2026 NPPES data Internal Medicine Physician NPI 1942561246 M.D.
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Cristina Alvardo Nieves, M.D.

Internal Medicine Physician in Ann Arbor, Michigan. This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 172,858 in Internal Medicine 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
926
Medicare Part D claims · 139 beneficiaries · Internal Medicine Physician avg: 3K
Generic prescribing
40%
generic claims · 51% brand-name · higher generic rates reduce patient out-of-pocket costs
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Cristina Alvardo Nieves, M.D. filed 926 Medicare Part D claims in 2023 as a Internal Medicine Physician in Ann Arbor, Michigan, prescribing 40% generic.

926
Part D claims, 2023
40%
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.

Cristina Alvardo Nieves, M.D.'s Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023, across all CMS prescribers nationally

926 Top 25% higher than 75% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). Below this entry. 400–600: 90,619 prescribers (7%). Below this entry. 600–800: 56,224 prescribers (4%). Below this entry. 800–1,000: 40,919 prescribers (3%). This entry sits in this band. 1,000–1,200: 31,827 prescribers (2%). Above this entry. 1,200–1,400: 26,224 prescribers (2%). Above this entry. 1,400–1,600: 21,710 prescribers (2%). Above this entry. 1,600–1,800: 19,072 prescribers (1%). Above this entry. 1,800–2,000: 16,451 prescribers (1%). Above this entry. 2K+: 213,991 prescribers (16%). Above this entry. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

Each bar is a band; taller bars hold more prescribers. 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 Medicare Part D Prescriber Public Use File · 2023

Board certification likely (heuristic, not verified)

Cristina Alvardo Nieves, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 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 Cristina Alvardo Nieves, M.D.?

Quality data not reported

NPI registry status

Active

Issued 06/04/2012

NPI 1942561246

Primary specialty

Internal Medicine Physician

High-volume

172,858 US NPIs in this specialty

Medicare Part D claims

926 66% vs specialty avg

2023 prescription claims

Specialty avg: 2,716

Specialty distribution in Michigan

How Internal Medicine Physician compares to other specialties among Michigan providers

Michigan providers

Largest specialties in Michigan (% of in-state providers)

Behavior Technician - 21.4%Behavior Technician21.4%Clinical Social Worker - 5.8%Clinical Social Worker5.8%Student in an Organized Health Care Education/Training Program - 3.6%Student in an Organized Health Care Education/Training Program3.6%Physical Therapist - 3.4%Physical Therapist3.4%Social Worker - 3.4%Social Worker3.4%Pharmacist - 3%Pharmacist3%Internal Medicine Physician - 2.4%Internal Medicine Physician2.4%
Largest specialties in Michigan (% of in-state providers)

Board certification

Not published by CMS

CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Internal Medicine Physician. Verify directly:

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).

Cristina Alvardo Nieves, M.D. appears in the CMS NPPES registry as a Internal Medicine Physician provider holding M.D. credentials at 24 FRANK LLOYD WRIGHT DR, Ann Arbor, MI, 48105, with a listed phone of (734) 647-5871. NPI 1942561246 was issued on 06/04/2012. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Alvardo Nieves 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 926 prescription claims written by this provider, covering 139 Medicare beneficiaries and totaling roughly $584K in drug spend, split 51% brand-name and 40% 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.

Internal Medicine Physician is a high-volume specialty nationwide, with 172,858 enrolled providers across 56 states and an average of 2,716 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

24 FRANK LLOYD WRIGHT DR
Ann Arbor, MI 48105

Provider Details

NPI 1942561246
Specialty Internal Medicine Physician
Credentials M.D.
Gender Female
NPI Issued 06/04/2012

Hospital and facility affiliations

Facilities where Cristina Alvardo Nieves, M.D. 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.

