2026 NPPES data Otolaryngology Physician NPI 1053377754 M.D.
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JOSE BERRIOS, M.D.

Otolaryngology Physician in PALM HARBOR, 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
3K
Medicare Part D claims · 609 beneficiaries · Otolaryngology Physician avg: 509
MIPS score
88.3006/100
▲ 5 pts above national avg 83.1 · [object Object]
Industry payments
$84.55
4 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

JOSE BERRIOS, M.D. reported a CMS MIPS final score of 88.3006/100 — above the 83.1 national average — and filed 2,803 Medicare Part D claims in 2023.

88.3006/100
MIPS score · +5 vs avg
3K
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.

JOSE BERRIOS, 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

88 Top 44% higher than 56% 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%). This entry sits in this band. 90–100: 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

Board certification likely (heuristic — not verified)

JOSE BERRIOS, 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 BERRIOS, M.D.?

High performer (top quartile)

NPI registry status

Active

Issued 04/22/2006

NPI 1053377754

Primary specialty

Otolaryngology Physician

Mid-sized

10,895 US NPIs in this specialty

Medicare Part D claims

2,803 451% vs specialty avg

2023 prescription claims

Specialty avg: 509

MIPS final score

88.3006/100 5.2006000000000085% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Florida

How Otolaryngology Physician compares to other specialties among Florida providers

Florida providers

Otolaryngology Physician share within Florida

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

Medicare quality performance — MIPS

JOSE BERRIOS, M.D.'s 2023 MIPS final score plotted against the Otolaryngology Physician national average

High performer (top quartile)
MIPS Final Score
88.3006/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Otolaryngology Physician) — 88.3006/100 vs national avg 83.1

0%100%National avg83%88.3%
MIPS final score (Otolaryngology Physician) — 88.3006/100 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 BERRIOS, M.D. appears in the CMS NPPES registry as a Otolaryngology Physician provider holding M.D. credentials at 800 TARPON WOODS BLVD, PALM HARBOR, FL, 34685, with a listed phone of (727) 942-4005. NPI 1053377754 was issued on 04/22/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BERRIOS 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 2,803 prescription claims written by this provider, covering 609 Medicare beneficiaries and totaling roughly $96K in drug spend, with an opioid prescribing rate of 0.4%. 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 88.3006/100 for the 2023 performance year (Quality 83.6374), compared with the national average of 83.1.

Otolaryngology Physician is a mid-sized specialty nationwide, with 10,895 enrolled providers across 54 states and an average of 509 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

800 TARPON WOODS BLVD
PALM HARBOR, FL 34685

Provider Details

NPI 1053377754
Specialty Otolaryngology Physician
Credentials M.D.
Gender Male
NPI Issued 04/22/2006

CMS Quality Score (MIPS)

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

88.3006
Final Score
Avg: 83.1
83.6374
Quality
91
Promoting Interoperability

Reporting: Individual

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 BERRIOS, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$85

Largest payer

Janssen 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 — 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 BERRIOS, M.D.. To verify JOSE BERRIOS, M.D.'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.

2,803
Total Claims
$96K
Total Drug Cost
609
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
4,580
Total Day Supply
121,498
Generic Drug Cost
$58K
Opioid Claims
12 (0.4% rate)
Antibiotic Claims
236

Patient Demographics

Average Patient Age
74.2 years
Avg HCC Risk Score
1.49
Gender Split
58% female / 42% male
Age Distribution
<65: 50, 65-74: 253, 75-84: 244, 85+: 62

Top Prescribed Drugs (Medicare Part D)

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

What JOSE BERRIOS, M.D. 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
Fluticasone Propionate
859
Azelastine Hcl
707
Methylprednisolone
320
Omeprazole
215
Amoxicillin-Clavulanate Potass
Amoxicillin/Potassium Clav
65
Ipratropium Bromide
61
Levofloxacin
57
Neomycin-Polymyxin-Hc
Neomycin/Polymyxin B/Hydrocort
55
Fluocinolone Acetonide Oil
42
Amoxicillin
31

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

Otolaryngology Physician Overview

How JOSE BERRIOS, M.D. fits within the Otolaryngology Physician landscape nationally.

10,895
Otolaryngology Physician Providers in US
54
States with Otolaryngology Physician
509
Avg Claims per Provider

JOSE BERRIOS, M.D.'s 2,803 claims are above the specialty average of 509.

Nearby Otolaryngology Physician Providers in Florida

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

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

Frequently Asked Questions

What is JOSE BERRIOS, M.D.'s specialty?
JOSE BERRIOS, M.D. specializes in Otolaryngology Physician and practices in PALM HARBOR, Florida. Credentials: M.D..
How much does JOSE BERRIOS, M.D. prescribe under Medicare Part D?
In 2023, JOSE BERRIOS, M.D. wrote 2,803 Medicare Part D claims totaling $96K in drug costs for 609 beneficiaries.
What is JOSE BERRIOS, M.D.'s Medicare quality score?
JOSE BERRIOS, M.D. has a CMS MIPS Final Score of 88.3006/100 (Quality: 83.6374). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is JOSE BERRIOS, M.D. located?
JOSE BERRIOS, M.D. is located at 800 TARPON WOODS BLVD, PALM HARBOR, FL, 34685. Phone: (727) 942-4005.
What is JOSE BERRIOS, M.D.'s NPI number?
JOSE BERRIOS, M.D.'s National Provider Identifier (NPI) is 1053377754, issued on 04/22/2006.
Does JOSE BERRIOS, M.D. prescribe opioids?
Yes, JOSE BERRIOS, M.D. had 12 opioid claims in 2023 with an opioid prescribing rate of 0.4%.
How many Otolaryngology Physician providers are there in the US?
There are 10,895 Otolaryngology Physician providers across 54 states in the US. The average Otolaryngology Physician provider writes 509 Medicare Part D claims per year.
What drugs does JOSE BERRIOS, M.D. prescribe most often?
Based on 2023 Medicare Part D data, JOSE BERRIOS, M.D.'s most frequently prescribed drugs include Fluticasone Propionate, Azelastine Hcl, Methylprednisolone. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JOSE BERRIOS, M.D. accept Medicare?
JOSE BERRIOS, M.D. appears in CMS Medicare data with 2,803 Part D claims and 609 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JOSE BERRIOS, M.D.'s credentials?
JOSE BERRIOS, M.D.'s NPI is 1053377754 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

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