2026 NPPES data Pain Medicine (Anesthesiology) Physician NPI 1700018926 MD
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ANDREW MESSIHA, MD

Pain Medicine (Anesthesiology) Physician in LAGUNA HILLS, California. 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
1K
Medicare Part D claims · 206 beneficiaries · Pain Medicine (Anesthesiology) Physician avg: 2K
Generic prescribing
90%
generic claims · 10% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
100/100
▲ 17 pts above national avg 83.1 · [object Object]
Industry payments
$2.6K
62 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

ANDREW MESSIHA, MD reported a CMS MIPS final score of 100/100 — above the 83.1 national average — and filed 1,410 Medicare Part D claims in 2023.

100/100
MIPS score · +17 vs avg
1K
Part D claims, 2023
90%
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.

ANDREW MESSIHA, MD's MIPS score vs every scored U.S. clinician

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

100 Top 7% higher than 93% 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)

ANDREW MESSIHA, MD 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 ANDREW MESSIHA, MD?

High performer (top quartile)

NPI registry status

Active

Issued 08/20/2009

NPI 1700018926

Primary specialty

Pain Medicine (Anesthesiology) Physician

Niche

4,020 US NPIs in this specialty

Medicare Part D claims

1,410 15% vs specialty avg

2023 prescription claims

Specialty avg: 1,657

MIPS final score

100/100 16.900000000000006% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in California

How Pain Medicine (Anesthesiology) Physician compares to other specialties among California providers

California providers

Pain Medicine (Anesthesiology) Physician share within California

1. Pain Medicine (Anesthesiology) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Pain Medicine (Anesthesiology) Physician share within California

Medicare quality performance — MIPS

ANDREW MESSIHA, MD's 2023 MIPS final score plotted against the Pain Medicine (Anesthesiology) Physician national average

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

MIPS final score (Pain Medicine (Anesthesiology) Physician) — 100/100 vs national avg 83.1

0%100%National avg83%99%
MIPS final score (Pain Medicine (Anesthesiology) Physician) — 100/100 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 MESSIHA, MD appears in the CMS NPPES registry as a Pain Medicine (Anesthesiology) Physician provider holding MD credentials at 23521 PASEO DE VALENCIA STE 204, LAGUNA HILLS, CA, 92653, with a listed phone of (949) 458-2026. NPI 1700018926 was issued on 08/20/2009. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what MESSIHA 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 1,410 prescription claims written by this provider, covering 206 Medicare beneficiaries and totaling roughly $134K in drug spend, split 10% brand-name and 90% generic by claim count, with an opioid prescribing rate of 45.4%. 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 100/100 for the 2023 performance year (Quality 100), compared with the national average of 83.1.

Pain Medicine (Anesthesiology) Physician is a narrow specialty nationwide, with 4,020 enrolled providers across 53 states and an average of 1,657 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

23521 PASEO DE VALENCIA STE 204
LAGUNA HILLS, CA 92653

Provider Details

NPI 1700018926
Specialty Pain Medicine (Anesthesiology) Physician
Credentials MD
Gender Male
NPI Issued 08/20/2009

CMS Quality Score (MIPS)

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

100
Final Score
Avg: 83.1
100
Quality
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where ANDREW MESSIHA, 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.

ANDREW H MESSIHA MD
LAGUNA HILLS, CA

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 ANDREW MESSIHA, MD. Source: openpaymentsdata.cms.gov.

Total received

$2.6K

Largest payer

Saluda Medical Americas, 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 — California MBC 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 ~150K California medical licensees in 2023 — they are NOT specific to ANDREW MESSIHA, MD. To verify ANDREW MESSIHA, MD's current license status, search the MBC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

576
Total board actions, California 2023
Across 556 cases
3.84
Actions per 1,000 licensees
California statewide rate
probation
Most common action type
186 cases

MBC 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 California disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

ANDREW MESSIHA, MD — brand share 10.0%
Specialty average (est.)

10% brand-name claims vs 90% generic, on 1,410 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.

1,410
Total Claims
$134K
Total Drug Cost
206
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,513
Total Day Supply
42,699
Brand vs Generic
10% brand / 90% generic
Brand Drug Cost
$79K
Generic Drug Cost
$54K
Opioid Claims
640 (45.4% rate)

Patient Demographics

Average Patient Age
73.9 years
Avg HCC Risk Score
1.68
Gender Split
64% female / 36% male
Age Distribution
<65: 24, 65-74: 83, 75-84: 79, 85+: 20

Top Prescribed Drugs (Medicare Part D)

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

What ANDREW MESSIHA, 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
Gabapentin
218
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
158
Pregabalin
113
Morphine Sulfate Er
Morphine Sulfate
93
Oxycodone-Acetaminophen
Oxycodone Hcl/Acetaminophen
68
Duloxetine Hcl
60
Tramadol Hcl
55
Oxycodone Hcl
53
Meloxicam
46
Morphine Sulfate
46

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

Pain Medicine (Anesthesiology) Physician Overview

How ANDREW MESSIHA, MD fits within the Pain Medicine (Anesthesiology) Physician landscape nationally.

4,020
Pain Medicine (Anesthesiology) Physician Providers in US
53
States with Pain Medicine (Anesthesiology) Physician
1,657
Avg Claims per Provider

ANDREW MESSIHA, MD's 1,410 claims are below the specialty average of 1,657.

Nearby Pain Medicine (Anesthesiology) Physician Providers in California

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

Compare Pain Medicine (Anesthesiology) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is ANDREW MESSIHA, MD's specialty?
ANDREW MESSIHA, MD specializes in Pain Medicine (Anesthesiology) Physician and practices in LAGUNA HILLS, California. Credentials: MD.
How much does ANDREW MESSIHA, MD prescribe under Medicare Part D?
In 2023, ANDREW MESSIHA, MD wrote 1,410 Medicare Part D claims totaling $134K in drug costs for 206 beneficiaries.
What is ANDREW MESSIHA, MD's Medicare quality score?
ANDREW MESSIHA, MD has a CMS MIPS Final Score of 100/100 (Quality: 100). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is ANDREW MESSIHA, MD located?
ANDREW MESSIHA, MD is located at 23521 PASEO DE VALENCIA STE 204, LAGUNA HILLS, CA, 92653. Phone: (949) 458-2026.
What is ANDREW MESSIHA, MD's NPI number?
ANDREW MESSIHA, MD's National Provider Identifier (NPI) is 1700018926, issued on 08/20/2009.
Does ANDREW MESSIHA, MD prescribe more brand-name or generic drugs?
ANDREW MESSIHA, MD's prescribing is 10% brand-name and 90% generic drugs by claim count, with $79K in brand drug costs.
Does ANDREW MESSIHA, MD prescribe opioids?
Yes, ANDREW MESSIHA, MD had 640 opioid claims in 2023 with an opioid prescribing rate of 45.4%.
How many Pain Medicine (Anesthesiology) Physician providers are there in the US?
There are 4,020 Pain Medicine (Anesthesiology) Physician providers across 53 states in the US. The average Pain Medicine (Anesthesiology) Physician provider writes 1,657 Medicare Part D claims per year.
What drugs does ANDREW MESSIHA, MD prescribe most often?
Based on 2023 Medicare Part D data, ANDREW MESSIHA, MD's most frequently prescribed drugs include Gabapentin, Hydrocodone-Acetaminophen, Pregabalin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does ANDREW MESSIHA, MD accept Medicare?
ANDREW MESSIHA, MD appears in CMS Medicare data with 1,410 Part D claims and 206 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify ANDREW MESSIHA, MD's credentials?
ANDREW MESSIHA, MD's NPI is 1700018926 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