2026 NPPES data Pain Medicine Physician NPI 1407836232 MD
Verify on CMS →

John Serpa, MD

Pain Medicine Physician in Hialeah, Florida.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 951 in Pain 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
5K
Medicare Part D claims · 716 beneficiaries · Pain Medicine Physician avg: 2K
MIPS score
0/100
▼ 83 pts below national avg 83.1 · Penalty band
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

John Serpa, MD reported a CMS MIPS final score of 0/100 - below the 83.1 national average - and filed 4,687 Medicare Part D claims in 2023.

0/100
MIPS score · -83 vs avg
5K
Part D claims, 2023
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.

John Serpa, MD's MIPS score vs every scored U.S. clinician

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

0 0th percentile higher than 0% of 477,587 scored providers

0–10: 8,684 scored providers (2%). This entry sits in this band. 10–20: 3,008 scored providers (1%). Above this entry. 20–30: 3,069 scored providers (1%). Above this entry. 30–40: 2,746 scored providers (1%). Above this entry. 40–50: 2,928 scored providers (1%). Above this entry. 50–60: 5,882 scored providers (1%). Above this entry. 60–70: 13,906 scored providers (3%). Above this entry. 70–80: 118,074 scored providers (25%). Above this entry. 80–90: 129,887 scored providers (27%). Above this entry. 90+: 189,403 scored providers (40%). Above this entry. 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

Where John Serpa, MD sits

This provider among pain medicine physician peers

Across the 286 pain medicine physician providers who report both Medicare Part D prescribing and a MIPS quality score, John Serpa, MD writes more Part D claims than 77% of them and scores higher on MIPS quality than 0% - placing this provider in the high-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Part D claim volume vs MIPS quality, by specialty percentile

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

Each dot is one pain medicine physician peer from a representative sample of 60; the gold marker is John Serpa, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

Board certification likely (heuristic, not verified)

John Serpa, MD 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 John Serpa, MD?

Below national average

NPI registry status

Active

Issued 01/18/2006

NPI 1407836232

Primary specialty

Pain Medicine Physician

Niche

951 US NPIs in this specialty

Medicare Part D claims

4,687 126% vs specialty avg

2023 prescription claims

Specialty avg: 2,078

MIPS final score

0/100 83.1 pts vs avg

Penalty band band

vs 83.1 national avg

Specialty distribution in Florida

How Pain Medicine Physician compares to other specialties among Florida providers

Florida providers
Behavior Technician - 16.1%Behavior Technician16.1%Mental Health Counselor - 4.8%Mental Health Counselor4.8%Family Nurse Practitioner - 4.5%Family Nurse Practitioner4.5%Pharmacist - 4.2%Pharmacist4.2%Student in an Organized Health Care Education/Training Program - 3.8%Student in an Organized Health Care Education/Training Program3.8%Physical Therapist - 3.1%Physical Therapist3.1%Pain Medicine Physician - 0%Pain Medicine Physician0%
Largest specialties in Florida (% of in-state providers)

Medicare quality performance, MIPS

John Serpa, MD's 2023 MIPS final score plotted against the Pain Medicine Physician national average

Below national average
MIPS Final Score
0/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Pain Medicine Physician) - 0/100 vs national avg 83.1

0%100%National avg83%0%
MIPS final score (Pain Medicine Physician) - 0/100 vs national avg 83.1
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).

John Serpa, MD appears in the CMS NPPES registry as a Pain Medicine Physician provider holding MD credentials at 1800 W 68TH ST STE 115, Hialeah, FL, 33014, with a listed phone of (305) 698-9077. NPI 1407836232 was issued on 01/18/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Serpa 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 4,687 prescription claims written by this provider, covering 716 Medicare beneficiaries and totaling roughly $195K in drug spend, with an opioid prescribing rate of 62.7%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 0/100 for the 2023 performance year (Quality 0), compared with the national average of 83.1.

