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2026 NPPES data Geriatric Medicine (Internal Medicine) Physician NPI 1922084599 M.D.
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Joey Ugalino, M.D.

Geriatric Medicine (Internal Medicine) Physician in Brownsville, 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 4,215 in Geriatric Medicine (Internal Medicine) 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
11K
Medicare Part D claims · 521 beneficiaries · Geriatric Medicine (Internal Medicine) Physician avg: 4K
Generic prescribing
85%
generic claims · 14% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
99.8/100
▲ 16 pts above national avg 83.5 · Exceptional
Industry payments
$101.42
5 payments · CMS Open Payments (Sunshine Act)
Verify NPI on CMS Methodology
Compiled from official public sources by the editorial process.

What the federal data shows

Joey Ugalino, M.D. reported a CMS MIPS final score of 99.8/100 - above the 83.5 national average - and filed 10,708 Medicare Part D claims in 2024.

99.8/100
MIPS score · +16 vs avg
11K
Part D claims, 2024
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.

Federal trust snapshot

What official records show about Joey Ugalino, M.D.

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 1922084599), first enumerated 12/15/2005.

    Source: CMS NPPES

  • Reported

    Medicare Part D participation

    Filed 10,708 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 99.8/100 in the Quality Payment Program — a federal quality measure, not a patient review.

    Source: CMS Quality Payment Program

  • Reported

    Board certification signal

    Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.

    Source: NUCC taxonomy + CMS participation heuristic

  • Reported

    Hospital affiliations

    1 CMS Care Compare hospital affiliation on record — practice footprint from the Doctors and Clinicians file.

    Source: CMS Care Compare

  • Reported

    Industry payment transparency

    $101.42 in reported industry payments (5 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.

    Source: CMS Open Payments

  • State context

    State board disciplinary context

    Texas statewide board action statistics are published annually — these figures describe aggregate state activity, not Joey Ugalino, M.D.'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 1922084599 · Geriatric Medicine (Internal Medicine) Physician

NPI-10 · ENUM-LEGACY · TAX-NARROW · MIPS-ELITE · RX-HEAVY · BOOK-THIN · PHOTO-FINISH

  • NPI-10 1922084599
  • ENUM-LEGACY 2005
  • TAX-NARROW 4,215
  • MIPS-ELITE 99.8/100
  • RX-HEAVY 11K claims
  • BOOK-THIN 238 in Texas
  • PHOTO-FINISH Bruce Berman · ±0.2

MIPS final-score neighbourhood

Same-specialty nationwide peers by CMS final score, not geographic proximity

MIPS pts

What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).

Source CMS Quality Payment Program (MIPS) As of 2023

Joey Ugalino, M.D.'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.

100 ≥ 91st percentile 91% of 454,083 measured providers are in lower value bands

0–10: 8,684 measured providers (2%). Below this entry. 10–20: 3,008 measured providers (1%). Below this entry. 20–30: 3,069 measured providers (1%). Below this entry. 30–40: 2,746 measured providers (1%). Below this entry. 40–50: 2,928 measured providers (1%). Below this entry. 50–60: 5,882 measured providers (1%). Below this entry. 60–70: 13,906 measured providers (3%). Below this entry. 70–80: 94,570 measured providers (21%). Below this entry. 80–90: 129,887 measured providers (29%). Below this entry. 90+: 189,403 measured providers (42%). This entry sits in this band. This provider 0 100 every measured MIPS clinician, bucketed by value

