medicare quality performance — MIPS

TED BIALY, MD's 2023 MIPS final score plotted against the Cardiovascular Disease Physician national average

Below national average
MIPS Final Score
77.7069/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Cardiovascular Disease Physician) — 77.7069/100 vs national avg 83.1

0%100%National avg83%77.7%
MIPS final score (Cardiovascular Disease Physician) — 77.7069/100 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).

TED BIALY, MD is a Cardiovascular Disease Physician provider practicing in FLEMINGTON, New Jersey, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1801852058. 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.

TED BIALY, MD appears in the CMS NPPES registry as a Cardiovascular Disease Physician provider holding MD credentials at 1100 WESCOTT DRIVE, FLEMINGTON, NJ, 08822, with a listed phone of (908) 788-1710. NPI 1801852058 was issued on 04/25/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BIALY 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 7,576 prescription claims written by this provider, covering 745 Medicare beneficiaries and totaling roughly $1.2 million in drug spend. 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 77.7069/100 for the 2023 performance year (Quality 77.3041, Cost 48.3857), 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

1100 WESCOTT DRIVE
FLEMINGTON, NJ 08822

Provider Details

NPI 1801852058
Specialty Cardiovascular Disease Physician
Credentials MD
Gender Male
NPI Issued 04/25/2006

CMS Quality Score (MIPS)

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

77.7069
Final Score
Avg: 83.1
77.3041
Quality
48.3857
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where TED BIALY, 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.

HUNTERDON MEDICAL CENTER
★★★★☆ 4/5
FLEMINGTON, NJ
Acute Care Hospitals
CMS CCN: 310005
HUNTERDON CARDIOVASCULAR ASSOCIATES
FLEMINGTON, NJ

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 TED BIALY, MD. Source: openpaymentsdata.cms.gov.

Total received

$850

Largest payer

Abbott Laboratories

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.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

7,576
Total Claims
$1.2M
Total Drug Cost
745
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
19,793
Total Day Supply
592,759
Generic Drug Cost
$176K

Patient Demographics

Average Patient Age
77.6 years
Avg HCC Risk Score
1.38
Gender Split
45% female / 55% male
Age Distribution
<65: 18, 65-74: 251, 75-84: 326, 85+: 150

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Metoprolol Succinate
1,037
Atorvastatin Calcium
885
Rosuvastatin Calcium
705
Amlodipine Besylate
629
Eliquis
Apixaban
517
Ezetimibe
389
Lisinopril
375
Losartan Potassium
208
Carvedilol
197
Clopidogrel
Clopidogrel Bisulfate
185

* 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 TED BIALY, MD 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

TED BIALY, MD's 7,576 claims are above the specialty average of 3,033.

Nearby Cardiovascular Disease Physician Providers in New Jersey

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

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

Frequently Asked Questions

What is TED BIALY, MD's specialty?
TED BIALY, MD specializes in Cardiovascular Disease Physician and practices in FLEMINGTON, New Jersey. Credentials: MD.
How much does TED BIALY, MD prescribe under Medicare Part D?
In 2023, TED BIALY, MD wrote 7,576 Medicare Part D claims totaling $1.2M in drug costs for 745 beneficiaries.
What is TED BIALY, MD's Medicare quality score?
TED BIALY, MD has a CMS MIPS Final Score of 77.7069/100 (Quality: 77.3041, Cost: 48.3857). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is TED BIALY, MD located?
TED BIALY, MD is located at 1100 WESCOTT DRIVE, FLEMINGTON, NJ, 08822. Phone: (908) 788-1710.
What is TED BIALY, MD's NPI number?
TED BIALY, MD's National Provider Identifier (NPI) is 1801852058, issued on 04/25/2006.
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 TED BIALY, MD prescribe most often?
Based on 2023 Medicare Part D data, TED BIALY, MD's most frequently prescribed drugs include Metoprolol Succinate, Atorvastatin Calcium, Rosuvastatin Calcium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does TED BIALY, MD accept Medicare?
TED BIALY, MD appears in CMS Medicare data with 7,576 Part D claims and 745 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify TED BIALY, MD's credentials?
TED BIALY, MD's NPI is 1801852058 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