2026 NPPES data Family Medicine Physician NPI 1366400681 M.D.
Verify on CMS →

Joseph Jimenez, M.D.

Family Medicine Physician in Trinidad, Colorado.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 147,760 in Family Medicine Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.

Federal data, no proprietary rating. We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
6K
Medicare Part D claims · 282 beneficiaries · Family Medicine Physician avg: 3K
Generic prescribing
91%
generic claims · 8% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
69.9/100
▼ 14 pts below national avg 83.5 · Mid-tier
Industry payments
$215.13
12 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

Joseph Jimenez, M.D. reported a CMS MIPS final score of 69.9/100 - below the 83.5 national average - and filed 5,556 Medicare Part D claims in 2023.

69.9/100
MIPS score · -14 vs avg
6K
Part D claims, 2023
91%
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.

CMS NPPES provider registry desk

NPI 1366400681 · Family Medicine Physician

NPI-10 · ENUM-LEGACY · TAX-MEGA · MIPS-LOW · RX-MID · BOOK-LIGHT · PHOTO-FINISH

  • NPI-10 1366400681
  • ENUM-LEGACY 2006
  • TAX-MEGA 148K Family Medicine
  • MIPS-LOW 69.9/100
  • RX-MID 5,556
  • BOOK-LIGHT 3,367 in Colorado
  • PHOTO-FINISH Thomas Carter · ±0.0

MIPS final-score neighbourhood

Same-specialty nationwide peers by CMS final score, not geographic proximity

MIPS pts

What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).

Source CMS Quality Payment Program (MIPS) As of 2023

Joseph Jimenez, M.D.'s MIPS score vs every measured U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.

70 ≥ 8th percentile 8% of 454,083 measured providers are in lower value bands

0–10: 8,684 measured providers (2%). Below this entry. 10–20: 3,008 measured providers (1%). Below this entry. 20–30: 3,069 measured providers (1%). Below this entry. 30–40: 2,746 measured providers (1%). Below this entry. 40–50: 2,928 measured providers (1%). Below this entry. 50–60: 5,882 measured providers (1%). Below this entry. 60–70: 13,906 measured providers (3%). This entry sits in this band. 70–80: 94,570 measured providers (21%). Above this entry. 80–90: 129,887 measured providers (29%). Above this entry. 90+: 189,403 measured providers (42%). Above this entry. This provider 0 100 every measured MIPS clinician, bucketed by value

Each bar is a band; taller bars hold more measured 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.

The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Where Joseph Jimenez, M.D. sits

This provider among family medicine physician peers

Across the 21,266 family medicine physician providers who report both Medicare Part D prescribing and a MIPS quality score, Joseph Jimenez, M.D. writes more Part D claims than 71% of them and scores higher on MIPS quality than 11% - placing this provider in the high-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality02550751000255075100Part D claim volume, percentile in specialtyMIPS quality, percentilePoint, Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 82Point, Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 47Point, Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 68Point, Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 60Point, Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 77Point, Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 35Point, Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 80Point, Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 90Point, Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 38Point, Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 63Point, Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 58Point, Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 42Point, Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 22Point, Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 15Point, Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 98Point, Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 20Point, Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 13Point, Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 33Point, Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 43Point, Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 12Point, Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 72Point, Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 17Point, Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 2Point, Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 10Point, Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 73Point, Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 87Point, Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 3Point, Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 40Point, Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 25Point, Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 97Point, Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 50Point, Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 78Point, Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 7Point, Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 62Point, Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 27Point, Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 30Point, Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 23Point, Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 50Point, Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 17Point, Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 48Point, Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 32Point, Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 8Point, Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 28Point, Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 45Point, Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 82Point, Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 98Point, Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 68Point, Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 73Point, Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 50Point, Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 55Point, Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 63Point, Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 87Point, Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 57Point, Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 67Point, Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 37Joseph Jimenez, M.D., Part D claim volume, percentile in specialty: 71 · MIPS quality, percentile: 11
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one family medicine physician peer from a representative sample of 60; the gold marker is Joseph Jimenez, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

Board certification likely (heuristic, not verified)

Joseph Jimenez, 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 Joseph Jimenez, M.D.?

Below national average

NPI registry status

Active

Issued 05/03/2006

NPI 1366400681

Primary specialty

Family Medicine Physician

High-volume

147,760 US NPIs in this specialty

Medicare Part D claims

5,556 63% vs specialty avg

2023 prescription claims

Specialty avg: 3,418

MIPS final score

69.9/100 13.6 pts vs avg

Mid-tier band

vs 83.5 national avg

Specialty distribution in Colorado

How Family Medicine Physician compares to other specialties among Colorado providers

Colorado providers
Behavior Technician7.8%Mental Health Counselor6.2%Physical Therapist4.2%Clinical Social Worker4.2%Professional Counselor3.7%Registered Nurse3.6%Family Medicine Physician2.3%
Largest specialties in Colorado (% of in-state providers)

Medicare quality performance, MIPS

Joseph Jimenez, M.D.'s 2023 MIPS final score plotted against the Family Medicine Physician national average

Below national average
MIPS Final Score
69.9/100
vs 83.5 national avg · 2023 performance year
0%100%National avg84%69.9%
MIPS final score (Family Medicine Physician) - 69.9/100 vs national avg 83.5
How MIPS and board certification work

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).