Regents OF The University OF Michigan
Ann Arbor, MI

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

License & disciplinary context - Michigan MI-BOM 2023 annual report

Aggregate state board data only, NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~41K Michigan medical licensees in 2023 - they are NOT specific to Cristina Alvardo Nieves, M.D.. To verify Cristina Alvardo Nieves, M.D.'s current license status, search the MI-BOM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

123
Total board actions, Michigan 2023
Across 120 cases
3.00
Actions per 1,000 licensees
Michigan statewide rate
probation
Most common action type
44 cases

MI-BOM publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Michigan disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Brand-heavy

Cristina Alvardo Nieves, M.D. - brand share 51.0%
Internal Medicine Physician average

51% brand-name claims vs 40% generic, on 926 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.

926
Total Claims
$584K
Total Drug Cost
139
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
2,313
Total Day Supply
68,203
Brand vs Generic
51% brand / 40% generic
Brand Drug Cost
$550K
Generic Drug Cost
$24K

Patient Demographics

Average Patient Age
66.3 years
Avg HCC Risk Score
1.86
Gender Split
55% female / 45% male
Age Distribution
<65: 45, 65-74: 59, 75-84: N/A, 85+: N/A

Top Prescribed Drugs (Medicare Part D)

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

What Cristina Alvardo Nieves, M.D. prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Levothyroxine Sodium
122
Metformin Hcl Er
Metformin Hcl
60
Ozempic
Semaglutide
55
Methimazole
36
Trulicity
Dulaglutide
31
Novolog Flexpen
Insulin Aspart
30
Metformin Hcl
29
Humalog Kwikpen U-100
Insulin Lispro
28
Januvia
Sitagliptin Phosphate
21
Novolog
Insulin Aspart
20

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

Internal Medicine Physician Overview

How Cristina Alvardo Nieves, M.D. fits within the Internal Medicine Physician landscape nationally.

172,858
Internal Medicine Physician Providers in US
56
States with Internal Medicine Physician
2,716
Avg Claims per Provider

Cristina Alvardo Nieves, M.D.'s 926 claims are below the specialty average of 2,716.

Nearby Internal Medicine Physician Providers in Michigan

Other clinicians with the same primary specialty enrolled in Michigan, drawn from the same CMS NPPES roster as Alvardo Nieves.

Compare Internal Medicine 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 Michigan medical board, federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Internal Medicine 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.

Frequently Asked Questions

What is Cristina Alvardo Nieves, M.D.'s specialty?
Cristina Alvardo Nieves, M.D. specializes in Internal Medicine Physician and practices in Ann Arbor, Michigan. Credentials: M.D..
How much does Cristina Alvardo Nieves, M.D. prescribe under Medicare Part D?
In 2023, Cristina Alvardo Nieves, M.D. wrote 926 Medicare Part D claims totaling $584K in drug costs for 139 beneficiaries.
Where is Cristina Alvardo Nieves, M.D. located?
Cristina Alvardo Nieves, M.D. is located at 24 FRANK LLOYD WRIGHT DR, Ann Arbor, MI, 48105. Phone: (734) 647-5871.
What is Cristina Alvardo Nieves, M.D.'s NPI number?
Cristina Alvardo Nieves, M.D.'s National Provider Identifier (NPI) is 1942561246, issued on 06/04/2012.
Does Cristina Alvardo Nieves, M.D. prescribe more brand-name or generic drugs?
Cristina Alvardo Nieves, M.D.'s prescribing is 51% brand-name and 40% generic drugs by claim count, with $550K in brand drug costs.
How many Internal Medicine Physician providers are there in the US?
There are 172,858 Internal Medicine Physician providers across 56 states in the US. The average Internal Medicine Physician provider writes 2,716 Medicare Part D claims per year.
What drugs does Cristina Alvardo Nieves, M.D. prescribe most often?
Based on 2023 Medicare Part D data, Cristina Alvardo Nieves, M.D.'s most frequently prescribed drugs include Levothyroxine Sodium, Metformin Hcl Er, Ozempic. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Cristina Alvardo Nieves, M.D. accept Medicare?
Cristina Alvardo Nieves, M.D. appears in CMS Medicare data with 926 Part D claims and 139 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Cristina Alvardo Nieves, M.D.'s credentials?
Cristina Alvardo Nieves, M.D.'s NPI is 1942561246 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.
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.