2026 NPPES data Obstetrics & Gynecology Physician NPI 1861456345 MD
Verify on CMS →

Heriberto Rodriguez Ayala, MD

Obstetrics & Gynecology Physician in Edinburg, 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 45,074 in Obstetrics & Gynecology 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
184
Medicare Part D claims · 71 beneficiaries · Obstetrics & Gynecology Physician avg: 188
Generic prescribing
85%
generic claims · 15% brand-name · higher generic rates reduce patient out-of-pocket costs

What the federal data shows

Heriberto Rodriguez Ayala, MD filed 184 Medicare Part D claims in 2024 as an Obstetrics & Gynecology Physician in Edinburg, Texas, prescribing 85% generic.

184
Part D claims, 2024
85%
generic prescribing
≥34th
pct by Part D claim volume (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 Heriberto Rodriguez Ayala, MD

Federal records show an active NPI with Medicare Part D prescribing activity — verifiable registry data, not a proprietary rating.

  • Verified

    NPI registry status

    Active listing in the CMS National Provider Identifier Registry (NPI 1861456345), first enumerated 04/13/2006.

    Source: CMS NPPES

  • Reported

    Medicare Part D participation

    Filed 184 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.

    Source: CMS Part D Prescriber PUF

  • Reported

    Board certification signal

    Practices in an ABMS-board-eligible specialty; board certification not confirmed in federal records.

    Source: NUCC taxonomy + CMS participation heuristic

  • State context

    State board disciplinary context

    Texas statewide board action statistics are published annually — these figures describe aggregate state activity, not Heriberto Rodriguez Ayala, MD's individual license status. Verify directly with the state medical board.

    Source: TMB 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 1861456345 · Obstetrics & Gynecology Physician

NPI-10 · ENUM-LEGACY · TAX-MID · RX-LIGHT · BOOK-LIGHT · PHOTO-ENUM

  • NPI-10 1861456345
  • ENUM-LEGACY 2006
  • TAX-MID 45K Obstetrics &
  • RX-LIGHT 184
  • BOOK-LIGHT 3,466 in Texas
  • PHOTO-ENUM Lisa Harrington · 2006

Heriberto Rodriguez Ayala, MD's Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2024, across all CMS prescribers nationally

184 ≥ 34th percentile 34% of 1,416,883 prescribers are in lower value bands

0–200: 679,947 prescribers (48%). This entry sits in this band. 200–400: 188,835 prescribers (13%). Above this entry. 400–600: 95,866 prescribers (7%). Above this entry. 600–800: 60,107 prescribers (4%). Above this entry. 800–1,000: 43,043 prescribers (3%). Above this entry. 1,000–1,200: 33,612 prescribers (2%). Above this entry. 1,200–1,400: 27,889 prescribers (2%). Above this entry. 1,400–1,600: 23,183 prescribers (2%). Above this entry. 1,600–1,800: 19,917 prescribers (1%). Above this entry. 1,800–2,000: 17,585 prescribers (1%). Above this entry. 2K+: 226,899 prescribers (16%). Above this entry. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

Each bar is a band; taller bars hold more prescribers. 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 100-claim band: it counts only prescribers in lower claim-volume bands. Medicare Part D claim volume is activity context, not a quality measure or recommendation. See methodology § corpus placement.

Source CMS Medicare Part D Prescriber Public Use File · 2024

Board-eligible specialty (heuristic, not verified)

Heriberto Rodriguez Ayala, MD practices in an ABMS-board-eligible specialty but we don't have enough CMS-participation signals to confirm active board-certified status. Consult CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about Heriberto Rodriguez Ayala, MD?

Quality data not reported

NPI registry status

Active

Issued 04/13/2006

NPI 1861456345

Primary specialty

Obstetrics & Gynecology Physician

Mid-sized

45,074 US NPIs in this specialty

Medicare Part D claims

184 2% vs specialty avg

2024 prescription claims

Specialty avg: 188

Specialty distribution in Texas

How Obstetrics & Gynecology Physician compares to other specialties among Texas providers

Texas providers
Behavior Technician6%Student in an Organized Heal…5.3%Family Nurse Practitioner4.5%Professional Counselor4.4%Pharmacist4.3%Speech-Language Pathologist3.9%Obstetrics & Gynecology Phys…0.8%
Largest specialties in Texas (% of in-state providers)

