NPI registry status
Active
2026 NPPES data Rheumatology Physician NPI 1780794578 MD
Verify on CMS → Alben Goldstein, MD
Rheumatology Physician in Arlington, Virginia.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 6,181 in Rheumatology Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
6K
Medicare Part D claims · 279 beneficiaries · Rheumatology Physician avg: 2K
MIPS score
18/100
▼ 65 pts below national avg 83.1 · Penalty band
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Alben Goldstein, MD reported a CMS MIPS final score of 18/100 - below the 83.1 national average - and filed 5,620 Medicare Part D claims in 2023.
- 18/100
- MIPS score · -65 vs avg
- 6K
- 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.
Alben Goldstein, MD's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
18 2nd percentile higher than 2% of 477,587 scored providers
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
Where Alben Goldstein, MD sits
This provider among rheumatology physician peers
Across the 2,181 rheumatology physician providers who report both Medicare Part D prescribing and a MIPS quality score, Alben Goldstein, MD writes more Part D claims than 93% of them and scores higher on MIPS quality than 2% - placing this provider in the high-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Part D claim volume vs MIPS quality, by specialty percentile
Each dot is one rheumatology physician peer from a representative sample of 60; the gold marker is Alben Goldstein, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Alben Goldstein, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting - 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 Alben Goldstein, MD?
Below national averagePrimary specialty
Rheumatology Physician
Medicare Part D claims
5,620 174% vs specialty avg
MIPS final score
18/100 65.1 pts vs avg
Specialty distribution in Virginia
How Rheumatology Physician compares to other specialties among Virginia providers
Medicare quality performance, MIPS
Alben Goldstein, MD's 2023 MIPS final score plotted against the Rheumatology Physician national average
- MIPS Final Score
- 18/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Rheumatology Physician) - 18/100 vs national avg 83.1
How MIPS and board certification work
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).
Alben Goldstein, MD appears in the CMS NPPES registry as a Rheumatology Physician provider holding MD credentials at 611 S CARLIN SPRINGS ROAD, Arlington, VA, 22204, with a listed phone of (703) 379-5828. NPI 1780794578 was issued on 08/30/2006.
Medicare Part D records for calendar year 2023 show 5,620 prescription claims written by this provider, covering 279 Medicare beneficiaries and totaling roughly $984K in drug spend, with an opioid prescribing rate of 13.0%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 18/100 for the 2023 performance year (Quality 0, Cost 59.8), compared with the national average of 83.1.
Rheumatology Physician is a mid-sized specialty nationwide, with 6,181 enrolled providers across 52 states and an average of 2,054 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 | 1780794578 |
|---|---|
| Specialty | Rheumatology Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 08/30/2006 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
17.9546
Final Score
Avg: 83.1
0
Quality
59.8485
Cost
Reporting: Individual
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
5,620
Total Claims
$984K
Total Drug Cost
279
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 7,067
- Total Day Supply
- 193,726
- Generic Drug Cost
- $141K
- Opioid Claims
- 728 (13.0% rate)
- Antibiotic Claims
- 103
Patient Demographics
- Average Patient Age
- 73.9 years
- Avg HCC Risk Score
- 2.14
- Gender Split
- 58% female / 42% male
- Age Distribution
- <65: 40, 65-74: 107, 75-84: 79, 85+: 53
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Alben Goldstein, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Oxycodone-Acetamin…
Oxycodone-Acetaminophen
220 claims
- Atorvastatin Calcium
Atorvastatin Calcium
213 claims
- Gabapentin
Gabapentin
191 claims
- Oxycodone Hcl
Oxycodone Hcl
172 claims
- Eliquis
Eliquis
170 claims
- Prednisone
Prednisone
134 claims
- Tamsulosin Hcl
Tamsulosin Hcl
124 claims
- Amlodipine Besylate
Amlodipine Besylate
116 claims
| Drug | Claims |
|---|---|
| Oxycodone-Acetaminophen Oxycodone Hcl/Acetaminophen | 220 |
| Atorvastatin Calcium | 213 |
| Gabapentin | 191 |
| Oxycodone Hcl | 172 |
| Eliquis Apixaban | 170 |
| Prednisone | 134 |
| Tamsulosin Hcl | 124 |
| Amlodipine Besylate | 116 |
| Furosemide | 115 |
| Levothyroxine Sodium | 100 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Rheumatology Physician Overview
How Alben Goldstein, MD fits within the Rheumatology Physician landscape nationally.
6,181
Rheumatology Physician Providers in US
52
States with Rheumatology Physician
2,054
Avg Claims per Provider
Alben Goldstein, MD's 5,620 claims are above the specialty average of 2,054.
Nearby Rheumatology Physician Providers in Virginia
Other clinicians with the same primary specialty enrolled in Virginia, drawn from the same CMS NPPES roster as Goldstein.
Dr. Romy Abou Mrad
MD
Harrisonburg, VA
Dr. Claude Abujrab-Saba
M.D.
Reston, VA
Dr. Gold Adkins
MD
Charlottesville, VA
Dr. Navera Ahmed
M. D.
Falls Church, VA
Dr. Avnit Ahuja
MD
Richmond, VA
Compare Rheumatology Physician nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the Virginia medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Rheumatology Physician peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
Healthcare Guides
Learn more about finding, verifying, and understanding healthcare providers.
How to Find a Doctor
Step-by-step guide to choosing a provider
Verify Credentials
Check NPI, board certification & license status
Medical Specialties Explained
Who treats what and how specialties differ
Understanding Medicare Claims Data
What prescribing data reveals about a provider
In-Network vs Out-of-Network
How insurance networks affect your costs
Telehealth Guide
Virtual care options and coverage in 2026
Explore Virginia
Frequently Asked Questions
What is Alben Goldstein, MD's specialty? ▼
Alben Goldstein, MD specializes in Rheumatology Physician and practices in Arlington, Virginia. Credentials: MD.
How much does Alben Goldstein, MD prescribe under Medicare Part D? ▼
In 2023, Alben Goldstein, MD wrote 5,620 Medicare Part D claims totaling $984K in drug costs for 279 beneficiaries.
What is Alben Goldstein, MD's Medicare quality score? ▼
Alben Goldstein, MD has a CMS MIPS Final Score of 18/100 (Quality: 0, Cost: 59.8). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Alben Goldstein, MD located? ▼
Alben Goldstein, MD is located at 611 S CARLIN SPRINGS ROAD, Arlington, VA, 22204. Phone: (703) 379-5828.
What is Alben Goldstein, MD's NPI number? ▼
Alben Goldstein, MD's National Provider Identifier (NPI) is 1780794578, issued on 08/30/2006.
Does Alben Goldstein, MD prescribe opioids? ▼
Yes, Alben Goldstein, MD had 728 opioid claims in 2023 with an opioid prescribing rate of 13.0%.
How many Rheumatology Physician providers are there in the US? ▼
There are 6,181 Rheumatology Physician providers across 52 states in the US. The average Rheumatology Physician provider writes 2,054 Medicare Part D claims per year.
What drugs does Alben Goldstein, MD prescribe most often? ▼
Based on 2023 Medicare Part D data, Alben Goldstein, MD's most frequently prescribed drugs include Oxycodone-Acetaminophen, Atorvastatin Calcium, Gabapentin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Alben Goldstein, MD accept Medicare? ▼
Alben Goldstein, MD appears in CMS Medicare data with 5,620 Part D claims and 279 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Alben Goldstein, MD's credentials? ▼
Alben Goldstein, MD's NPI is 1780794578 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
View source datasets and methodology notes
- 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
Compiled from official public sources by the PlainDoctor editorial team.