Theodore Sgambati, M.D.
NPI 1053398602 · Internal Medicine Physician · Paramus, NJ
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Theodore Sgambati, M.D. is a Internal Medicine Physician provider in Paramus, NJ (NPI 1053398602).
Provider details
- NPI number
- 1053398602
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- MA055600 (NJ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
1,542 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Subsequent Nursing Facility Care With Straightforward Level of Medical Decision Making, Per Day, If Using Time, 20 Minutes Or More99308 | 293 | $84 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 260 | $144 |
| Insertion of Needle Into Vein for Collection of Blood Sample36415 | 224 | $8 |
| Residence Visit for Established Patient With Straightforward Medical Decision Making, Per Day, If Using Time, at Least 15 Minutes99347 | 206 | $50 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 122 | $104 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent Visit |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 148 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 488 | 125 |
| Amlodipine Besylate | 399 | 119 |
| Levothyroxine Sodium | 315 | 71 |
| Losartan Potassium | 296 | 89 |
| Rosuvastatin Calcium | 276 | 74 |
| Alprazolam | 245 | 57 |
| Metoprolol Succinate |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$230 across 14 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2005-12-26
- Last updated
- 2014-03-17
Frequently asked questions
- What is Theodore Sgambati's NPI number?
- Theodore Sgambati's National Provider Identifier (NPI) is 1053398602, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Theodore Sgambati's specialty?
- Theodore Sgambati is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Theodore Sgambati located?
- Theodore Sgambati's practice location on file with NPPES is 2 Sears Dr, Paramus, NJ 07652-3539.
- What is Theodore Sgambati's phone number?
- The practice phone number listed in the NPPES registry for Theodore Sgambati is (201) 262-2333.
- Does Theodore Sgambati accept Medicare?
- Theodore Sgambati is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Theodore Sgambati's NPI active?
- Yes — Theodore Sgambati's NPI (1053398602) is active in the NPPES registry as of the last update on 2014-03-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.