PlainDoctor

2026 NPPES data Rheumatology Physician NPI 1366441727 MD
Verify on CMS →

David Borenstein, MD

Rheumatology Physician in Washington, District of Columbia.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 6,377 in Rheumatology 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
977
Medicare Part D claims · 217 beneficiaries · Rheumatology Physician avg: 2K
MIPS score
77.1/100
▼ 6 pts below national avg 83.5 · Above neutral
Verify NPI on CMS Methodology
Compiled from official public sources by the editorial process.

What the federal data shows

David Borenstein, MD reported a CMS MIPS final score of 77.1/100 - below the 83.5 national average - and filed 977 Medicare Part D claims in 2024.

77.1/100
MIPS score · -6 vs avg
977
Part D claims, 2024
Likely
board-certified (heuristic)
≥20th
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 David Borenstein, MD

Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.

  • Verified

    NPI registry status

    Active listing in the CMS National Provider Identifier Registry (NPI 1366441727), first enumerated 07/19/2005.

    Source: CMS NPPES

  • Reported

    Medicare Part D participation

    Filed 977 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.

    Source: CMS Part D Prescriber PUF

  • Reported

    CMS quality reporting (MIPS)

    Reported a CMS MIPS final score of 77.1/100 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.

    Source: NUCC taxonomy + CMS participation heuristic

  • 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 1366441727 · Rheumatology Physician

NPI-10 · ENUM-LEGACY · TAX-MID · MIPS-BELOW · RX-LIGHT · BOOK-THIN · PHOTO-FINISH

  • NPI-10 1366441727
  • ENUM-LEGACY 2005
  • TAX-MID 6K Rheumatology Physician
  • MIPS-BELOW 77.1/100
  • RX-LIGHT 977
  • BOOK-THIN 40 in District of Columbia
  • PHOTO-FINISH Grace Ahn, M.D. · ±0.0

MIPS final-score neighbourhood

Same-specialty nationwide peers by CMS final score, not geographic proximity

MIPS pts

What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).

Source CMS Quality Payment Program (MIPS) As of 2023

David Borenstein, MD'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.

77 ≥ 20th percentile 20% of 454,083 measured providers are in lower value bands

0–10: 8,684 measured providers (2%). Below this entry. 10–20: 3,008 measured providers (1%). Below this entry. 20–30: 3,069 measured providers (1%). Below this entry. 30–40: 2,746 measured providers (1%). Below this entry. 40–50: 2,928 measured providers (1%). Below this entry. 50–60: 5,882 measured providers (1%). Below this entry. 60–70: 13,906 measured providers (3%). Below this entry. 70–80: 94,570 measured providers (21%). This entry sits in this band. 80–90: 129,887 measured providers (29%). Above this entry. 90+: 189,403 measured providers (42%). Above this entry. This provider 0 100 every measured MIPS clinician, bucketed by value

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

Where David Borenstein, MD sits

This provider among rheumatology physician peers

Across the 1,970 rheumatology physician providers who report both Medicare Part D prescribing and a MIPS quality score, David Borenstein, MD writes more Part D claims than 27% of them and scores higher on MIPS quality than 22% - placing this provider in the lower-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality0255075100024.949.974.899.8Part D claim volume, percentile in specialtyMIPS quality, percentilePoint, Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 15Point, Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 10Point, Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 22Point, Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 13Point, Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 95Point, Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 90Point, Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 45Point, Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 83Point, Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 23Point, Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 90Point, Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 20Point, Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 50Point, Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 72Point, Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 80Point, Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 35Point, Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 58Point, Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 8Point, Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 63Point, Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 90Point, Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 95Point, Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 53Point, Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 42Point, Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 28Point, Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 58Point, Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 32Point, Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 95Point, Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 58Point, Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 18Point, Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 5Point, Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 52Point, Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 23Point, Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 45Point, Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 43Point, Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 17Point, Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 87Point, Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 82Point, Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 55Point, Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 2Point, Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 3Point, Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 73Point, Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 40Point, Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 30Point, Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 95Point, Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 77Point, Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 33Point, Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 48Point, Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 27Point, Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 65Point, Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 75Point, Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 7Point, Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 68Point, Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 70Point, Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 37Point, Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 57Point, Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 37Point, Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 77Point, Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 88Point, Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 67David Borenstein, MD, Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 22
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one rheumatology physician peer from a representative sample of 60; the gold marker is David Borenstein, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

✓
Board certification likely (heuristic, not verified)

David Borenstein, MD 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 David Borenstein, MD?

