2026 NPPES data Rheumatology Physician NPI 1891995445 MD
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ESPERANZA ARGENZIANO, MD

Rheumatology Physician in GRAND FORKS, North Dakota. 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
985
Medicare Part D claims · 188 beneficiaries · Rheumatology Physician avg: 2K
Generic prescribing
85%
generic claims · 15% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
97.5814/100
▲ 14 pts above national avg 83.1 · [object Object]
Industry payments
$163.86
3 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

ESPERANZA ARGENZIANO, MD reported a CMS MIPS final score of 97.5814/100 — above the 83.1 national average — and filed 985 Medicare Part D claims in 2023.

97.5814/100
MIPS score · +14 vs avg
985
Part D claims, 2023
85%
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.

ESPERANZA ARGENZIANO, MD's MIPS score vs every scored U.S. clinician

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

98 Top 15% higher than 85% 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%). Below this entry. 80–90: 129,887 scored providers (27%). Below this entry. 90–100: 189,403 scored providers (40%). This entry sits in this band. 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)

ESPERANZA ARGENZIANO, MD 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 ESPERANZA ARGENZIANO, MD?

High performer (top quartile)

NPI registry status

Active

Issued 07/23/2007

NPI 1891995445

Primary specialty

Rheumatology Physician

Mid-sized

6,181 US NPIs in this specialty

Medicare Part D claims

985 52% vs specialty avg

2023 prescription claims

Specialty avg: 2,054

MIPS final score

97.5814/100 14.481400000000008% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in North Dakota

How Rheumatology Physician compares to other specialties among North Dakota providers

North Dakota providers

Rheumatology Physician share within North Dakota

1. Rheumatology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Rheumatology Physician share within North Dakota

Medicare quality performance — MIPS

ESPERANZA ARGENZIANO, MD's 2023 MIPS final score plotted against the Rheumatology Physician national average

High performer (top quartile)
MIPS Final Score
97.5814/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Rheumatology Physician) — 97.5814/100 vs national avg 83.1

0%100%National avg83%97.6%
MIPS final score (Rheumatology Physician) — 97.5814/100 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).

ESPERANZA ARGENZIANO, MD is a Rheumatology Physician provider practicing in GRAND FORKS, North Dakota, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1891995445. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

ESPERANZA ARGENZIANO, MD appears in the CMS NPPES registry as a Rheumatology Physician provider holding MD credentials at 3035 DEMERS AVE, GRAND FORKS, ND, 58201, with a listed phone of (701) 746-7521. NPI 1891995445 was issued on 07/23/2007. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what ARGENZIANO 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 985 prescription claims written by this provider, covering 188 Medicare beneficiaries and totaling roughly $741K in drug spend, split 15% brand-name and 85% generic by claim count. 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 97.5814/100 for the 2023 performance year (Quality 86.5348), 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

3035 DEMERS AVE
GRAND FORKS, ND 58201

Provider Details

NPI 1891995445
Specialty Rheumatology Physician
Credentials MD
Gender Female
NPI Issued 07/23/2007

CMS Quality Score (MIPS)

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

97.5814
Final Score
Avg: 83.1
86.5348
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where ESPERANZA ARGENZIANO, MD 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.

MONUMENT HEALTH RAPID CITY HOSPITAL INC
RAPID CITY, SD

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 ESPERANZA ARGENZIANO, MD. Source: openpaymentsdata.cms.gov.

Total received

$164

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.

Brand vs generic prescribing mix · Typical

ESPERANZA ARGENZIANO, MD — brand share 15.0%
Specialty average (est.)

15% brand-name claims vs 85% generic, on 985 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.

985
Total Claims
$741K
Total Drug Cost
188
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,891
Total Day Supply
55,176
Brand vs Generic
15% brand / 85% generic
Brand Drug Cost
$703K
Generic Drug Cost
$38K

Patient Demographics

Average Patient Age
68.1 years
Avg HCC Risk Score
1.20
Gender Split
70% female / 30% male
Age Distribution
<65: 41, 65-74: 105, 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.

Drug Claims
Methotrexate
Methotrexate Sodium
179
Celecoxib
131
Prednisone
124
Hydroxychloroquine Sulfate
105
Allopurinol
65
Diclofenac Sodium
58
Meloxicam
40
Duloxetine Hcl
35
Leflunomide
31
Xeljanz Xr
Tofacitinib Citrate
31

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

Rheumatology Physician Overview

How ESPERANZA ARGENZIANO, MD 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

ESPERANZA ARGENZIANO, MD's 985 claims are below the specialty average of 2,054.

Nearby Rheumatology Physician Providers in North Dakota

Other clinicians with the same primary specialty enrolled in North Dakota, drawn from the same CMS NPPES roster as ARGENZIANO.

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

Frequently Asked Questions

What is ESPERANZA ARGENZIANO, MD's specialty?
ESPERANZA ARGENZIANO, MD specializes in Rheumatology Physician and practices in GRAND FORKS, North Dakota. Credentials: MD.
How much does ESPERANZA ARGENZIANO, MD prescribe under Medicare Part D?
In 2023, ESPERANZA ARGENZIANO, MD wrote 985 Medicare Part D claims totaling $741K in drug costs for 188 beneficiaries.
What is ESPERANZA ARGENZIANO, MD's Medicare quality score?
ESPERANZA ARGENZIANO, MD has a CMS MIPS Final Score of 97.5814/100 (Quality: 86.5348). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is ESPERANZA ARGENZIANO, MD located?
ESPERANZA ARGENZIANO, MD is located at 3035 DEMERS AVE, GRAND FORKS, ND, 58201. Phone: (701) 746-7521.
What is ESPERANZA ARGENZIANO, MD's NPI number?
ESPERANZA ARGENZIANO, MD's National Provider Identifier (NPI) is 1891995445, issued on 07/23/2007.
Does ESPERANZA ARGENZIANO, MD prescribe more brand-name or generic drugs?
ESPERANZA ARGENZIANO, MD's prescribing is 15% brand-name and 85% generic drugs by claim count, with $703K in brand drug costs.
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 ESPERANZA ARGENZIANO, MD prescribe most often?
Based on 2023 Medicare Part D data, ESPERANZA ARGENZIANO, MD's most frequently prescribed drugs include Methotrexate, Celecoxib, Prednisone. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does ESPERANZA ARGENZIANO, MD accept Medicare?
ESPERANZA ARGENZIANO, MD appears in CMS Medicare data with 985 Part D claims and 188 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify ESPERANZA ARGENZIANO, MD's credentials?
ESPERANZA ARGENZIANO, MD's NPI is 1891995445 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

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