2026 NPPES data Gastroenterology Physician NPI 1861842601 M.D.
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JOSE RUIZ, M.D.

Gastroenterology Physician in MIAMI, 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
26
Medicare Part D claims · 15 beneficiaries · Gastroenterology Physician avg: 833
MIPS score
85.4852/100
▲ 2 pts above national avg 83.1 · [object Object]
Industry payments
$742.07
32 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

JOSE RUIZ, M.D. reported a CMS MIPS final score of 85.4852/100 — above the 83.1 national average — and filed 26 Medicare Part D claims in 2023.

85.4852/100
MIPS score · +2 vs avg
26
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 RUIZ, 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

85 49th percentile higher than 49% 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 RUIZ, 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 RUIZ, M.D.?

High performer (top quartile)

NPI registry status

Active

Issued 06/13/2016

NPI 1861842601

Primary specialty

Gastroenterology Physician

Mid-sized

16,567 US NPIs in this specialty

Medicare Part D claims

26 97% vs specialty avg

2023 prescription claims

Specialty avg: 833

MIPS final score

85.4852/100 2.3852000000000118% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Florida

How Gastroenterology Physician compares to other specialties among Florida providers

Florida providers

Gastroenterology Physician share within Florida

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

Medicare quality performance — MIPS

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

High performer (top quartile)
MIPS Final Score
85.4852/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Gastroenterology Physician) — 85.4852/100 vs national avg 83.1

0%100%National avg83%85.5%
MIPS final score (Gastroenterology Physician) — 85.4852/100 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 RUIZ, M.D. appears in the CMS NPPES registry as a Gastroenterology Physician provider holding M.D. credentials at 8950 N KENDALL DR STE 306W, MIAMI, FL, 33176, with a listed phone of (305) 596-9966. NPI 1861842601 was issued on 06/13/2016. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what RUIZ 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 26 prescription claims written by this provider, covering 15 Medicare beneficiaries and totaling roughly $2K in drug spend. 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 85.4852/100 for the 2023 performance year (Quality 73.6095), compared with the national average of 83.1.

Gastroenterology Physician is a mid-sized specialty nationwide, with 16,567 enrolled providers across 54 states and an average of 833 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

8950 N KENDALL DR STE 306W
MIAMI, FL 33176

Provider Details

NPI 1861842601
Specialty Gastroenterology Physician
Credentials M.D.
Gender Male
NPI Issued 06/13/2016

CMS Quality Score (MIPS)

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

85.4852
Final Score
Avg: 83.1
73.6095
Quality
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where JOSE RUIZ, 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.

GASTRO HEALTH, LLC
MIAMI, FL

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

Total received

$742

Largest payer

Madrigal Pharmaceuticals

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 RUIZ, M.D.. To verify JOSE RUIZ, 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.

26
Total Claims
$2K
Total Drug Cost
15
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
34
Total Day Supply
692
Generic Drug Cost
$841

Patient Demographics

Average Patient Age
71.9 years
Avg HCC Risk Score
1.87

Gastroenterology Physician Overview

How JOSE RUIZ, M.D. fits within the Gastroenterology Physician landscape nationally.

16,567
Gastroenterology Physician Providers in US
54
States with Gastroenterology Physician
833
Avg Claims per Provider

JOSE RUIZ, M.D.'s 26 claims are below the specialty average of 833.

Nearby Gastroenterology Physician Providers in Florida

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

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

Frequently Asked Questions

What is JOSE RUIZ, M.D.'s specialty?
JOSE RUIZ, M.D. specializes in Gastroenterology Physician and practices in MIAMI, Florida. Credentials: M.D..
How much does JOSE RUIZ, M.D. prescribe under Medicare Part D?
In 2023, JOSE RUIZ, M.D. wrote 26 Medicare Part D claims totaling $2K in drug costs for 15 beneficiaries.
What is JOSE RUIZ, M.D.'s Medicare quality score?
JOSE RUIZ, M.D. has a CMS MIPS Final Score of 85.4852/100 (Quality: 73.6095). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is JOSE RUIZ, M.D. located?
JOSE RUIZ, M.D. is located at 8950 N KENDALL DR STE 306W, MIAMI, FL, 33176. Phone: (305) 596-9966.
What is JOSE RUIZ, M.D.'s NPI number?
JOSE RUIZ, M.D.'s National Provider Identifier (NPI) is 1861842601, issued on 06/13/2016.
How many Gastroenterology Physician providers are there in the US?
There are 16,567 Gastroenterology Physician providers across 54 states in the US. The average Gastroenterology Physician provider writes 833 Medicare Part D claims per year.
Does JOSE RUIZ, M.D. accept Medicare?
JOSE RUIZ, M.D. appears in CMS Medicare data with 26 Part D claims and 15 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JOSE RUIZ, M.D.'s credentials?
JOSE RUIZ, M.D.'s NPI is 1861842601 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