Below national average

NPI registry status

Active

Issued 07/19/2005

NPI 1366441727

Primary specialty

Rheumatology Physician

Mid-sized

6,377 US NPIs in this specialty

Medicare Part D claims

977 53% vs specialty avg

2024 prescription claims

Specialty avg: 2,058

MIPS final score

77.1/100 6.4 pts vs avg

Above neutral band

vs 83.5 national avg

Specialty distribution in District of Columbia

How Rheumatology Physician compares to other specialties among District of Columbia providers

District of Columbia providers
Home Health Aide20.3%Personal Care Attendant12%Case Manager/Care Coordinator7.1%Student in an Organized Heal…6.4%Clinical Social Worker4%Internal Medicine Physician2%Rheumatology Physician0.1%
Largest specialties in District of Columbia (% of in-state providers)

Medicare quality performance, MIPS

David Borenstein, MD's 2023 MIPS final score plotted against the Rheumatology Physician national average

Below national average
MIPS Final Score
77.1/100
vs 83.5 national avg · 2023 performance year
0%100%National avg84%77.1%
MIPS final score (Rheumatology Physician) - 77.1/100 vs national avg 83.5
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

2021 K ST NW
Washington, DC 20006
(202) 293-1470

Provider Details

NPI 1366441727
Specialty Rheumatology Physician
Credentials MD
Gender Male
NPI Issued 07/19/2005

CMS Quality Score (MIPS)

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

77.1231
Final Score
Measured-score avg: 83.5
23.7437
Cost
100
Promoting Interoperability

Reporting: Group practice

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2024.

977
Total Claims
$525K
Total Drug Cost
217
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
2,114.133
Total Day Supply
63,079
Generic Drug Cost
$31K
Opioid Claims
93 (9.5% rate)

Patient Demographics

Average Patient Age
76.7 years
Avg HCC Risk Score
1.09
Gender Split
59% female / 41% male

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.

What David Borenstein, MD prescribes most

Top Medicare Part D drugs by claim count, 2024

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2024
Drug Claims
Prednisone
 172
Meloxicam
 80
Celecoxib
 60
Methotrexate
Methotrexate Sodium
52
Cyclobenzaprine Hcl
 43
Tramadol Hcl
 37
Duloxetine Hcl
 35
Hydroxychloroquine Sulfate
 35
Allopurinol
 32
Diclofenac Sodium Er
Diclofenac Sodium
32

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

More Rheumatology Physician in DC → All providers in District of Columbia → Compare specialties →

Rheumatology Physician Overview

How David Borenstein, MD fits within the Rheumatology Physician landscape nationally.

6,377
Rheumatology Physician Providers in US
52
States with Rheumatology Physician
2,058
Avg Claims per Provider

David Borenstein, MD's 977 claims are below the specialty average of 2,058.

Nationwide Rheumatology Physician peers with similar MIPS or enrollment year

Two federal-record peer sets for Borenstein, both outside District of Columbia so the neighborhoods are not geographic containment.

Similar MIPS final score

Nearest same-specialty clinicians by CMS MIPS final score (77.1 here).

Grace Ahn 77.1 MD Herbert Baraf 77.1 MD Ashley Beall 77.1 MD Paul Demarco 77.1 MD

Same NPPES enumeration year (2005)

Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.

Stanley Cohen Dallas, TX Andrew Concoff Fullerton, CA David Bacha Akron, OH George Clement Winter Haven, FL

Nearby Rheumatology Physician Providers in District of Columbia

Other clinicians with the same primary specialty enrolled in District of Columbia, drawn from the same CMS NPPES roster as Borenstein.

One of 40 Rheumatology Physician providers enrolled in District of Columbia, 5 are shown here.

Dr. Gelareh Atefi
MD
Washington, DC
Dr. Amarah Baluch
MD
Washington, DC
Dr. Werner Barth
M.D.
Washington, DC
Dr. Adey Berhanu
M.D.
Washington, DC
Dr. Rajkumari Bhagati
MD
Washington, DC

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

Frequently Asked Questions

What is David Borenstein, MD's specialty? ▼
David Borenstein, MD specializes in Rheumatology Physician and practices in Washington, District of Columbia. Credentials: MD.
How much does David Borenstein, MD prescribe under Medicare Part D? ▼
In 2024, David Borenstein, MD wrote 977 Medicare Part D claims totaling $525K in drug costs for 217 beneficiaries.
What is David Borenstein, MD's Medicare quality score? ▼
David Borenstein, MD has a CMS MIPS Final Score of 77.1/100, Cost: 23.7. 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 David Borenstein, MD located? ▼
David Borenstein, MD is located at 2021 K ST NW, Washington, DC, 20006. Phone: (202) 293-1470.
What is David Borenstein, MD's NPI number? ▼
David Borenstein, MD's National Provider Identifier (NPI) is 1366441727, issued on 07/19/2005.
Does David Borenstein, MD prescribe opioids? ▼
Yes, David Borenstein, MD had 93 opioid claims in 2024 with an opioid prescribing rate of 9.5%.
How many Rheumatology Physician providers are there in the US? ▼
There are 6,377 Rheumatology Physician providers across 52 states in the US. The average Rheumatology Physician provider writes 2,058 Medicare Part D claims per year.
What drugs does David Borenstein, MD prescribe most often? ▼
Based on 2024 Medicare Part D data, David Borenstein, MD's most frequently prescribed drugs include Prednisone, Meloxicam, Celecoxib. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does David Borenstein, MD accept Medicare? ▼
David Borenstein, MD appears in CMS Medicare data with 977 Part D claims and 217 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify David Borenstein, MD's credentials? ▼
David Borenstein, MD's NPI is 1366441727 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

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 (2024). 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 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

Compiled from official public sources by the editorial process.

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.