What is Theodore Sgambati's specialty?

Theodore Sgambati (NPI 1053398602) is a Medicare-billing provider whose primary specialty is Internal Medicine in Paramus, NJ.

Where does Theodore Sgambati practice?

Theodore Sgambati practices in Paramus, NJ, based on the location reported in the CMS Medicare provider datasets for NPI 1053398602.

How much does Medicare pay Theodore Sgambati?

Theodore Sgambati (NPI 1053398602) received approximately $106K in total Medicare Part B payments, serving 524 beneficiaries, per the CMS Medicare Physician & Other Practitioners dataset.

PROVIDER PROFILE · NPI 1053398602

Theodore SgambatiM.D.

Internal MedicineParamus, NJI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

1,067

Unique beneficiaries

—

Total services

1,578

Distinct HCPCS

Medicare payment

$104K

Peer benchmark

Total Medicare services vs. 3,616 Internal Medicine providers in NJ — above median (cohort median 895).

PRESCRIBING · PART D · 2024

Total Rx claims

8,160

Beneficiaries

—

Total drug cost

$534K

Distinct drugs

143

Brand share

15.5%

Top prescribed drugs

Atorvastatin Calcium488 claims

Amlodipine Besylate399 claims

Levothyroxine Sodium315 claims

Losartan Potassium296 claims

Rosuvastatin Calcium276 claims

QUALITY · MIPS · 2024

Final MIPS score

95.0

Quality

85.7

Cost

0.0

Improvement activities

40.0

Promoting interop.

100.0

Payment adjustment

0.84%

APM Entity

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2025

No data available for this provider in 2025.

REFERRAL NETWORK

Where Theodore Sgambati's patients come from & go

Directional shared-patient flow from Medicare claims — who sends patients to this provider (inbound) and where this provider's patients go next (outbound). 29 inbound referrers · 66 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
THE VALLEY HOSPITAL INC.	257	1,817
Peter Luongo Internal Medicine · Paramus, NJ	166	691
Marcus Williams Cardiology · Fair Lawn, NJ	74	220
Steven Levy Podiatry · Oradell, NJ	46	204
VALLEY HOME CARE, INC	40	92
Howard Seigerman Diagnostic Radiology · Waldwick, NJ	36	81
HMH HOSPITALS CORPORATION	28	74
Glenn Krinsky Diagnostic Radiology · Waldwick, NJ	28	68
Kyung-Hwa Rhee Diagnostic Radiology · Waldwick, NJ	26	89
Lauren Levy Diagnostic Radiology · Waldwick, NJ	23	56
Laboratory Corporation Of America Holdings Clinical Laboratory · Raritan, NJ	22	44
Amit Agarwal Internal Medicine · Paramus, NJ	21	51

Refers patients to

Outbound — where patients go next

Physician	Patients	Visits
THE VALLEY HOSPITAL INC.	191	1,241
Peter Luongo Internal Medicine · Paramus, NJ	182	758
SHIEL HOLDINGS LLC	156	306
Marcus Williams Cardiology · Fair Lawn, NJ	92	209
VALLEY HOME CARE, INC	72	239
Elliot Lerner Diagnostic Radiology · Waldwick, NJ	61	164
Steven Levy Podiatry · Oradell, NJ	51	223
Scott Degregorio Diagnostic Radiology · Waldwick, NJ	42	71
Glenn Krinsky Diagnostic Radiology · Waldwick, NJ	39	82
Keith Dockery Diagnostic Radiology · Waldwick, NJ	39	81
HMH HOSPITALS CORPORATION	36	76
Howard Seigerman Diagnostic Radiology · Waldwick, NJ	34	64

Source: CMS Physician Shared Patient Patterns (30-day window, Medicare FFS). Direction = a beneficiary seen by the first provider, then the second, within 30 days; a proxy for referral, not a documented referral. Pairs with fewer than 11 shared beneficiaries are suppressed.

CROSS-REFERENCE

Related data on other Healthparse brands

ProviderScore

OIG/SAM exclusion screening, sanctions history

Healthparse Signals

Monitor this provider for changes — dated NPI change events