2026 NPPES data Nephrology Physician NPI 1952312837 M.D.
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JOSE NAVARRETE, M.D.

Nephrology Physician in ATLANTA, 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
545
Medicare Part D claims · 90 beneficiaries · Nephrology Physician avg: 1K
Generic prescribing
90%
generic claims · 10% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
92.2614/100
▲ 9 pts above national avg 83.1 · [object Object]
Industry payments
$46.47
7 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

JOSE NAVARRETE, M.D. reported a CMS MIPS final score of 92.2614/100 — above the 83.1 national average — and filed 545 Medicare Part D claims in 2023.

92.2614/100
MIPS score · +9 vs avg
545
Part D claims, 2023
90%
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 NAVARRETE, 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

92 Top 32% higher than 68% 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 NAVARRETE, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation — 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 NAVARRETE, M.D.?

High performer (top quartile)

NPI registry status

Active

Issued 08/10/2006

NPI 1952312837

Primary specialty

Nephrology Physician

Mid-sized

10,534 US NPIs in this specialty

Medicare Part D claims

545 63% vs specialty avg

2023 prescription claims

Specialty avg: 1,454

MIPS final score

92.2614/100 9.1614% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Georgia

How Nephrology Physician compares to other specialties among Georgia providers

Georgia providers

Nephrology Physician share within Georgia

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

Medicare quality performance — MIPS

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

High performer (top quartile)
MIPS Final Score
92.2614/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Nephrology Physician) — 92.2614/100 vs national avg 83.1

0%100%National avg83%92.3%
MIPS final score (Nephrology Physician) — 92.2614/100 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 NAVARRETE, M.D. is a Nephrology Physician provider practicing in ATLANTA, Georgia, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1952312837. 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 NAVARRETE, M.D. appears in the CMS NPPES registry as a Nephrology Physician provider holding M.D. credentials at 550 PEACHTREE ST NE FL 7, ATLANTA, GA, 30308, with a listed phone of (404) 686-5038. NPI 1952312837 was issued on 08/10/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what NAVARRETE 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 545 prescription claims written by this provider, covering 90 Medicare beneficiaries and totaling roughly $99K in drug spend, split 10% brand-name and 90% 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 92.2614/100 for the 2023 performance year (Quality 73.8353), compared with the national average of 83.1.

Nephrology Physician is a mid-sized specialty nationwide, with 10,534 enrolled providers across 55 states and an average of 1,454 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

550 PEACHTREE ST NE FL 7
ATLANTA, GA 30308

Provider Details

NPI 1952312837
Specialty Nephrology Physician
Credentials M.D.
Gender Male
NPI Issued 08/10/2006

CMS Quality Score (MIPS)

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

92.2614
Final Score
Avg: 83.1
73.8353
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where JOSE NAVARRETE, M.D. 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.

THE EMORY CLINIC INC
ATLANTA, 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 NAVARRETE, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$46

Largest payer

Travere Therapeutics, Inc.

Most common payment type

Education

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 NAVARRETE, M.D. — brand share 10.0%
Specialty average (est.)

10% brand-name claims vs 90% generic, on 545 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.

545
Total Claims
$99K
Total Drug Cost
90
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,095
Total Day Supply
31,887
Brand vs Generic
10% brand / 90% generic
Brand Drug Cost
$74K
Generic Drug Cost
$26K
Antibiotic Claims
17

Patient Demographics

Average Patient Age
68.6 years
Avg HCC Risk Score
3.46
Gender Split
39% female / 61% male
Age Distribution
<65: 25, 65-74: 35, 75-84: N/A, 85+: N/A

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Furosemide
91
Amlodipine Besylate
54
Losartan Potassium
43
Nifedipine Er
Nifedipine
30
Calcium Acetate
22
Prednisone
20
Pantoprazole Sodium
18
Farxiga
Dapagliflozin Propanediol
17
Spironolactone
17
Metoprolol Succinate
15

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

Nephrology Physician Overview

How JOSE NAVARRETE, M.D. fits within the Nephrology Physician landscape nationally.

10,534
Nephrology Physician Providers in US
55
States with Nephrology Physician
1,454
Avg Claims per Provider

JOSE NAVARRETE, M.D.'s 545 claims are below the specialty average of 1,454.

Nearby Nephrology Physician Providers in Georgia

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

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

Frequently Asked Questions

What is JOSE NAVARRETE, M.D.'s specialty?
JOSE NAVARRETE, M.D. specializes in Nephrology Physician and practices in ATLANTA, Georgia. Credentials: M.D..
How much does JOSE NAVARRETE, M.D. prescribe under Medicare Part D?
In 2023, JOSE NAVARRETE, M.D. wrote 545 Medicare Part D claims totaling $99K in drug costs for 90 beneficiaries.
What is JOSE NAVARRETE, M.D.'s Medicare quality score?
JOSE NAVARRETE, M.D. has a CMS MIPS Final Score of 92.2614/100 (Quality: 73.8353). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is JOSE NAVARRETE, M.D. located?
JOSE NAVARRETE, M.D. is located at 550 PEACHTREE ST NE FL 7, ATLANTA, GA, 30308. Phone: (404) 686-5038.
What is JOSE NAVARRETE, M.D.'s NPI number?
JOSE NAVARRETE, M.D.'s National Provider Identifier (NPI) is 1952312837, issued on 08/10/2006.
Does JOSE NAVARRETE, M.D. prescribe more brand-name or generic drugs?
JOSE NAVARRETE, M.D.'s prescribing is 10% brand-name and 90% generic drugs by claim count, with $74K in brand drug costs.
How many Nephrology Physician providers are there in the US?
There are 10,534 Nephrology Physician providers across 55 states in the US. The average Nephrology Physician provider writes 1,454 Medicare Part D claims per year.
What drugs does JOSE NAVARRETE, M.D. prescribe most often?
Based on 2023 Medicare Part D data, JOSE NAVARRETE, M.D.'s most frequently prescribed drugs include Furosemide, Amlodipine Besylate, Losartan Potassium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JOSE NAVARRETE, M.D. accept Medicare?
JOSE NAVARRETE, M.D. appears in CMS Medicare data with 545 Part D claims and 90 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JOSE NAVARRETE, M.D.'s credentials?
JOSE NAVARRETE, M.D.'s NPI is 1952312837 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