2026 NPPES data Internal Medicine Physician NPI 1043273857 MD
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THOMAS CACCIOLA, MD

Internal Medicine Physician in PARAMUS, 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
3K
Medicare Part D claims · 249 beneficiaries · Internal Medicine Physician avg: 3K
Generic prescribing
88%
generic claims · 12% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
17.2062/100
▼ 66 pts below national avg 83.1 · [object Object]
Industry payments
$113.67
1 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

THOMAS CACCIOLA, MD reported a CMS MIPS final score of 17.2062/100 — below the 83.1 national average — and filed 2,607 Medicare Part D claims in 2023.

17.2062/100
MIPS score · -66 vs avg
3K
Part D claims, 2023
88%
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.

THOMAS CACCIOLA, MD's MIPS score vs every scored U.S. clinician

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

17 2nd percentile higher than 2% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). This entry sits in this band. 20–30: 3,069 scored providers (1%). Above this entry. 30–40: 2,746 scored providers (1%). Above this entry. 40–50: 2,928 scored providers (1%). Above this entry. 50–60: 5,882 scored providers (1%). Above this entry. 60–70: 13,906 scored providers (3%). Above this entry. 70–80: 118,074 scored providers (25%). Above this entry. 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)

THOMAS CACCIOLA, MD 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 THOMAS CACCIOLA, MD?

Below national average

NPI registry status

Active

Issued 04/11/2006

NPI 1043273857

Primary specialty

Internal Medicine Physician

High-volume

172,858 US NPIs in this specialty

Medicare Part D claims

2,607 4% vs specialty avg

2023 prescription claims

Specialty avg: 2,716

MIPS final score

17.2062/100 65.8938% pts

Penalty band band

vs 83.1 national avg

Specialty distribution in New Jersey

How Internal Medicine Physician compares to other specialties among New Jersey providers

New Jersey providers

Internal Medicine Physician share within New Jersey

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

Medicare quality performance — MIPS

THOMAS CACCIOLA, MD's 2023 MIPS final score plotted against the Internal Medicine Physician national average

Below national average
MIPS Final Score
17.2062/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Internal Medicine Physician) — 17.2062/100 vs national avg 83.1

0%100%National avg83%17.2%
MIPS final score (Internal Medicine Physician) — 17.2062/100 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).

THOMAS CACCIOLA, MD appears in the CMS NPPES registry as a Internal Medicine Physician provider holding MD credentials at 403 FARVIEW AVE, PARAMUS, NJ, 07652, with a listed phone of (201) 261-8386. NPI 1043273857 was issued on 04/11/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what CACCIOLA 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 2,607 prescription claims written by this provider, covering 249 Medicare beneficiaries and totaling roughly $169K in drug spend, split 12% brand-name and 88% generic by claim count, with an opioid prescribing rate of 3.7%. 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 17.2062/100 for the 2023 performance year (Quality 0, Cost 57.354), compared with the national average of 83.1.

Internal Medicine Physician is a high-volume specialty nationwide, with 172,858 enrolled providers across 56 states and an average of 2,716 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

403 FARVIEW AVE
PARAMUS, NJ 07652

Provider Details

NPI 1043273857
Specialty Internal Medicine Physician
Credentials MD
Gender Male
NPI Issued 04/11/2006

CMS Quality Score (MIPS)

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

17.2062
Final Score
Avg: 83.1
0
Quality
57.354
Cost

Reporting: Individual

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 THOMAS CACCIOLA, MD. Source: openpaymentsdata.cms.gov.

Total received

$114

Largest payer

Teva Pharmaceuticals USA, Inc.

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.

Brand vs generic prescribing mix · Typical

THOMAS CACCIOLA, MD — brand share 12.0%
Specialty average (est.)

12% brand-name claims vs 88% generic, on 2,607 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.

2,607
Total Claims
$169K
Total Drug Cost
249
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
4,890
Total Day Supply
135,525
Brand vs Generic
12% brand / 88% generic
Brand Drug Cost
$98K
Generic Drug Cost
$50K
Opioid Claims
96 (3.7% rate)
Antibiotic Claims
237

Patient Demographics

Average Patient Age
75.8 years
Avg HCC Risk Score
1.06
Gender Split
59% female / 41% male
Age Distribution
<65: 11, 65-74: 110, 75-84: 87, 85+: 41

Top Prescribed Drugs (Medicare Part D)

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

What THOMAS CACCIOLA, MD 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
Prednisone
200
Azithromycin
120
Lisinopril
93
Tamsulosin Hcl
91
Levothyroxine Sodium
85
Albuterol Sulfate Hfa
Albuterol Sulfate
76
Amlodipine Besylate
73
Metoprolol Succinate
69
Furosemide
59
Metformin Hcl
53

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

Internal Medicine Physician Overview

How THOMAS CACCIOLA, MD fits within the Internal Medicine Physician landscape nationally.

172,858
Internal Medicine Physician Providers in US
56
States with Internal Medicine Physician
2,716
Avg Claims per Provider

THOMAS CACCIOLA, MD's 2,607 claims are below the specialty average of 2,716.

Nearby Internal Medicine Physician Providers in New Jersey

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

Compare Internal Medicine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is THOMAS CACCIOLA, MD's specialty?
THOMAS CACCIOLA, MD specializes in Internal Medicine Physician and practices in PARAMUS, New Jersey. Credentials: MD.
How much does THOMAS CACCIOLA, MD prescribe under Medicare Part D?
In 2023, THOMAS CACCIOLA, MD wrote 2,607 Medicare Part D claims totaling $169K in drug costs for 249 beneficiaries.
What is THOMAS CACCIOLA, MD's Medicare quality score?
THOMAS CACCIOLA, MD has a CMS MIPS Final Score of 17.2062/100 (Quality: 0, Cost: 57.354). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is THOMAS CACCIOLA, MD located?
THOMAS CACCIOLA, MD is located at 403 FARVIEW AVE, PARAMUS, NJ, 07652. Phone: (201) 261-8386.
What is THOMAS CACCIOLA, MD's NPI number?
THOMAS CACCIOLA, MD's National Provider Identifier (NPI) is 1043273857, issued on 04/11/2006.
Does THOMAS CACCIOLA, MD prescribe more brand-name or generic drugs?
THOMAS CACCIOLA, MD's prescribing is 12% brand-name and 88% generic drugs by claim count, with $98K in brand drug costs.
Does THOMAS CACCIOLA, MD prescribe opioids?
Yes, THOMAS CACCIOLA, MD had 96 opioid claims in 2023 with an opioid prescribing rate of 3.7%.
How many Internal Medicine Physician providers are there in the US?
There are 172,858 Internal Medicine Physician providers across 56 states in the US. The average Internal Medicine Physician provider writes 2,716 Medicare Part D claims per year.
What drugs does THOMAS CACCIOLA, MD prescribe most often?
Based on 2023 Medicare Part D data, THOMAS CACCIOLA, MD's most frequently prescribed drugs include Prednisone, Azithromycin, Lisinopril. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does THOMAS CACCIOLA, MD accept Medicare?
THOMAS CACCIOLA, MD appears in CMS Medicare data with 2,607 Part D claims and 249 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify THOMAS CACCIOLA, MD's credentials?
THOMAS CACCIOLA, MD's NPI is 1043273857 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