NPI registry status
Active
2026 NPPES data Hematology (Internal Medicine) Physician NPI 1083241590 MD
Verify on CMS → Theodore Getz, MD
Hematology (Internal Medicine) Physician in New Haven, Connecticut.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 1,483 in Hematology (Internal 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
52
Medicare Part D claims · 25 beneficiaries · Hematology (Internal Medicine) Physician avg: 684
What the federal data shows
Theodore Getz, MD filed 52 Medicare Part D claims in 2024 as a Hematology (Internal Medicine) Physician in New Haven, Connecticut.
- 52
- Part D claims, 2024
- ≥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 Theodore Getz, MD
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 1083241590), first enumerated 03/25/2020.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 52 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- Reported
Board certification signal
Practices in an ABMS-board-eligible specialty; board certification not confirmed in federal records.
- 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 1083241590 · Hematology (Internal Medicine) Physician
NPI-10 · ENUM-RECENT · TAX-NARROW · RX-TRACE · BOOK-THIN · PHOTO-ENUM
- NPI-10 1083241590
- ENUM-RECENT 2020
- TAX-NARROW 1,483
- RX-TRACE 52
- BOOK-THIN 36 in Connecticut
- PHOTO-ENUM Jonathan Lee, MD · 2020
Theodore Getz, MD's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2024, across all CMS prescribers nationally
52 ≥ 0th percentile 0% of 1,416,883 prescribers are in lower value bands
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-eligible specialty (heuristic, not verified)
Theodore Getz, MD practices in an ABMS-board-eligible specialty but we don't have enough CMS-participation signals to confirm active board-certified status. Consult CertificationMatters.org (the official ABMS public lookup).
What does the federal data show about Theodore Getz, MD?
Quality data not reportedPrimary specialty
Hematology (Internal Medicine) Physician
Medicare Part D claims
52 92% vs specialty avg
Specialty distribution in Connecticut
How Hematology (Internal Medicine) Physician compares to other specialties among Connecticut providers
Board certification
Not published by CMS
CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Hematology (Internal Medicine) Physician. Verify directly:
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
Provider Details
| NPI | 1083241590 |
|---|---|
| Specialty | Hematology (Internal Medicine) Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 03/25/2020 |
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2024.
52
Total Claims
$25K
Total Drug Cost
25
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 86.033
- Total Day Supply
- 2,284
- Generic Drug Cost
- $857
Patient Demographics
- Average Patient Age
- 74.8 years
- Avg HCC Risk Score
- 2.06
More Hematology (Internal Medicine) Physician in CT →
All providers in Connecticut →
Compare specialties →
Hematology (Internal Medicine) Physician Overview
How Theodore Getz, MD fits within the Hematology (Internal Medicine) Physician landscape nationally.
1,483
Hematology (Internal Medicine) Physician Providers in US
50
States with Hematology (Internal Medicine) Physician
684
Avg Claims per Provider
Theodore Getz, MD's 52 claims are below the specialty average of 684.
Nationwide Hematology (Internal Medicine) Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Getz, both outside Connecticut so the neighborhoods are not geographic containment.
Same NPPES enumeration year (2020)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Hematology (Internal Medicine) Physician Providers in Connecticut
Other clinicians with the same primary specialty enrolled in Connecticut, drawn from the same CMS NPPES roster as Getz.
One of 36 Hematology (Internal Medicine) Physician providers enrolled in Connecticut, 5 are shown here.
Dr. Erkut Bahceci
MD
New Haven, CT
Dr. Michael Bar
MD
Stamford, CT
Aarti Bhatia
M.B.B.S.
New Haven, CT
Dr. Michael Burke
MD
Hartford, CT
Dr. Michael Cecchini
MD
New Haven, CT
Compare Hematology (Internal Medicine) Physician nationally: see state-by-state distribution →
Frequently Asked Questions
What is Theodore Getz, MD's specialty? ▼
Theodore Getz, MD specializes in Hematology (Internal Medicine) Physician and practices in New Haven, Connecticut. Credentials: MD.
How much does Theodore Getz, MD prescribe under Medicare Part D? ▼
In 2024, Theodore Getz, MD wrote 52 Medicare Part D claims totaling $25K in drug costs for 25 beneficiaries.
Where is Theodore Getz, MD located? ▼
Theodore Getz, MD is located at 20 YORK ST, New Haven, CT, 06510. Phone: (203) 688-4242.
What is Theodore Getz, MD's NPI number? ▼
Theodore Getz, MD's National Provider Identifier (NPI) is 1083241590, issued on 03/25/2020.
How many Hematology (Internal Medicine) Physician providers are there in the US? ▼
There are 1,483 Hematology (Internal Medicine) Physician providers across 50 states in the US. The average Hematology (Internal Medicine) Physician provider writes 684 Medicare Part D claims per year.
Does Theodore Getz, MD accept Medicare? ▼
Theodore Getz, MD appears in CMS Medicare data with 52 Part D claims and 25 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Theodore Getz, MD's credentials? ▼
Theodore Getz, MD's NPI is 1083241590 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
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.
- 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.