Theodore P. Sgambati, M.D.
Internal Medicine Physician · Paramus, NJ
Theodore P. Sgambati, M.D. is an internal medicine physician with a practice address in Paramus, New Jersey, and NPI 1053398602, issued on Dec 26, 2005. Check the license (New Jersey MA055600, as entered in NPPES) on the New Jersey State Board of Medical Examiners; the Medicare figures below come from public CMS files.
- Name
- Theodore P. Sgambati
- Credential
- M.D.
- Primary taxonomy
- Internal Medicine Physician 207R00000X
- License number
- MA055600 NJ
Self-reported in NPPES; status is on the state search - Practice location
- 2 Sears Dr, Paramus, NJ 07652
- Phone
- (201) 262-2333
- Enumerated
- Dec 26, 2005
- Record last updated
- Mar 17, 2014 (not updated in 12 years: call before relying on the address or phone)
- Fax
- (201) 262-4515
- Medicaid ID
- 5370906 NJ
- Entity
- Type 1 · individual
8 nearest internal medicine physician records → All 4,632 in New Jersey → Look up another NPI →
Verify Theodore P. Sgambati in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersNew Jersey State Board of Medical Examiners
Search for license MA055600Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
2.8 times the Medicare Part D claims of the average internal medicine physician in 2024
8,842 Medicare Part D claims for 832 beneficiaries, against an average of 3,176 among the 108,855 providers of this specialty who prescribed in Part D. Brand-name drugs were 10% of claims. 84 claims were for opioids.
Most prescribed
- Atorvastatin Calcium488 claims
- Amlodipine Besylate399 claims
- Levothyroxine Sodium315 claims
- Losartan Potassium296 claims
- Rosuvastatin Calcium276 claims
- Alprazolam245 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The MIPS final score for 2023 (Medicare payment program): 98.7 of 100
The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $230.31
14 payments; by number, the most common kind was food and beverage; the largest payer was Lilly USA, LLC. The 50,334 providers of this specialty with any payment received $1,303.06 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Theodore P. Sgambati among 4,632 internal medicine physician records in New Jersey
Theodore P. Sgambati, M.D. is one of 4,632 internal medicine physician records with a practice address in New Jersey. 82% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2005, is newer than 0% of them.
- NPI issued2005 · 0% of these records are older, 92% newer
- In a Medicare fileYes · 82% of these records are
- In the CMS Doctors and Clinicians fileNo · 68% of these records are
- Record last updated2014 · 63% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207R00000X and a New Jersey practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
49 internal medicine physician records list a practice address in Paramus
They are 49 of the 1,842 NPPES records with a practice address in Paramus, and 4,632 internal medicine physician records in New Jersey.
All 4,632 in New Jersey → Every provider in Paramus → Internal Medicine Physician nationwide →
The 8 internal medicine physician records with the nearest ZIP codes
- Nourihan Adel, MDParamus, NJ 076521134171556
- Irina Anshelevich, M.D.Paramus, NJ 076521235176462
- Thomas Cacciola, MDParamus, NJ 076521043273857
- Amy Chinigo, M.D.Paramus, NJ 076521811936842
- Salvatore Focella, M.D.Paramus, NJ 076521013901511
- Dana Gellis, MDParamus, NJ 076521477500577
- Tonel Leibu, M.D.Paramus, NJ 076521649249582
- Peter Luongo, M.D.Paramus, NJ 076521376520940
Common questions
What is Theodore P. Sgambati, M.D.'s NPI number?
Theodore P. Sgambati, M.D.'s National Provider Identifier (NPI) is 1053398602, issued on Dec 26, 2005. An NPI identifies a provider in billing; it is not a license.
Where is Theodore P. Sgambati, M.D. located?
The NPPES record lists a practice address at 2 Sears Dr, Paramus, NJ, 07652. Phone: (201) 262-2333. Providers update this record themselves, so call before visiting.
How can I verify Theodore P. Sgambati, M.D.'s license?
NPPES lists New Jersey license number MA055600, as entered by the provider. Search the New Jersey State Board of Medical Examiners at https://newjersey.mylicense.com/verification/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Theodore P. Sgambati, M.D. prescribe under Medicare Part D?
In 2024, Theodore P. Sgambati, M.D. had 8,842 Medicare Part D claims for 832 beneficiaries; the average among internal medicine physician prescribers was 3,176. Part D covers Medicare prescriptions only.
What is Theodore P. Sgambati, M.D.'s MIPS final score?
The 2023 MIPS final score is 98.7 of 100. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.