Robert G Fafalak, MD
Rheumatology Internal Medicine
Robert G Fafalak is a Rheumatology Internal Medicine specialist based in New York, NY with over 39 years of clinical experience. Medicare-enrolled per CMS records and offers virtual telehealth visits.
Robert G Fafalak, MD has practiced internal medicine for 39+ years, working in independent practice. Trained at New York Medical College (class of 1987), he has been practicing for over 39 years. Among his Medicare patients, common conditions include high cholesterol, hypertension, and arthritis (per CMS data). CMS MIPS quality score: 83.27/100 (2023).
At a glance
- Prescribes opioids less than 15% of reporting doctors in New York
- Uses generic medications more than 46% of reporting doctors in New York
- Federal MIPS score higher than 22% of MIPS-scored doctors in New York
- Virtual visits available — no app or travel required
Older · 5196dNPPES updated 2012-03-01 · verify NPI on CMS · Verify license at New York State Board for Medicine
Contact & Location
Practice Location
4 Lexington Ave 1s, New York, NY 10010-5416
How Does This Doctor Compare?
Based on Medicare data, this doctor prescribes opioid pain medications conservatively, favors affordable generic drugs over brand-name ones.
MIPS Score
202383.27/100
New York avg: 87 · US avg: 83.6
⚠ Lower than most doctors nationally(-0.3 pts)
How the government rates this doctor's Medicare care quality. Scores above 75 are considered good.
Opioid Rx
↓ Lower = better4.4%
New York avg: 3.5 · US avg: 5.1
✓ Higher than most doctors nationally(-0.7 pts)
4.4% of this doctor's prescriptions are opioid pain medications. Lower means more cautious prescribing.
Generic Rx
↑ Higher = better85.9%
New York avg: 82 · US avg: 82.8
✓ Higher than most doctors nationally(+3.1 pts)
Typical range among reporting doctors in New YorkHow often this doctor prescribes affordable generic drugs instead of expensive brand-name ones.
Medicare Patients
441
Unique beneficiaries
Standard volumePrescription Recipients
470
Patients prescribed
Prescriptions Written
7,801
Total claims
Total Medicare drug cost: $1.44M
Percentile rankings compared against 8,064 reporting peers in New York.
Data Note: Sourced from CMS Medicare Provider Utilization & Payment Data. Percentile rankings compare this provider against all peers with reported data in the same state. Updated annually to reflect the latest federal reporting cycle.
What This Doctor Treats Most
Based on Medicare claims data — here's what patients commonly see this doctor for
Based on Medicare data, this doctor primarily manages High Cholesterol, Hypertension, and Arthritis.
Elevated cholesterol or triglycerides that increase heart disease risk
US avg: 70.4%↑ More patients than average (+5%) — a focus area for this doctor
High blood pressure — a leading risk factor for heart disease and stroke
US avg: 70.2%↓ Fewer patients than average (-9%) — less common here
Joint inflammation causing pain, swelling, and stiffness
US avg: 49.3%↑ More patients than average (+12%) — a focus area for this doctor
A condition where the body cannot properly regulate blood sugar levels
US avg: 34.5%↑ More patients than average (+10%) — a focus area for this doctor
Reduced blood flow to the heart muscle, commonly known as coronary artery disease
US avg: 31.7%↓ Fewer patients than average (-5%) — less common here
Percentage of this provider's Medicare patients diagnosed with each condition. Source: CMS Utilization Data.
$3.5k received from industry
159 transactions reported in 2024 ·Moderate tier
Payments include consulting fees, speaking honoraria, food & beverage, travel, research support, and ownership interests from drug and medical device manufacturers. Disclosure is required by the federal Physician Payments Sunshine Act. These payments do not necessarily indicate conflicts of interest. National median: $338 across 136 000 tracked providers.
Tiers — Low: under $500 · Moderate: $500-5 000 · High: $5 000-25 000 · Very High: $25 000+. Source: CMS Open Payments 2024, attributed to Robert G Fafalak's NPI.
Social Vulnerability Index: 0.37 / 1.00
Below-average vulnerabilityHe practices in a community where the CDC measures social vulnerability across socioeconomic status, household composition, racial/ethnic minority status, and housing/transportation factors. A higher index indicates more residents may face barriers accessing care.
Source: CDC/ATSDR Social Vulnerability Index.
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Background & Specialty
Education, training, and specialty classification from CMS NPPES and Medicare records.
Graduated medical school · 1987
New York Medical College
39 years in practice
Senior practitioner
Rheumatologists treat autoimmune and inflammatory conditions including rheumatoid arthritis, lupus, psoriatic arthritis, gout, osteoarthritis, and vasculitis. They manage biologic therapies and joint-preserving treatments.
Taxonomy: 207RR0500X
Education & Training
New York Medical College (Class of 1987)
Mailing address
36 West 9th St First Floor, New York, NY 10011
Differs from practice location
Virtual Internal Medicine Care With Robert G Fafalak
NPPES records indicate this provider offers telehealth services. Contact the office to confirm availability and scheduling.
Schedule a virtual visit with Robert G Fafalak for cholesterol management, blood pressure monitoring, arthritis follow-ups — no travel to New York required. The office sends a secure video link before your appointment. Most visits take 15–30 minutes. Medicare enrolled per CMS records.
Frequently Asked Questions
Common questions about Robert G Fafalak
Dr. Fafalak is listed as active in the NPI registry with telehealth listed in New York, NY. NPI status alone doesn't confirm open availability — call the office to confirm. Phone: (212) 533-2760.
Sourced from CMS NPPES · OIG LEIE · CMS QPP 2023 · CMS Medicare Part D · CMS Open Payments 2024 · CMS Physician Comparator · CDC SVI. See Data Methodology.
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Contact Robert G Fafalak
Practice Location
4 Lexington Ave 1s, New York, NY 10010-5416
Mailing Address
36 West 9th St First Floor, New York, NY 10011
This is a provider directory. Contact the office directly to schedule appointments.
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