NPI registry status
Active
2026 NPPES data Anatomic Pathology & Clinical Pathology Physician NPI 1427022813 M.D.
Verify on CMS → Edwin Ramos Ruiz, M.D.
Anatomic Pathology & Clinical Pathology Physician in San Juan, Puerto Rico.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 13,978 in Anatomic Pathology & Clinical Pathology 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
85.8/100
▲ 2 pts above national avg 83.5 · Above neutral
What the federal data shows
Edwin Ramos Ruiz, M.D. reported a CMS MIPS final score of 85.8/100 - above the 83.5 national average.
- 85.8/100
- MIPS score · +2 vs avg
- Likely
- board-certified (heuristic)
- ≥46th
- 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 Edwin Ramos Ruiz, M.D.
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 1427022813), first enumerated 02/14/2006.
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 85.8/100 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
- 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 1427022813 · Anatomic Pathology & Clinical Pathology Physician
NPI-10 · ENUM-LEGACY · TAX-MID · MIPS-INLINE · BOOK-THIN · PHOTO-FINISH
- NPI-10 1427022813
- ENUM-LEGACY 2006
- TAX-MID 14K Anatomic Pathology
- MIPS-INLINE 85.8/100
- BOOK-THIN 74 in Puerto Rico
- PHOTO-FINISH Jiafan Liu, MD · ±0.1
MIPS final-score neighbourhood
Same-specialty nationwide peers by CMS final score, not geographic proximity
- Jiafan Liu, MD ·…
Jiafan Liu, MD
85.7 MIPS pts
- Gian Yakoub, DO …
Gian Yakoub, DO
85.7 MIPS pts
- Jefferson Lin, M…
Jefferson Lin, MD
85.7 MIPS pts
- Ramos Ruiz · thi…
Ramos Ruiz · this provider
85.8 MIPS pts
What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).
Edwin Ramos Ruiz, M.D.'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.
86 ≥ 46th percentile 46% 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)
Edwin Ramos Ruiz, M.D. 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 Edwin Ramos Ruiz, M.D.?
High performer (top quartile)Primary specialty
Anatomic Pathology & Clinical Pathology Physician
MIPS final score
85.8/100 2.3 pts vs avg
Specialty distribution in Puerto Rico
How Anatomic Pathology & Clinical Pathology Physician compares to other specialties among Puerto Rico providers
Medicare quality performance, MIPS
Edwin Ramos Ruiz, M.D.'s 2023 MIPS final score plotted against the Anatomic Pathology & Clinical Pathology Physician national average
- MIPS Final Score
- 85.8/100
- 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 | 1427022813 |
|---|---|
| Specialty | Anatomic Pathology & Clinical Pathology Physician |
| Credentials | M.D. |
| Gender | Male |
| NPI Issued | 02/14/2006 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
85.7921
Final Score
Measured-score avg: 83.5
71.5842
Quality
Reporting: Group practice
Hospital and facility affiliations
Facilities where Edwin Ramos Ruiz, 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.
Puerto Rico Pathology Associates P
San Juan, PR
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
More Anatomic Pathology & Clinical Pathology Physician in PR →
All providers in Puerto Rico →
Compare specialties →
Anatomic Pathology & Clinical Pathology Physician Overview
How Edwin Ramos Ruiz, M.D. fits within the Anatomic Pathology & Clinical Pathology Physician landscape nationally.
13,978
Anatomic Pathology & Clinical Pathology Physician Providers in US
55
States with Anatomic Pathology & Clinical Pathology Physician
399
Avg Claims per Provider
Nationwide Anatomic Pathology & Clinical Pathology Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Ramos Ruiz, both outside Puerto Rico so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (85.8 here).
Same NPPES enumeration year (2006)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Anatomic Pathology & Clinical Pathology Physician Providers in Puerto Rico
Other clinicians with the same primary specialty enrolled in Puerto Rico, drawn from the same CMS NPPES roster as Ramos Ruiz.
One of 74 Anatomic Pathology & Clinical Pathology Physician providers enrolled in Puerto Rico, 5 are shown here.
Frequently Asked Questions
What is Edwin Ramos Ruiz, M.D.'s specialty? ▼
Edwin Ramos Ruiz, M.D. specializes in Anatomic Pathology & Clinical Pathology Physician and practices in San Juan, Puerto Rico. Credentials: M.D..
What is Edwin Ramos Ruiz, M.D.'s Medicare quality score? ▼
Edwin Ramos Ruiz, M.D. has a CMS MIPS Final Score of 85.8/100 (Quality: 71.6). 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 Edwin Ramos Ruiz, M.D. located? ▼
Edwin Ramos Ruiz, M.D. is located at 1760 CALLE LOIZA, San Juan, PR, 00911. Phone: (787) 726-5486.
What is Edwin Ramos Ruiz, M.D.'s NPI number? ▼
Edwin Ramos Ruiz, M.D.'s National Provider Identifier (NPI) is 1427022813, issued on 02/14/2006.
How many Anatomic Pathology & Clinical Pathology Physician providers are there in the US? ▼
There are 13,978 Anatomic Pathology & Clinical Pathology Physician providers across 55 states in the US. The average Anatomic Pathology & Clinical Pathology Physician provider writes 399 Medicare Part D claims per year.
Does Edwin Ramos Ruiz, M.D. accept Medicare? ▼
Edwin Ramos Ruiz, M.D. appears in CMS Medicare data. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Edwin Ramos Ruiz, M.D.'s credentials? ▼
Edwin Ramos Ruiz, M.D.'s NPI is 1427022813 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
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.