2026 NPPES data Sleep Medicine (Psychiatry & Neurology) Physician NPI 1346444932 MD
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ADRIAN SANTAMARIA, MD

Sleep Medicine (Psychiatry & Neurology) Physician in TOMBALL, Texas. 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 · 455 beneficiaries · Sleep Medicine (Psychiatry & Neurology) Physician avg: 1K
MIPS score
96.5008/100
▲ 13 pts above national avg 83.1 · [object Object]
Industry payments
$25.9K
167 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

ADRIAN SANTAMARIA, MD reported a CMS MIPS final score of 96.5008/100 — above the 83.1 national average — and filed 2,701 Medicare Part D claims in 2023.

96.5008/100
MIPS score · +13 vs avg
3K
Part D claims, 2023
Likely
board-certified (heuristic)

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) — no proprietary rating or editorial opinion is applied.

ADRIAN SANTAMARIA, MD's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

97 Top 17% higher than 83% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). Below this entry. 90–100: 189,403 scored providers (40%). This entry sits in this band. This provider 0 100 every MIPS-scored clinician, bucketed by value

Each bar is a band; taller bars hold more scored providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Board certification likely (heuristic — not verified)

ADRIAN SANTAMARIA, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 2 hospital affiliations — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about ADRIAN SANTAMARIA, MD?

High performer (top quartile)

NPI registry status

Active

Issued 06/14/2007

NPI 1346444932

Primary specialty

Sleep Medicine (Psychiatry & Neurology) Physician

Rare

371 US NPIs in this specialty

Medicare Part D claims

2,701 169% vs specialty avg

2023 prescription claims

Specialty avg: 1,005

MIPS final score

96.5008/100 13.400800000000004% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Texas

How Sleep Medicine (Psychiatry & Neurology) Physician compares to other specialties among Texas providers

Texas providers

Sleep Medicine (Psychiatry & Neurology) Physician share within Texas

1. Sleep Medicine (Psychiatry & Neurology) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Sleep Medicine (Psychiatry & Neurology) Physician share within Texas

Medicare quality performance — MIPS

ADRIAN SANTAMARIA, MD's 2023 MIPS final score plotted against the Sleep Medicine (Psychiatry & Neurology) Physician national average

High performer (top quartile)
MIPS Final Score
96.5008/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Sleep Medicine (Psychiatry & Neurology) Physician) — 96.5008/100 vs national avg 83.1

0%100%National avg83%96.5%
MIPS final score (Sleep Medicine (Psychiatry & Neurology) Physician) — 96.5008/100 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).

ADRIAN SANTAMARIA, MD appears in the CMS NPPES registry as a Sleep Medicine (Psychiatry & Neurology) Physician provider holding MD credentials at 455 SCHOOL ST, TOMBALL, TX, 77375, with a listed phone of (281) 357-5678. NPI 1346444932 was issued on 06/14/2007. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what SANTAMARIA 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 2,701 prescription claims written by this provider, covering 455 Medicare beneficiaries and totaling roughly $2.3 million in drug spend, with an opioid prescribing rate of 0.7%. 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 96.5008/100 for the 2023 performance year (Quality 100, Cost 88.336), compared with the national average of 83.1.

Sleep Medicine (Psychiatry & Neurology) Physician is a narrow specialty nationwide, with 371 enrolled providers across 45 states and an average of 1,005 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

455 SCHOOL ST
TOMBALL, TX 77375

Provider Details

NPI 1346444932
Specialty Sleep Medicine (Psychiatry & Neurology) Physician
Credentials MD
Gender Male
NPI Issued 06/14/2007

CMS Quality Score (MIPS)

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

96.5008
Final Score
Avg: 83.1
100
Quality
88.336
Cost

Reporting: Individual

Hospital and facility affiliations

Facilities where ADRIAN SANTAMARIA, MD 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.

LEGACY HEALTHCARE SERVICES INC
SPRING, TX
NORTHWEST HOUSTON NEUROLOGY, P A
TOMBALL, TX

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 ADRIAN SANTAMARIA, MD. Source: openpaymentsdata.cms.gov.

Total received

$25.9K

Largest payer

JAZZ PHARMACEUTICALS INC.

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.

