NPI registry status
Active
2026 NPPES data Cardiovascular Disease Physician NPI 1700824331 MD
Verify on CMS → Carlos Rivas-Gotz, MD
Cardiovascular Disease Physician in Kansas City, Missouri.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 24,795 in Cardiovascular Disease Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
4K
Medicare Part D claims · 688 beneficiaries · Cardiovascular Disease Physician avg: 3K
Generic prescribing
89%
generic claims · 11% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
78.9/100
▼ 4 pts below national avg 83.1 · Above neutral
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Carlos Rivas-Gotz, MD reported a CMS MIPS final score of 78.9/100 - below the 83.1 national average - and filed 4,367 Medicare Part D claims in 2023.
- 78.9/100
- MIPS score · -4 vs avg
- 4K
- Part D claims, 2023
- 89%
- 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.
Carlos Rivas-Gotz, MD's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
79 27th percentile higher than 27% of 477,587 scored providers
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
Where Carlos Rivas-Gotz, MD sits
This provider among cardiovascular disease physician peers
Across the 8,753 cardiovascular disease physician providers who report both Medicare Part D prescribing and a MIPS quality score, Carlos Rivas-Gotz, MD writes more Part D claims than 68% of them and scores higher on MIPS quality than 30% - placing this provider in the high-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Part D claim volume vs MIPS quality, by specialty percentile
Each dot is one cardiovascular disease physician peer from a representative sample of 60; the gold marker is Carlos Rivas-Gotz, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Carlos Rivas-Gotz, 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 Carlos Rivas-Gotz, MD?
Near national averagePrimary specialty
Cardiovascular Disease Physician
Medicare Part D claims
4,367 44% vs specialty avg
MIPS final score
78.9/100 4.2 pts vs avg
Specialty distribution in Missouri
How Cardiovascular Disease Physician compares to other specialties among Missouri providers
Medicare quality performance, MIPS
Carlos Rivas-Gotz, MD's 2023 MIPS final score plotted against the Cardiovascular Disease Physician national average
- MIPS Final Score
- 78.9/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Cardiovascular Disease Physician) - 78.9/100 vs national avg 83.1
How MIPS and board certification work
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).
Carlos Rivas-Gotz, MD appears in the CMS NPPES registry as a Cardiovascular Disease Physician provider holding MD credentials at 4330 WORNALL RD, Kansas City, MO, 64111, with a listed phone of (816) 931-1883. NPI 1700824331 was issued on 06/04/2006.
Medicare Part D records for calendar year 2023 show 4,367 prescription claims written by this provider, covering 688 Medicare beneficiaries and totaling roughly $605K in drug spend, split 11% brand-name and 89% generic by claim count. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 78.9/100 for the 2023 performance year (Quality 94.9, Cost 79.7), 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
Provider Details
| NPI | 1700824331 |
|---|---|
| Specialty | Cardiovascular Disease Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 06/04/2006 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
78.9066
Final Score
Avg: 83.1
94.9469
Quality
79.7038
Cost
Reporting: Individual
Hospital and facility affiliations
Facilities where Carlos Rivas-Gotz, 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.
Saint Lukes Physician Group Inc
Lees Summit, MO
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 · Typical
Carlos Rivas-Gotz, MD - brand share 11.0%
Cardiovascular Disease Physician average
11% brand-name claims vs 89% generic, on 4,367 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.
