2026 NPPES data Infectious Disease Physician NPI 1982836904 D.O.
Verify on CMS →

LEONARDO GIRIO-HERRERA, D.O.

Infectious Disease Physician in BEL AIR, Maryland. 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
555
Medicare Part D claims · 82 beneficiaries · Infectious Disease Physician avg: 816
Generic prescribing
57%
generic claims · 43% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
26.0456/100
▼ 57 pts below national avg 83.1 · [object Object]
What the federal data reveals: LEONARDO GIRIO-HERRERA, D.O. is a Infectious Disease Physician ([object Object]) practicing in BEL AIR, Maryland with a Medicare Part D prescribing footprint of 555 claims across 82 beneficiaries — 43% brand-name prescribing . Their CMS MIPS Final Score of 26.0456/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities .

What stands out: LEONARDO GIRIO-HERRERA, D.O. reported a CMS MIPS final score of 26.0456 out of 100, below the 83.1 national average, and filed 555 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

LEONARDO GIRIO-HERRERA, 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).

LEONARDO GIRIO-HERRERA, D.O. at a glance

Below national average

NPI registry status

Active

Issued 08/10/2009

NPI 1982836904

Primary specialty

Infectious Disease Physician

Mid-sized

8,292 US NPIs in this specialty

Medicare Part D claims

555 32% vs specialty avg

2023 prescription claims

Specialty avg: 816

MIPS final score

26.0456/100 57.054399999999994% pts

Below average band

vs 83.1 national avg

Specialty distribution in Maryland

How Infectious Disease Physician compares to other specialties among Maryland providers

Maryland providers

Infectious Disease Physician share within Maryland

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

Medicare quality performance — MIPS

LEONARDO GIRIO-HERRERA, D.O.'s 2023 MIPS final score plotted against the Infectious Disease Physician national average

Below national average
MIPS Final Score
26.0456/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Infectious Disease Physician) — 26.0456/100 vs national avg 83.1

0%100%National avg83%26%
MIPS final score (Infectious Disease Physician) — 26.0456/100 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).

LEONARDO GIRIO-HERRERA, D.O. is a Infectious Disease Physician provider practicing in BEL AIR, Maryland, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: D.O.. NPI: 1982836904. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

LEONARDO GIRIO-HERRERA, D.O. appears in the CMS NPPES registry as a Infectious Disease Physician provider holding D.O. credentials at 520 UPPER CHESAPEAKE DR, BEL AIR, MD, 21014, with a listed phone of (443) 643-2236. NPI 1982836904 was issued on 08/10/2009. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what GIRIO-HERRERA 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 555 prescription claims written by this provider, covering 82 Medicare beneficiaries and totaling roughly $979K in drug spend, split 43% brand-name and 57% 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 26.0456/100 for the 2023 performance year (Quality 0, Cost 86.8185), compared with the national average of 83.1.

Infectious Disease Physician is a mid-sized specialty nationwide, with 8,292 enrolled providers across 54 states and an average of 816 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

520 UPPER CHESAPEAKE DR
BEL AIR, MD 21014

Provider Details

NPI 1982836904
Specialty Infectious Disease Physician
Credentials D.O.
Gender Male
NPI Issued 08/10/2009

CMS Quality Score (MIPS)

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

26.0456
Final Score
Avg: 83.1
0
Quality
86.8185
Cost

Reporting: Individual

Hospital and facility affiliations

Facilities where LEONARDO GIRIO-HERRERA, 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.

UPPER CHESAPEAKE PRIMARY CARE,LLC
BEL AIR, MD

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Brand vs generic prescribing mix · Above average

LEONARDO GIRIO-HERRERA, D.O. — brand share 43.0%
Specialty average (est.)

43% brand-name claims vs 57% generic, on 555 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.

555
Total Claims
$979K
Total Drug Cost
82
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
650
Total Day Supply
17,425
Brand vs Generic
43% brand / 57% generic
Brand Drug Cost
$834K
Generic Drug Cost
$145K
Antibiotic Claims
115

Patient Demographics

Average Patient Age
66.8 years
Avg HCC Risk Score
1.97
Gender Split
46% female / 54% male
Age Distribution
<65: 31, 65-74: 27, 75-84: N/A, 85+: N/A

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Biktarvy
Bictegrav/Emtricit/Tenofov Ala
59
Triumeq
Abacavir/Dolutegravir/Lamivudi
50
Descovy
Emtricitabine/Tenofov Alafenam
37
Ritonavir
37
Tivicay
Dolutegravir Sodium
31
Abacavir-Lamivudine
Abacavir Sulfate/Lamivudine
23
Atazanavir Sulfate
23
Rifampin
22
Azithromycin
17
Efavirenz-Emtric-Tenofov Disop
Efavirenz/Emtricit/Tenofovr Df
17

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

Infectious Disease Physician Overview

How LEONARDO GIRIO-HERRERA, D.O. fits within the Infectious Disease Physician landscape nationally.

8,292
Infectious Disease Physician Providers in US
54
States with Infectious Disease Physician
816
Avg Claims per Provider

LEONARDO GIRIO-HERRERA, D.O.'s 555 claims are below the specialty average of 816.

Nearby Infectious Disease Physician Providers in Maryland

Other clinicians with the same primary specialty enrolled in Maryland, drawn from the same CMS NPPES roster as GIRIO-HERRERA.

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

Frequently Asked Questions

What is LEONARDO GIRIO-HERRERA, D.O.'s specialty?
LEONARDO GIRIO-HERRERA, D.O. specializes in Infectious Disease Physician and practices in BEL AIR, Maryland. Credentials: D.O..
How much does LEONARDO GIRIO-HERRERA, D.O. prescribe under Medicare Part D?
In 2023, LEONARDO GIRIO-HERRERA, D.O. wrote 555 Medicare Part D claims totaling $979K in drug costs for 82 beneficiaries.
What is LEONARDO GIRIO-HERRERA, D.O.'s Medicare quality score?
LEONARDO GIRIO-HERRERA, D.O. has a CMS MIPS Final Score of 26.0456/100 (Quality: 0, Cost: 86.8185). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is LEONARDO GIRIO-HERRERA, D.O. located?
LEONARDO GIRIO-HERRERA, D.O. is located at 520 UPPER CHESAPEAKE DR, BEL AIR, MD, 21014. Phone: (443) 643-2236.
What is LEONARDO GIRIO-HERRERA, D.O.'s NPI number?
LEONARDO GIRIO-HERRERA, D.O.'s National Provider Identifier (NPI) is 1982836904, issued on 08/10/2009.
Does LEONARDO GIRIO-HERRERA, D.O. prescribe more brand-name or generic drugs?
LEONARDO GIRIO-HERRERA, D.O.'s prescribing is 43% brand-name and 57% generic drugs by claim count, with $834K in brand drug costs.
How many Infectious Disease Physician providers are there in the US?
There are 8,292 Infectious Disease Physician providers across 54 states in the US. The average Infectious Disease Physician provider writes 816 Medicare Part D claims per year.
What drugs does LEONARDO GIRIO-HERRERA, D.O. prescribe most often?
Based on 2023 Medicare Part D data, LEONARDO GIRIO-HERRERA, D.O.'s most frequently prescribed drugs include Biktarvy, Triumeq, Descovy. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does LEONARDO GIRIO-HERRERA, D.O. accept Medicare?
LEONARDO GIRIO-HERRERA, D.O. appears in CMS Medicare data with 555 Part D claims and 82 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify LEONARDO GIRIO-HERRERA, D.O.'s credentials?
LEONARDO GIRIO-HERRERA, D.O.'s NPI is 1982836904 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