2026 NPPES data Pulmonary Disease Physician NPI 1013098862 MD
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JOSE PINAL, MD

Pulmonary Disease Physician in UNION CITY, New Jersey. 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
17K
Medicare Part D claims · 268 beneficiaries · Pulmonary Disease Physician avg: 1K
Generic prescribing
79%
generic claims · 21% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$654.09
23 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

JOSE PINAL, MD filed 16,677 Medicare Part D claims in 2023 as a Pulmonary Disease Physician in UNION CITY, New Jersey, prescribing 79% generic.

17K
Part D claims, 2023
79%
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 PINAL, MD's Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

16,677 Top 2% higher than 98% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). Below this entry. 400–600: 90,619 prescribers (7%). Below this entry. 600–800: 56,224 prescribers (4%). Below this entry. 800–1,000: 40,919 prescribers (3%). Below this entry. 1,000–1,200: 31,827 prescribers (2%). Below this entry. 1,200–1,400: 26,224 prescribers (2%). Below this entry. 1,400–1,600: 21,710 prescribers (2%). Below this entry. 1,600–1,800: 19,072 prescribers (1%). Below this entry. 1,800–2,000: 16,451 prescribers (1%). Below this entry. 2,000–2,200: 213,991 prescribers (16%). This entry sits in this band. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

Each bar is a band; taller bars hold more prescribers. 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 Medicare Part D Prescriber Public Use File · 2023

Board certification likely (heuristic — not verified)

JOSE PINAL, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 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 PINAL, MD?

Quality data not reported

NPI registry status

Active

Issued 10/18/2006

NPI 1013098862

Primary specialty

Pulmonary Disease Physician

Mid-sized

9,271 US NPIs in this specialty

Medicare Part D claims

16,677 1045% vs specialty avg

2023 prescription claims

Specialty avg: 1,457

Specialty distribution in New Jersey

How Pulmonary Disease Physician compares to other specialties among New Jersey providers

New Jersey providers

Pulmonary Disease Physician share within New Jersey

1. Pulmonary Disease Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Pulmonary Disease Physician share within New Jersey

Specialty board-certification context

Estimated specialty board-certified rate — Pulmonary Disease Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Pulmonary Disease Physician ABMS/AOA estimate

Est. board-certified rate (Pulmonary Disease Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Pulmonary Disease Physician) — ABMS / AOA estimate

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 PINAL, MD appears in the CMS NPPES registry as a Pulmonary Disease Physician provider holding MD credentials at 526 42ND ST, UNION CITY, NJ, 07087, with a listed phone of (201) 865-9195. NPI 1013098862 was issued on 10/18/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what PINAL 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 16,677 prescription claims written by this provider, covering 268 Medicare beneficiaries and totaling roughly $1.9 million in drug spend, split 21% brand-name and 79% generic by claim count, with an opioid prescribing rate of 0.5%. 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.

Pulmonary Disease Physician is a mid-sized specialty nationwide, with 9,271 enrolled providers across 53 states and an average of 1,457 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

526 42ND ST
UNION CITY, NJ 07087

Provider Details

NPI 1013098862
Specialty Pulmonary Disease Physician
Credentials MD
Gender Male
NPI Issued 10/18/2006

Hospital and facility affiliations

Facilities where JOSE PINAL, 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.

NEW JERSEY MEDICAL AND HEALTH ASSOCIATES,LLC
JERSEY CITY, NJ

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 PINAL, MD. Source: openpaymentsdata.cms.gov.

Total received

$654

Largest payer

GlaxoSmithKline, LLC.

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 PINAL, MD — brand share 21.0%
Specialty average (est.)

21% brand-name claims vs 79% generic, on 16,677 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.

16,677
Total Claims
$1.9M
Total Drug Cost
268
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
18,591
Total Day Supply
486,415
Brand vs Generic
21% brand / 79% generic
Brand Drug Cost
$1.6M
Generic Drug Cost
$365K
Opioid Claims
81 (0.5% rate)
Antibiotic Claims
307

Patient Demographics

Average Patient Age
77.5 years
Avg HCC Risk Score
2.08
Gender Split
60% female / 40% male
Age Distribution
<65: 27, 65-74: 74, 75-84: 98, 85+: 69

Top Prescribed Drugs (Medicare Part D)

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

What JOSE PINAL, 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
Atorvastatin Calcium
561
Metformin Hcl
433
Levocetirizine Dihydrochloride
394
Albuterol Sulfate Hfa
Albuterol Sulfate
386
Montelukast Sodium
384
Amlodipine Besylate
377
Omeprazole
340
Alprazolam
335
Fluticasone Propionate
325
Mirtazapine
303

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

Pulmonary Disease Physician Overview

How JOSE PINAL, MD fits within the Pulmonary Disease Physician landscape nationally.

9,271
Pulmonary Disease Physician Providers in US
53
States with Pulmonary Disease Physician
1,457
Avg Claims per Provider

JOSE PINAL, MD's 16,677 claims are above the specialty average of 1,457.

Nearby Pulmonary Disease Physician Providers in New Jersey

Other clinicians with the same primary specialty enrolled in New Jersey, drawn from the same CMS NPPES roster as PINAL.

Compare Pulmonary Disease Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is JOSE PINAL, MD's specialty?
JOSE PINAL, MD specializes in Pulmonary Disease Physician and practices in UNION CITY, New Jersey. Credentials: MD.
How much does JOSE PINAL, MD prescribe under Medicare Part D?
In 2023, JOSE PINAL, MD wrote 16,677 Medicare Part D claims totaling $1.9M in drug costs for 268 beneficiaries.
Where is JOSE PINAL, MD located?
JOSE PINAL, MD is located at 526 42ND ST, UNION CITY, NJ, 07087. Phone: (201) 865-9195.
What is JOSE PINAL, MD's NPI number?
JOSE PINAL, MD's National Provider Identifier (NPI) is 1013098862, issued on 10/18/2006.
Does JOSE PINAL, MD prescribe more brand-name or generic drugs?
JOSE PINAL, MD's prescribing is 21% brand-name and 79% generic drugs by claim count, with $1.6M in brand drug costs.
Does JOSE PINAL, MD prescribe opioids?
Yes, JOSE PINAL, MD had 81 opioid claims in 2023 with an opioid prescribing rate of 0.5%.
How many Pulmonary Disease Physician providers are there in the US?
There are 9,271 Pulmonary Disease Physician providers across 53 states in the US. The average Pulmonary Disease Physician provider writes 1,457 Medicare Part D claims per year.
What drugs does JOSE PINAL, MD prescribe most often?
Based on 2023 Medicare Part D data, JOSE PINAL, MD's most frequently prescribed drugs include Atorvastatin Calcium, Metformin Hcl, Levocetirizine Dihydrochloride. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JOSE PINAL, MD accept Medicare?
JOSE PINAL, MD appears in CMS Medicare data with 16,677 Part D claims and 268 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JOSE PINAL, MD's credentials?
JOSE PINAL, MD's NPI is 1013098862 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.
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