2026 NPPES data Cardiovascular Disease Physician NPI 1588905566 M.D.
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ANDRES PINEDA MALDONADO, M.D.

Cardiovascular Disease Physician in DURHAM, North Carolina. 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
970
Medicare Part D claims · 175 beneficiaries · Cardiovascular Disease Physician avg: 3K
Generic prescribing
91%
generic claims · 9% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
81.9011/100
▼ 1 pts below national avg 83.1 · [object Object]
Industry payments
$2.9K
19 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

ANDRES PINEDA MALDONADO, M.D. reported a CMS MIPS final score of 81.9011/100 — below the 83.1 national average — and filed 970 Medicare Part D claims in 2023.

81.9011/100
MIPS score · -1 vs avg
970
Part D claims, 2023
91%
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.

ANDRES PINEDA MALDONADO, M.D.'s MIPS score vs every scored U.S. clinician

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

82 36th percentile higher than 36% 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%). This entry sits in this band. 90–100: 189,403 scored providers (40%). Above this entry. 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)

ANDRES PINEDA MALDONADO, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation — 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 ANDRES PINEDA MALDONADO, M.D.?

Near national average

NPI registry status

Active

Issued 03/15/2013

NPI 1588905566

Primary specialty

Cardiovascular Disease Physician

Mid-sized

24,795 US NPIs in this specialty

Medicare Part D claims

970 68% vs specialty avg

2023 prescription claims

Specialty avg: 3,033

MIPS final score

81.9011/100 1.1988999999999947% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in North Carolina

How Cardiovascular Disease Physician compares to other specialties among North Carolina providers

North Carolina providers

Cardiovascular Disease Physician share within North Carolina

1. Cardiovascular Disease Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Cardiovascular Disease Physician share within North Carolina

Medicare quality performance — MIPS

ANDRES PINEDA MALDONADO, M.D.'s 2023 MIPS final score plotted against the Cardiovascular Disease Physician national average

Near national average
MIPS Final Score
81.9011/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Cardiovascular Disease Physician) — 81.9011/100 vs national avg 83.1

0%100%National avg83%81.9%
MIPS final score (Cardiovascular Disease Physician) — 81.9011/100 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).

ANDRES PINEDA MALDONADO, M.D. appears in the CMS NPPES registry as a Cardiovascular Disease Physician provider holding M.D. credentials at 2301 ERWIN RD, DURHAM, NC, 27710, with a listed phone of (919) 684-8111. NPI 1588905566 was issued on 03/15/2013. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what PINEDA MALDONADO 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 970 prescription claims written by this provider, covering 175 Medicare beneficiaries and totaling roughly $102K in drug spend, split 9% brand-name and 91% generic by claim count. 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 81.9011/100 for the 2023 performance year (Quality 72.4303, Cost 59.5972), compared with the national average of 83.1.

Cardiovascular Disease Physician is a mid-sized specialty nationwide, with 24,795 enrolled providers across 54 states and an average of 3,033 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

2301 ERWIN RD
DURHAM, NC 27710

Provider Details

NPI 1588905566
Specialty Cardiovascular Disease Physician
Credentials M.D.
Gender Male
NPI Issued 03/15/2013

CMS Quality Score (MIPS)

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

81.9011
Final Score
Avg: 83.1
72.4303
Quality
59.5972
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where ANDRES PINEDA MALDONADO, M.D. 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.

DUKE HEALTH INTEGRATED PRACTICE INC
DURHAM, NC

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 ANDRES PINEDA MALDONADO, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$2.9K

Largest payer

Abbott Laboratories

Most common payment type

Travel and Lodging

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.

Brand vs generic prescribing mix · Generic-heavy

ANDRES PINEDA MALDONADO, M.D. — brand share 9.0%
Specialty average (est.)

9% brand-name claims vs 91% generic, on 970 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.

970
Total Claims
$102K
Total Drug Cost
175
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
2,588
Total Day Supply
77,503
Brand vs Generic
9% brand / 91% generic
Brand Drug Cost
$85K
Generic Drug Cost
$17K

Patient Demographics

Average Patient Age
72.7 years
Avg HCC Risk Score
2.56
Gender Split
54% female / 46% male
Age Distribution
<65: 27, 65-74: 75, 75-84: 55, 85+: 18

Top Prescribed Drugs (Medicare Part D)

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

What ANDRES PINEDA MALDONADO, M.D. 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
Atorvastatin Calcium
182
Metoprolol Succinate
96
Furosemide
95
Clopidogrel
Clopidogrel Bisulfate
70
Losartan Potassium
68
Amlodipine Besylate
57
Carvedilol
56
Spironolactone
45
Lisinopril
39
Eliquis
Apixaban
24

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

Cardiovascular Disease Physician Overview

How ANDRES PINEDA MALDONADO, M.D. fits within the Cardiovascular Disease Physician landscape nationally.

24,795
Cardiovascular Disease Physician Providers in US
54
States with Cardiovascular Disease Physician
3,033
Avg Claims per Provider

ANDRES PINEDA MALDONADO, M.D.'s 970 claims are below the specialty average of 3,033.

Nearby Cardiovascular Disease Physician Providers in North Carolina

Other clinicians with the same primary specialty enrolled in North Carolina, drawn from the same CMS NPPES roster as PINEDA MALDONADO.

Compare Cardiovascular Disease Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is ANDRES PINEDA MALDONADO, M.D.'s specialty?
ANDRES PINEDA MALDONADO, M.D. specializes in Cardiovascular Disease Physician and practices in DURHAM, North Carolina. Credentials: M.D..
How much does ANDRES PINEDA MALDONADO, M.D. prescribe under Medicare Part D?
In 2023, ANDRES PINEDA MALDONADO, M.D. wrote 970 Medicare Part D claims totaling $102K in drug costs for 175 beneficiaries.
What is ANDRES PINEDA MALDONADO, M.D.'s Medicare quality score?
ANDRES PINEDA MALDONADO, M.D. has a CMS MIPS Final Score of 81.9011/100 (Quality: 72.4303, Cost: 59.5972). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is ANDRES PINEDA MALDONADO, M.D. located?
ANDRES PINEDA MALDONADO, M.D. is located at 2301 ERWIN RD, DURHAM, NC, 27710. Phone: (919) 684-8111.
What is ANDRES PINEDA MALDONADO, M.D.'s NPI number?
ANDRES PINEDA MALDONADO, M.D.'s National Provider Identifier (NPI) is 1588905566, issued on 03/15/2013.
Does ANDRES PINEDA MALDONADO, M.D. prescribe more brand-name or generic drugs?
ANDRES PINEDA MALDONADO, M.D.'s prescribing is 9% brand-name and 91% generic drugs by claim count, with $85K in brand drug costs.
How many Cardiovascular Disease Physician providers are there in the US?
There are 24,795 Cardiovascular Disease Physician providers across 54 states in the US. The average Cardiovascular Disease Physician provider writes 3,033 Medicare Part D claims per year.
What drugs does ANDRES PINEDA MALDONADO, M.D. prescribe most often?
Based on 2023 Medicare Part D data, ANDRES PINEDA MALDONADO, M.D.'s most frequently prescribed drugs include Atorvastatin Calcium, Metoprolol Succinate, Furosemide. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does ANDRES PINEDA MALDONADO, M.D. accept Medicare?
ANDRES PINEDA MALDONADO, M.D. appears in CMS Medicare data with 970 Part D claims and 175 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify ANDRES PINEDA MALDONADO, M.D.'s credentials?
ANDRES PINEDA MALDONADO, M.D.'s NPI is 1588905566 with credentials M.D.. 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