NPI registry status
Active
2026 NPPES data Rheumatology Physician NPI 1376512368 M.D.
Verify on CMS → Emily Pineda, M.D.
Rheumatology Physician in San Antonio, Texas.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 6,181 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
3K
Medicare Part D claims · 389 beneficiaries · Rheumatology Physician avg: 2K
Generic prescribing
78%
generic claims · 18% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
75/100
▼ 8 pts below national avg 83.1 · Above neutral
Industry payments
$2.8K
120 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Emily Pineda, M.D. reported a CMS MIPS final score of 75/100 - below the 83.1 national average - and filed 3,304 Medicare Part D claims in 2023.
- 75/100
- MIPS score · -8 vs avg
- 3K
- Part D claims, 2023
- 78%
- 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.
Emily 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
75 15th percentile higher than 15% 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 Emily Pineda, M.D. sits
This provider among rheumatology physician peers
Across the 2,181 rheumatology physician providers who report both Medicare Part D prescribing and a MIPS quality score, Emily Pineda, M.D. writes more Part D claims than 76% of them and scores higher on MIPS quality than 15% - placing this provider in the high-volume, lower-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 rheumatology physician peer from a representative sample of 60; the gold marker is Emily 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)
Emily Pineda, M.D. 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 Emily Pineda, M.D.?
Below national averagePrimary specialty
Rheumatology Physician
Medicare Part D claims
3,304 61% vs specialty avg
MIPS final score
75/100 8.1 pts vs avg
Specialty distribution in Texas
How Rheumatology Physician compares to other specialties among Texas providers
Medicare quality performance, MIPS
Emily Pineda, M.D.'s 2023 MIPS final score plotted against the Rheumatology Physician national average
- MIPS Final Score
- 75/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Rheumatology Physician) - 75/100 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).
Emily Pineda, M.D. appears in the CMS NPPES registry as a Rheumatology Physician provider holding M.D. credentials at 5414 FREDERICKSBURG RD STE 150, San Antonio, TX, 78229, with a listed phone of (210) 615-9800. NPI 1376512368 was issued on 03/14/2006.
Medicare Part D records for calendar year 2023 show 3,304 prescription claims written by this provider, covering 389 Medicare beneficiaries and totaling roughly $3.4 million in drug spend, split 18% brand-name and 78% generic by claim count, with an opioid prescribing rate of 10.9%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 75/100 for the 2023 performance year, compared with the national average of 83.1.
Rheumatology Physician is a mid-sized specialty nationwide, with 6,181 enrolled providers across 52 states and an average of 2,054 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 | 1376512368 |
|---|---|
| Specialty | Rheumatology Physician |
| Credentials | M.D. |
| Gender | Female |
| NPI Issued | 03/14/2006 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
75
Final Score
Avg: 83.1
Reporting: Group practice
Hospital and facility affiliations
Facilities where Emily 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.
Emily R. Pineda MD PA
San Antonio, TX
Rise UP Rehab, LLC
San Antonio, TX
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 Emily Pineda, M.D.. Source: openpaymentsdata.cms.gov.
Total received
$2.8K
Largest payer
Amgen 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 - Texas TMB 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 ~77K Texas medical licensees in 2023 - they are NOT specific to Emily Pineda, M.D.. To verify Emily Pineda, M.D.'s current license status, search the TMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
344
Total board actions, Texas 2023
Across 334 cases
4.47
Actions per 1,000 licensees
Texas statewide rate
probation
Most common action type
94 cases
TMB 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 Texas disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Brand vs generic prescribing mix · Typical
Emily Pineda, M.D. - brand share 18.0%
Rheumatology Physician average
18% brand-name claims vs 78% generic, on 3,304 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.
