2026 NPPES data Pulmonary Disease Physician NPI 1326093519 M.D.,
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JUAN GOMEZ, M.D.,

Pulmonary Disease Physician in MCALLEN, Texas. 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
4K
Medicare Part D claims · 588 beneficiaries · Pulmonary Disease Physician avg: 1K
Generic prescribing
46%
generic claims · 54% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
75/100
▼ 8 pts below national avg 83.1 · [object Object]
Industry payments
$408.28
15 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

JUAN GOMEZ, M.D., reported a CMS MIPS final score of 75/100 — below the 83.1 national average — and filed 3,733 Medicare Part D claims in 2023.

75/100
MIPS score · -8 vs avg
4K
Part D claims, 2023
46%
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.

JUAN GOMEZ, 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

75 15th percentile higher than 15% 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%). This entry sits in this band. 80–90: 129,887 scored providers (27%). Above this entry. 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)

JUAN GOMEZ, 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 JUAN GOMEZ, M.D.,?

Below national average

NPI registry status

Active

Issued 05/24/2006

NPI 1326093519

Primary specialty

Pulmonary Disease Physician

Mid-sized

9,271 US NPIs in this specialty

Medicare Part D claims

3,733 156% vs specialty avg

2023 prescription claims

Specialty avg: 1,457

MIPS final score

75/100 8.099999999999994% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Texas

How Pulmonary Disease Physician compares to other specialties among Texas providers

Texas providers

Pulmonary Disease Physician share within Texas

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

Medicare quality performance — MIPS

JUAN GOMEZ, M.D.,'s 2023 MIPS final score plotted against the Pulmonary Disease Physician national average

Below national average
MIPS Final Score
75/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Pulmonary Disease Physician) — 75/100 vs national avg 83.1

0%100%National avg83%75%
MIPS final score (Pulmonary Disease Physician) — 75/100 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).

JUAN GOMEZ, M.D., appears in the CMS NPPES registry as a Pulmonary Disease Physician provider holding M.D., credentials at 1200 E SAVANNAH AVE, MCALLEN, TX, 78503, with a listed phone of (956) 688-6300. NPI 1326093519 was issued on 05/24/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what GOMEZ 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 3,733 prescription claims written by this provider, covering 588 Medicare beneficiaries and totaling roughly $2.1 million in drug spend, split 54% brand-name and 46% 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 75/100 for the 2023 performance year, compared with the national average of 83.1.

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

1200 E SAVANNAH AVE
MCALLEN, TX 78503

Provider Details

NPI 1326093519
Specialty Pulmonary Disease Physician
Credentials M.D.,
Gender Male
NPI Issued 05/24/2006

CMS Quality Score (MIPS)

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

75
Final Score
Avg: 83.1

Reporting: Individual

Hospital and facility affiliations

Facilities where JUAN GOMEZ, 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.

VALLEY INTENSIVISTS, PULMONOLOGISTS AND SLEEP SPECIALISTS, P.L.L.C.
MCALLEN, TX

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 JUAN GOMEZ, M.D.,. Source: openpaymentsdata.cms.gov.

Total received

$408

Largest payer

Pulmonx Corporation

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 — Texas TMB 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 ~77K Texas medical licensees in 2023 — they are NOT specific to JUAN GOMEZ, M.D.,. To verify JUAN GOMEZ, M.D.,'s current license status, search the TMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

344
Total board actions, Texas 2023
Across 334 cases
4.47
Actions per 1,000 licensees
Texas statewide rate
probation
Most common action type
94 cases

TMB 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 Texas disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Brand-heavy

JUAN GOMEZ, M.D., — brand share 54.0%
Specialty average (est.)

54% brand-name claims vs 46% generic, on 3,733 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.

3,733
Total Claims
$2.1M
Total Drug Cost
588
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
5,119
Total Day Supply
146,632
Brand vs Generic
54% brand / 46% generic
Brand Drug Cost
$2.0M
Generic Drug Cost
$52K
Antibiotic Claims
58

Patient Demographics

Average Patient Age
74.1 years
Avg HCC Risk Score
2.77
Gender Split
62% female / 38% male
Age Distribution
<65: 70, 65-74: 234, 75-84: 211, 85+: 73

Top Prescribed Drugs (Medicare Part D)

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

What JUAN GOMEZ, 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
Trelegy Ellipta
Fluticasone/Umeclidin/Vilanter
638
Montelukast Sodium
505
Albuterol Sulfate Hfa
Albuterol Sulfate
499
Fluticasone Propionate
383
Breo Ellipta
Fluticasone/Vilanterol
286
Ventolin Hfa
Albuterol Sulfate
122
Breztri Aerosphere
Budesonide/Glycopyr/Formoterol
95
Symbicort
Budesonide/Formoterol Fumarate
94
Nucala
Mepolizumab
88
Advair Hfa
Fluticasone Propion/Salmeterol
78

* 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 JUAN GOMEZ, M.D., 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

JUAN GOMEZ, M.D.,'s 3,733 claims are above the specialty average of 1,457.

Nearby Pulmonary Disease Physician Providers in Texas

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

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

Frequently Asked Questions

What is JUAN GOMEZ, M.D.,'s specialty?
JUAN GOMEZ, M.D., specializes in Pulmonary Disease Physician and practices in MCALLEN, Texas. Credentials: M.D.,.
How much does JUAN GOMEZ, M.D., prescribe under Medicare Part D?
In 2023, JUAN GOMEZ, M.D., wrote 3,733 Medicare Part D claims totaling $2.1M in drug costs for 588 beneficiaries.
What is JUAN GOMEZ, M.D.,'s Medicare quality score?
JUAN GOMEZ, M.D., has a CMS MIPS Final Score of 75/100. The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is JUAN GOMEZ, M.D., located?
JUAN GOMEZ, M.D., is located at 1200 E SAVANNAH AVE, MCALLEN, TX, 78503. Phone: (956) 688-6300.
What is JUAN GOMEZ, M.D.,'s NPI number?
JUAN GOMEZ, M.D.,'s National Provider Identifier (NPI) is 1326093519, issued on 05/24/2006.
Does JUAN GOMEZ, M.D., prescribe more brand-name or generic drugs?
JUAN GOMEZ, M.D.,'s prescribing is 54% brand-name and 46% generic drugs by claim count, with $2.0M in brand drug costs.
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 JUAN GOMEZ, M.D., prescribe most often?
Based on 2023 Medicare Part D data, JUAN GOMEZ, M.D.,'s most frequently prescribed drugs include Trelegy Ellipta, Montelukast Sodium, Albuterol Sulfate Hfa. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JUAN GOMEZ, M.D., accept Medicare?
JUAN GOMEZ, M.D., appears in CMS Medicare data with 3,733 Part D claims and 588 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JUAN GOMEZ, M.D.,'s credentials?
JUAN GOMEZ, M.D.,'s NPI is 1326093519 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