NPI registry status
Active
2026 NPPES data Neurology Physician NPI 1154643120 MD
Verify on CMS → Alberto Pinzon Ardila, MD
Neurology Physician in Miami, Florida.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 19,885 in Neurology 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
3K
Medicare Part D claims · 233 beneficiaries · Neurology Physician avg: 1K
Generic prescribing
79%
generic claims · 20% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
76.2/100
▼ 7 pts below national avg 83.1 · Above neutral
Industry payments
$25.3K
258 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Alberto Pinzon Ardila, MD reported a CMS MIPS final score of 76.2/100 - below the 83.1 national average - and filed 2,686 Medicare Part D claims in 2023.
- 76.2/100
- MIPS score · -7 vs avg
- 3K
- Part D claims, 2023
- 79%
- generic prescribing
- 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.
Alberto Pinzon Ardila, MD's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
76 21st percentile higher than 21% 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 Alberto Pinzon Ardila, MD sits
This provider among neurology physician peers
Across the 5,437 neurology physician providers who report both Medicare Part D prescribing and a MIPS quality score, Alberto Pinzon Ardila, MD writes more Part D claims than 79% of them and scores higher on MIPS quality than 25% - 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 neurology physician peer from a representative sample of 60; the gold marker is Alberto Pinzon Ardila, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Alberto Pinzon Ardila, 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 Alberto Pinzon Ardila, MD?
Below national averagePrimary specialty
Neurology Physician
Medicare Part D claims
2,686 105% vs specialty avg
MIPS final score
76.2/100 6.9 pts vs avg
Specialty distribution in Florida
How Neurology Physician compares to other specialties among Florida providers
Medicare quality performance, MIPS
Alberto Pinzon Ardila, MD's 2023 MIPS final score plotted against the Neurology Physician national average
- MIPS Final Score
- 76.2/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Neurology Physician) - 76.2/100 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).
Alberto Pinzon Ardila, MD appears in the CMS NPPES registry as a Neurology Physician provider holding MD credentials at 9055 SW 87TH AVE STE 100, Miami, FL, 33176, with a listed phone of (305) 596-2080. NPI 1154643120 was issued on 02/18/2010.
Medicare Part D records for calendar year 2023 show 2,686 prescription claims written by this provider, covering 233 Medicare beneficiaries and totaling roughly $1.6 million in drug spend, split 20% brand-name and 79% generic by claim count. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 76.2/100 for the 2023 performance year (Quality 62.7, Cost 54.2), compared with the national average of 83.1.
Neurology Physician is a mid-sized specialty nationwide, with 19,885 enrolled providers across 54 states and an average of 1,309 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 | 1154643120 |
|---|---|
| Specialty | Neurology Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 02/18/2010 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
76.2283
Final Score
Avg: 83.1
62.7479
Quality
54.1876
Cost
96
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where Alberto Pinzon Ardila, 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.
Neuroscience Consultants LLP
Miami, FL
Saint Lukes Physician Group Inc
Kansas City, MO
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 Alberto Pinzon Ardila, MD. Source: openpaymentsdata.cms.gov.
Total received
$25.3K
Largest payer
UCB, 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 - Florida FLDOH 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 ~75K Florida medical licensees in 2023 - they are NOT specific to Alberto Pinzon Ardila, MD. To verify Alberto Pinzon Ardila, MD's current license status, search the FLDOH public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
480
Total board actions, Florida 2023
Across 467 cases
6.40
Actions per 1,000 licensees
Florida statewide rate
monetary fine
Most common action type
138 cases
FLDOH 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 Florida disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Brand vs generic prescribing mix · Typical
Alberto Pinzon Ardila, MD - brand share 20.0%
Neurology Physician average
20% brand-name claims vs 79% generic, on 2,686 2023 Medicare Part D claims.
