2026 NPPES data Hematology (Internal Medicine) Physician NPI 1962408047 M.D.
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TODD GERSTEN, M.D.

Hematology (Internal Medicine) Physician in WELLINGTON, Florida. 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
1K
Medicare Part D claims · 214 beneficiaries · Hematology (Internal Medicine) Physician avg: 693
MIPS score
75/100
▼ 8 pts below national avg 83.1 · [object Object]
Industry payments
$5.3K
251 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: TODD GERSTEN, M.D. is a Hematology (Internal Medicine) Physician ([object Object]) practicing in WELLINGTON, Florida with a Medicare Part D prescribing footprint of 1K claims across 214 beneficiaries . Their CMS MIPS Final Score of 75/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $5.3K across 251 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: TODD GERSTEN, M.D. reported a CMS MIPS final score of 75 out of 100, below the 83.1 national average, and filed 1,229 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

TODD GERSTEN, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

TODD GERSTEN, M.D. at a glance

Below national average

NPI registry status

Active

Issued 06/23/2005

NPI 1962408047

Primary specialty

Hematology (Internal Medicine) Physician

Niche

1,436 US NPIs in this specialty

Medicare Part D claims

1,229 77% vs specialty avg

2023 prescription claims

Specialty avg: 693

MIPS final score

75/100 8.099999999999994% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Florida

How Hematology (Internal Medicine) Physician compares to other specialties among Florida providers

Florida providers

Hematology (Internal Medicine) Physician share within Florida

1. Hematology (Internal Medicine) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Hematology (Internal Medicine) Physician share within Florida

Medicare quality performance — MIPS

TODD GERSTEN, M.D.'s 2023 MIPS final score plotted against the Hematology (Internal Medicine) Physician national average

Below national average
MIPS Final Score
75/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Hematology (Internal Medicine) Physician) — 75/100 vs national avg 83.1

0%100%National avg83%75%
MIPS final score (Hematology (Internal Medicine) Physician) — 75/100 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).

TODD GERSTEN, M.D. is a Hematology (Internal Medicine) Physician provider practicing in WELLINGTON, Florida, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1962408047. 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.

TODD GERSTEN, M.D. appears in the CMS NPPES registry as a Hematology (Internal Medicine) Physician provider holding M.D. credentials at 1037 S STATE ROAD 7, WELLINGTON, FL, 33414, with a listed phone of (561) 366-4100. NPI 1962408047 was issued on 06/23/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what GERSTEN 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 1,229 prescription claims written by this provider, covering 214 Medicare beneficiaries and totaling roughly $3.5 million in drug spend, with an opioid prescribing rate of 13.1%. 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 75/100 for the 2023 performance year, compared with the national average of 83.1.

Hematology (Internal Medicine) Physician is a narrow specialty nationwide, with 1,436 enrolled providers across 50 states and an average of 693 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

1037 S STATE ROAD 7
WELLINGTON, FL 33414

Provider Details

NPI 1962408047
Specialty Hematology (Internal Medicine) Physician
Credentials M.D.
Gender Male
NPI Issued 06/23/2005

CMS Quality Score (MIPS)

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

75
Final Score
Avg: 83.1

Reporting: Group practice

Hospital and facility affiliations

Facilities where TODD GERSTEN, M.D. 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.

FLORIDA CANCER SPECIALISTS AND RESEARCH INSTITUTE, LLC
WELLINGTON, FL

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 TODD GERSTEN, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$5.3K

Largest payer

PFIZER 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.

License & disciplinary context — Florida FLDOH 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 ~75K Florida medical licensees in 2023 — they are NOT specific to TODD GERSTEN, M.D.. To verify TODD GERSTEN, M.D.'s current license status, search the FLDOH public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

480
Total board actions, Florida 2023
Across 467 cases
6.40
Actions per 1,000 licensees
Florida statewide rate
monetary fine
Most common action type
138 cases

FLDOH 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 Florida disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Medicare Part D Prescribing Data

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

1,229
Total Claims
$3.5M
Total Drug Cost
214
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,754
Total Day Supply
45,110
Generic Drug Cost
$99K
Opioid Claims
161 (13.1% rate)
Antibiotic Claims
41

Patient Demographics

Average Patient Age
73.5 years
Avg HCC Risk Score
2.39
Gender Split
63% female / 37% male
Age Distribution
<65: 22, 65-74: 90, 75-84: 81, 85+: 21

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Prochlorperazine Maleate
101
Acyclovir
62
Revlimid
Lenalidomide
57
Oxycodone-Acetaminophen
Oxycodone Hcl/Acetaminophen
52
Eliquis
Apixaban
48
Hydroxyurea
41
Prednisone
40
Tramadol Hcl
29
Ondansetron Odt
Ondansetron
28
Letrozole
26

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

Hematology (Internal Medicine) Physician Overview

How TODD GERSTEN, M.D. fits within the Hematology (Internal Medicine) Physician landscape nationally.

1,436
Hematology (Internal Medicine) Physician Providers in US
50
States with Hematology (Internal Medicine) Physician
693
Avg Claims per Provider

TODD GERSTEN, M.D.'s 1,229 claims are above the specialty average of 693.

Nearby Hematology (Internal Medicine) Physician Providers in Florida

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

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

Frequently Asked Questions

What is TODD GERSTEN, M.D.'s specialty?
TODD GERSTEN, M.D. specializes in Hematology (Internal Medicine) Physician and practices in WELLINGTON, Florida. Credentials: M.D..
How much does TODD GERSTEN, M.D. prescribe under Medicare Part D?
In 2023, TODD GERSTEN, M.D. wrote 1,229 Medicare Part D claims totaling $3.5M in drug costs for 214 beneficiaries.
What is TODD GERSTEN, M.D.'s Medicare quality score?
TODD GERSTEN, M.D. has a CMS MIPS Final Score of 75/100. The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is TODD GERSTEN, M.D. located?
TODD GERSTEN, M.D. is located at 1037 S STATE ROAD 7, WELLINGTON, FL, 33414. Phone: (561) 366-4100.
What is TODD GERSTEN, M.D.'s NPI number?
TODD GERSTEN, M.D.'s National Provider Identifier (NPI) is 1962408047, issued on 06/23/2005.
Does TODD GERSTEN, M.D. prescribe opioids?
Yes, TODD GERSTEN, M.D. had 161 opioid claims in 2023 with an opioid prescribing rate of 13.1%.
How many Hematology (Internal Medicine) Physician providers are there in the US?
There are 1,436 Hematology (Internal Medicine) Physician providers across 50 states in the US. The average Hematology (Internal Medicine) Physician provider writes 693 Medicare Part D claims per year.
What drugs does TODD GERSTEN, M.D. prescribe most often?
Based on 2023 Medicare Part D data, TODD GERSTEN, M.D.'s most frequently prescribed drugs include Prochlorperazine Maleate, Acyclovir, Revlimid. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does TODD GERSTEN, M.D. accept Medicare?
TODD GERSTEN, M.D. appears in CMS Medicare data with 1,229 Part D claims and 214 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify TODD GERSTEN, M.D.'s credentials?
TODD GERSTEN, M.D.'s NPI is 1962408047 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