NPI registry status
Active
2026 NPPES data Pediatrics Physician NPI 1417206509 M.D.
Verify on CMS → Casandra Arevalo-Marcano, M.D.
Pediatrics Physician in Morgantown, West Virginia.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 80,576 in Pediatrics 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
31
Medicare Part D claims · Pediatrics Physician avg: 762
Generic prescribing
0%
generic claims · 74% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
94.1/100
▲ 11 pts above national avg 83.1 · Exceptional
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
Casandra Arevalo-Marcano, M.D. reported a CMS MIPS final score of 94.1/100 - above the 83.1 national average - and filed 31 Medicare Part D claims in 2023.
- 94.1/100
- MIPS score · +11 vs avg
- 31
- Part D claims, 2023
- 0%
- 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.
Casandra Arevalo-Marcano, M.D.'s MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
94 Top 25% higher than 75% 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 Casandra Arevalo-Marcano, M.D. sits
This provider among pediatrics physician peers
Across the 1,120 pediatrics physician providers who report both Medicare Part D prescribing and a MIPS quality score, Casandra Arevalo-Marcano, M.D. writes more Part D claims than 24% of them and scores higher on MIPS quality than 71% - placing this provider in the lower-volume, high-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 pediatrics physician peer from a representative sample of 60; the gold marker is Casandra Arevalo-Marcano, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
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).
What does the federal data show about Casandra Arevalo-Marcano, M.D.?
High performer (top quartile)Primary specialty
Pediatrics Physician
Medicare Part D claims
31 96% vs specialty avg
MIPS final score
94.1/100 11 pts vs avg
Specialty distribution in West Virginia
How Pediatrics Physician compares to other specialties among West Virginia providers
Medicare quality performance, MIPS
Casandra Arevalo-Marcano, M.D.'s 2023 MIPS final score plotted against the Pediatrics Physician national average
- MIPS Final Score
- 94.1/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Pediatrics Physician) - 94.1/100 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).
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.
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 0% generic by claim count. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 94.1/100 for the 2023 performance year (Quality 78.5), compared with the national average of 83.1.
Pediatrics Physician is a high-volume specialty nationwide, with 80,576 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
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%
Pediatrics Physician average
74% brand-name claims vs 0% 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 / 0% 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.
80,576
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.
Dr. Elizabeth Accord
D.O.
Fairmont, WV
Dr. Traci Acklin
M.D.
Montgomery, WV
Dr. Kanya Ahuja
MD
Charleston, WV
Dr. Melissa Albert
M.D.
Morgantown, WV
Mahmoud Ali
Morgantown, WV
Compare Pediatrics 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 West Virginia medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Pediatrics 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.
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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 94.1/100 (Quality: 78.5). 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 0% generic drugs by claim count, with $315K in brand drug costs.
How many Pediatrics Physician providers are there in the US? ▼
There are 80,576 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
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.
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of May 2026.