2026 NPPES data Internal Medicine Physician NPI 1225590821 MD
Verify on CMS →

JOSE RIVERA SEPULVEDA, MD

Internal Medicine Physician in STATESBORO, 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
22K
Medicare Part D claims · 245 beneficiaries · Internal Medicine Physician avg: 3K
Generic prescribing
90%
generic claims · 10% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$104.58
1 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

JOSE RIVERA SEPULVEDA, MD filed 21,893 Medicare Part D claims in 2023 as a Internal Medicine Physician in STATESBORO, Georgia, prescribing 90% generic.

22K
Part D claims, 2023
90%
generic prescribing
$104.58
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 RIVERA SEPULVEDA, MD's Medicare Part D volume vs every U.S. prescriber

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

21,893 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-eligible specialty (heuristic — not verified)

JOSE RIVERA SEPULVEDA, MD practices in an ABMS-board-eligible specialty but we don't have enough CMS-participation signals to confirm active board-certified status. Consult CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about JOSE RIVERA SEPULVEDA, MD?

Quality data not reported

NPI registry status

Active

Issued 04/02/2019

NPI 1225590821

Primary specialty

Internal Medicine Physician

High-volume

172,858 US NPIs in this specialty

Medicare Part D claims

21,893 706% vs specialty avg

2023 prescription claims

Specialty avg: 2,716

Specialty distribution in Georgia

How Internal Medicine Physician compares to other specialties among Georgia providers

Georgia providers

Internal Medicine Physician share within Georgia

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

Specialty board-certification context

Estimated specialty board-certified rate — Internal Medicine Physician (ABMS / AOA reference)

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

Est. board-certified rate (Internal Medicine Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Internal Medicine 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 RIVERA SEPULVEDA, MD appears in the CMS NPPES registry as a Internal Medicine Physician provider holding MD credentials at 405 S COLLEGE ST, STATESBORO, GA, 30458, with a listed phone of (478) 621-2072. NPI 1225590821 was issued on 04/02/2019. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what RIVERA SEPULVEDA 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 21,893 prescription claims written by this provider, covering 245 Medicare beneficiaries and totaling roughly $540K in drug spend, split 10% brand-name and 90% generic by claim count, with an opioid prescribing rate of 2.3%. 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.

Internal Medicine Physician is a high-volume specialty nationwide, with 172,858 enrolled providers across 56 states and an average of 2,716 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

405 S COLLEGE ST
STATESBORO, GA 30458

Provider Details

NPI 1225590821
Specialty Internal Medicine Physician
Credentials MD
Gender Male
NPI Issued 04/02/2019

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 RIVERA SEPULVEDA, MD. Source: openpaymentsdata.cms.gov.

Total received

$105

Largest payer

Travere Therapeutics, 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 RIVERA SEPULVEDA, MD — brand share 10.0%
Specialty average (est.)

10% brand-name claims vs 90% generic, on 21,893 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.

21,893
Total Claims
$540K
Total Drug Cost
245
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
21,905
Total Day Supply
175,078
Brand vs Generic
10% brand / 90% generic
Brand Drug Cost
$302K
Generic Drug Cost
$237K
Opioid Claims
498 (2.3% rate)
Antibiotic Claims
210

Patient Demographics

Average Patient Age
73.7 years
Avg HCC Risk Score
2.68
Gender Split
68% female / 32% male
Age Distribution
<65: 48, 65-74: 82, 75-84: 69, 85+: 46

Top Prescribed Drugs (Medicare Part D)

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

What JOSE RIVERA SEPULVEDA, 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
Rosuvastatin Calcium
1,176
Furosemide
868
Gabapentin
738
Amlodipine Besylate
703
Potassium Chloride
702
Omeprazole
665
Famotidine
607
Losartan Potassium
574
Levothyroxine Sodium
550
Escitalopram Oxalate
514

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

Internal Medicine Physician Overview

How JOSE RIVERA SEPULVEDA, MD fits within the Internal Medicine Physician landscape nationally.

172,858
Internal Medicine Physician Providers in US
56
States with Internal Medicine Physician
2,716
Avg Claims per Provider

JOSE RIVERA SEPULVEDA, MD's 21,893 claims are above the specialty average of 2,716.

Nearby Internal Medicine Physician Providers in Georgia

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

Compare Internal Medicine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is JOSE RIVERA SEPULVEDA, MD's specialty?
JOSE RIVERA SEPULVEDA, MD specializes in Internal Medicine Physician and practices in STATESBORO, Georgia. Credentials: MD.
How much does JOSE RIVERA SEPULVEDA, MD prescribe under Medicare Part D?
In 2023, JOSE RIVERA SEPULVEDA, MD wrote 21,893 Medicare Part D claims totaling $540K in drug costs for 245 beneficiaries.
Where is JOSE RIVERA SEPULVEDA, MD located?
JOSE RIVERA SEPULVEDA, MD is located at 405 S COLLEGE ST, STATESBORO, GA, 30458. Phone: (478) 621-2072.
What is JOSE RIVERA SEPULVEDA, MD's NPI number?
JOSE RIVERA SEPULVEDA, MD's National Provider Identifier (NPI) is 1225590821, issued on 04/02/2019.
Does JOSE RIVERA SEPULVEDA, MD prescribe more brand-name or generic drugs?
JOSE RIVERA SEPULVEDA, MD's prescribing is 10% brand-name and 90% generic drugs by claim count, with $302K in brand drug costs.
Does JOSE RIVERA SEPULVEDA, MD prescribe opioids?
Yes, JOSE RIVERA SEPULVEDA, MD had 498 opioid claims in 2023 with an opioid prescribing rate of 2.3%.
How many Internal Medicine Physician providers are there in the US?
There are 172,858 Internal Medicine Physician providers across 56 states in the US. The average Internal Medicine Physician provider writes 2,716 Medicare Part D claims per year.
What drugs does JOSE RIVERA SEPULVEDA, MD prescribe most often?
Based on 2023 Medicare Part D data, JOSE RIVERA SEPULVEDA, MD's most frequently prescribed drugs include Rosuvastatin Calcium, Furosemide, Gabapentin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JOSE RIVERA SEPULVEDA, MD accept Medicare?
JOSE RIVERA SEPULVEDA, MD appears in CMS Medicare data with 21,893 Part D claims and 245 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JOSE RIVERA SEPULVEDA, MD's credentials?
JOSE RIVERA SEPULVEDA, MD's NPI is 1225590821 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