NPI registry status
Active
2026 NPPES data Student in an Organized Health Care Education/Training Program NPI 1043871809 MD
Verify on CMS → Fernando Sinaloa, MD
Student in an Organized Health Care Education/Training Program in Harrisburg, Pennsylvania.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 351,014 in Student in an Organized Health Care Education/Training Program, 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
393
Medicare Part D claims · 273 beneficiaries · Student in an Organized Health Care Education/Training Program avg: 488
Generic prescribing
95%
generic claims · 5% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
83.8/100
▲ 0 pts above national avg 83.5 · Above neutral
Source: CMS Medicare Part D Prescriber Public Use File, 2024
What the federal data shows
Fernando Sinaloa, MD reported a CMS MIPS final score of 83.8/100 - above the 83.5 national average - and filed 393 Medicare Part D claims in 2024.
- 83.8/100
- MIPS score · +0 vs avg
- 393
- Part D claims, 2024
- 95%
- generic prescribing
- ≥39th
- 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 Fernando Sinaloa, MD
Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1043871809), first enumerated 06/24/2019.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 393 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- Reported
CMS quality reporting (MIPS)
Reported a CMS MIPS final score of 83.8/100 in the Quality Payment Program — a federal quality measure, not a patient review.
Source: CMS Quality Payment Program
- State context
State board disciplinary context
Pennsylvania statewide board action statistics are published annually — these figures describe aggregate state activity, not Fernando Sinaloa, MD's individual license status. Verify directly with the state medical board.
Source: PA-BOM annual report 2023
- 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 1043871809 · Student in an Organized Health Care Education/Training Program
NPI-10 · ENUM-RECENT · TAX-MEGA · MIPS-INLINE · RX-LIGHT · BOOK-MID · PHOTO-FINISH
- NPI-10 1043871809
- ENUM-RECENT 2019
- TAX-MEGA 351K Student in
- MIPS-INLINE 83.8/100
- RX-LIGHT 393
- BOOK-MID 15,648 in Pennsylvania
- PHOTO-FINISH Nicole Abeyta · ±0.0
MIPS final-score neighbourhood
Same-specialty nationwide peers by CMS final score, not geographic proximity
- Sinaloa · this p…
Sinaloa · this provider
83.8 MIPS pts
- Muayad Bayat · h…
Muayad Bayat
83.8 MIPS pts
- Nicole Abeyta · …
Nicole Abeyta
83.8 MIPS pts
- Kristin Anchors …
Kristin Anchors
83.8 MIPS pts
- Alexander Bandin…
Alexander Bandin
83.8 MIPS pts
What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).
Fernando Sinaloa, MD'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.
84 ≥ 39th percentile 39% 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
Where Fernando Sinaloa, MD sits
This provider among student in an organized health care education/training program peers
Across the 12,177 student in an organized health care education/training program providers who report both Medicare Part D prescribing and a MIPS quality score, Fernando Sinaloa, MD writes more Part D claims than 62% of them and scores higher on MIPS quality than 38% - placing this provider in the high-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Each dot is one student in an organized health care education/training program peer from a representative sample of 60; the gold marker is Fernando Sinaloa, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
What does the federal data show about Fernando Sinaloa, MD?
Near national averagePrimary specialty
Student in an Organized Health Care Education/Training Program
Medicare Part D claims
393 19% vs specialty avg
MIPS final score
83.8/100 0.3 pts vs avg
Specialty distribution in Pennsylvania
How Student in an Organized Health Care Education/Training Program compares to other specialties among Pennsylvania providers
Medicare quality performance, MIPS
Fernando Sinaloa, MD's 2023 MIPS final score plotted against the Student in an Organized Health Care Education/Training Program national average
- MIPS Final Score
- 83.8/100
- 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 | 1043871809 |
|---|---|
| Specialty | Student in an Organized Health Care Education/Training Program |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 06/24/2019 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
83.8451
Final Score
Measured-score avg: 83.5
84.5974
Quality
58.6394
Cost
100
Promoting Interoperability
Reporting: Group practice
License & disciplinary context - Pennsylvania PA-BOM 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 ~45K Pennsylvania medical licensees in 2023 - they are NOT specific to Fernando Sinaloa, MD. To verify Fernando Sinaloa, MD's current license status, search the PA-BOM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
133
Total board actions, Pennsylvania 2023
Across 129 cases
2.96
Actions per 1,000 licensees
Pennsylvania statewide rate
probation
Most common action type
48 cases
PA-BOM 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 Pennsylvania disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Brand vs generic prescribing mix · Generic-heavy
Fernando Sinaloa, MD - brand share 5.0%
Student in an Organized Health Care Education/Training Program average
5% brand-name claims vs 95% generic, on 393 2024 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 2024.