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 Joey Ugalino, M.D. sits

This provider among geriatric medicine (internal medicine) physician peers

Across the 686 geriatric medicine (internal medicine) physician providers who report both Medicare Part D prescribing and a MIPS quality score, Joey Ugalino, M.D. writes more Part D claims than 88% of them and scores higher on MIPS quality than 94% - placing this provider in the high-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality02550751000255075100Part D claim volume, percentile in specialtyMIPS quality, percentilePoint, Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 80Point, Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 88Point, Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 98Point, Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 30Point, Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 2Point, Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 50Point, Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 33Point, Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 37Point, Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 35Point, Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 57Point, Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 3Point, Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 8Point, Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 13Point, Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 73Point, Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 18Point, Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 27Point, Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 48Point, Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 5Point, Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 12Point, Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 25Point, Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 80Point, Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 10Point, Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 68Point, Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 45Point, Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 90Point, Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 28Point, Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 60Point, Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 53Point, Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 63Point, Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 87Point, Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 83Point, Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 20Point, Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 70Point, Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 67Point, Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 77Point, Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 38Point, Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 58Point, Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 32Point, Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 47Point, Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 15Point, Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 98Point, Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 40Point, Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 42Point, Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 55Point, Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 65Point, Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 62Point, Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 23Point, Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 70Point, Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 17Point, Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 78Point, Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 52Point, Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 7Point, Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 93Point, Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 95Point, Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 43Point, Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 22Point, Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 75Joey Ugalino, M.D., Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 94
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one geriatric medicine (internal medicine) physician peer from a representative sample of 60; the gold marker is Joey Ugalino, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

✓
Board certification likely (heuristic, not verified)

Joey Ugalino, M.D. 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 Joey Ugalino, M.D.?

High performer (top quartile)

NPI registry status

Active

Issued 12/15/2005

NPI 1922084599

Primary specialty

Geriatric Medicine (Internal Medicine) Physician

Niche

4,215 US NPIs in this specialty

Medicare Part D claims

10,708 142% vs specialty avg

2024 prescription claims

Specialty avg: 4,420

MIPS final score

99.8/100 16.3 pts vs avg

Exceptional band

vs 83.5 national avg

Specialty distribution in Texas

How Geriatric Medicine (Internal Medicine) 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%Geriatric Medicine (Internal…0.1%
Largest specialties in Texas (% of in-state providers)

Medicare quality performance, MIPS

Joey Ugalino, M.D.'s 2023 MIPS final score plotted against the Geriatric Medicine (Internal Medicine) Physician national average

High performer (top quartile)
MIPS Final Score
99.8/100
vs 83.5 national avg · 2023 performance year
0%100%National avg84%99%
MIPS final score (Geriatric Medicine (Internal Medicine) Physician) - 99.8/100 vs national avg 83.5
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

95 E PRICE RD
Brownsville, TX 78521
(956) 546-3209

Provider Details

NPI 1922084599
Specialty Geriatric Medicine (Internal Medicine) Physician
Credentials M.D.
Gender Male
NPI Issued 12/15/2005

CMS Quality Score (MIPS)

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

99.7864
Final Score
Measured-score avg: 83.5
100
Quality
65.9545
Cost

Reporting: Group practice

Hospital and facility affiliations

Facilities where Joey Ugalino, M.D. 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.

Brownsville Community Health Clinic Corporation
Brownsville, 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 Joey Ugalino, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$101

Largest payer

Lilly USA, LLC

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 Joey Ugalino, M.D.. To verify Joey Ugalino, M.D.'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

Joey Ugalino, M.D. - brand share 14.0%
Geriatric Medicine (Internal Medicine) Physician average

14% brand-name claims vs 85% generic, on 10,708 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.

10,708
Total Claims
$1.4M
Total Drug Cost
521
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
24,706.367
Total Day Supply
721,054
Brand vs Generic
14% brand / 85% generic
Brand Drug Cost
$1.2M
Generic Drug Cost
$177K
Opioid Claims
261 (2.4% rate)
Antibiotic Claims
265

Patient Demographics

Average Patient Age
73.5 years
Avg HCC Risk Score
2.08
Gender Split
62% female / 38% male
Age Distribution
<65: 63, 65-74: 239, 75-84: 152, 85+: 67

Top Prescribed Drugs (Medicare Part D)

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

What Joey Ugalino, M.D. 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
Atorvastatin Calcium
 537
Losartan Potassium
 478
Lisinopril
 355
Amlodipine Besylate
 350
Rosuvastatin Calcium
 302
Levothyroxine Sodium
 287
Metformin Hcl
 269
Carvedilol
 243
Gabapentin
 201
Alendronate Sodium
 193

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

More Geriatric Medicine (Internal Medicine) Physician in TX → All providers in Texas → Compare specialties →

Geriatric Medicine (Internal Medicine) Physician Overview

How Joey Ugalino, M.D. fits within the Geriatric Medicine (Internal Medicine) Physician landscape nationally.

