NPI registry status
Active
2026 NPPES data Neurology Physician NPI 1891059259 MD, MS
Verify on CMS → Karlo Lizarraga Mendoza, MD, MS
Neurology Physician in Rochester, New York.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 19,866 in Neurology 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
42
Medicare Part D claims · 16 beneficiaries · Neurology Physician avg: 1K
MIPS score
76.8/100
▼ 6 pts below national avg 83.1 · Above neutral
Industry payments
$7.8K
1 payments · CMS Open Payments (Sunshine Act)
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Karlo Lizarraga Mendoza, MD, MS reported a CMS MIPS final score of 76.8/100 - below the 83.1 national average - and filed 42 Medicare Part D claims in 2023.
- 76.8/100
- MIPS score · -6 vs avg
- 42
- 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.
Karlo Lizarraga Mendoza, MD, MS's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
77 21st percentile higher than 21% of 477,587 scored providers
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
Where Karlo Lizarraga Mendoza, MD, MS sits
This provider among neurology physician peers
Across the 5,437 neurology physician providers who report both Medicare Part D prescribing and a MIPS quality score, Karlo Lizarraga Mendoza, MD, MS writes more Part D claims than 6% of them and scores higher on MIPS quality than 30% - placing this provider in the lower-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Part D claim volume vs MIPS quality, by specialty percentile
Each dot is one neurology physician peer from a representative sample of 60; the gold marker is Karlo Lizarraga Mendoza, MD, MS. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Karlo Lizarraga Mendoza, MD, MS practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 2 hospital affiliations - 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 Karlo Lizarraga Mendoza, MD, MS?
Below national averagePrimary specialty
Neurology Physician
Medicare Part D claims
42 97% vs specialty avg
MIPS final score
76.8/100 6.3 pts vs avg
Specialty distribution in New York
How Neurology Physician compares to other specialties among New York providers
Medicare quality performance, MIPS
Karlo Lizarraga Mendoza, MD, MS's 2023 MIPS final score plotted against the Neurology Physician national average
- MIPS Final Score
- 76.8/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Neurology Physician) - 76.8/100 vs national avg 83.1
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).
Karlo Lizarraga Mendoza, MD, MS appears in the CMS NPPES registry as a Neurology Physician provider holding MD, MS credentials at 919 WESTFALL RD., BUILDING C, Rochester, NY, 14618, with a listed phone of (585) 341-7500. NPI 1891059259 was issued on 06/30/2012.
Medicare Part D records for calendar year 2023 show 42 prescription claims written by this provider, covering 16 Medicare beneficiaries and totaling roughly $6K in drug spend. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 76.8/100 for the 2023 performance year (Quality 68.2, Cost 42.7), compared with the national average of 83.1.
Neurology Physician is a mid-sized specialty nationwide, with 19,866 enrolled providers across 54 states and an average of 1,309 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
Provider Details
| NPI | 1891059259 |
|---|---|
| Specialty | Neurology Physician |
| Credentials | MD, MS |
| Gender | Male |
| NPI Issued | 06/30/2012 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
76.8466
Final Score
Avg: 83.1
68.2024
Quality
42.684
Cost
100
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where Karlo Lizarraga Mendoza, MD, MS 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.
U OF R Neurology Department
Rochester, NY
University OF Rochester
Rochester, NY
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 Karlo Lizarraga Mendoza, MD, MS. Source: openpaymentsdata.cms.gov.
Total received
$7.8K
Largest payer
FHC, Inc.
Most common payment type
Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program
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 - New York NYSBPMC 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 ~100K New York medical licensees in 2023 - they are NOT specific to Karlo Lizarraga Mendoza, MD, MS. To verify Karlo Lizarraga Mendoza, MD, MS's current license status, search the NYSBPMC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
312
Total board actions, New York 2023
Across 302 cases
3.12
Actions per 1,000 licensees
New York statewide rate
probation
Most common action type
89 cases
NYSBPMC 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 New York 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.
42
Total Claims
$6K
Total Drug Cost
16
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 79
- Total Day Supply
- 2,386
- Generic Drug Cost
- $1K
Patient Demographics
- Average Patient Age
- 68.1 years
- Avg HCC Risk Score
- 1.29
Neurology Physician Overview
How Karlo Lizarraga Mendoza, MD, MS fits within the Neurology Physician landscape nationally.
19,866
Neurology Physician Providers in US
54
States with Neurology Physician
1,309
Avg Claims per Provider
Karlo Lizarraga Mendoza, MD, MS's 42 claims are below the specialty average of 1,309.
Nearby Neurology Physician Providers in New York
Other clinicians with the same primary specialty enrolled in New York, drawn from the same CMS NPPES roster as Lizarraga Mendoza.
Dr. Ajay Abad
MD
Buffalo, NY
Dr. Sami Abdul-Malak
MD
Syracuse, NY
Dr. Asa Abeliovich
M.D.
New York, NY
Dr. Yvelyne Abellard
MD
New York, NY
Dr. Nada Abou-Fayssal
MD
Brooklyn, NY
Compare Neurology Physician nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the New York medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Neurology Physician peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
Healthcare Guides
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Frequently Asked Questions
What is Karlo Lizarraga Mendoza, MD, MS's specialty? ▼
Karlo Lizarraga Mendoza, MD, MS specializes in Neurology Physician and practices in Rochester, New York. Credentials: MD, MS.
How much does Karlo Lizarraga Mendoza, MD, MS prescribe under Medicare Part D? ▼
In 2023, Karlo Lizarraga Mendoza, MD, MS wrote 42 Medicare Part D claims totaling $6K in drug costs for 16 beneficiaries.
What is Karlo Lizarraga Mendoza, MD, MS's Medicare quality score? ▼
Karlo Lizarraga Mendoza, MD, MS has a CMS MIPS Final Score of 76.8/100 (Quality: 68.2, Cost: 42.7). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Karlo Lizarraga Mendoza, MD, MS located? ▼
Karlo Lizarraga Mendoza, MD, MS is located at 919 WESTFALL RD., BUILDING C, Rochester, NY, 14618. Phone: (585) 341-7500.
What is Karlo Lizarraga Mendoza, MD, MS's NPI number? ▼
Karlo Lizarraga Mendoza, MD, MS's National Provider Identifier (NPI) is 1891059259, issued on 06/30/2012.
How many Neurology Physician providers are there in the US? ▼
There are 19,866 Neurology Physician providers across 54 states in the US. The average Neurology Physician provider writes 1,309 Medicare Part D claims per year.
Does Karlo Lizarraga Mendoza, MD, MS accept Medicare? ▼
Karlo Lizarraga Mendoza, MD, MS appears in CMS Medicare data with 42 Part D claims and 16 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Karlo Lizarraga Mendoza, MD, MS's credentials? ▼
Karlo Lizarraga Mendoza, MD, MS's NPI is 1891059259 with credentials MD, MS. 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
Compiled from official public sources by the PlainDoctor editorial team.