393
Total Claims
$7K
Total Drug Cost
273
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 399
- Total Day Supply
- 3,195
- Brand vs Generic
- 5% brand / 95% generic
- Brand Drug Cost
- $3K
- Generic Drug Cost
- $4K
- Opioid Claims
- 60 (15.3% rate)
- Antibiotic Claims
- 102
Patient Demographics
- Average Patient Age
- 71.3 years
- Avg HCC Risk Score
- 1.64
- Gender Split
- 66% female / 34% male
- Age Distribution
- <65: 54, 65-74: 100, 75-84: 79, 85+: 40
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
What Fernando Sinaloa, MD prescribes most
Top Medicare Part D drugs by claim count, 2024
- Ondansetron Odt
Ondansetron Odt
55 claims
- Oxycodone-Acetamin…
Oxycodone-Acetaminophen
49 claims
- Prednisone
Prednisone
43 claims
- Cefuroxime
Cefuroxime
27 claims
- Cyclobenzaprine Hcl 14
Cyclobenzaprine Hcl
14 claims
- Ketorolac Trometha… 14
Ketorolac Tromethamine
14 claims
- Sulfamethoxazole-T… 14
Sulfamethoxazole-Trimethoprim
14 claims
- Azithromycin 12
Azithromycin
12 claims
| Drug | Claims |
|---|---|
| Ondansetron Odt Ondansetron | 55 |
| Oxycodone-Acetaminophen Oxycodone Hcl/Acetaminophen | 49 |
| Prednisone | 43 |
| Cefuroxime Cefuroxime Axetil | 27 |
| Cyclobenzaprine Hcl | 14 |
| Ketorolac Tromethamine | 14 |
| Sulfamethoxazole-Trimethoprim Sulfamethoxazole/Trimethoprim | 14 |
| Azithromycin | 12 |
| Ciprofloxacin Hcl | 12 |
| Amoxicillin-Clavulanate Potass Amoxicillin/Potassium Clav | 11 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
More Student in an Organized Health Care Education/Training Program in PA →
All providers in Pennsylvania →
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Student in an Organized Health Care Education/Training Program Overview
How Fernando Sinaloa, MD fits within the Student in an Organized Health Care Education/Training Program landscape nationally.
351,014
Student in an Organized Health Care Education/Training Program Providers in US
55
States with Student in an Organized Health Care Education/Training Program
488
Avg Claims per Provider
Fernando Sinaloa, MD's 393 claims are below the specialty average of 488.
Nationwide Student in an Organized Health Care Education/Training Program peers with similar MIPS or enrollment year
Two federal-record peer sets for Sinaloa, both outside Pennsylvania so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (83.8 here).
Same NPPES enumeration year (2019)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Student in an Organized Health Care Education/Training Program Providers in Pennsylvania
Other clinicians with the same primary specialty enrolled in Pennsylvania, drawn from the same CMS NPPES roster as Sinaloa.
One of 15,648 Student in an Organized Health Care Education/Training Program providers enrolled in Pennsylvania, 5 are shown here.
Frequently Asked Questions
What is Fernando Sinaloa, MD's specialty? ▼
Fernando Sinaloa, MD specializes in Student in an Organized Health Care Education/Training Program and practices in Harrisburg, Pennsylvania. Credentials: MD.
How much does Fernando Sinaloa, MD prescribe under Medicare Part D? ▼
In 2024, Fernando Sinaloa, MD wrote 393 Medicare Part D claims totaling $7K in drug costs for 273 beneficiaries.
What is Fernando Sinaloa, MD's Medicare quality score? ▼
Fernando Sinaloa, MD has a CMS MIPS Final Score of 83.8/100 (Quality: 84.6, Cost: 58.6). 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 Fernando Sinaloa, MD located? ▼
Fernando Sinaloa, MD is located at 111 S FRONT ST, Harrisburg, PA, 17101. Phone: (717) 782-3131.
What is Fernando Sinaloa, MD's NPI number? ▼
Fernando Sinaloa, MD's National Provider Identifier (NPI) is 1043871809, issued on 06/24/2019.
Does Fernando Sinaloa, MD prescribe more brand-name or generic drugs? ▼
Fernando Sinaloa, MD's prescribing is 5% brand-name and 95% generic drugs by claim count, with $3K in brand drug costs.
Does Fernando Sinaloa, MD prescribe opioids? ▼
Yes, Fernando Sinaloa, MD had 60 opioid claims in 2024 with an opioid prescribing rate of 15.3%.
How many Student in an Organized Health Care Education/Training Program providers are there in the US? ▼
There are 351,014 Student in an Organized Health Care Education/Training Program providers across 55 states in the US. The average Student in an Organized Health Care Education/Training Program provider writes 488 Medicare Part D claims per year.
What drugs does Fernando Sinaloa, MD prescribe most often? ▼
Based on 2024 Medicare Part D data, Fernando Sinaloa, MD's most frequently prescribed drugs include Ondansetron Odt, Oxycodone-Acetaminophen, Prednisone. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Fernando Sinaloa, MD accept Medicare? ▼
Fernando Sinaloa, MD appears in CMS Medicare data with 393 Part D claims and 273 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Fernando Sinaloa, MD's credentials? ▼
Fernando Sinaloa, MD's NPI is 1043871809 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
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 (2024). 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 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.