NPI registry status
Active
2026 NPPES data Nuclear Imaging & Therapy Physician NPI 1366628232 MD, PHD
Verify on CMS → Cesar Santana, MD, PHD
Nuclear Imaging & Therapy Physician in Decatur, Georgia.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 208 in Nuclear Imaging & Therapy 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.
MIPS score
94.6/100
▲ 11 pts above national avg 83.5 · Exceptional
Industry payments
$15.53
1 payments · CMS Open Payments (Sunshine Act)
What the federal data shows
Cesar Santana, MD, PHD reported a CMS MIPS final score of 94.6/100 - above the 83.5 national average.
- 94.6/100
- MIPS score · +11 vs avg
- Likely
- board-certified (heuristic)
- ≥73rd
- pct among measured MIPS (lower-bound band)
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.
Federal trust snapshot
What official records show about Cesar Santana, MD, PHD
Federal records show an active NPI with a CMS quality score on file — objective federal reporting, not patient reviews.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1366628232), first enumerated 01/10/2008.
Source: CMS NPPES
- Not in federal data
Medicare Part D participation
No 2023 Medicare Part D prescribing volume appears in the CMS public file for this NPI (may reflect specialty, new enrollment, or non-prescribing role).
Source: CMS Part D Prescriber PUF
- Reported
CMS quality reporting (MIPS)
Reported a CMS MIPS final score of 94.6/100 in the Quality Payment Program — a federal quality measure, not a patient review.
Source: CMS Quality Payment Program
- Reported
Board certification signal
Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.
- Reported
Hospital affiliations
1 CMS Care Compare hospital affiliation on record — practice footprint from the Doctors and Clinicians file.
Source: CMS Care Compare
- Reported
Industry payment transparency
$15.53 in reported industry payments (1 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.
Source: CMS Open Payments
- Not in federal data
Individual sanction lookup
PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.
Source: State medical board / FSMB
This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.
CMS NPPES provider registry desk
NPI 1366628232 · Nuclear Imaging & Therapy Physician
NPI-10 · ENUM-MID · TAX-TRACE · MIPS-ELITE · BOOK-THIN · PHOTO-FINISH
- NPI-10 1366628232
- ENUM-MID 2008
- TAX-TRACE 208
- MIPS-ELITE 94.6/100
- BOOK-THIN 6 in Georgia
- PHOTO-FINISH Jocelyn Espiritu · ±1.3
MIPS final-score neighbourhood
Same-specialty nationwide peers by CMS final score, not geographic proximity
- Daniel Tubbs · l…
Daniel Tubbs
92.2 MIPS pts
- Saima Muzahir · …
Saima Muzahir
92.3 MIPS pts
- Santana · this p…
Santana · this provider
94.6 MIPS pts
- Jocelyn Espiritu…
Jocelyn Espiritu
95.9 MIPS pts
- Scott Britz-Cunn…
Scott Britz-Cunningham
97 MIPS pts
What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).
Cesar Santana, MD, PHD's MIPS score vs every measured U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.
95 ≥ 73rd percentile 73% of 454,083 measured providers are in lower value bands
Each bar is a band; taller bars hold more measured 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.
The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
✓
Board certification likely (heuristic, not verified)
Cesar Santana, MD, PHD 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 Cesar Santana, MD, PHD?
High performer (top quartile)Primary specialty
Nuclear Imaging & Therapy Physician
MIPS final score
94.6/100 11.1 pts vs avg
Specialty distribution in Georgia
How Nuclear Imaging & Therapy Physician compares to other specialties among Georgia providers
Medicare quality performance, MIPS
Cesar Santana, MD, PHD's 2023 MIPS final score plotted against the Nuclear Imaging & Therapy Physician national average
- MIPS Final Score
- 94.6/100
- vs 83.5 national avg · 2023 performance year
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).
Practice Address
Provider Details
| NPI | 1366628232 |
|---|---|
| Specialty | Nuclear Imaging & Therapy Physician |
| Credentials | MD, PHD |
| Gender | Male |
| NPI Issued | 01/10/2008 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
94.5685
Final Score
Measured-score avg: 83.5
78.4959
Quality
75.5403
Cost
100
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where Cesar Santana, MD, PHD 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.
Emory Medical Care Foundation Inc
Atlanta, GA
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
Industry payments received (2024) - CMS Open Payments transparency data
The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for Cesar Santana, MD, PHD. Source: openpaymentsdata.cms.gov.
Total received
$16
Largest payer
ViiV Healthcare Company
Most common payment type
Food and Beverage
Industry payments are not necessarily indicators of bias, they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.
Nuclear Imaging & Therapy Physician Overview
How Cesar Santana, MD, PHD fits within the Nuclear Imaging & Therapy Physician landscape nationally.
208
Nuclear Imaging & Therapy Physician Providers in US
36
States with Nuclear Imaging & Therapy Physician
1,320
Avg Claims per Provider
Nationwide Nuclear Imaging & Therapy Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Santana, both outside Georgia so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (94.6 here).
Same NPPES enumeration year (2008)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Nuclear Imaging & Therapy Physician Providers in Georgia
Other clinicians with the same primary specialty enrolled in Georgia, drawn from the same CMS NPPES roster as Santana.
One of 6 Nuclear Imaging & Therapy Physician providers enrolled in Georgia, 5 are shown here.
Dr. David Brandon
MD
Decatur, GA
Dr. Vitaliy Gavrikov
M.D.
Atlanta, GA
Dr. Lance Hall
M.D.
Atlanta, GA
Dr. Dhaval Patel
M.D.
Marietta, GA
Dr. Bryan Piedad
M.D.
Marietta, GA
Compare Nuclear Imaging & Therapy Physician nationally: see state-by-state distribution →
Frequently Asked Questions
What is Cesar Santana, MD, PHD's specialty? ▼
Cesar Santana, MD, PHD specializes in Nuclear Imaging & Therapy Physician and practices in Decatur, Georgia. Credentials: MD, PHD.
What is Cesar Santana, MD, PHD's Medicare quality score? ▼
Cesar Santana, MD, PHD has a CMS MIPS Final Score of 94.6/100 (Quality: 78.5, Cost: 75.5). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Cesar Santana, MD, PHD located? ▼
Cesar Santana, MD, PHD is located at 3315 FRANCINE DR, Decatur, GA, 30033. Phone: (770) 908-1464.
What is Cesar Santana, MD, PHD's NPI number? ▼
Cesar Santana, MD, PHD's National Provider Identifier (NPI) is 1366628232, issued on 01/10/2008.
How many Nuclear Imaging & Therapy Physician providers are there in the US? ▼
There are 208 Nuclear Imaging & Therapy Physician providers across 36 states in the US. The average Nuclear Imaging & Therapy Physician provider writes 1,320 Medicare Part D claims per year.
Does Cesar Santana, MD, PHD accept Medicare? ▼
Cesar Santana, MD, PHD appears in CMS Medicare data. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Cesar Santana, MD, PHD's credentials? ▼
Cesar Santana, MD, PHD's NPI is 1366628232 with credentials MD, PHD. 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.
- 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 August 2026 (NPPES) / 2024 (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
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 August 2026.