2026 NPPES data Cardiac Rehabilitation Registered Nurse NPI 1255384897 MD
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ANDREY ESPINOZA, MD

Cardiac Rehabilitation Registered Nurse in FLEMINGTON, New Jersey. 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
7K
Medicare Part D claims · 904 beneficiaries · Cardiac Rehabilitation Registered Nurse avg: 3K
Generic prescribing
82%
generic claims · 18% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
16.689/100
▼ 66 pts below national avg 83.1 · [object Object]
Industry payments
$1.1K
16 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

ANDREY ESPINOZA, MD reported a CMS MIPS final score of 16.689/100 — below the 83.1 national average — and filed 7,319 Medicare Part D claims in 2023.

16.689/100
MIPS score · -66 vs avg
7K
Part D claims, 2023
82%
generic prescribing
$1.1K
industry payments (Sunshine Act)

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.

ANDREY ESPINOZA, MD's MIPS score vs every scored U.S. clinician

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

17 2nd percentile higher than 2% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). This entry sits in this band. 20–30: 3,069 scored providers (1%). Above this entry. 30–40: 2,746 scored providers (1%). Above this entry. 40–50: 2,928 scored providers (1%). Above this entry. 50–60: 5,882 scored providers (1%). Above this entry. 60–70: 13,906 scored providers (3%). Above this entry. 70–80: 118,074 scored providers (25%). Above this entry. 80–90: 129,887 scored providers (27%). Above this entry. 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

What does the federal data show about ANDREY ESPINOZA, MD?

Below national average

NPI registry status

Active

Issued 05/17/2006

NPI 1255384897

Primary specialty

Cardiac Rehabilitation Registered Nurse

Rare

174 US NPIs in this specialty

Medicare Part D claims

7,319 124% vs specialty avg

2023 prescription claims

Specialty avg: 3,268

MIPS final score

16.689/100 66.411% pts

Penalty band band

vs 83.1 national avg

Specialty distribution in New Jersey

How Cardiac Rehabilitation Registered Nurse compares to other specialties among New Jersey providers

New Jersey providers

Cardiac Rehabilitation Registered Nurse share within New Jersey

1. Cardiac Rehabilitation Registered Nurse42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Cardiac Rehabilitation Registered Nurse share within New Jersey

Medicare quality performance — MIPS

ANDREY ESPINOZA, MD's 2023 MIPS final score plotted against the Cardiac Rehabilitation Registered Nurse national average

Below national average
MIPS Final Score
16.689/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Cardiac Rehabilitation Registered Nurse) — 16.689/100 vs national avg 83.1

0%100%National avg83%16.7%
MIPS final score (Cardiac Rehabilitation Registered Nurse) — 16.689/100 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).

ANDREY ESPINOZA, MD appears in the CMS NPPES registry as a Cardiac Rehabilitation Registered Nurse provider holding MD credentials at 200 ROUTE 31 STE 101, FLEMINGTON, NJ, 08822, with a listed phone of (908) 237-9092. NPI 1255384897 was issued on 05/17/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what ESPINOZA 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 7,319 prescription claims written by this provider, covering 904 Medicare beneficiaries and totaling roughly $1.5 million in drug spend, split 18% brand-name and 82% 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 16.689/100 for the 2023 performance year (Quality 0, Cost 55.63), compared with the national average of 83.1.

Cardiac Rehabilitation Registered Nurse is a narrow specialty nationwide, with 174 enrolled providers across 39 states and an average of 3,268 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

200 ROUTE 31 STE 101
FLEMINGTON, NJ 08822

Provider Details

NPI 1255384897
Specialty Cardiac Rehabilitation Registered Nurse
Credentials MD
Gender Male
NPI Issued 05/17/2006

CMS Quality Score (MIPS)

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

16.689
Final Score
Avg: 83.1
0
Quality
55.63
Cost

Reporting: Individual

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 ANDREY ESPINOZA, MD. Source: openpaymentsdata.cms.gov.

