2026 NPPES data Surgery Physician NPI 1245495787 MD
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JOSE AYCINENA GOICOLEA, MD

Surgery Physician in GAINESVILLE, Georgia. 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
639
Medicare Part D claims · 230 beneficiaries · Surgery Physician avg: 169
Generic prescribing
88%
generic claims · 12% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
76.5817/100
▼ 7 pts below national avg 83.1 · [object Object]
Industry payments
$3.6K
15 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: JOSE AYCINENA GOICOLEA, MD is a Surgery Physician ([object Object]) practicing in GAINESVILLE, Georgia with a Medicare Part D prescribing footprint of 639 claims across 230 beneficiaries — 12% brand-name prescribing . Their CMS MIPS Final Score of 76.5817/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $3.6K across 15 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: JOSE AYCINENA GOICOLEA, MD reported a CMS MIPS final score of 76.5817 out of 100, below the 83.1 national average, and filed 639 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

JOSE AYCINENA GOICOLEA, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 2 hospital affiliations — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

JOSE AYCINENA GOICOLEA, MD at a glance

Below national average

NPI registry status

Active

Issued 07/24/2008

NPI 1245495787

Primary specialty

Surgery Physician

Mid-sized

36,191 US NPIs in this specialty

Medicare Part D claims

639 278% vs specialty avg

2023 prescription claims

Specialty avg: 169

MIPS final score

76.5817/100 6.518299999999996% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Georgia

How Surgery Physician compares to other specialties among Georgia providers

Georgia providers

Surgery Physician share within Georgia

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

Medicare quality performance — MIPS

JOSE AYCINENA GOICOLEA, MD's 2023 MIPS final score plotted against the Surgery Physician national average

Below national average
MIPS Final Score
76.5817/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Surgery Physician) — 76.5817/100 vs national avg 83.1

0%100%National avg83%76.6%
MIPS final score (Surgery Physician) — 76.5817/100 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 AYCINENA GOICOLEA, MD is a Surgery Physician provider practicing in GAINESVILLE, Georgia, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1245495787. 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 AYCINENA GOICOLEA, MD appears in the CMS NPPES registry as a Surgery Physician provider holding MD credentials at 725 JESSE JEWELL PKWY SE, GAINESVILLE, GA, 30501, with a listed phone of (770) 536-2323. NPI 1245495787 was issued on 07/24/2008. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what AYCINENA GOICOLEA 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 639 prescription claims written by this provider, covering 230 Medicare beneficiaries and totaling roughly $19K in drug spend, split 12% brand-name and 88% generic by claim count, with an opioid prescribing rate of 25.2%. 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 76.5817/100 for the 2023 performance year (Quality 85.6318, Cost 72.1405), compared with the national average of 83.1.

Surgery Physician is a mid-sized specialty nationwide, with 36,191 enrolled providers across 56 states and an average of 169 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

725 JESSE JEWELL PKWY SE
GAINESVILLE, GA 30501

Provider Details

NPI 1245495787
Specialty Surgery Physician
Credentials MD
Gender Male
NPI Issued 07/24/2008

CMS Quality Score (MIPS)

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

76.5817
Final Score
Avg: 83.1
85.6318
Quality
72.1405
Cost
87
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where JOSE AYCINENA GOICOLEA, 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.

NORTHEAST GEORGIA COMMUNITY PHYSICIANS LLC
GAINESVILLE, GA
THE LONGSTREET CLINIC, PC
GAINESVILLE, GA

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 AYCINENA GOICOLEA, MD. Source: openpaymentsdata.cms.gov.

Total received

$3.6K

Largest payer

INTUITIVE SURGICAL, 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.

Brand vs generic prescribing mix · Typical

JOSE AYCINENA GOICOLEA, MD — brand share 12.0%
Specialty average (est.)

12% brand-name claims vs 88% generic, on 639 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.

639
Total Claims
$19K
Total Drug Cost
230
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
639
Total Day Supply
2,881
Brand vs Generic
12% brand / 88% generic
Brand Drug Cost
$13K
Generic Drug Cost
$6K
Opioid Claims
161 (25.2% rate)
Antibiotic Claims
174

Patient Demographics

Average Patient Age
71.5 years
Avg HCC Risk Score
1.30
Gender Split
60% female / 40% male

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Ondansetron Hcl
86
Acetaminophen-Codeine
Acetaminophen With Codeine
84
Neomycin Sulfate
78
Clenpiq
Sod Picosulf/Mag Ox/Citric Ac
73
Gabapentin
64
Oxycodone Hcl
41
Erythromycin
Erythromycin Base
38
Metronidazole
36
Ketorolac Tromethamine
33
Tramadol Hcl
33

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

Surgery Physician Overview

How JOSE AYCINENA GOICOLEA, MD fits within the Surgery Physician landscape nationally.

36,191
Surgery Physician Providers in US
56
States with Surgery Physician
169
Avg Claims per Provider

JOSE AYCINENA GOICOLEA, MD's 639 claims are above the specialty average of 169.

Nearby Surgery Physician Providers in Georgia

Other clinicians with the same primary specialty enrolled in Georgia, drawn from the same CMS NPPES roster as AYCINENA GOICOLEA.

Compare Surgery Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is JOSE AYCINENA GOICOLEA, MD's specialty?
JOSE AYCINENA GOICOLEA, MD specializes in Surgery Physician and practices in GAINESVILLE, Georgia. Credentials: MD.
How much does JOSE AYCINENA GOICOLEA, MD prescribe under Medicare Part D?
In 2023, JOSE AYCINENA GOICOLEA, MD wrote 639 Medicare Part D claims totaling $19K in drug costs for 230 beneficiaries.
What is JOSE AYCINENA GOICOLEA, MD's Medicare quality score?
JOSE AYCINENA GOICOLEA, MD has a CMS MIPS Final Score of 76.5817/100 (Quality: 85.6318, Cost: 72.1405). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is JOSE AYCINENA GOICOLEA, MD located?
JOSE AYCINENA GOICOLEA, MD is located at 725 JESSE JEWELL PKWY SE, GAINESVILLE, GA, 30501. Phone: (770) 536-2323.
What is JOSE AYCINENA GOICOLEA, MD's NPI number?
JOSE AYCINENA GOICOLEA, MD's National Provider Identifier (NPI) is 1245495787, issued on 07/24/2008.
Does JOSE AYCINENA GOICOLEA, MD prescribe more brand-name or generic drugs?
JOSE AYCINENA GOICOLEA, MD's prescribing is 12% brand-name and 88% generic drugs by claim count, with $13K in brand drug costs.
Does JOSE AYCINENA GOICOLEA, MD prescribe opioids?
Yes, JOSE AYCINENA GOICOLEA, MD had 161 opioid claims in 2023 with an opioid prescribing rate of 25.2%.
How many Surgery Physician providers are there in the US?
There are 36,191 Surgery Physician providers across 56 states in the US. The average Surgery Physician provider writes 169 Medicare Part D claims per year.
What drugs does JOSE AYCINENA GOICOLEA, MD prescribe most often?
Based on 2023 Medicare Part D data, JOSE AYCINENA GOICOLEA, MD's most frequently prescribed drugs include Ondansetron Hcl, Acetaminophen-Codeine, Neomycin Sulfate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JOSE AYCINENA GOICOLEA, MD accept Medicare?
JOSE AYCINENA GOICOLEA, MD appears in CMS Medicare data with 639 Part D claims and 230 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JOSE AYCINENA GOICOLEA, MD's credentials?
JOSE AYCINENA GOICOLEA, MD's NPI is 1245495787 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