NPI registry status
Active
2026 NPPES data Internal Medicine Physician NPI 1033192604 M.D.
Verify on CMS → Jose Agusti, M.D.
Internal Medicine Physician in Winfield, Indiana.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 172,858 in 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
10K
Medicare Part D claims · 751 beneficiaries · Internal Medicine Physician avg: 3K
Generic prescribing
87%
generic claims · 12% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
46/100
▼ 37 pts below national avg 83.1 · Below average
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Jose Agusti, M.D. reported a CMS MIPS final score of 46/100 - below the 83.1 national average - and filed 10,153 Medicare Part D claims in 2023.
- 46/100
- MIPS score · -37 vs avg
- 10K
- Part D claims, 2023
- 87%
- 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.
Jose Agusti, M.D.'s MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
46 4th percentile higher than 4% of 477,587 scored providers
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 Jose Agusti, M.D. sits
This provider among internal medicine physician peers
Across the 36,260 internal medicine physician providers who report both Medicare Part D prescribing and a MIPS quality score, Jose Agusti, M.D. writes more Part D claims than 92% of them and scores higher on MIPS quality than 5% - 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
Each dot is one internal medicine physician peer from a representative sample of 60; the gold marker is Jose Agusti, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Jose Agusti, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting - 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 Jose Agusti, M.D.?
Below national averagePrimary specialty
Internal Medicine Physician
Medicare Part D claims
10,153 274% vs specialty avg
MIPS final score
46/100 37.1 pts vs avg
Specialty distribution in Indiana
How Internal Medicine Physician compares to other specialties among Indiana providers
Medicare quality performance, MIPS
Jose Agusti, M.D.'s 2023 MIPS final score plotted against the Internal Medicine Physician national average
- MIPS Final Score
- 46/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Internal Medicine Physician) - 46/100 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).
Jose Agusti, M.D. appears in the CMS NPPES registry as a Internal Medicine Physician provider holding M.D. credentials at 4900 E 107TH CT, Winfield, IN, 46307, with a listed phone of (219) 386-5018. NPI 1033192604 was issued on 11/28/2005.
Medicare Part D records for calendar year 2023 show 10,153 prescription claims written by this provider, covering 751 Medicare beneficiaries and totaling roughly $912K in drug spend, split 12% brand-name and 87% generic by claim count, with an opioid prescribing rate of 7.3%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 46/100 for the 2023 performance year (Quality 28.1, Cost 32.7), compared with the national average of 83.1.
Internal Medicine Physician is a high-volume specialty nationwide, with 172,858 enrolled providers across 56 states and an average of 2,716 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
Provider Details
| NPI | 1033192604 |
|---|---|
| Specialty | Internal Medicine Physician |
| Credentials | M.D. |
| Gender | Male |
| NPI Issued | 11/28/2005 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
46.0224
Final Score
Avg: 83.1
28.0583
Quality
32.6634
Cost
Reporting: Individual
Brand vs generic prescribing mix · Typical
Jose Agusti, M.D. - brand share 12.0%
Internal Medicine Physician average
12% brand-name claims vs 87% generic, on 10,153 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.
