2026 NPPES data Cardiovascular Disease Physician NPI 1982920971 D.O.
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JEFFREY FLETCHER, D.O.

Cardiovascular Disease Physician in SAN ANTONIO, Texas. 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
2K
Medicare Part D claims · 427 beneficiaries · Cardiovascular Disease Physician avg: 3K
Generic prescribing
82%
generic claims · 18% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
100/100
▲ 17 pts above national avg 83.1 · [object Object]
Industry payments
$822.8
39 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

JEFFREY FLETCHER, D.O. reported a CMS MIPS final score of 100/100 — above the 83.1 national average — and filed 2,359 Medicare Part D claims in 2023.

100/100
MIPS score · +17 vs avg
2K
Part D claims, 2023
82%
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.

JEFFREY FLETCHER, D.O.'s MIPS score vs every scored U.S. clinician

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

100 Top 7% higher than 93% 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)

JEFFREY FLETCHER, D.O. 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 JEFFREY FLETCHER, D.O.?

High performer (top quartile)

NPI registry status

Active

Issued 04/15/2010

NPI 1982920971

Primary specialty

Cardiovascular Disease Physician

Mid-sized

24,795 US NPIs in this specialty

Medicare Part D claims

2,359 22% vs specialty avg

2023 prescription claims

Specialty avg: 3,033

MIPS final score

100/100 16.900000000000006% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Texas

How Cardiovascular Disease Physician compares to other specialties among Texas providers

Texas providers

Cardiovascular Disease Physician share within Texas

1. Cardiovascular Disease Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Cardiovascular Disease Physician share within Texas

Medicare quality performance — MIPS

JEFFREY FLETCHER, D.O.'s 2023 MIPS final score plotted against the Cardiovascular Disease Physician national average

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

MIPS final score (Cardiovascular Disease Physician) — 100/100 vs national avg 83.1

0%100%National avg83%99%
MIPS final score (Cardiovascular Disease Physician) — 100/100 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).

JEFFREY FLETCHER, D.O. appears in the CMS NPPES registry as a Cardiovascular Disease Physician provider holding D.O. credentials at 4411 MEDICAL DR STE 300, SAN ANTONIO, TX, 78229, with a listed phone of (210) 614-4000. NPI 1982920971 was issued on 04/15/2010. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what FLETCHER 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 2,359 prescription claims written by this provider, covering 427 Medicare beneficiaries and totaling roughly $450K in drug spend, split 18% brand-name and 82% 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 100/100 for the 2023 performance year, compared with the national average of 83.1.

Cardiovascular Disease Physician is a mid-sized specialty nationwide, with 24,795 enrolled providers across 54 states and an average of 3,033 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

4411 MEDICAL DR STE 300
SAN ANTONIO, TX 78229

Provider Details

NPI 1982920971
Specialty Cardiovascular Disease Physician
Credentials D.O.
Gender Male
NPI Issued 04/15/2010

CMS Quality Score (MIPS)

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

100
Final Score
Avg: 83.1
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where JEFFREY FLETCHER, D.O. 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.

CARDIOLOGY CLINIC OF SAN ANTONIO PLLC
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 JEFFREY FLETCHER, D.O.. Source: openpaymentsdata.cms.gov.

Total received

$823

Largest payer

Janssen Pharmaceuticals, 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 JEFFREY FLETCHER, D.O.. To verify JEFFREY FLETCHER, D.O.'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

JEFFREY FLETCHER, D.O. — brand share 18.0%
Specialty average (est.)

18% brand-name claims vs 82% generic, on 2,359 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.

2,359
Total Claims
$450K
Total Drug Cost
427
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
6,078
Total Day Supply
182,046
Brand vs Generic
18% brand / 82% generic
Brand Drug Cost
$420K
Generic Drug Cost
$30K

Patient Demographics

Average Patient Age
74.0 years
Avg HCC Risk Score
2.04
Gender Split
54% female / 46% male
Age Distribution
<65: 42, 65-74: 185, 75-84: 154, 85+: 46

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

What JEFFREY FLETCHER, D.O. prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Eliquis
Apixaban
224
Atorvastatin Calcium
216
Metoprolol Succinate
208
Amlodipine Besylate
184
Furosemide
162
Carvedilol
161
Clopidogrel
Clopidogrel Bisulfate
111
Lisinopril
107
Metoprolol Tartrate
85
Losartan Potassium
84

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

Cardiovascular Disease Physician Overview

How JEFFREY FLETCHER, D.O. fits within the Cardiovascular Disease Physician landscape nationally.

24,795
Cardiovascular Disease Physician Providers in US
54
States with Cardiovascular Disease Physician
3,033
Avg Claims per Provider

JEFFREY FLETCHER, D.O.'s 2,359 claims are below the specialty average of 3,033.

Nearby Cardiovascular Disease Physician Providers in Texas

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

Compare Cardiovascular Disease Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is JEFFREY FLETCHER, D.O.'s specialty?
JEFFREY FLETCHER, D.O. specializes in Cardiovascular Disease Physician and practices in SAN ANTONIO, Texas. Credentials: D.O..
How much does JEFFREY FLETCHER, D.O. prescribe under Medicare Part D?
In 2023, JEFFREY FLETCHER, D.O. wrote 2,359 Medicare Part D claims totaling $450K in drug costs for 427 beneficiaries.
What is JEFFREY FLETCHER, D.O.'s Medicare quality score?
JEFFREY FLETCHER, D.O. has a CMS MIPS Final Score of 100/100. The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is JEFFREY FLETCHER, D.O. located?
JEFFREY FLETCHER, D.O. is located at 4411 MEDICAL DR STE 300, SAN ANTONIO, TX, 78229. Phone: (210) 614-4000.
What is JEFFREY FLETCHER, D.O.'s NPI number?
JEFFREY FLETCHER, D.O.'s National Provider Identifier (NPI) is 1982920971, issued on 04/15/2010.
Does JEFFREY FLETCHER, D.O. prescribe more brand-name or generic drugs?
JEFFREY FLETCHER, D.O.'s prescribing is 18% brand-name and 82% generic drugs by claim count, with $420K in brand drug costs.
How many Cardiovascular Disease Physician providers are there in the US?
There are 24,795 Cardiovascular Disease Physician providers across 54 states in the US. The average Cardiovascular Disease Physician provider writes 3,033 Medicare Part D claims per year.
What drugs does JEFFREY FLETCHER, D.O. prescribe most often?
Based on 2023 Medicare Part D data, JEFFREY FLETCHER, D.O.'s most frequently prescribed drugs include Eliquis, Atorvastatin Calcium, Metoprolol Succinate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JEFFREY FLETCHER, D.O. accept Medicare?
JEFFREY FLETCHER, D.O. appears in CMS Medicare data with 2,359 Part D claims and 427 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JEFFREY FLETCHER, D.O.'s credentials?
JEFFREY FLETCHER, D.O.'s NPI is 1982920971 with credentials D.O.. 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