2026 NPPES data Gastroenterology Physician NPI 1265431563 M.D.
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ANDREW MASON, M.D.

Gastroenterology Physician in ALBUQUERQUE, New Mexico. 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
639
Medicare Part D claims · 196 beneficiaries · Gastroenterology Physician avg: 833
Generic prescribing
84%
generic claims · 16% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
79.3652/100
▼ 4 pts below national avg 83.1 · [object Object]
Industry payments
$134.65
7 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: ANDREW MASON, M.D. is a Gastroenterology Physician ([object Object]) practicing in ALBUQUERQUE, New Mexico with a Medicare Part D prescribing footprint of 639 claims across 196 beneficiaries — 16% brand-name prescribing . Their CMS MIPS Final Score of 79.3652/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $134.65 across 7 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: ANDREW MASON, M.D. reported a CMS MIPS final score of 79.3652 out of 100, below the 83.1 national average, and filed 639 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

ANDREW MASON, M.D. 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).

ANDREW MASON, M.D. at a glance

Near national average

NPI registry status

Active

Issued 07/19/2005

NPI 1265431563

Primary specialty

Gastroenterology Physician

Mid-sized

16,567 US NPIs in this specialty

Medicare Part D claims

639 23% vs specialty avg

2023 prescription claims

Specialty avg: 833

MIPS final score

79.3652/100 3.734799999999993% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in New Mexico

How Gastroenterology Physician compares to other specialties among New Mexico providers

New Mexico providers

Gastroenterology Physician share within New Mexico

1. Gastroenterology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Gastroenterology Physician share within New Mexico

Medicare quality performance — MIPS

ANDREW MASON, M.D.'s 2023 MIPS final score plotted against the Gastroenterology Physician national average

Near national average
MIPS Final Score
79.3652/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Gastroenterology Physician) — 79.3652/100 vs national avg 83.1

0%100%National avg83%79.4%
MIPS final score (Gastroenterology Physician) — 79.3652/100 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).

ANDREW MASON, M.D. is a Gastroenterology Physician provider practicing in ALBUQUERQUE, New Mexico, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1265431563. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

ANDREW MASON, M.D. appears in the CMS NPPES registry as a Gastroenterology Physician provider holding M.D. credentials at 7788 JEFFERSON ST NE, ALBUQUERQUE, NM, 87109, with a listed phone of (505) 999-1600. NPI 1265431563 was issued on 07/19/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what MASON 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 639 prescription claims written by this provider, covering 196 Medicare beneficiaries and totaling roughly $466K in drug spend, split 16% brand-name and 84% 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 79.3652/100 for the 2023 performance year (Quality 80.3573, Cost 50.8599), compared with the national average of 83.1.

Gastroenterology Physician is a mid-sized specialty nationwide, with 16,567 enrolled providers across 54 states and an average of 833 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

7788 JEFFERSON ST NE
ALBUQUERQUE, NM 87109

Provider Details

NPI 1265431563
Specialty Gastroenterology Physician
Credentials M.D.
Gender Male
NPI Issued 07/19/2005

CMS Quality Score (MIPS)

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

79.3652
Final Score
Avg: 83.1
80.3573
Quality
50.8599
Cost
100
Promoting Interoperability

Reporting: Group practice

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 ANDREW MASON, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$135

Largest payer

ABBVIE 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.

Brand vs generic prescribing mix · Typical

ANDREW MASON, M.D. — brand share 16.0%
Specialty average (est.)

16% brand-name claims vs 84% generic, on 639 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.

639
Total Claims
$466K
Total Drug Cost
196
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,258
Total Day Supply
35,711
Brand vs Generic
16% brand / 84% generic
Brand Drug Cost
$422K
Generic Drug Cost
$43K
Antibiotic Claims
41

Patient Demographics

Average Patient Age
72.9 years
Avg HCC Risk Score
1.35
Gender Split
54% female / 46% male
Age Distribution
<65: 21, 65-74: 95, 75-84: 66, 85+: 14

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Omeprazole
197
Pantoprazole Sodium
77
Mesalamine
32
Famotidine
28
Linzess
Linaclotide
21
Budesonide Dr
Budesonide
19
Esomeprazole Magnesium
19
Humira Pen
Adalimumab
14
Metronidazole
14
Balsalazide Disodium
13

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

Gastroenterology Physician Overview

How ANDREW MASON, M.D. fits within the Gastroenterology Physician landscape nationally.

16,567
Gastroenterology Physician Providers in US
54
States with Gastroenterology Physician
833
Avg Claims per Provider

ANDREW MASON, M.D.'s 639 claims are below the specialty average of 833.

Nearby Gastroenterology Physician Providers in New Mexico

Other clinicians with the same primary specialty enrolled in New Mexico, drawn from the same CMS NPPES roster as MASON.

Compare Gastroenterology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is ANDREW MASON, M.D.'s specialty?
ANDREW MASON, M.D. specializes in Gastroenterology Physician and practices in ALBUQUERQUE, New Mexico. Credentials: M.D..
How much does ANDREW MASON, M.D. prescribe under Medicare Part D?
In 2023, ANDREW MASON, M.D. wrote 639 Medicare Part D claims totaling $466K in drug costs for 196 beneficiaries.
What is ANDREW MASON, M.D.'s Medicare quality score?
ANDREW MASON, M.D. has a CMS MIPS Final Score of 79.3652/100 (Quality: 80.3573, Cost: 50.8599). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is ANDREW MASON, M.D. located?
ANDREW MASON, M.D. is located at 7788 JEFFERSON ST NE, ALBUQUERQUE, NM, 87109. Phone: (505) 999-1600.
What is ANDREW MASON, M.D.'s NPI number?
ANDREW MASON, M.D.'s National Provider Identifier (NPI) is 1265431563, issued on 07/19/2005.
Does ANDREW MASON, M.D. prescribe more brand-name or generic drugs?
ANDREW MASON, M.D.'s prescribing is 16% brand-name and 84% generic drugs by claim count, with $422K in brand drug costs.
How many Gastroenterology Physician providers are there in the US?
There are 16,567 Gastroenterology Physician providers across 54 states in the US. The average Gastroenterology Physician provider writes 833 Medicare Part D claims per year.
What drugs does ANDREW MASON, M.D. prescribe most often?
Based on 2023 Medicare Part D data, ANDREW MASON, M.D.'s most frequently prescribed drugs include Omeprazole, Pantoprazole Sodium, Mesalamine. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does ANDREW MASON, M.D. accept Medicare?
ANDREW MASON, M.D. appears in CMS Medicare data with 639 Part D claims and 196 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify ANDREW MASON, M.D.'s credentials?
ANDREW MASON, M.D.'s NPI is 1265431563 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