The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
2,686
Total Claims
$1.6M
Total Drug Cost
233
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 4,234
- Total Day Supply
- 125,679
- Brand vs Generic
- 20% brand / 79% generic
- Brand Drug Cost
- $1.4M
- Generic Drug Cost
- $255K
Patient Demographics
- Average Patient Age
- 65.8 years
- Avg HCC Risk Score
- 2.07
- Gender Split
- 57% female / 43% male
- Age Distribution
- <65: 81, 65-74: 52, 75-84: 70, 85+: 30
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Alberto Pinzon Ardila, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Levetiracetam
Levetiracetam
262 claims
- Gabapentin
Gabapentin
178 claims
- Memantine Hcl
Memantine Hcl
153 claims
- Clonazepam
Clonazepam
138 claims
- Epidiolex
Epidiolex
138 claims
- Clobazam
Clobazam
131 claims
- Lamotrigine
Lamotrigine
121 claims
- Lacosamide
Lacosamide
119 claims
| Drug | Claims |
|---|---|
| Levetiracetam | 262 |
| Gabapentin | 178 |
| Memantine Hcl | 153 |
| Clonazepam | 138 |
| Epidiolex Cannabidiol (Cbd) | 138 |
| Clobazam | 131 |
| Lamotrigine | 121 |
| Lacosamide | 119 |
| Topiramate | 89 |
| Aptiom Eslicarbazepine Acetate | 63 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Neurology Physician Overview
How Alberto Pinzon Ardila, MD fits within the Neurology Physician landscape nationally.
19,885
Neurology Physician Providers in US
54
States with Neurology Physician
1,309
Avg Claims per Provider
Alberto Pinzon Ardila, MD's 2,686 claims are above the specialty average of 1,309.
Nearby Neurology Physician Providers in Florida
Other clinicians with the same primary specialty enrolled in Florida, drawn from the same CMS NPPES roster as Pinzon Ardila.
Dr. David Abarbanel
MD
Jacksonville, FL
Hamidreza Abbasi
Fort Myers, FL
Dr. Fariha Abbasi-Feinberg
MD
Fort Myers, FL
Dr. Hermelinda Abcede
MD
Fort Myers, FL
Dr. Noureldin Abdelhamid
M.D.
Hollywood, FL
Compare Neurology 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 Florida medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Neurology 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.
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Frequently Asked Questions
What is Alberto Pinzon Ardila, MD's specialty? ▼
Alberto Pinzon Ardila, MD specializes in Neurology Physician and practices in Miami, Florida. Credentials: MD.
How much does Alberto Pinzon Ardila, MD prescribe under Medicare Part D? ▼
In 2023, Alberto Pinzon Ardila, MD wrote 2,686 Medicare Part D claims totaling $1.6M in drug costs for 233 beneficiaries.
What is Alberto Pinzon Ardila, MD's Medicare quality score? ▼
Alberto Pinzon Ardila, MD has a CMS MIPS Final Score of 76.2/100 (Quality: 62.7, Cost: 54.2). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Alberto Pinzon Ardila, MD located? ▼
Alberto Pinzon Ardila, MD is located at 9055 SW 87TH AVE STE 100, Miami, FL, 33176. Phone: (305) 596-2080.
What is Alberto Pinzon Ardila, MD's NPI number? ▼
Alberto Pinzon Ardila, MD's National Provider Identifier (NPI) is 1154643120, issued on 02/18/2010.
Does Alberto Pinzon Ardila, MD prescribe more brand-name or generic drugs? ▼
Alberto Pinzon Ardila, MD's prescribing is 20% brand-name and 79% generic drugs by claim count, with $1.4M in brand drug costs.
How many Neurology Physician providers are there in the US? ▼
There are 19,885 Neurology Physician providers across 54 states in the US. The average Neurology Physician provider writes 1,309 Medicare Part D claims per year.
What drugs does Alberto Pinzon Ardila, MD prescribe most often? ▼
Based on 2023 Medicare Part D data, Alberto Pinzon Ardila, MD's most frequently prescribed drugs include Levetiracetam, Gabapentin, Memantine Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Alberto Pinzon Ardila, MD accept Medicare? ▼
Alberto Pinzon Ardila, MD appears in CMS Medicare data with 2,686 Part D claims and 233 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Alberto Pinzon Ardila, MD's credentials? ▼
Alberto Pinzon Ardila, MD's NPI is 1154643120 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.
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of May 2026.