NPI registry status
Active
2026 NPPES data Urology Physician NPI 1194712570 M.D.
Verify on CMS → Elmer Pineda, M.D.
Urology Physician in Pomona, California.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 13,367 in Urology 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
4K
Medicare Part D claims · 1K beneficiaries · Urology Physician avg: 1K
MIPS score
91.3/100
▲ 8 pts above national avg 83.1 · Exceptional
Industry payments
$1.0K
48 payments · CMS Open Payments (Sunshine Act)
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Elmer Pineda, M.D. reported a CMS MIPS final score of 91.3/100 - above the 83.1 national average - and filed 4,336 Medicare Part D claims in 2023.
- 91.3/100
- MIPS score · +8 vs avg
- 4K
- 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.
Elmer Pineda, M.D.'s MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
91 Top 37% higher than 63% of 477,587 scored providers
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
Where Elmer Pineda, M.D. sits
This provider among urology physician peers
Across the 4,623 urology physician providers who report both Medicare Part D prescribing and a MIPS quality score, Elmer Pineda, M.D. writes more Part D claims than 97% of them and scores higher on MIPS quality than 63% - placing this provider in the high-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Part D claim volume vs MIPS quality, by specialty percentile
Each dot is one urology physician peer from a representative sample of 60; the gold marker is Elmer Pineda, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Elmer Pineda, 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 Elmer Pineda, M.D.?
High performer (top quartile)Primary specialty
Urology Physician
Medicare Part D claims
4,336 239% vs specialty avg
MIPS final score
91.3/100 8.2 pts vs avg
Specialty distribution in California
How Urology Physician compares to other specialties among California providers
Medicare quality performance, MIPS
Elmer Pineda, M.D.'s 2023 MIPS final score plotted against the Urology Physician national average
- MIPS Final Score
- 91.3/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Urology Physician) - 91.3/100 vs national avg 83.1
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).
Elmer Pineda, M.D. appears in the CMS NPPES registry as a Urology Physician provider holding M.D. credentials at 210 W BONITA AVE, Pomona, CA, 91767, with a listed phone of (909) 623-3428. NPI 1194712570 was issued on 09/30/2005.
Medicare Part D records for calendar year 2023 show 4,336 prescription claims written by this provider, covering 1,009 Medicare beneficiaries and totaling roughly $790K in drug spend, with an opioid prescribing rate of 0.9%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 91.3/100 for the 2023 performance year (Quality 77.8), compared with the national average of 83.1.
Urology Physician is a mid-sized specialty nationwide, with 13,367 enrolled providers across 54 states and an average of 1,280 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
Provider Details
| NPI | 1194712570 |
|---|---|
| Specialty | Urology Physician |
| Credentials | M.D. |
| Gender | Male |
| NPI Issued | 09/30/2005 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
91.2822
Final Score
Avg: 83.1
77.7898
Quality
Reporting: Group practice
Hospital and facility affiliations
Facilities where Elmer Pineda, 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.
Inland Urology Medical Group Inc
Pomona, 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 Elmer Pineda, M.D.. Source: openpaymentsdata.cms.gov.
Total received
$1.0K
Largest payer
ABBVIE 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 Elmer Pineda, M.D.. To verify Elmer Pineda, M.D.'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.
