2026 NPPES data Endocrinology, Diabetes & Metabolism Physician NPI 1366604704 M.D.
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YANA GARGER, M.D.

Endocrinology, Diabetes & Metabolism Physician in HO HO KUS, 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 · 310 beneficiaries · Endocrinology, Diabetes & Metabolism Physician avg: 3K
Generic prescribing
47%
generic claims · 53% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
16.1246/100
▼ 67 pts below national avg 83.1 · [object Object]
Industry payments
$426.77
28 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: YANA GARGER, M.D. is a Endocrinology, Diabetes & Metabolism Physician ([object Object]) practicing in HO HO KUS, New Jersey with a Medicare Part D prescribing footprint of 3K claims across 310 beneficiaries — 53% brand-name prescribing . Their CMS MIPS Final Score of 16.1246/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $426.77 across 28 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: YANA GARGER, M.D. reported a CMS MIPS final score of 16.1246 out of 100, below the 83.1 national average, and filed 2,568 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)

YANA GARGER, 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).

YANA GARGER, M.D. at a glance

Below national average

NPI registry status

Active

Issued 06/26/2008

NPI 1366604704

Primary specialty

Endocrinology, Diabetes & Metabolism Physician

Mid-sized

7,852 US NPIs in this specialty

Medicare Part D claims

2,568 3% vs specialty avg

2023 prescription claims

Specialty avg: 2,639

MIPS final score

16.1246/100 66.9754% pts

Penalty band band

vs 83.1 national avg

Specialty distribution in New Jersey

How Endocrinology, Diabetes & Metabolism Physician compares to other specialties among New Jersey providers

New Jersey providers

Endocrinology, Diabetes & Metabolism Physician share within New Jersey

1. Endocrinology, Diabetes & Metabolism Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Endocrinology, Diabetes & Metabolism Physician share within New Jersey

Medicare quality performance — MIPS

YANA GARGER, M.D.'s 2023 MIPS final score plotted against the Endocrinology, Diabetes & Metabolism Physician national average

Below national average
MIPS Final Score
16.1246/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Endocrinology, Diabetes & Metabolism Physician) — 16.1246/100 vs national avg 83.1

0%100%National avg83%16.1%
MIPS final score (Endocrinology, Diabetes & Metabolism Physician) — 16.1246/100 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).

YANA GARGER, M.D. is a Endocrinology, Diabetes & Metabolism Physician provider practicing in HO HO KUS, New Jersey, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1366604704. 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.

YANA GARGER, M.D. appears in the CMS NPPES registry as a Endocrinology, Diabetes & Metabolism Physician provider holding M.D. credentials at 10 SYCAMORE AVE, HO HO KUS, NJ, 07423, with a listed phone of (201) 474-5952. NPI 1366604704 was issued on 06/26/2008. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what GARGER 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 2,568 prescription claims written by this provider, covering 310 Medicare beneficiaries and totaling roughly $1.9 million in drug spend, split 53% brand-name and 47% generic by claim count. 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 16.1246/100 for the 2023 performance year (Quality 0, Cost 53.7485), compared with the national average of 83.1.

Endocrinology, Diabetes & Metabolism Physician is a mid-sized specialty nationwide, with 7,852 enrolled providers across 54 states and an average of 2,639 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

10 SYCAMORE AVE
HO HO KUS, NJ 07423

Provider Details

NPI 1366604704
Specialty Endocrinology, Diabetes & Metabolism Physician
Credentials M.D.
Gender Female
NPI Issued 06/26/2008

CMS Quality Score (MIPS)

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

16.1246
Final Score
Avg: 83.1
0
Quality
53.7485
Cost

Reporting: Individual

Hospital and facility affiliations

Facilities where YANA GARGER, 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.

VLADIMIR ZELENKO MD PC
MONROE, NY

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 YANA GARGER, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$427

Largest payer

Amneal Pharmaceuticals LLC

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 · Brand-heavy

YANA GARGER, M.D. — brand share 53.0%
Specialty average (est.)

53% brand-name claims vs 47% generic, on 2,568 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.

2,568
Total Claims
$1.9M
Total Drug Cost
310
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
5,782
Total Day Supply
171,123
Brand vs Generic
53% brand / 47% generic
Brand Drug Cost
$1.7M
Generic Drug Cost
$90K

Patient Demographics

Average Patient Age
74.5 years
Avg HCC Risk Score
1.31
Gender Split
67% female / 33% male
Age Distribution
<65: 11, 65-74: 159, 75-84: 109, 85+: 31

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Metformin Hcl Er
Metformin Hcl
271
Levothyroxine Sodium
210
Ozempic
Semaglutide
199
Rosuvastatin Calcium
174
Mounjaro
Tirzepatide
154
Synthroid
Levothyroxine Sodium
143
Trulicity
Dulaglutide
108
Jardiance
Empagliflozin
92
Glimepiride
79
Unithroid
Levothyroxine Sodium
57

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

Endocrinology, Diabetes & Metabolism Physician Overview

How YANA GARGER, M.D. fits within the Endocrinology, Diabetes & Metabolism Physician landscape nationally.

7,852
Endocrinology, Diabetes & Metabolism Physician Providers in US
54
States with Endocrinology, Diabetes & Metabolism Physician
2,639
Avg Claims per Provider

YANA GARGER, M.D.'s 2,568 claims are below the specialty average of 2,639.

Nearby Endocrinology, Diabetes & Metabolism Physician Providers in New Jersey

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

Compare Endocrinology, Diabetes & Metabolism Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is YANA GARGER, M.D.'s specialty?
YANA GARGER, M.D. specializes in Endocrinology, Diabetes & Metabolism Physician and practices in HO HO KUS, New Jersey. Credentials: M.D..
How much does YANA GARGER, M.D. prescribe under Medicare Part D?
In 2023, YANA GARGER, M.D. wrote 2,568 Medicare Part D claims totaling $1.9M in drug costs for 310 beneficiaries.
What is YANA GARGER, M.D.'s Medicare quality score?
YANA GARGER, M.D. has a CMS MIPS Final Score of 16.1246/100 (Quality: 0, Cost: 53.7485). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is YANA GARGER, M.D. located?
YANA GARGER, M.D. is located at 10 SYCAMORE AVE, HO HO KUS, NJ, 07423. Phone: (201) 474-5952.
What is YANA GARGER, M.D.'s NPI number?
YANA GARGER, M.D.'s National Provider Identifier (NPI) is 1366604704, issued on 06/26/2008.
Does YANA GARGER, M.D. prescribe more brand-name or generic drugs?
YANA GARGER, M.D.'s prescribing is 53% brand-name and 47% generic drugs by claim count, with $1.7M in brand drug costs.
How many Endocrinology, Diabetes & Metabolism Physician providers are there in the US?
There are 7,852 Endocrinology, Diabetes & Metabolism Physician providers across 54 states in the US. The average Endocrinology, Diabetes & Metabolism Physician provider writes 2,639 Medicare Part D claims per year.
What drugs does YANA GARGER, M.D. prescribe most often?
Based on 2023 Medicare Part D data, YANA GARGER, M.D.'s most frequently prescribed drugs include Metformin Hcl Er, Levothyroxine Sodium, Ozempic. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does YANA GARGER, M.D. accept Medicare?
YANA GARGER, M.D. appears in CMS Medicare data with 2,568 Part D claims and 310 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify YANA GARGER, M.D.'s credentials?
YANA GARGER, M.D.'s NPI is 1366604704 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