Pain Medicine Physician is a narrow specialty nationwide, with 951 enrolled providers across 49 states and an average of 2,078 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

1800 W 68TH ST STE 115
Hialeah, FL 33014

Provider Details

NPI 1407836232
Specialty Pain Medicine Physician
Credentials MD
Gender Male
NPI Issued 01/18/2006

CMS Quality Score (MIPS)

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

0
Final Score
Avg: 83.1
0
Quality

Reporting: Individual

Hospital and facility affiliations

Facilities where John Serpa, MD 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.

John Serpa MD P.A
Hialeah, FL

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

License & disciplinary context - Florida FLDOH 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 ~75K Florida medical licensees in 2023 - they are NOT specific to John Serpa, MD. To verify John Serpa, MD's current license status, search the FLDOH public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

480
Total board actions, Florida 2023
Across 467 cases
6.40
Actions per 1,000 licensees
Florida statewide rate
monetary fine
Most common action type
138 cases

FLDOH 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 Florida 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.

4,687
Total Claims
$195K
Total Drug Cost
716
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
4,878
Total Day Supply
131,877
Generic Drug Cost
$120K
Opioid Claims
2,937 (62.7% rate)
Antibiotic Claims
13

Patient Demographics

Average Patient Age
70.5 years
Avg HCC Risk Score
2.38
Gender Split
60% female / 40% male
Age Distribution
<65: 165, 65-74: 289, 75-84: 194, 85+: 68

Top Prescribed Drugs (Medicare Part D)

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

What John Serpa, 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
Oxycodone-Acetaminophen
Oxycodone Hcl/Acetaminophen
1,650
Tramadol Hcl
444
Gabapentin
432
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
236
Diclofenac Sodium
211
Cyclobenzaprine Hcl
190
Oxycodone Hcl
175
Acetaminophen-Codeine
Acetaminophen With Codeine
150
Baclofen
140
Morphine Sulfate Er
Morphine Sulfate
124

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

Pain Medicine Physician Overview

How John Serpa, MD fits within the Pain Medicine Physician landscape nationally.

951
Pain Medicine Physician Providers in US
49
States with Pain Medicine Physician
2,078
Avg Claims per Provider

John Serpa, MD's 4,687 claims are above the specialty average of 2,078.

Nearby Pain Medicine Physician Providers in Florida

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

Compare Pain Medicine Physician nationally: see state-by-state distribution →

Before you book an appointment

Use this federal record as your verification checklist, not as a recommendation.

  • Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
  • Check the active license and any disciplinary history with the Florida medical board, federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Pain Medicine Physician peer on Medicare volume and prescribing patterns. Compare providers

Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.

Frequently Asked Questions

What is John Serpa, MD's specialty?
John Serpa, MD specializes in Pain Medicine Physician and practices in Hialeah, Florida. Credentials: MD.
How much does John Serpa, MD prescribe under Medicare Part D?
In 2023, John Serpa, MD wrote 4,687 Medicare Part D claims totaling $195K in drug costs for 716 beneficiaries.
What is John Serpa, MD's Medicare quality score?
John Serpa, MD has a CMS MIPS Final Score of 0/100 (Quality: 0). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is John Serpa, MD located?
John Serpa, MD is located at 1800 W 68TH ST STE 115, Hialeah, FL, 33014. Phone: (305) 698-9077.
What is John Serpa, MD's NPI number?
John Serpa, MD's National Provider Identifier (NPI) is 1407836232, issued on 01/18/2006.
Does John Serpa, MD prescribe opioids?
Yes, John Serpa, MD had 2,937 opioid claims in 2023 with an opioid prescribing rate of 62.7%.
How many Pain Medicine Physician providers are there in the US?
There are 951 Pain Medicine Physician providers across 49 states in the US. The average Pain Medicine Physician provider writes 2,078 Medicare Part D claims per year.
What drugs does John Serpa, MD prescribe most often?
Based on 2023 Medicare Part D data, John Serpa, MD's most frequently prescribed drugs include Oxycodone-Acetaminophen, Tramadol Hcl, Gabapentin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does John Serpa, MD accept Medicare?
John Serpa, MD appears in CMS Medicare data with 4,687 Part D claims and 716 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify John Serpa, MD's credentials?
John Serpa, MD's NPI is 1407836232 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 (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

Compiled from official public sources by the PlainDoctor editorial team.