Practice Address

400 BENEDICTA AVE
Trinidad, CO 81082

Provider Details

NPI 1366400681
Specialty Family Medicine Physician
Credentials M.D.
Gender Male
NPI Issued 05/03/2006

CMS Quality Score (MIPS)

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

69.8615
Final Score
Measured-score avg: 83.5
77.0425
Quality
15.83
Cost
95
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where Joseph Jimenez, 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.

Trinidad Area Health Association
Trinidad, CO

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 Joseph Jimenez, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$215

Largest payer

Amgen 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 · Generic-heavy

Joseph Jimenez, M.D. - brand share 8.0%
Family Medicine Physician average

8% brand-name claims vs 91% generic, on 5,556 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.

5,556
Total Claims
$443K
Total Drug Cost
282
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
11,532
Total Day Supply
338,457
Brand vs Generic
8% brand / 91% generic
Brand Drug Cost
$334K
Generic Drug Cost
$106K
Opioid Claims
379 (6.8% rate)
Antibiotic Claims
110

Patient Demographics

Average Patient Age
73.1 years
Avg HCC Risk Score
1.07
Gender Split
50% female / 50% male
Age Distribution
<65: 26, 65-74: 144, 75-84: 76, 85+: 36

Top Prescribed Drugs (Medicare Part D)

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

What Joseph Jimenez, 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
Atorvastatin Calcium
256
Levothyroxine Sodium
192
Metformin Hcl
184
Lisinopril
182
Omeprazole
141
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
139
Lorazepam
128
Simvastatin
120
Losartan Potassium
116
Allopurinol
111

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

Family Medicine Physician Overview

How Joseph Jimenez, M.D. fits within the Family Medicine Physician landscape nationally.

147,760
Family Medicine Physician Providers in US
56
States with Family Medicine Physician
3,418
Avg Claims per Provider

Joseph Jimenez, M.D.'s 5,556 claims are above the specialty average of 3,418.

Nationwide Family Medicine Physician peers with similar MIPS or enrollment year

Two federal-record peer sets for Jimenez, both outside Colorado so the neighborhoods are not geographic containment.

Similar MIPS final score

Nearest same-specialty clinicians by CMS MIPS final score (69.9 here).

Same NPPES enumeration year (2006)

Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.

Nearby Family Medicine Physician Providers in Colorado

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

One of 3,367 Family Medicine Physician providers enrolled in Colorado, 5 are shown here.

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

Frequently Asked Questions

What is Joseph Jimenez, M.D.'s specialty?
Joseph Jimenez, M.D. specializes in Family Medicine Physician and practices in Trinidad, Colorado. Credentials: M.D..
How much does Joseph Jimenez, M.D. prescribe under Medicare Part D?
In 2023, Joseph Jimenez, M.D. wrote 5,556 Medicare Part D claims totaling $443K in drug costs for 282 beneficiaries.
What is Joseph Jimenez, M.D.'s Medicare quality score?
Joseph Jimenez, M.D. has a CMS MIPS Final Score of 69.9/100 (Quality: 77, Cost: 15.8). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Joseph Jimenez, M.D. located?
Joseph Jimenez, M.D. is located at 400 BENEDICTA AVE, Trinidad, CO, 81082. Phone: (719) 846-2206.
What is Joseph Jimenez, M.D.'s NPI number?
Joseph Jimenez, M.D.'s National Provider Identifier (NPI) is 1366400681, issued on 05/03/2006.
Does Joseph Jimenez, M.D. prescribe more brand-name or generic drugs?
Joseph Jimenez, M.D.'s prescribing is 8% brand-name and 91% generic drugs by claim count, with $334K in brand drug costs.
Does Joseph Jimenez, M.D. prescribe opioids?
Yes, Joseph Jimenez, M.D. had 379 opioid claims in 2023 with an opioid prescribing rate of 6.8%.
How many Family Medicine Physician providers are there in the US?
There are 147,760 Family Medicine Physician providers across 56 states in the US. The average Family Medicine Physician provider writes 3,418 Medicare Part D claims per year.
What drugs does Joseph Jimenez, M.D. prescribe most often?
Based on 2023 Medicare Part D data, Joseph Jimenez, M.D.'s most frequently prescribed drugs include Atorvastatin Calcium, Levothyroxine Sodium, Metformin Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Joseph Jimenez, M.D. accept Medicare?
Joseph Jimenez, M.D. appears in CMS Medicare data with 5,556 Part D claims and 282 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Joseph Jimenez, M.D.'s credentials?
Joseph Jimenez, M.D.'s NPI is 1366400681 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

View source datasets and methodology notes
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

Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of May 2026.