2026 NPPES data Pediatrics Physician NPI 1417206509 M.D.
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CASANDRA AREVALO-MARCANO, M.D.

Pediatrics Physician in MORGANTOWN, West Virginia. 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
31
Medicare Part D claims · Pediatrics Physician avg: 762
Generic prescribing
26%
generic claims · 74% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
94.1061/100
▲ 11 pts above national avg 83.1 · [object Object]
What the federal data reveals: CASANDRA AREVALO-MARCANO, M.D. is a Pediatrics Physician ([object Object]) practicing in MORGANTOWN, West Virginia with a Medicare Part D prescribing footprint of 31 claims — 74% brand-name prescribing . Their CMS MIPS Final Score of 94.1061/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities .

What stands out: CASANDRA AREVALO-MARCANO, M.D. reported a CMS MIPS final score of 94.1061 out of 100, above the 83.1 national average, and filed 31 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)

CASANDRA AREVALO-MARCANO, 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).

CASANDRA AREVALO-MARCANO, M.D. at a glance

High performer (top quartile)

NPI registry status

Active

Issued 09/05/2012

NPI 1417206509

Primary specialty

Pediatrics Physician

High-volume

80,574 US NPIs in this specialty

Medicare Part D claims

31 96% vs specialty avg

2023 prescription claims

Specialty avg: 762

MIPS final score

94.1061/100 11.006100000000004% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in West Virginia

How Pediatrics Physician compares to other specialties among West Virginia providers

West Virginia providers

Pediatrics Physician share within West Virginia

1. Pediatrics Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Pediatrics Physician share within West Virginia

Medicare quality performance — MIPS

CASANDRA AREVALO-MARCANO, M.D.'s 2023 MIPS final score plotted against the Pediatrics Physician national average

High performer (top quartile)
MIPS Final Score
94.1061/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Pediatrics Physician) — 94.1061/100 vs national avg 83.1

0%100%National avg83%94.1%
MIPS final score (Pediatrics Physician) — 94.1061/100 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).

CASANDRA AREVALO-MARCANO, M.D. is a Pediatrics Physician provider practicing in MORGANTOWN, West Virginia, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1417206509. 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.

CASANDRA AREVALO-MARCANO, M.D. appears in the CMS NPPES registry as a Pediatrics Physician provider holding M.D. credentials at 1 MEDICAL CENTER DR, MORGANTOWN, WV, 26506, with a listed phone of (304) 598-4800. NPI 1417206509 was issued on 09/05/2012. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what AREVALO-MARCANO 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 31 prescription claims written by this provider, covering N/A Medicare beneficiaries and totaling roughly $315K in drug spend, split 74% brand-name and 26% 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 94.1061/100 for the 2023 performance year (Quality 78.4655), compared with the national average of 83.1.

Pediatrics Physician is a high-volume specialty nationwide, with 80,574 enrolled providers across 56 states and an average of 762 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

1 MEDICAL CENTER DR
MORGANTOWN, WV 26506

Provider Details

NPI 1417206509
Specialty Pediatrics Physician
Credentials M.D.
Gender Female
NPI Issued 09/05/2012

CMS Quality Score (MIPS)

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

94.1061
Final Score
Avg: 83.1
78.4655
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Brand vs generic prescribing mix · Brand-heavy

CASANDRA AREVALO-MARCANO, M.D. — brand share 74.0%
Specialty average (est.)

74% brand-name claims vs 26% generic, on 31 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.

31
Total Claims
$315K
Total Drug Cost
N/A
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
35
Total Day Supply
1,020
Brand vs Generic
74% brand / 26% generic
Brand Drug Cost
$315K

Patient Demographics

Average Patient Age
31.0 years
Avg HCC Risk Score
2.22

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Trikafta
Elexacaftor/Tezacaftor/Ivacaft
11

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

Pediatrics Physician Overview

How CASANDRA AREVALO-MARCANO, M.D. fits within the Pediatrics Physician landscape nationally.

80,574
Pediatrics Physician Providers in US
56
States with Pediatrics Physician
762
Avg Claims per Provider

CASANDRA AREVALO-MARCANO, M.D.'s 31 claims are below the specialty average of 762.

Nearby Pediatrics Physician Providers in West Virginia

Other clinicians with the same primary specialty enrolled in West Virginia, drawn from the same CMS NPPES roster as AREVALO-MARCANO.

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

Frequently Asked Questions

What is CASANDRA AREVALO-MARCANO, M.D.'s specialty?
CASANDRA AREVALO-MARCANO, M.D. specializes in Pediatrics Physician and practices in MORGANTOWN, West Virginia. Credentials: M.D..
How much does CASANDRA AREVALO-MARCANO, M.D. prescribe under Medicare Part D?
In 2023, CASANDRA AREVALO-MARCANO, M.D. wrote 31 Medicare Part D claims totaling $315K in drug costs for N/A beneficiaries.
What is CASANDRA AREVALO-MARCANO, M.D.'s Medicare quality score?
CASANDRA AREVALO-MARCANO, M.D. has a CMS MIPS Final Score of 94.1061/100 (Quality: 78.4655). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is CASANDRA AREVALO-MARCANO, M.D. located?
CASANDRA AREVALO-MARCANO, M.D. is located at 1 MEDICAL CENTER DR, MORGANTOWN, WV, 26506. Phone: (304) 598-4800.
What is CASANDRA AREVALO-MARCANO, M.D.'s NPI number?
CASANDRA AREVALO-MARCANO, M.D.'s National Provider Identifier (NPI) is 1417206509, issued on 09/05/2012.
Does CASANDRA AREVALO-MARCANO, M.D. prescribe more brand-name or generic drugs?
CASANDRA AREVALO-MARCANO, M.D.'s prescribing is 74% brand-name and 26% generic drugs by claim count, with $315K in brand drug costs.
How many Pediatrics Physician providers are there in the US?
There are 80,574 Pediatrics Physician providers across 56 states in the US. The average Pediatrics Physician provider writes 762 Medicare Part D claims per year.
What drugs does CASANDRA AREVALO-MARCANO, M.D. prescribe most often?
Based on 2023 Medicare Part D data, CASANDRA AREVALO-MARCANO, M.D.'s most frequently prescribed drugs include Trikafta. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does CASANDRA AREVALO-MARCANO, M.D. accept Medicare?
CASANDRA AREVALO-MARCANO, M.D. appears in CMS Medicare data with 31 Part D claims and N/A Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify CASANDRA AREVALO-MARCANO, M.D.'s credentials?
CASANDRA AREVALO-MARCANO, M.D.'s NPI is 1417206509 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