2026 NPPES data Specialist NPI 1194791202 MD
Verify on CMS →

JOSE ARIAS JR., MD

Specialist in ALTAMONTE SPRINGS, Florida. 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
1K
Medicare Part D claims · 191 beneficiaries · Specialist avg: 1K
Generic prescribing
49%
generic claims · 51% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
96.6667/100
▲ 14 pts above national avg 83.1 · [object Object]
Industry payments
$3.1K
156 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

JOSE ARIAS JR., MD reported a CMS MIPS final score of 96.6667/100 — above the 83.1 national average — and filed 1,042 Medicare Part D claims in 2023.

96.6667/100
MIPS score · +14 vs avg
1K
Part D claims, 2023
49%
generic prescribing
$3.1K
industry payments (Sunshine Act)

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 ARIAS JR., MD'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

What does the federal data show about JOSE ARIAS JR., MD?

High performer (top quartile)

NPI registry status

Active

Issued 02/28/2006

NPI 1194791202

Primary specialty

Specialist

High-volume

69,658 US NPIs in this specialty

Medicare Part D claims

1,042 29% vs specialty avg

2023 prescription claims

Specialty avg: 1,474

MIPS final score

96.6667/100 13.566700000000012% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Florida

How Specialist compares to other specialties among Florida providers

Florida providers

Specialist share within Florida

1. Specialist42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Specialist share within Florida

Medicare quality performance — MIPS

JOSE ARIAS JR., MD's 2023 MIPS final score plotted against the Specialist national average

High performer (top quartile)
MIPS Final Score
96.6667/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Specialist) — 96.6667/100 vs national avg 83.1

0%100%National avg83%96.7%
MIPS final score (Specialist) — 96.6667/100 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 ARIAS JR., MD appears in the CMS NPPES registry as a Specialist provider holding MD credentials at 661 E ALTAMONTE DR, ALTAMONTE SPRINGS, FL, 32701, with a listed phone of (407) 339-3002. NPI 1194791202 was issued on 02/28/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what ARIAS JR. 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 1,042 prescription claims written by this provider, covering 191 Medicare beneficiaries and totaling roughly $497K in drug spend, split 51% brand-name and 49% generic by claim count. 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 96.6667/100 for the 2023 performance year (Quality 93.3333), compared with the national average of 83.1.

Specialist is a high-volume specialty nationwide, with 69,658 enrolled providers across 55 states and an average of 1,474 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

661 E ALTAMONTE DR
ALTAMONTE SPRINGS, FL 32701

Provider Details

NPI 1194791202
Specialty Specialist
Credentials MD
Gender Male
NPI Issued 02/28/2006

CMS Quality Score (MIPS)

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

96.6667
Final Score
Avg: 83.1
93.3333
Quality

Reporting: Individual

Hospital and facility affiliations

Facilities where JOSE ARIAS JR., 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.

ALLERGY ASTHMA SPECIALISTS PA
ALTAMONTE SPRINGS, 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).

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 ARIAS JR., MD. Source: openpaymentsdata.cms.gov.

Total received

$3.1K

Largest payer

AstraZeneca Pharmaceuticals LP

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 — 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 JOSE ARIAS JR., MD. To verify JOSE ARIAS JR., 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.

Brand vs generic prescribing mix · Brand-heavy

JOSE ARIAS JR., MD — brand share 51.0%
Specialty average (est.)

51% brand-name claims vs 49% generic, on 1,042 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.

1,042
Total Claims
$497K
Total Drug Cost
191
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,624
Total Day Supply
46,135
Brand vs Generic
51% brand / 49% generic
Brand Drug Cost
$478K
Generic Drug Cost
$19K

Patient Demographics

Average Patient Age
70.8 years
Avg HCC Risk Score
1.34
Gender Split
71% female / 29% male

Top Prescribed Drugs (Medicare Part D)

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

What JOSE ARIAS JR., 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
Montelukast Sodium
156
Trelegy Ellipta
Fluticasone/Umeclidin/Vilanter
133
Albuterol Sulfate Hfa
Albuterol Sulfate
119
Fluticasone Propionate
112
Symbicort
Budesonide/Formoterol Fumarate
75
Breo Ellipta
Fluticasone/Vilanterol
54
Azelastine Hcl
41
Epinephrine
31
Xolair
Omalizumab
28
Ipratropium Bromide
24

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

Specialist Overview

How JOSE ARIAS JR., MD fits within the Specialist landscape nationally.

69,658
Specialist Providers in US
55
States with Specialist
1,474
Avg Claims per Provider

JOSE ARIAS JR., MD's 1,042 claims are below the specialty average of 1,474.

Nearby Specialist Providers in Florida

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

Compare Specialist nationally: see state-by-state distribution →

Frequently Asked Questions

What is JOSE ARIAS JR., MD's specialty?
JOSE ARIAS JR., MD specializes in Specialist and practices in ALTAMONTE SPRINGS, Florida. Credentials: MD.
How much does JOSE ARIAS JR., MD prescribe under Medicare Part D?
In 2023, JOSE ARIAS JR., MD wrote 1,042 Medicare Part D claims totaling $497K in drug costs for 191 beneficiaries.
What is JOSE ARIAS JR., MD's Medicare quality score?
JOSE ARIAS JR., MD has a CMS MIPS Final Score of 96.6667/100 (Quality: 93.3333). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is JOSE ARIAS JR., MD located?
JOSE ARIAS JR., MD is located at 661 E ALTAMONTE DR, ALTAMONTE SPRINGS, FL, 32701. Phone: (407) 339-3002.
What is JOSE ARIAS JR., MD's NPI number?
JOSE ARIAS JR., MD's National Provider Identifier (NPI) is 1194791202, issued on 02/28/2006.
Does JOSE ARIAS JR., MD prescribe more brand-name or generic drugs?
JOSE ARIAS JR., MD's prescribing is 51% brand-name and 49% generic drugs by claim count, with $478K in brand drug costs.
How many Specialist providers are there in the US?
There are 69,658 Specialist providers across 55 states in the US. The average Specialist provider writes 1,474 Medicare Part D claims per year.
What drugs does JOSE ARIAS JR., MD prescribe most often?
Based on 2023 Medicare Part D data, JOSE ARIAS JR., MD's most frequently prescribed drugs include Montelukast Sodium, Trelegy Ellipta, Albuterol Sulfate Hfa. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JOSE ARIAS JR., MD accept Medicare?
JOSE ARIAS JR., MD appears in CMS Medicare data with 1,042 Part D claims and 191 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JOSE ARIAS JR., MD's credentials?
JOSE ARIAS JR., MD's NPI is 1194791202 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