3,304
Total Claims
$3.4M
Total Drug Cost
389
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 5,709
- Total Day Supply
- 167,591
- Brand vs Generic
- 18% brand / 78% generic
- Brand Drug Cost
- $3.2M
- Generic Drug Cost
- $152K
- Opioid Claims
- 360 (10.9% rate)
- Antibiotic Claims
- 82
Patient Demographics
- Average Patient Age
- 69.6 years
- Avg HCC Risk Score
- 1.42
- Gender Split
- 81% female / 19% male
- Age Distribution
- <65: 63, 65-74: 223, 75-84: 92, 85+: 11
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Emily Pineda, M.D. prescribes most
Top Medicare Part D drugs by claim count, 2023
- Hydroxychloroquine…
Hydroxychloroquine Sulfate
471 claims
- Methotrexate
Methotrexate
242 claims
- Hydrocodone-Acetam…
Hydrocodone-Acetaminophen
202 claims
- Tramadol Hcl 124
Tramadol Hcl
124 claims
- Leucovorin Calcium 118
Leucovorin Calcium
118 claims
- Levothyroxine Sodium 106
Levothyroxine Sodium
106 claims
- Leflunomide 105
Leflunomide
105 claims
- Duloxetine Hcl 84
Duloxetine Hcl
84 claims
| Drug | Claims |
|---|---|
| Hydroxychloroquine Sulfate | 471 |
| Methotrexate Methotrexate Sodium | 242 |
| Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen | 202 |
| Tramadol Hcl | 124 |
| Leucovorin Calcium | 118 |
| Levothyroxine Sodium | 106 |
| Leflunomide | 105 |
| Duloxetine Hcl | 84 |
| Estradiol | 83 |
| Mycophenolate Mofetil | 81 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Rheumatology Physician Overview
How Emily Pineda, M.D. fits within the Rheumatology Physician landscape nationally.
6,181
Rheumatology Physician Providers in US
52
States with Rheumatology Physician
2,054
Avg Claims per Provider
Emily Pineda, M.D.'s 3,304 claims are above the specialty average of 2,054.
Nearby Rheumatology Physician Providers in Texas
Other clinicians with the same primary specialty enrolled in Texas, drawn from the same CMS NPPES roster as Pineda.
Dr. Michael Abel
MD
Fredericksburg, TX
Dr. Tareq Abou-Khamis
M.D.
Houston, TX
Dr. Robert Abresch
M.D.
El Paso, TX
Dr. Sampada Acharya
MD
Fort Worth, TX
Dr. Waffiyah Afridi
M.D.
Farmers Branch, TX
Compare Rheumatology 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 Texas medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Rheumatology 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 Emily Pineda, M.D.'s specialty? ▼
Emily Pineda, M.D. specializes in Rheumatology Physician and practices in San Antonio, Texas. Credentials: M.D..
How much does Emily Pineda, M.D. prescribe under Medicare Part D? ▼
In 2023, Emily Pineda, M.D. wrote 3,304 Medicare Part D claims totaling $3.4M in drug costs for 389 beneficiaries.
What is Emily Pineda, M.D.'s Medicare quality score? ▼
Emily Pineda, M.D. has a CMS MIPS Final Score of 75/100. The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Emily Pineda, M.D. located? ▼
Emily Pineda, M.D. is located at 5414 FREDERICKSBURG RD STE 150, San Antonio, TX, 78229. Phone: (210) 615-9800.
What is Emily Pineda, M.D.'s NPI number? ▼
Emily Pineda, M.D.'s National Provider Identifier (NPI) is 1376512368, issued on 03/14/2006.
Does Emily Pineda, M.D. prescribe more brand-name or generic drugs? ▼
Emily Pineda, M.D.'s prescribing is 18% brand-name and 78% generic drugs by claim count, with $3.2M in brand drug costs.
Does Emily Pineda, M.D. prescribe opioids? ▼
Yes, Emily Pineda, M.D. had 360 opioid claims in 2023 with an opioid prescribing rate of 10.9%.
How many Rheumatology Physician providers are there in the US? ▼
There are 6,181 Rheumatology Physician providers across 52 states in the US. The average Rheumatology Physician provider writes 2,054 Medicare Part D claims per year.
What drugs does Emily Pineda, M.D. prescribe most often? ▼
Based on 2023 Medicare Part D data, Emily Pineda, M.D.'s most frequently prescribed drugs include Hydroxychloroquine Sulfate, Methotrexate, Hydrocodone-Acetaminophen. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Emily Pineda, M.D. accept Medicare? ▼
Emily Pineda, M.D. appears in CMS Medicare data with 3,304 Part D claims and 389 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Emily Pineda, M.D.'s credentials? ▼
Emily Pineda, M.D.'s NPI is 1376512368 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.