2026 NPPES data Geriatric Medicine (Internal Medicine) Physician NPI 1568967974 MD
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CELIA PENA HEREDIA, MD

Geriatric Medicine (Internal Medicine) Physician in SALT LAKE CITY, Utah. 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
4K
Medicare Part D claims · 333 beneficiaries · Geriatric Medicine (Internal Medicine) Physician avg: 4K
Generic prescribing
83%
generic claims · 17% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
95.7054/100
▲ 13 pts above national avg 83.1 · [object Object]
What the federal data reveals: CELIA PENA HEREDIA, MD is a Geriatric Medicine (Internal Medicine) Physician ([object Object]) practicing in SALT LAKE CITY, Utah with a Medicare Part D prescribing footprint of 4K claims across 333 beneficiaries — 17% brand-name prescribing . Their CMS MIPS Final Score of 95.7054/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities .

What stands out: CELIA PENA HEREDIA, MD reported a CMS MIPS final score of 95.7054 out of 100, above the 83.1 national average, and filed 3,662 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)

CELIA PENA HEREDIA, 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).

CELIA PENA HEREDIA, MD at a glance

High performer (top quartile)

NPI registry status

Active

Issued 03/27/2018

NPI 1568967974

Primary specialty

Geriatric Medicine (Internal Medicine) Physician

Niche

4,161 US NPIs in this specialty

Medicare Part D claims

3,662 18% vs specialty avg

2023 prescription claims

Specialty avg: 4,450

MIPS final score

95.7054/100 12.605400000000003% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Utah

How Geriatric Medicine (Internal Medicine) Physician compares to other specialties among Utah providers

Utah providers

Geriatric Medicine (Internal Medicine) Physician share within Utah

1. Geriatric Medicine (Internal Medicine) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Geriatric Medicine (Internal Medicine) Physician share within Utah

Medicare quality performance — MIPS

CELIA PENA HEREDIA, MD's 2023 MIPS final score plotted against the Geriatric Medicine (Internal Medicine) Physician national average

High performer (top quartile)
MIPS Final Score
95.7054/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Geriatric Medicine (Internal Medicine) Physician) — 95.7054/100 vs national avg 83.1

0%100%National avg83%95.7%
MIPS final score (Geriatric Medicine (Internal Medicine) Physician) — 95.7054/100 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).

CELIA PENA HEREDIA, MD is a Geriatric Medicine (Internal Medicine) Physician provider practicing in SALT LAKE CITY, Utah, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1568967974. 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.

CELIA PENA HEREDIA, MD appears in the CMS NPPES registry as a Geriatric Medicine (Internal Medicine) Physician provider holding MD credentials at 30 N 1900 E RM AB193, SALT LAKE CITY, UT, 84132, with a listed phone of (801) 585-1686. NPI 1568967974 was issued on 03/27/2018. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what PENA HEREDIA 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 3,662 prescription claims written by this provider, covering 333 Medicare beneficiaries and totaling roughly $503K in drug spend, split 17% brand-name and 83% generic by claim count, with an opioid prescribing rate of 2.4%. 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 95.7054/100 for the 2023 performance year (Quality 92.1917), compared with the national average of 83.1.

Geriatric Medicine (Internal Medicine) Physician is a narrow specialty nationwide, with 4,161 enrolled providers across 52 states and an average of 4,450 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

30 N 1900 E RM AB193
SALT LAKE CITY, UT 84132

Provider Details

NPI 1568967974
Specialty Geriatric Medicine (Internal Medicine) Physician
Credentials MD
Gender Female
NPI Issued 03/27/2018

CMS Quality Score (MIPS)

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

95.7054
Final Score
Avg: 83.1
92.1917
Quality
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where CELIA PENA HEREDIA, 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.

UNIVERSITY OF UTAH COMMUNITY PHYSICIANS GROUP
SALT LAKE CITY, UT

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

CELIA PENA HEREDIA, MD — brand share 17.0%
Specialty average (est.)