4,215
Geriatric Medicine (Internal Medicine) Physician Providers in US
52
States with Geriatric Medicine (Internal Medicine) Physician
4,420
Avg Claims per Provider

Joey Ugalino, M.D.'s 10,708 claims are above the specialty average of 4,420.

Nationwide Geriatric Medicine (Internal Medicine) Physician peers with similar MIPS or enrollment year

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

Similar MIPS final score

Nearest same-specialty clinicians by CMS MIPS final score (99.8 here).

Bruce Berman 100 NY Shruti Anand 100 MI Michelle Barton 100 MI Sylvie Bastadjian-Yessayan 100 NC

Same NPPES enumeration year (2005)

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

Sylvie Bastadjian-Yessayan Harrisburg, NC Joseph Hadeed Parkland, FL Xavier Herrera Fort Collins, CO Thomas Gill New Haven, CT

Nearby Geriatric Medicine (Internal Medicine) Physician Providers in Texas

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

One of 238 Geriatric Medicine (Internal Medicine) Physician providers enrolled in Texas, 5 are shown here.

Dr. Waleed Abdelall
MD
Temple, TX
Dr. Arifa Abid
MD
Dallas, TX
Dr. Melchor Acosta
MD
Dallas, TX
Dr. Aruna Agraharkar
MD
Webster, TX
Dr. Jose Aguirre
M.D.
El Paso, TX

Compare Geriatric Medicine (Internal Medicine) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is Joey Ugalino, M.D.'s specialty? ▼
Joey Ugalino, M.D. specializes in Geriatric Medicine (Internal Medicine) Physician and practices in Brownsville, Texas. Credentials: M.D..
How much does Joey Ugalino, M.D. prescribe under Medicare Part D? ▼
In 2024, Joey Ugalino, M.D. wrote 10,708 Medicare Part D claims totaling $1.4M in drug costs for 521 beneficiaries.
What is Joey Ugalino, M.D.'s Medicare quality score? ▼
Joey Ugalino, M.D. has a CMS MIPS Final Score of 99.8/100 (Quality: 100, Cost: 66). 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 Joey Ugalino, M.D. located? ▼
Joey Ugalino, M.D. is located at 95 E PRICE RD, Brownsville, TX, 78521. Phone: (956) 546-3209.
What is Joey Ugalino, M.D.'s NPI number? ▼
Joey Ugalino, M.D.'s National Provider Identifier (NPI) is 1922084599, issued on 12/15/2005.
Does Joey Ugalino, M.D. prescribe more brand-name or generic drugs? ▼
Joey Ugalino, M.D.'s prescribing is 14% brand-name and 85% generic drugs by claim count, with $1.2M in brand drug costs.
Does Joey Ugalino, M.D. prescribe opioids? ▼
Yes, Joey Ugalino, M.D. had 261 opioid claims in 2024 with an opioid prescribing rate of 2.4%.
How many Geriatric Medicine (Internal Medicine) Physician providers are there in the US? ▼
There are 4,215 Geriatric Medicine (Internal Medicine) Physician providers across 52 states in the US. The average Geriatric Medicine (Internal Medicine) Physician provider writes 4,420 Medicare Part D claims per year.
What drugs does Joey Ugalino, M.D. prescribe most often? ▼
Based on 2024 Medicare Part D data, Joey Ugalino, M.D.'s most frequently prescribed drugs include Atorvastatin Calcium, Losartan Potassium, Lisinopril. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Joey Ugalino, M.D. accept Medicare? ▼
Joey Ugalino, M.D. appears in CMS Medicare data with 10,708 Part D claims and 521 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Joey Ugalino, M.D.'s credentials? ▼
Joey Ugalino, M.D.'s NPI is 1922084599 with credentials M.D.. 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

Compiled from official public sources by the editorial process.

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.