4,336
Total Claims
$790K
Total Drug Cost
1,009
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 8,314
- Total Day Supply
- 227,772
- Generic Drug Cost
- $148K
- Opioid Claims
- 39 (0.9% rate)
- Antibiotic Claims
- 854
Patient Demographics
- Average Patient Age
- 75.5 years
- Avg HCC Risk Score
- 1.71
- Gender Split
- 27% female / 73% male
- Age Distribution
- <65: 49, 65-74: 414, 75-84: 398, 85+: 148
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Elmer Pineda, M.D. prescribes most
Top Medicare Part D drugs by claim count, 2023
- Tamsulosin Hcl
Tamsulosin Hcl
967 claims
- Finasteride
Finasteride
799 claims
- Sulfamethoxazole-T… 358
Sulfamethoxazole-Trimethoprim
358 claims
- Myrbetriq 232
Myrbetriq
232 claims
- Gemtesa 214
Gemtesa
214 claims
- Methenamine Hippur… 196
Methenamine Hippurate
196 claims
- Tolterodine Tartra… 126
Tolterodine Tartrate Er
126 claims
- Alfuzosin Hcl Er 121
Alfuzosin Hcl Er
121 claims
| Drug | Claims |
|---|---|
| Tamsulosin Hcl | 967 |
| Finasteride | 799 |
| Sulfamethoxazole-Trimethoprim Sulfamethoxazole/Trimethoprim | 358 |
| Myrbetriq Mirabegron | 232 |
| Gemtesa Vibegron | 214 |
| Methenamine Hippurate | 196 |
| Tolterodine Tartrate Er Tolterodine Tartrate | 126 |
| Alfuzosin Hcl Er Alfuzosin Hcl | 121 |
| Ciprofloxacin Hcl | 108 |
| Levofloxacin | 108 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Urology Physician Overview
How Elmer Pineda, M.D. fits within the Urology Physician landscape nationally.
13,367
Urology Physician Providers in US
54
States with Urology Physician
1,280
Avg Claims per Provider
Elmer Pineda, M.D.'s 4,336 claims are above the specialty average of 1,280.
Nearby Urology Physician Providers in California
Other clinicians with the same primary specialty enrolled in California, drawn from the same CMS NPPES roster as Pineda.
Dr. David Aaronson
MD
Oakland, CA
Dr. Jason Abber
MD
Panorama City, CA
Dr. Marc Abboud
MD
Los Alamitos, CA
George Abdelsayed
Anaheim, CA
Garen Abedi
Downey, CA
Compare Urology 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 California medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Urology 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.
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Frequently Asked Questions
What is Elmer Pineda, M.D.'s specialty? ▼
Elmer Pineda, M.D. specializes in Urology Physician and practices in Pomona, California. Credentials: M.D..
How much does Elmer Pineda, M.D. prescribe under Medicare Part D? ▼
In 2023, Elmer Pineda, M.D. wrote 4,336 Medicare Part D claims totaling $790K in drug costs for 1,009 beneficiaries.
What is Elmer Pineda, M.D.'s Medicare quality score? ▼
Elmer Pineda, M.D. has a CMS MIPS Final Score of 91.3/100 (Quality: 77.8). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Elmer Pineda, M.D. located? ▼
Elmer Pineda, M.D. is located at 210 W BONITA AVE, Pomona, CA, 91767. Phone: (909) 623-3428.
What is Elmer Pineda, M.D.'s NPI number? ▼
Elmer Pineda, M.D.'s National Provider Identifier (NPI) is 1194712570, issued on 09/30/2005.
Does Elmer Pineda, M.D. prescribe opioids? ▼
Yes, Elmer Pineda, M.D. had 39 opioid claims in 2023 with an opioid prescribing rate of 0.9%.
How many Urology Physician providers are there in the US? ▼
There are 13,367 Urology Physician providers across 54 states in the US. The average Urology Physician provider writes 1,280 Medicare Part D claims per year.
What drugs does Elmer Pineda, M.D. prescribe most often? ▼
Based on 2023 Medicare Part D data, Elmer Pineda, M.D.'s most frequently prescribed drugs include Tamsulosin Hcl, Finasteride, Sulfamethoxazole-Trimethoprim. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Elmer Pineda, M.D. accept Medicare? ▼
Elmer Pineda, M.D. appears in CMS Medicare data with 4,336 Part D claims and 1,009 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Elmer Pineda, M.D.'s credentials? ▼
Elmer Pineda, M.D.'s NPI is 1194712570 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.
- 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
Compiled from official public sources by the PlainDoctor editorial team.
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 May 2026.