2026 NPPES data Rheumatology Physician NPI 1538629373 MD
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BENJAMIN PINTO, MD

Rheumatology Physician in BATH, Maine. 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
186
Medicare Part D claims · 37 beneficiaries · Rheumatology Physician avg: 2K
Generic prescribing
91%
generic claims · 9% brand-name · higher generic rates reduce patient out-of-pocket costs
What the federal data reveals: BENJAMIN PINTO, MD is a Rheumatology Physician ([object Object]) practicing in BATH, Maine with a Medicare Part D prescribing footprint of 186 claims across 37 beneficiaries — 9% brand-name prescribing .

What stands out: BENJAMIN PINTO, MD filed 186 Medicare Part D claims in 2023 across BATH, Maine. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

BENJAMIN PINTO, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

BENJAMIN PINTO, MD at a glance

Quality data not reported

NPI registry status

Active

Issued 03/20/2019

NPI 1538629373

Primary specialty

Rheumatology Physician

Mid-sized

6,181 US NPIs in this specialty

Medicare Part D claims

186 91% vs specialty avg

2023 prescription claims

Specialty avg: 2,054

Specialty distribution in Maine

How Rheumatology Physician compares to other specialties among Maine providers

Maine providers

Rheumatology Physician share within Maine

1. Rheumatology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Rheumatology Physician share within Maine

Specialty board-certification context

Estimated specialty board-certified rate — Rheumatology Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Rheumatology Physician ABMS/AOA estimate

Est. board-certified rate (Rheumatology Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Rheumatology Physician) — ABMS / AOA estimate

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).

BENJAMIN PINTO, MD is a Rheumatology Physician provider practicing in BATH, Maine, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1538629373. 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.

BENJAMIN PINTO, MD appears in the CMS NPPES registry as a Rheumatology Physician provider holding MD credentials at 108 CENTRE ST, BATH, ME, 04530, with a listed phone of (207) 406-7155. NPI 1538629373 was issued on 03/20/2019. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what PINTO 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 186 prescription claims written by this provider, covering 37 Medicare beneficiaries and totaling roughly $103K 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.

Rheumatology Physician is a mid-sized specialty nationwide, with 6,181 enrolled providers across 52 states and an average of 2,054 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

108 CENTRE ST
BATH, ME 04530

Provider Details

NPI 1538629373
Specialty Rheumatology Physician
Credentials MD
Gender Male
NPI Issued 03/20/2019

Hospital and facility affiliations

Facilities where BENJAMIN PINTO, 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.

MAINEHEALTH
BATH, ME

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Brand vs generic prescribing mix · Generic-heavy

BENJAMIN PINTO, MD — brand share 9.0%
Specialty average (est.)

9% brand-name claims vs 91% generic, on 186 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.

186
Total Claims
$103K
Total Drug Cost
37
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
325
Total Day Supply
9,502
Brand vs Generic
9% brand / 91% generic
Brand Drug Cost
$100K
Generic Drug Cost
$4K

Patient Demographics

Average Patient Age
66.8 years
Avg HCC Risk Score
1.82
Gender Split
51% female / 49% male
Age Distribution
<65: 13, 65-74: 14, 75-84: N/A, 85+: N/A

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Prednisone
60
Methotrexate
Methotrexate Sodium
21
Hydroxychloroquine Sulfate
19
Gabapentin
11

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

Rheumatology Physician Overview

How BENJAMIN PINTO, MD fits within the Rheumatology Physician landscape nationally.

6,181
Rheumatology Physician Providers in US
52
States with Rheumatology Physician
2,054
Avg Claims per Provider

BENJAMIN PINTO, MD's 186 claims are below the specialty average of 2,054.

Nearby Rheumatology Physician Providers in Maine

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

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

Frequently Asked Questions

What is BENJAMIN PINTO, MD's specialty?
BENJAMIN PINTO, MD specializes in Rheumatology Physician and practices in BATH, Maine. Credentials: MD.
How much does BENJAMIN PINTO, MD prescribe under Medicare Part D?
In 2023, BENJAMIN PINTO, MD wrote 186 Medicare Part D claims totaling $103K in drug costs for 37 beneficiaries.
Where is BENJAMIN PINTO, MD located?
BENJAMIN PINTO, MD is located at 108 CENTRE ST, BATH, ME, 04530. Phone: (207) 406-7155.
What is BENJAMIN PINTO, MD's NPI number?
BENJAMIN PINTO, MD's National Provider Identifier (NPI) is 1538629373, issued on 03/20/2019.
Does BENJAMIN PINTO, MD prescribe more brand-name or generic drugs?
BENJAMIN PINTO, MD's prescribing is 9% brand-name and 91% generic drugs by claim count, with $100K in brand drug costs.
How many Rheumatology Physician providers are there in the US?
There are 6,181 Rheumatology Physician providers across 52 states in the US. The average Rheumatology Physician provider writes 2,054 Medicare Part D claims per year.
What drugs does BENJAMIN PINTO, MD prescribe most often?
Based on 2023 Medicare Part D data, BENJAMIN PINTO, MD's most frequently prescribed drugs include Prednisone, Methotrexate, Hydroxychloroquine Sulfate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does BENJAMIN PINTO, MD accept Medicare?
BENJAMIN PINTO, MD appears in CMS Medicare data with 186 Part D claims and 37 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify BENJAMIN PINTO, MD's credentials?
BENJAMIN PINTO, MD's NPI is 1538629373 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.
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