17% brand-name claims vs 83% generic, on 3,662 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.

3,662
Total Claims
$503K
Total Drug Cost
333
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
8,317
Total Day Supply
243,972
Brand vs Generic
17% brand / 83% generic
Brand Drug Cost
$431K
Generic Drug Cost
$70K
Opioid Claims
89 (2.4% rate)
Antibiotic Claims
41

Patient Demographics

Average Patient Age
71.3 years
Avg HCC Risk Score
1.57
Gender Split
68% female / 32% male
Age Distribution
<65: 54, 65-74: 156, 75-84: 96, 85+: 27

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Gabapentin
201
Omeprazole
170
Atorvastatin Calcium
158
Levothyroxine Sodium
141
Losartan Potassium
114
Lisinopril
113
Amlodipine Besylate
110
Duloxetine Hcl
90
Mirtazapine
77
Metformin Hcl
71

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

Geriatric Medicine (Internal Medicine) Physician Overview

How CELIA PENA HEREDIA, MD fits within the Geriatric Medicine (Internal Medicine) Physician landscape nationally.

4,161
Geriatric Medicine (Internal Medicine) Physician Providers in US
52
States with Geriatric Medicine (Internal Medicine) Physician
4,450
Avg Claims per Provider

CELIA PENA HEREDIA, MD's 3,662 claims are below the specialty average of 4,450.

Nearby Geriatric Medicine (Internal Medicine) Physician Providers in Utah

Other clinicians with the same primary specialty enrolled in Utah, drawn from the same CMS NPPES roster as PENA HEREDIA.

Compare Geriatric Medicine (Internal Medicine) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is CELIA PENA HEREDIA, MD's specialty?
CELIA PENA HEREDIA, MD specializes in Geriatric Medicine (Internal Medicine) Physician and practices in SALT LAKE CITY, Utah. Credentials: MD.
How much does CELIA PENA HEREDIA, MD prescribe under Medicare Part D?
In 2023, CELIA PENA HEREDIA, MD wrote 3,662 Medicare Part D claims totaling $503K in drug costs for 333 beneficiaries.
What is CELIA PENA HEREDIA, MD's Medicare quality score?
CELIA PENA HEREDIA, MD has a CMS MIPS Final Score of 95.7054/100 (Quality: 92.1917). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is CELIA PENA HEREDIA, MD located?
CELIA PENA HEREDIA, MD is located at 30 N 1900 E RM AB193, SALT LAKE CITY, UT, 84132. Phone: (801) 585-1686.
What is CELIA PENA HEREDIA, MD's NPI number?
CELIA PENA HEREDIA, MD's National Provider Identifier (NPI) is 1568967974, issued on 03/27/2018.
Does CELIA PENA HEREDIA, MD prescribe more brand-name or generic drugs?
CELIA PENA HEREDIA, MD's prescribing is 17% brand-name and 83% generic drugs by claim count, with $431K in brand drug costs.
Does CELIA PENA HEREDIA, MD prescribe opioids?
Yes, CELIA PENA HEREDIA, MD had 89 opioid claims in 2023 with an opioid prescribing rate of 2.4%.
How many Geriatric Medicine (Internal Medicine) Physician providers are there in the US?
There are 4,161 Geriatric Medicine (Internal Medicine) Physician providers across 52 states in the US. The average Geriatric Medicine (Internal Medicine) Physician provider writes 4,450 Medicare Part D claims per year.
What drugs does CELIA PENA HEREDIA, MD prescribe most often?
Based on 2023 Medicare Part D data, CELIA PENA HEREDIA, MD's most frequently prescribed drugs include Gabapentin, Omeprazole, Atorvastatin Calcium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does CELIA PENA HEREDIA, MD accept Medicare?
CELIA PENA HEREDIA, MD appears in CMS Medicare data with 3,662 Part D claims and 333 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify CELIA PENA HEREDIA, MD's credentials?
CELIA PENA HEREDIA, MD's NPI is 1568967974 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