10,153
Total Claims
$912K
Total Drug Cost
751
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 17,924
- Total Day Supply
- 494,027
- Brand vs Generic
- 12% brand / 87% generic
- Brand Drug Cost
- $676K
- Generic Drug Cost
- $230K
- Opioid Claims
- 738 (7.3% rate)
- Antibiotic Claims
- 635
Patient Demographics
- Average Patient Age
- 75.7 years
- Avg HCC Risk Score
- 2.97
- Gender Split
- 63% female / 37% male
- Age Distribution
- <65: 120, 65-74: 205, 75-84: 217, 85+: 209
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Jose Agusti, M.D. prescribes most
Top Medicare Part D drugs by claim count, 2023
- Atorvastatin Calcium
Atorvastatin Calcium
363 claims
- Amlodipine Besylate
Amlodipine Besylate
293 claims
- Gabapentin
Gabapentin
259 claims
- Hydrocodone-Acetam…
Hydrocodone-Acetaminophen
248 claims
- Furosemide
Furosemide
242 claims
- Pantoprazole Sodium
Pantoprazole Sodium
206 claims
- Acetaminophen-Code…
Acetaminophen-Codeine
200 claims
- Potassium Chloride
Potassium Chloride
188 claims
| Drug | Claims |
|---|---|
| Atorvastatin Calcium | 363 |
| Amlodipine Besylate | 293 |
| Gabapentin | 259 |
| Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen | 248 |
| Furosemide | 242 |
| Pantoprazole Sodium | 206 |
| Acetaminophen-Codeine Acetaminophen With Codeine | 200 |
| Potassium Chloride | 188 |
| Prednisone | 187 |
| Tramadol Hcl | 184 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Internal Medicine Physician Overview
How Jose Agusti, M.D. fits within the Internal Medicine Physician landscape nationally.
172,858
Internal Medicine Physician Providers in US
56
States with Internal Medicine Physician
2,716
Avg Claims per Provider
Jose Agusti, M.D.'s 10,153 claims are above the specialty average of 2,716.
Nearby Internal Medicine Physician Providers in Indiana
Other clinicians with the same primary specialty enrolled in Indiana, drawn from the same CMS NPPES roster as Agusti.
Dr. Sami Aasar
MD
Fishers, IN
Dr. Paolo Abada
MD
Indianapolis, IN
Dr. Asad Abbas
DO
Richmond, IN
Dr. Faheem Abbasi
MD
Indianapolis, IN
Dr. Hayder Abbood
MD
Indianapolis, IN
Compare Internal 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 Indiana medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Internal 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.
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Frequently Asked Questions
What is Jose Agusti, M.D.'s specialty? ▼
Jose Agusti, M.D. specializes in Internal Medicine Physician and practices in Winfield, Indiana. Credentials: M.D..
How much does Jose Agusti, M.D. prescribe under Medicare Part D? ▼
In 2023, Jose Agusti, M.D. wrote 10,153 Medicare Part D claims totaling $912K in drug costs for 751 beneficiaries.
What is Jose Agusti, M.D.'s Medicare quality score? ▼
Jose Agusti, M.D. has a CMS MIPS Final Score of 46/100 (Quality: 28.1, Cost: 32.7). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Jose Agusti, M.D. located? ▼
Jose Agusti, M.D. is located at 4900 E 107TH CT, Winfield, IN, 46307. Phone: (219) 386-5018.
What is Jose Agusti, M.D.'s NPI number? ▼
Jose Agusti, M.D.'s National Provider Identifier (NPI) is 1033192604, issued on 11/28/2005.
Does Jose Agusti, M.D. prescribe more brand-name or generic drugs? ▼
Jose Agusti, M.D.'s prescribing is 12% brand-name and 87% generic drugs by claim count, with $676K in brand drug costs.
Does Jose Agusti, M.D. prescribe opioids? ▼
Yes, Jose Agusti, M.D. had 738 opioid claims in 2023 with an opioid prescribing rate of 7.3%.
How many Internal Medicine Physician providers are there in the US? ▼
There are 172,858 Internal Medicine Physician providers across 56 states in the US. The average Internal Medicine Physician provider writes 2,716 Medicare Part D claims per year.
What drugs does Jose Agusti, M.D. prescribe most often? ▼
Based on 2023 Medicare Part D data, Jose Agusti, M.D.'s most frequently prescribed drugs include Atorvastatin Calcium, Amlodipine Besylate, Gabapentin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Jose Agusti, M.D. accept Medicare? ▼
Jose Agusti, M.D. appears in CMS Medicare data with 10,153 Part D claims and 751 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Jose Agusti, M.D.'s credentials? ▼
Jose Agusti, M.D.'s NPI is 1033192604 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 (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.