2026 NPPES data Family Medicine Physician NPI 1265642052 D.O.
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JOSE ARCINIEGA, D.O.

Family Medicine Physician in FONTANA, California. 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
4K
Medicare Part D claims · 274 beneficiaries · Family Medicine Physician avg: 3K
Generic prescribing
80%
generic claims · 20% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
96.5085/100
▲ 13 pts above national avg 83.1 · [object Object]
Industry payments
$1.5K
15 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

JOSE ARCINIEGA, D.O. reported a CMS MIPS final score of 96.5085/100 — above the 83.1 national average — and filed 3,995 Medicare Part D claims in 2023.

96.5085/100
MIPS score · +13 vs avg
4K
Part D claims, 2023
80%
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 ARCINIEGA, 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

97 Top 17% higher than 83% 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)

JOSE ARCINIEGA, D.O. 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 ARCINIEGA, D.O.?

High performer (top quartile)

NPI registry status

Active

Issued 05/23/2007

NPI 1265642052

Primary specialty

Family Medicine Physician

High-volume

147,640 US NPIs in this specialty

Medicare Part D claims

3,995 17% vs specialty avg

2023 prescription claims

Specialty avg: 3,418

MIPS final score

96.5085/100 13.408500000000004% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in California

How Family Medicine Physician compares to other specialties among California providers

California providers

Family Medicine Physician share within California

1. Family Medicine Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Family Medicine Physician share within California

Medicare quality performance — MIPS

JOSE ARCINIEGA, D.O.'s 2023 MIPS final score plotted against the Family Medicine Physician national average

High performer (top quartile)
MIPS Final Score
96.5085/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Family Medicine Physician) — 96.5085/100 vs national avg 83.1

0%100%National avg83%96.5%
MIPS final score (Family Medicine Physician) — 96.5085/100 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).

JOSE ARCINIEGA, D.O. is a Family Medicine Physician provider practicing in FONTANA, California, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: D.O.. NPI: 1265642052. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

JOSE ARCINIEGA, D.O. appears in the CMS NPPES registry as a Family Medicine Physician provider holding D.O. credentials at 16465 SIERRA LAKES PKWY STE 115, FONTANA, CA, 92336, with a listed phone of (909) 823-8000. NPI 1265642052 was issued on 05/23/2007. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what ARCINIEGA 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 3,995 prescription claims written by this provider, covering 274 Medicare beneficiaries and totaling roughly $685K in drug spend, split 20% brand-name and 80% generic by claim count, with an opioid prescribing rate of 1.2%. 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 96.5085/100 for the 2023 performance year (Quality 80.342), compared with the national average of 83.1.

Family Medicine Physician is a high-volume specialty nationwide, with 147,640 enrolled providers across 56 states and an average of 3,418 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

16465 SIERRA LAKES PKWY STE 115
FONTANA, CA 92336

Provider Details

NPI 1265642052
Specialty Family Medicine Physician
Credentials D.O.
Gender Male
NPI Issued 05/23/2007

CMS Quality Score (MIPS)

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

96.5085
Final Score
Avg: 83.1
80.342
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

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 JOSE ARCINIEGA, D.O.. Source: openpaymentsdata.cms.gov.

Total received

$1.5K

Largest payer

Phathom 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 — California MBC 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 ~150K California medical licensees in 2023 — they are NOT specific to JOSE ARCINIEGA, D.O.. To verify JOSE ARCINIEGA, D.O.'s current license status, search the MBC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

576
Total board actions, California 2023
Across 556 cases
3.84
Actions per 1,000 licensees
California statewide rate
probation
Most common action type
186 cases

MBC 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 California disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

JOSE ARCINIEGA, D.O. — brand share 20.0%
Specialty average (est.)

20% brand-name claims vs 80% generic, on 3,995 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.

3,995
Total Claims
$685K
Total Drug Cost
274
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
8,537
Total Day Supply
249,662
Brand vs Generic
20% brand / 80% generic
Brand Drug Cost
$612K
Generic Drug Cost
$69K
Opioid Claims
49 (1.2% rate)
Antibiotic Claims
33

Patient Demographics

Average Patient Age
70.8 years
Avg HCC Risk Score
1.43
Gender Split
56% female / 44% male
Age Distribution
<65: 48, 65-74: 129, 75-84: 73, 85+: 24

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Atorvastatin Calcium
204
Metformin Hcl
201
Amlodipine Besylate
142
Omeprazole
121
Gabapentin
113
Pioglitazone Hcl
106
Lisinopril
105
Simvastatin
94
Alendronate Sodium
89
Losartan Potassium
87

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

Family Medicine Physician Overview

How JOSE ARCINIEGA, D.O. fits within the Family Medicine Physician landscape nationally.

147,640
Family Medicine Physician Providers in US
56
States with Family Medicine Physician
3,418
Avg Claims per Provider

JOSE ARCINIEGA, D.O.'s 3,995 claims are above the specialty average of 3,418.

Nearby Family Medicine Physician Providers in California

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

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

Frequently Asked Questions

What is JOSE ARCINIEGA, D.O.'s specialty?
JOSE ARCINIEGA, D.O. specializes in Family Medicine Physician and practices in FONTANA, California. Credentials: D.O..
How much does JOSE ARCINIEGA, D.O. prescribe under Medicare Part D?
In 2023, JOSE ARCINIEGA, D.O. wrote 3,995 Medicare Part D claims totaling $685K in drug costs for 274 beneficiaries.
What is JOSE ARCINIEGA, D.O.'s Medicare quality score?
JOSE ARCINIEGA, D.O. has a CMS MIPS Final Score of 96.5085/100 (Quality: 80.342). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is JOSE ARCINIEGA, D.O. located?
JOSE ARCINIEGA, D.O. is located at 16465 SIERRA LAKES PKWY STE 115, FONTANA, CA, 92336. Phone: (909) 823-8000.
What is JOSE ARCINIEGA, D.O.'s NPI number?
JOSE ARCINIEGA, D.O.'s National Provider Identifier (NPI) is 1265642052, issued on 05/23/2007.
Does JOSE ARCINIEGA, D.O. prescribe more brand-name or generic drugs?
JOSE ARCINIEGA, D.O.'s prescribing is 20% brand-name and 80% generic drugs by claim count, with $612K in brand drug costs.
Does JOSE ARCINIEGA, D.O. prescribe opioids?
Yes, JOSE ARCINIEGA, D.O. had 49 opioid claims in 2023 with an opioid prescribing rate of 1.2%.
How many Family Medicine Physician providers are there in the US?
There are 147,640 Family Medicine Physician providers across 56 states in the US. The average Family Medicine Physician provider writes 3,418 Medicare Part D claims per year.
What drugs does JOSE ARCINIEGA, D.O. prescribe most often?
Based on 2023 Medicare Part D data, JOSE ARCINIEGA, D.O.'s most frequently prescribed drugs include Atorvastatin Calcium, Metformin Hcl, Amlodipine Besylate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JOSE ARCINIEGA, D.O. accept Medicare?
JOSE ARCINIEGA, D.O. appears in CMS Medicare data with 3,995 Part D claims and 274 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JOSE ARCINIEGA, D.O.'s credentials?
JOSE ARCINIEGA, D.O.'s NPI is 1265642052 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