2026 NPPES data Adolescent Medicine (Family Medicine) Physician NPI 1942644398 D.O.
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JUSEL RUELAN, D.O.

Adolescent Medicine (Family Medicine) Physician in FRESNO, California. 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
30
Medicare Part D claims · 12 beneficiaries · Adolescent Medicine (Family Medicine) Physician avg: 3K
MIPS score
72.7396/100
▼ 10 pts below national avg 83.1 · [object Object]
Industry payments
$19.5
1 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

JUSEL RUELAN, D.O. reported a CMS MIPS final score of 72.7396/100 — below the 83.1 national average — and filed 30 Medicare Part D claims in 2023.

72.7396/100
MIPS score · -10 vs avg
30
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.

JUSEL RUELAN, D.O.'s MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

73 10th percentile higher than 10% 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)

JUSEL RUELAN, D.O. 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 JUSEL RUELAN, D.O.?

Below national average

NPI registry status

Active

Issued 04/27/2013

NPI 1942644398

Primary specialty

Adolescent Medicine (Family Medicine) Physician

Rare

261 US NPIs in this specialty

Medicare Part D claims

30 99% vs specialty avg

2023 prescription claims

Specialty avg: 2,881

MIPS final score

72.7396/100 10.360399999999998% pts

Mid-tier band

vs 83.1 national avg

Specialty distribution in California

How Adolescent Medicine (Family Medicine) Physician compares to other specialties among California providers

California providers

Adolescent Medicine (Family Medicine) Physician share within California

1. Adolescent Medicine (Family Medicine) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Adolescent Medicine (Family Medicine) Physician share within California

Medicare quality performance — MIPS

JUSEL RUELAN, D.O.'s 2023 MIPS final score plotted against the Adolescent Medicine (Family Medicine) Physician national average

Below national average
MIPS Final Score
72.7396/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Adolescent Medicine (Family Medicine) Physician) — 72.7396/100 vs national avg 83.1

0%100%National avg83%72.7%
MIPS final score (Adolescent Medicine (Family Medicine) Physician) — 72.7396/100 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).

JUSEL RUELAN, D.O. appears in the CMS NPPES registry as a Adolescent Medicine (Family Medicine) Physician provider holding D.O. credentials at 290 N WAYTE LN, FRESNO, CA, 93701, with a listed phone of (559) 459-5700. NPI 1942644398 was issued on 04/27/2013. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what RUELAN 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 30 prescription claims written by this provider, covering 12 Medicare beneficiaries and totaling roughly $274 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 72.7396/100 for the 2023 performance year (Quality 64.145), compared with the national average of 83.1.

Adolescent Medicine (Family Medicine) Physician is a narrow specialty nationwide, with 261 enrolled providers across 44 states and an average of 2,881 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

290 N WAYTE LN
FRESNO, CA 93701

Provider Details

NPI 1942644398
Specialty Adolescent Medicine (Family Medicine) Physician
Credentials D.O.
Gender Female
NPI Issued 04/27/2013

CMS Quality Score (MIPS)

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

72.7396
Final Score
Avg: 83.1
64.145
Quality

Reporting: Group practice

Hospital and facility affiliations

Facilities where JUSEL RUELAN, D.O. 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.

SAINT AGNES MEDICAL FOUNDATION
FRESNO, CA

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 JUSEL RUELAN, D.O.. Source: openpaymentsdata.cms.gov.

Total received

$20

Largest payer

Phathom Pharmaceuticals, 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.

License & disciplinary context — California MBC 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 ~150K California medical licensees in 2023 — they are NOT specific to JUSEL RUELAN, D.O.. To verify JUSEL RUELAN, D.O.'s current license status, search the MBC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

576
Total board actions, California 2023
Across 556 cases
3.84
Actions per 1,000 licensees
California statewide rate
probation
Most common action type
186 cases

MBC 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 California 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.

30
Total Claims
$274
Total Drug Cost
12
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
74
Total Day Supply
2,144
Generic Drug Cost
$205

Patient Demographics

Average Patient Age
69.8 years
Avg HCC Risk Score
1.91

Adolescent Medicine (Family Medicine) Physician Overview

How JUSEL RUELAN, D.O. fits within the Adolescent Medicine (Family Medicine) Physician landscape nationally.

261
Adolescent Medicine (Family Medicine) Physician Providers in US
44
States with Adolescent Medicine (Family Medicine) Physician
2,881
Avg Claims per Provider

JUSEL RUELAN, D.O.'s 30 claims are below the specialty average of 2,881.

Nearby Adolescent Medicine (Family Medicine) Physician Providers in California

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

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

Frequently Asked Questions

What is JUSEL RUELAN, D.O.'s specialty?
JUSEL RUELAN, D.O. specializes in Adolescent Medicine (Family Medicine) Physician and practices in FRESNO, California. Credentials: D.O..
How much does JUSEL RUELAN, D.O. prescribe under Medicare Part D?
In 2023, JUSEL RUELAN, D.O. wrote 30 Medicare Part D claims totaling $274 in drug costs for 12 beneficiaries.
What is JUSEL RUELAN, D.O.'s Medicare quality score?
JUSEL RUELAN, D.O. has a CMS MIPS Final Score of 72.7396/100 (Quality: 64.145). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is JUSEL RUELAN, D.O. located?
JUSEL RUELAN, D.O. is located at 290 N WAYTE LN, FRESNO, CA, 93701. Phone: (559) 459-5700.
What is JUSEL RUELAN, D.O.'s NPI number?
JUSEL RUELAN, D.O.'s National Provider Identifier (NPI) is 1942644398, issued on 04/27/2013.
How many Adolescent Medicine (Family Medicine) Physician providers are there in the US?
There are 261 Adolescent Medicine (Family Medicine) Physician providers across 44 states in the US. The average Adolescent Medicine (Family Medicine) Physician provider writes 2,881 Medicare Part D claims per year.
Does JUSEL RUELAN, D.O. accept Medicare?
JUSEL RUELAN, D.O. appears in CMS Medicare data with 30 Part D claims and 12 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JUSEL RUELAN, D.O.'s credentials?
JUSEL RUELAN, D.O.'s NPI is 1942644398 with credentials D.O.. 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