2026 NPPES data Student in an Organized Health Care Education/Training Program NPI 1316443039 MD
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JENNIFER RAI ZAMBALES, MD

Student in an Organized Health Care Education/Training Program in KETTERING, Ohio. 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
304
Medicare Part D claims · 197 beneficiaries · Student in an Organized Health Care Education/Training Program avg: 459
MIPS score
94.6395/100
▲ 12 pts above national avg 83.1 · [object Object]

What the federal data shows

JENNIFER RAI ZAMBALES, MD reported a CMS MIPS final score of 94.6395/100 — above the 83.1 national average — and filed 304 Medicare Part D claims in 2023.

94.6395/100
MIPS score · +12 vs avg
304
Part D claims, 2023

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.

JENNIFER RAI ZAMBALES, MD's MIPS score vs every scored U.S. clinician

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

95 Top 25% higher than 75% 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

What does the federal data show about JENNIFER RAI ZAMBALES, MD?

High performer (top quartile)

NPI registry status

Active

Issued 04/02/2018

NPI 1316443039

Primary specialty

Student in an Organized Health Care Education/Training Program

High-volume

331,761 US NPIs in this specialty

Medicare Part D claims

304 34% vs specialty avg

2023 prescription claims

Specialty avg: 459

MIPS final score

94.6395/100 11.539500000000004% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Ohio

How Student in an Organized Health Care Education/Training Program compares to other specialties among Ohio providers

Ohio providers

Student in an Organized Health Care Education/Training Program share within Ohio

1. Student in an Organized Health Care Education/Training Program42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Student in an Organized Health Care Education/Training Program share within Ohio

Medicare quality performance — MIPS

JENNIFER RAI ZAMBALES, MD's 2023 MIPS final score plotted against the Student in an Organized Health Care Education/Training Program national average

High performer (top quartile)
MIPS Final Score
94.6395/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Student in an Organized Health Care Education/Training Program) — 94.6395/100 vs national avg 83.1

0%100%National avg83%94.6%
MIPS final score (Student in an Organized Health Care Education/Training Program) — 94.6395/100 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).

JENNIFER RAI ZAMBALES, MD appears in the CMS NPPES registry as a Student in an Organized Health Care Education/Training Program provider holding MD credentials at 3525 SOUTHERN BLVD, KETTERING, OH, 45429, with a listed phone of (937) 395-8839. NPI 1316443039 was issued on 04/02/2018. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what ZAMBALES 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 304 prescription claims written by this provider, covering 197 Medicare beneficiaries and totaling roughly $5K in drug spend, with an opioid prescribing rate of 9.5%. 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 94.6395/100 for the 2023 performance year (Quality 90.644), compared with the national average of 83.1.

Student in an Organized Health Care Education/Training Program is a high-volume specialty nationwide, with 331,761 enrolled providers across 55 states and an average of 459 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

3525 SOUTHERN BLVD
KETTERING, OH 45429

Provider Details

NPI 1316443039
Specialty Student in an Organized Health Care Education/Training Program
Credentials MD
Gender Female
NPI Issued 04/02/2018

CMS Quality Score (MIPS)

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

94.6395
Final Score
Avg: 83.1
90.644
Quality

Reporting: Group practice

License & disciplinary context — Ohio OMB 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 ~48K Ohio medical licensees in 2023 — they are NOT specific to JENNIFER RAI ZAMBALES, MD. To verify JENNIFER RAI ZAMBALES, MD's current license status, search the OMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

158
Total board actions, Ohio 2023
Across 154 cases
3.29
Actions per 1,000 licensees
Ohio statewide rate
probation
Most common action type
56 cases

OMB 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 Ohio disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

304
Total Claims
$5K
Total Drug Cost
197
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
314
Total Day Supply
3,246
Generic Drug Cost
$3K
Opioid Claims
29 (9.5% rate)
Antibiotic Claims
80

Patient Demographics

Average Patient Age
69.4 years
Avg HCC Risk Score
2.02
Gender Split
62% female / 38% male
Age Distribution
<65: 51, 65-74: 68, 75-84: 57, 85+: 21

Top Prescribed Drugs (Medicare Part D)

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

What JENNIFER RAI ZAMBALES, MD 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
Ibuprofen
31
Methocarbamol
28
Naproxen
24
Ondansetron Odt
Ondansetron
21
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
19
Azithromycin
18
Prednisone
14
Cephalexin
13
Methylprednisolone
13
Cefuroxime
Cefuroxime Axetil
11

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

Student in an Organized Health Care Education/Training Program Overview

How JENNIFER RAI ZAMBALES, MD fits within the Student in an Organized Health Care Education/Training Program landscape nationally.

331,761
Student in an Organized Health Care Education/Training Program Providers in US
55
States with Student in an Organized Health Care Education/Training Program
459
Avg Claims per Provider

JENNIFER RAI ZAMBALES, MD's 304 claims are below the specialty average of 459.

Nearby Student in an Organized Health Care Education/Training Program Providers in Ohio

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

Compare Student in an Organized Health Care Education/Training Program nationally: see state-by-state distribution →

Frequently Asked Questions

What is JENNIFER RAI ZAMBALES, MD's specialty?
JENNIFER RAI ZAMBALES, MD specializes in Student in an Organized Health Care Education/Training Program and practices in KETTERING, Ohio. Credentials: MD.
How much does JENNIFER RAI ZAMBALES, MD prescribe under Medicare Part D?
In 2023, JENNIFER RAI ZAMBALES, MD wrote 304 Medicare Part D claims totaling $5K in drug costs for 197 beneficiaries.
What is JENNIFER RAI ZAMBALES, MD's Medicare quality score?
JENNIFER RAI ZAMBALES, MD has a CMS MIPS Final Score of 94.6395/100 (Quality: 90.644). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is JENNIFER RAI ZAMBALES, MD located?
JENNIFER RAI ZAMBALES, MD is located at 3525 SOUTHERN BLVD, KETTERING, OH, 45429. Phone: (937) 395-8839.
What is JENNIFER RAI ZAMBALES, MD's NPI number?
JENNIFER RAI ZAMBALES, MD's National Provider Identifier (NPI) is 1316443039, issued on 04/02/2018.
Does JENNIFER RAI ZAMBALES, MD prescribe opioids?
Yes, JENNIFER RAI ZAMBALES, MD had 29 opioid claims in 2023 with an opioid prescribing rate of 9.5%.
How many Student in an Organized Health Care Education/Training Program providers are there in the US?
There are 331,761 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 459 Medicare Part D claims per year.
What drugs does JENNIFER RAI ZAMBALES, MD prescribe most often?
Based on 2023 Medicare Part D data, JENNIFER RAI ZAMBALES, MD's most frequently prescribed drugs include Ibuprofen, Methocarbamol, Naproxen. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JENNIFER RAI ZAMBALES, MD accept Medicare?
JENNIFER RAI ZAMBALES, MD appears in CMS Medicare data with 304 Part D claims and 197 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JENNIFER RAI ZAMBALES, MD's credentials?
JENNIFER RAI ZAMBALES, MD's NPI is 1316443039 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