4,367
Total Claims
$605K
Total Drug Cost
688
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 11,305
- Total Day Supply
- 335,102
- Brand vs Generic
- 11% brand / 89% generic
- Brand Drug Cost
- $513K
- Generic Drug Cost
- $92K
Patient Demographics
- Average Patient Age
- 76.5 years
- Avg HCC Risk Score
- 1.51
- Gender Split
- 47% female / 53% male
- Age Distribution
- <65: 25, 65-74: 257, 75-84: 297, 85+: 109
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Carlos Rivas-Gotz, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Carvedilol
Carvedilol
338 claims
- Rosuvastatin Calcium
Rosuvastatin Calcium
338 claims
- Metoprolol Succinate
Metoprolol Succinate
319 claims
- Atorvastatin Calcium
Atorvastatin Calcium
283 claims
- Eliquis
Eliquis
211 claims
- Amlodipine Besylate
Amlodipine Besylate
206 claims
- Ezetimibe
Ezetimibe
168 claims
- Losartan Potassium
Losartan Potassium
166 claims
| Drug | Claims |
|---|---|
| Carvedilol | 338 |
| Rosuvastatin Calcium | 338 |
| Metoprolol Succinate | 319 |
| Atorvastatin Calcium | 283 |
| Eliquis Apixaban | 211 |
| Amlodipine Besylate | 206 |
| Ezetimibe | 168 |
| Losartan Potassium | 166 |
| Lisinopril | 159 |
| Warfarin Sodium | 159 |
* 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 Carlos Rivas-Gotz, MD 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
Carlos Rivas-Gotz, MD's 4,367 claims are above the specialty average of 3,033.
Nearby Cardiovascular Disease Physician Providers in Missouri
Other clinicians with the same primary specialty enrolled in Missouri, drawn from the same CMS NPPES roster as Rivas-Gotz.
Dr. Ala'Eldin Ababneh
MD
Saint Joseph, MO
Dr. Yousef Abdulnabi
M.D.
Saint Louis, MO
Dr. Leni Abraham
MD
St. Louis, MO
Dr. Jose Aguilera Heredia
MD
Lees Summit, MO
Dr. Farhaan Ahmad
MD
St Louis, MO
Compare Cardiovascular Disease Physician nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the Missouri medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Cardiovascular Disease Physician peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
Healthcare Guides
Learn more about finding, verifying, and understanding healthcare providers.
How to Find a Doctor
Step-by-step guide to choosing a provider
Verify Credentials
Check NPI, board certification & license status
Medical Specialties Explained
Who treats what and how specialties differ
Understanding Medicare Claims Data
What prescribing data reveals about a provider
In-Network vs Out-of-Network
How insurance networks affect your costs
Telehealth Guide
Virtual care options and coverage in 2026
Explore Missouri
Frequently Asked Questions
What is Carlos Rivas-Gotz, MD's specialty? ▼
Carlos Rivas-Gotz, MD specializes in Cardiovascular Disease Physician and practices in Kansas City, Missouri. Credentials: MD.
How much does Carlos Rivas-Gotz, MD prescribe under Medicare Part D? ▼
In 2023, Carlos Rivas-Gotz, MD wrote 4,367 Medicare Part D claims totaling $605K in drug costs for 688 beneficiaries.
What is Carlos Rivas-Gotz, MD's Medicare quality score? ▼
Carlos Rivas-Gotz, MD has a CMS MIPS Final Score of 78.9/100 (Quality: 94.9, Cost: 79.7). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Carlos Rivas-Gotz, MD located? ▼
Carlos Rivas-Gotz, MD is located at 4330 WORNALL RD, Kansas City, MO, 64111. Phone: (816) 931-1883.
What is Carlos Rivas-Gotz, MD's NPI number? ▼
Carlos Rivas-Gotz, MD's National Provider Identifier (NPI) is 1700824331, issued on 06/04/2006.
Does Carlos Rivas-Gotz, MD prescribe more brand-name or generic drugs? ▼
Carlos Rivas-Gotz, MD's prescribing is 11% brand-name and 89% generic drugs by claim count, with $513K 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 Carlos Rivas-Gotz, MD prescribe most often? ▼
Based on 2023 Medicare Part D data, Carlos Rivas-Gotz, MD's most frequently prescribed drugs include Carvedilol, Rosuvastatin Calcium, Metoprolol Succinate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Carlos Rivas-Gotz, MD accept Medicare? ▼
Carlos Rivas-Gotz, MD appears in CMS Medicare data with 4,367 Part D claims and 688 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Carlos Rivas-Gotz, MD's credentials? ▼
Carlos Rivas-Gotz, MD's NPI is 1700824331 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
View source datasets and methodology notes
- 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
Compiled from official public sources by the PlainDoctor editorial team.