2026 NPPES data Neurology Physician NPI 1699169227 DO
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DAVID NACIONALES, DO

Neurology Physician in PALM SPRINGS, California. 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
1K
Medicare Part D claims · 157 beneficiaries · Neurology Physician avg: 1K
MIPS score
76.2631/100
▼ 7 pts below national avg 83.1 · [object Object]
Industry payments
$2.5K
38 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

DAVID NACIONALES, DO reported a CMS MIPS final score of 76.2631/100 — below the 83.1 national average — and filed 1,023 Medicare Part D claims in 2023.

76.2631/100
MIPS score · -7 vs avg
1K
Part D claims, 2023
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.

DAVID NACIONALES, DO's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

76 21st percentile higher than 21% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). This entry sits in this band. 80–90: 129,887 scored providers (27%). Above this entry. 90–100: 189,403 scored providers (40%). Above this entry. This provider 0 100 every MIPS-scored clinician, bucketed by value

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

Board certification likely (heuristic — not verified)

DAVID NACIONALES, DO practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 2 hospital affiliations — 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 NACIONALES, DO?

Below national average

NPI registry status

Active

Issued 03/20/2015

NPI 1699169227

Primary specialty

Neurology Physician

Mid-sized

19,866 US NPIs in this specialty

Medicare Part D claims

1,023 22% vs specialty avg

2023 prescription claims

Specialty avg: 1,309

MIPS final score

76.2631/100 6.8369% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in California

How Neurology Physician compares to other specialties among California providers

California providers

Neurology Physician share within California

1. Neurology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Neurology Physician share within California

Medicare quality performance — MIPS

DAVID NACIONALES, DO's 2023 MIPS final score plotted against the Neurology Physician national average

Below national average
MIPS Final Score
76.2631/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Neurology Physician) — 76.2631/100 vs national avg 83.1

0%100%National avg83%76.3%
MIPS final score (Neurology Physician) — 76.2631/100 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).

DAVID NACIONALES, DO appears in the CMS NPPES registry as a Neurology Physician provider holding DO credentials at 1180 N INDIAN CANYON DR STE 214, PALM SPRINGS, CA, 92262, with a listed phone of (760) 416-4545. NPI 1699169227 was issued on 03/20/2015. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what NACIONALES 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 1,023 prescription claims written by this provider, covering 157 Medicare beneficiaries and totaling roughly $575K in drug spend. 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 76.2631/100 for the 2023 performance year (Quality 62.7438, Cost 59.2967), compared with the national average of 83.1.

Neurology Physician is a mid-sized specialty nationwide, with 19,866 enrolled providers across 54 states and an average of 1,309 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

1180 N INDIAN CANYON DR STE 214
PALM SPRINGS, CA 92262

Provider Details

NPI 1699169227
Specialty Neurology Physician
Credentials DO
Gender Male
NPI Issued 03/20/2015

CMS Quality Score (MIPS)

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

76.2631
Final Score
Avg: 83.1
62.7438
Quality
59.2967
Cost

Reporting: Group practice

Hospital and facility affiliations

Facilities where DAVID NACIONALES, DO 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.

PIH HEALTH PHYSICIANS
DOWNEY, CA
THRIVE NEUROLOGY PC
GARDEN GROVE, CA

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 DAVID NACIONALES, DO. Source: openpaymentsdata.cms.gov.

Total received

$2.5K

Largest payer

LivaNova USA, Inc.

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.

License & disciplinary context — California MBC 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 ~150K California medical licensees in 2023 — they are NOT specific to DAVID NACIONALES, DO. To verify DAVID NACIONALES, DO's current license status, search the MBC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

576
Total board actions, California 2023
Across 556 cases
3.84
Actions per 1,000 licensees
California statewide rate
probation
Most common action type
186 cases

MBC 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 California disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

1,023
Total Claims
$575K
Total Drug Cost
157
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,678
Total Day Supply
48,975
Generic Drug Cost
$37K

Patient Demographics

Average Patient Age
63.9 years
Avg HCC Risk Score
1.79
Gender Split
61% female / 39% male
Age Distribution
<65: 63, 65-74: 65, 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 DAVID NACIONALES, DO 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
Levetiracetam
103
Gabapentin
83
Tizanidine Hcl
67
Clonazepam
55
Amitriptyline Hcl
54
Nurtec Odt
Rimegepant Sulfate
41
Oxcarbazepine
36
Baclofen
34
Botox
Onabotulinumtoxina
30
Aimovig Autoinjector
Erenumab-Aooe
29

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

Neurology Physician Overview

How DAVID NACIONALES, DO fits within the Neurology Physician landscape nationally.

19,866
Neurology Physician Providers in US
54
States with Neurology Physician
1,309
Avg Claims per Provider

DAVID NACIONALES, DO's 1,023 claims are below the specialty average of 1,309.

Nearby Neurology Physician Providers in California

Other clinicians with the same primary specialty enrolled in California, drawn from the same CMS NPPES roster as NACIONALES.

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

Frequently Asked Questions

What is DAVID NACIONALES, DO's specialty?
DAVID NACIONALES, DO specializes in Neurology Physician and practices in PALM SPRINGS, California. Credentials: DO.
How much does DAVID NACIONALES, DO prescribe under Medicare Part D?
In 2023, DAVID NACIONALES, DO wrote 1,023 Medicare Part D claims totaling $575K in drug costs for 157 beneficiaries.
What is DAVID NACIONALES, DO's Medicare quality score?
DAVID NACIONALES, DO has a CMS MIPS Final Score of 76.2631/100 (Quality: 62.7438, Cost: 59.2967). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is DAVID NACIONALES, DO located?
DAVID NACIONALES, DO is located at 1180 N INDIAN CANYON DR STE 214, PALM SPRINGS, CA, 92262. Phone: (760) 416-4545.
What is DAVID NACIONALES, DO's NPI number?
DAVID NACIONALES, DO's National Provider Identifier (NPI) is 1699169227, issued on 03/20/2015.
How many Neurology Physician providers are there in the US?
There are 19,866 Neurology Physician providers across 54 states in the US. The average Neurology Physician provider writes 1,309 Medicare Part D claims per year.
What drugs does DAVID NACIONALES, DO prescribe most often?
Based on 2023 Medicare Part D data, DAVID NACIONALES, DO's most frequently prescribed drugs include Levetiracetam, Gabapentin, Tizanidine Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does DAVID NACIONALES, DO accept Medicare?
DAVID NACIONALES, DO appears in CMS Medicare data with 1,023 Part D claims and 157 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify DAVID NACIONALES, DO's credentials?
DAVID NACIONALES, DO's NPI is 1699169227 with credentials DO. 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