YOUSSEF BOTROS
Gastroenterology Physician in FAIR LAWN, New Jersey. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.
What stands out: YOUSSEF BOTROS reported a CMS MIPS final score of 93.7128 out of 100, above the 83.1 national average, and filed 511 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.
YOUSSEF BOTROS 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).
YOUSSEF BOTROS at a glance
High performer (top quartile)Primary specialty
Medicare Part D claims
MIPS final score
Specialty distribution in New Jersey
How Gastroenterology Physician compares to other specialties among New Jersey providers
Gastroenterology Physician share within New Jersey
Gastroenterology Physician is one of the more visible NUCC categories in New Jersey
Each bar reflects the share of in-state providers whose primary NUCC taxonomy matches the specialty. Long tail of ~690 NUCC codes folded into "Other" to keep the comparison legible.
Medicare quality performance — MIPS
YOUSSEF BOTROS's 2023 MIPS final score plotted against the Gastroenterology Physician national average
- MIPS Final Score
- 93.7128/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Gastroenterology Physician) — 93.7128/100 vs national avg 83.1
Quality benchmarks
- National MIPS avg 2023 reporting year
- Quality dim CMS Quality category
- Specialty volume Gastroenterology Physician US NPIs
93.7128/100 MIPS final score — 10.6 pts above the 83.1 national average
Quality, Cost, Promoting Interoperability, and Improvement Activities composite score for the 2023 performance year. Specialty: Gastroenterology Physician. Quality dim: 77.7931.
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).
YOUSSEF BOTROS is a Gastroenterology Physician provider practicing in FAIR LAWN, New Jersey, according to the CMS National Plan and Provider Enumeration System (NPPES). NPI: 1487068094. 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.
YOUSSEF BOTROS appears in the CMS NPPES registry as a Gastroenterology Physician provider at 22-02 BROADWAY STE 301, FAIR LAWN, NJ, 07410, with a listed phone of (201) 414-5732. NPI 1487068094 was issued on 06/12/2014. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BOTROS 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 511 prescription claims written by this provider, covering 192 Medicare beneficiaries and totaling roughly $213K in drug spend, split 26% brand-name and 74% 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 93.7128/100 for the 2023 performance year (Quality 77.7931), compared with the national average of 83.1.
Gastroenterology Physician is a mid-sized specialty nationwide, with 16,567 enrolled providers across 54 states and an average of 833 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
Provider Details
| NPI | 1487068094 |
|---|---|
| Specialty | Gastroenterology Physician |
| Gender | Male |
| NPI Issued | 06/12/2014 |
Verify this provider's license
PlainDoctor pulls this profile from the CMS NPPES public registry. Confirm YOUSSEF BOTROS's current license status, disciplinary history, and board certifications with the New Jersey State Board of Medical Examiners in New Jersey before relying on this page for a clinical or care decision.
How we sourced this profile
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
Reporting: Alternative Payment Model
Hospital and facility affiliations
Facilities where YOUSSEF BOTROS 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.
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 YOUSSEF BOTROS. Source: openpaymentsdata.cms.gov.
Total received
$1.0K
Largest payer
Olympus Corporation of the Americas
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 · Above average
26% brand-name claims vs 74% generic, on 511 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.
Prescribing Breakdown
- 30-Day Fills
- 745
- Total Day Supply
- 18,435
- Brand vs Generic
- 26% brand / 74% generic
- Brand Drug Cost
- $198K
- Generic Drug Cost
- $15K
- Antibiotic Claims
- 20
Patient Demographics
- Average Patient Age
- 69.7 years
- Avg HCC Risk Score
- 1.66
- Gender Split
- 63% female / 37% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
| Drug | Claims |
|---|---|
| Omeprazole | 120 |
| Linzess Linaclotide | 65 |
| Famotidine | 40 |
| Pantoprazole Sodium | 20 |
| Gavilyte-C "Peg3350/Sod Sulf | N/A |
| Gavilyte-G "Peg3350/Sod Sulf | N/A |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Gastroenterology Physician Overview
How YOUSSEF BOTROS fits within the Gastroenterology Physician landscape nationally.
YOUSSEF BOTROS's 511 claims are below the specialty average of 833.
Nearby Gastroenterology Physician Providers in New Jersey
Other clinicians with the same primary specialty enrolled in New Jersey, drawn from the same CMS NPPES roster as BOTROS.
Compare Gastroenterology Physician nationally: see state-by-state distribution →
Healthcare Guides
Learn more about finding, verifying, and understanding healthcare providers.
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Frequently Asked Questions
What is YOUSSEF BOTROS's specialty? ▼
How much does YOUSSEF BOTROS prescribe under Medicare Part D? ▼
What is YOUSSEF BOTROS's Medicare quality score? ▼
Where is YOUSSEF BOTROS located? ▼
What is YOUSSEF BOTROS's NPI number? ▼
Does YOUSSEF BOTROS prescribe more brand-name or generic drugs? ▼
How many Gastroenterology Physician providers are there in the US? ▼
What drugs does YOUSSEF BOTROS prescribe most often? ▼
Does YOUSSEF BOTROS accept Medicare? ▼
How can I verify YOUSSEF BOTROS's credentials? ▼
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