Total received

$1.1K

Largest payer

Philips North America LLC

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

ANDREY ESPINOZA, MD — brand share 18.0%
Specialty average (est.)

18% brand-name claims vs 82% generic, on 7,319 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.

7,319
Total Claims
$1.5M
Total Drug Cost
904
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
18,680
Total Day Supply
557,275
Brand vs Generic
18% brand / 82% generic
Brand Drug Cost
$1.4M
Generic Drug Cost
$148K
Antibiotic Claims
15

Patient Demographics

Average Patient Age
76.1 years
Avg HCC Risk Score
1.40
Gender Split
43% female / 57% male
Age Distribution
<65: 24, 65-74: 387, 75-84: 355, 85+: 138

Top Prescribed Drugs (Medicare Part D)

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

What ANDREY ESPINOZA, 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
Metoprolol Succinate
719
Rosuvastatin Calcium
693
Eliquis
Apixaban
640
Atorvastatin Calcium
582
Lisinopril
534
Clopidogrel
Clopidogrel Bisulfate
449
Amlodipine Besylate
378
Furosemide
220
Losartan Potassium
206
Xarelto
Rivaroxaban
170

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

Cardiac Rehabilitation Registered Nurse Overview

How ANDREY ESPINOZA, MD fits within the Cardiac Rehabilitation Registered Nurse landscape nationally.

174
Cardiac Rehabilitation Registered Nurse Providers in US
39
States with Cardiac Rehabilitation Registered Nurse
3,268
Avg Claims per Provider

ANDREY ESPINOZA, MD's 7,319 claims are above the specialty average of 3,268.

Nearby Cardiac Rehabilitation Registered Nurse Providers in New Jersey

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

Compare Cardiac Rehabilitation Registered Nurse nationally: see state-by-state distribution →

Frequently Asked Questions

What is ANDREY ESPINOZA, MD's specialty?
ANDREY ESPINOZA, MD specializes in Cardiac Rehabilitation Registered Nurse and practices in FLEMINGTON, New Jersey. Credentials: MD.
How much does ANDREY ESPINOZA, MD prescribe under Medicare Part D?
In 2023, ANDREY ESPINOZA, MD wrote 7,319 Medicare Part D claims totaling $1.5M in drug costs for 904 beneficiaries.
What is ANDREY ESPINOZA, MD's Medicare quality score?
ANDREY ESPINOZA, MD has a CMS MIPS Final Score of 16.689/100 (Quality: 0, Cost: 55.63). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is ANDREY ESPINOZA, MD located?
ANDREY ESPINOZA, MD is located at 200 ROUTE 31 STE 101, FLEMINGTON, NJ, 08822. Phone: (908) 237-9092.
What is ANDREY ESPINOZA, MD's NPI number?
ANDREY ESPINOZA, MD's National Provider Identifier (NPI) is 1255384897, issued on 05/17/2006.
Does ANDREY ESPINOZA, MD prescribe more brand-name or generic drugs?
ANDREY ESPINOZA, MD's prescribing is 18% brand-name and 82% generic drugs by claim count, with $1.4M in brand drug costs.
How many Cardiac Rehabilitation Registered Nurse providers are there in the US?
There are 174 Cardiac Rehabilitation Registered Nurse providers across 39 states in the US. The average Cardiac Rehabilitation Registered Nurse provider writes 3,268 Medicare Part D claims per year.
What drugs does ANDREY ESPINOZA, MD prescribe most often?
Based on 2023 Medicare Part D data, ANDREY ESPINOZA, MD's most frequently prescribed drugs include Metoprolol Succinate, Rosuvastatin Calcium, Eliquis. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does ANDREY ESPINOZA, MD accept Medicare?
ANDREY ESPINOZA, MD appears in CMS Medicare data with 7,319 Part D claims and 904 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify ANDREY ESPINOZA, MD's credentials?
ANDREY ESPINOZA, MD's NPI is 1255384897 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