Board certification

Not published by CMS

CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Obstetrics & Gynecology Physician. Verify directly:

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

5419 S MCCOLL RD
Edinburg, TX 78539

Provider Details

NPI 1861456345
Specialty Obstetrics & Gynecology Physician
Credentials MD
Gender Male
NPI Issued 04/13/2006

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 Heriberto Rodriguez Ayala, MD. To verify Heriberto Rodriguez Ayala, MD'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

Heriberto Rodriguez Ayala, MD - brand share 15.0%
Obstetrics & Gynecology Physician average

15% brand-name claims vs 85% generic, on 184 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.

184
Total Claims
$19K
Total Drug Cost
71
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
306.067
Total Day Supply
7,269
Brand vs Generic
15% brand / 85% generic
Brand Drug Cost
$14K
Generic Drug Cost
$5K
Antibiotic Claims
23

Patient Demographics

Average Patient Age
70.9 years
Avg HCC Risk Score
1.46
Age Distribution
<65: 11, 65-74: 33, 75-84: N/A, 85+: N/A

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.

What Heriberto Rodriguez Ayala, MD prescribes most

Top Medicare Part D drugs by claim count, 2024

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2024
Drug Claims
Estradiol
42
Metronidazole
21
Terconazole
12
Oxybutynin Chloride Er
Oxybutynin Chloride
11

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

Obstetrics & Gynecology Physician Overview

How Heriberto Rodriguez Ayala, MD fits within the Obstetrics & Gynecology Physician landscape nationally.

45,074
Obstetrics & Gynecology Physician Providers in US
56
States with Obstetrics & Gynecology Physician
188
Avg Claims per Provider

Heriberto Rodriguez Ayala, MD's 184 claims are below the specialty average of 188.

Nationwide Obstetrics & Gynecology Physician peers with similar MIPS or enrollment year

Two federal-record peer sets for Rodriguez Ayala, both outside Texas so the neighborhoods are not geographic containment.

Same NPPES enumeration year (2006)

Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.

Nearby Obstetrics & Gynecology Physician Providers in Texas

Other clinicians with the same primary specialty enrolled in Texas, drawn from the same CMS NPPES roster as Rodriguez Ayala.

One of 3,466 Obstetrics & Gynecology Physician providers enrolled in Texas, 5 are shown here.

Compare Obstetrics & Gynecology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is Heriberto Rodriguez Ayala, MD's specialty?
Heriberto Rodriguez Ayala, MD specializes in Obstetrics & Gynecology Physician and practices in Edinburg, Texas. Credentials: MD.
How much does Heriberto Rodriguez Ayala, MD prescribe under Medicare Part D?
In 2024, Heriberto Rodriguez Ayala, MD wrote 184 Medicare Part D claims totaling $19K in drug costs for 71 beneficiaries.
Where is Heriberto Rodriguez Ayala, MD located?
Heriberto Rodriguez Ayala, MD is located at 5419 S MCCOLL RD, Edinburg, TX, 78539. Phone: (956) 928-0600.
What is Heriberto Rodriguez Ayala, MD's NPI number?
Heriberto Rodriguez Ayala, MD's National Provider Identifier (NPI) is 1861456345, issued on 04/13/2006.
Does Heriberto Rodriguez Ayala, MD prescribe more brand-name or generic drugs?
Heriberto Rodriguez Ayala, MD's prescribing is 15% brand-name and 85% generic drugs by claim count, with $14K in brand drug costs.
How many Obstetrics & Gynecology Physician providers are there in the US?
There are 45,074 Obstetrics & Gynecology Physician providers across 56 states in the US. The average Obstetrics & Gynecology Physician provider writes 188 Medicare Part D claims per year.
What drugs does Heriberto Rodriguez Ayala, MD prescribe most often?
Based on 2024 Medicare Part D data, Heriberto Rodriguez Ayala, MD's most frequently prescribed drugs include Estradiol, Metronidazole, Terconazole. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Heriberto Rodriguez Ayala, MD accept Medicare?
Heriberto Rodriguez Ayala, MD appears in CMS Medicare data with 184 Part D claims and 71 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Heriberto Rodriguez Ayala, MD's credentials?
Heriberto Rodriguez Ayala, MD's NPI is 1861456345 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.
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.