License & disciplinary context — Texas TMB 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~77K Texas medical licensees in 2023 — they are NOT specific to ADRIAN SANTAMARIA, MD. To verify ADRIAN SANTAMARIA, MD's current license status, search the TMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

344
Total board actions, Texas 2023
Across 334 cases
4.47
Actions per 1,000 licensees
Texas statewide rate
probation
Most common action type
94 cases

TMB publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Texas disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

2,701
Total Claims
$2.3M
Total Drug Cost
455
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
5,452
Total Day Supply
160,801
Generic Drug Cost
$136K
Opioid Claims
19 (0.7% rate)

Patient Demographics

Average Patient Age
71.7 years
Avg HCC Risk Score
1.54
Gender Split
56% female / 44% male
Age Distribution
<65: 66, 65-74: 194, 75-84: 155, 85+: 40

Top Prescribed Drugs (Medicare Part D)

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

What ADRIAN SANTAMARIA, MD prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Pramipexole Dihydrochloride
Pramipexole Di-Hcl
254
Memantine Hcl
197
Carbidopa-Levodopa
Carbidopa/Levodopa
189
Gabapentin
152
Levetiracetam
147
Donepezil Hcl
94
Sertraline Hcl
88
Clonazepam
86
Lacosamide
61
Amitriptyline Hcl
58

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

Sleep Medicine (Psychiatry & Neurology) Physician Overview

How ADRIAN SANTAMARIA, MD fits within the Sleep Medicine (Psychiatry & Neurology) Physician landscape nationally.

371
Sleep Medicine (Psychiatry & Neurology) Physician Providers in US
45
States with Sleep Medicine (Psychiatry & Neurology) Physician
1,005
Avg Claims per Provider

ADRIAN SANTAMARIA, MD's 2,701 claims are above the specialty average of 1,005.

Nearby Sleep Medicine (Psychiatry & Neurology) Physician Providers in Texas

Other clinicians with the same primary specialty enrolled in Texas, drawn from the same CMS NPPES roster as SANTAMARIA.

Compare Sleep Medicine (Psychiatry & Neurology) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is ADRIAN SANTAMARIA, MD's specialty?
ADRIAN SANTAMARIA, MD specializes in Sleep Medicine (Psychiatry & Neurology) Physician and practices in TOMBALL, Texas. Credentials: MD.
How much does ADRIAN SANTAMARIA, MD prescribe under Medicare Part D?
In 2023, ADRIAN SANTAMARIA, MD wrote 2,701 Medicare Part D claims totaling $2.3M in drug costs for 455 beneficiaries.
What is ADRIAN SANTAMARIA, MD's Medicare quality score?
ADRIAN SANTAMARIA, MD has a CMS MIPS Final Score of 96.5008/100 (Quality: 100, Cost: 88.336). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is ADRIAN SANTAMARIA, MD located?
ADRIAN SANTAMARIA, MD is located at 455 SCHOOL ST, TOMBALL, TX, 77375. Phone: (281) 357-5678.
What is ADRIAN SANTAMARIA, MD's NPI number?
ADRIAN SANTAMARIA, MD's National Provider Identifier (NPI) is 1346444932, issued on 06/14/2007.
Does ADRIAN SANTAMARIA, MD prescribe opioids?
Yes, ADRIAN SANTAMARIA, MD had 19 opioid claims in 2023 with an opioid prescribing rate of 0.7%.
How many Sleep Medicine (Psychiatry & Neurology) Physician providers are there in the US?
There are 371 Sleep Medicine (Psychiatry & Neurology) Physician providers across 45 states in the US. The average Sleep Medicine (Psychiatry & Neurology) Physician provider writes 1,005 Medicare Part D claims per year.
What drugs does ADRIAN SANTAMARIA, MD prescribe most often?
Based on 2023 Medicare Part D data, ADRIAN SANTAMARIA, MD's most frequently prescribed drugs include Pramipexole Dihydrochloride, Memantine Hcl, Carbidopa-Levodopa. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does ADRIAN SANTAMARIA, MD accept Medicare?
ADRIAN SANTAMARIA, MD appears in CMS Medicare data with 2,701 Part D claims and 455 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify ADRIAN SANTAMARIA, MD's credentials?
ADRIAN SANTAMARIA, MD's NPI is 1346444932 with credentials MD. 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