NPI registry status
Active
2026 NPPES data Rheumatology Physician NPI 1568438752 MD
Verify on CMS → Leroy Pacheco, MD
Rheumatology Physician in Albuquerque, New Mexico.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 6,200 in Rheumatology 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
5K
Medicare Part D claims · 487 beneficiaries · Rheumatology Physician avg: 2K
Generic prescribing
87%
generic claims · 13% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
96.5/100
▲ 13 pts above national avg 83.1 · Exceptional
Industry payments
$1.0K
49 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Leroy Pacheco, MD reported a CMS MIPS final score of 96.5/100 - above the 83.1 national average - and filed 5,357 Medicare Part D claims in 2023.
- 96.5/100
- MIPS score · +13 vs avg
- 5K
- Part D claims, 2023
- 87%
- 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.
Leroy Pacheco, MD's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
97 Top 17% higher than 83% 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 Leroy Pacheco, MD sits
This provider among rheumatology physician peers
Across the 2,181 rheumatology physician providers who report both Medicare Part D prescribing and a MIPS quality score, Leroy Pacheco, MD writes more Part D claims than 92% of them and scores higher on MIPS quality than 85% - placing this provider in the high-volume, high-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 rheumatology physician peer from a representative sample of 60; the gold marker is Leroy Pacheco, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Leroy Pacheco, MD 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 Leroy Pacheco, MD?
High performer (top quartile)Primary specialty
Rheumatology Physician
Medicare Part D claims
5,357 161% vs specialty avg
MIPS final score
96.5/100 13.4 pts vs avg
Specialty distribution in New Mexico
How Rheumatology Physician compares to other specialties among New Mexico providers
Medicare quality performance, MIPS
Leroy Pacheco, MD's 2023 MIPS final score plotted against the Rheumatology Physician national average
- MIPS Final Score
- 96.5/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Rheumatology Physician) - 96.5/100 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).
Leroy Pacheco, MD appears in the CMS NPPES registry as a Rheumatology Physician provider holding MD credentials at 1617 UNIVERSITY BLVD NE, Albuquerque, NM, 87102, with a listed phone of (505) 341-4148. NPI 1568438752 was issued on 02/27/2006.
Medicare Part D records for calendar year 2023 show 5,357 prescription claims written by this provider, covering 487 Medicare beneficiaries and totaling roughly $4.0 million in drug spend, split 13% brand-name and 87% generic by claim count, with an opioid prescribing rate of 21.5%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 96.5/100 for the 2023 performance year (Quality 93.1), compared with the national average of 83.1.
Rheumatology Physician is a mid-sized specialty nationwide, with 6,200 enrolled providers across 52 states and an average of 2,054 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 | 1568438752 |
|---|---|
| Specialty | Rheumatology Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 02/27/2006 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
96.5335
Final Score
Avg: 83.1
93.0671
Quality
Reporting: Group practice
Hospital and facility affiliations
Facilities where Leroy Pacheco, MD 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.
Albuquerque Center For Rheumatology PC
Albuquerque, NM
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 Leroy Pacheco, MD. Source: openpaymentsdata.cms.gov.
Total received
$1.0K
Largest payer
ABBVIE 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 · Typical
Leroy Pacheco, MD - brand share 13.0%
Rheumatology Physician average
13% brand-name claims vs 87% generic, on 5,357 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.
5,357
Total Claims
$4.0M
Total Drug Cost
487
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 7,440
- Total Day Supply
- 214,243
- Brand vs Generic
- 13% brand / 87% generic
- Brand Drug Cost
- $3.8M
- Generic Drug Cost
- $162K
- Opioid Claims
- 1,153 (21.5% rate)
- Antibiotic Claims
- 32
Patient Demographics
- Average Patient Age
- 70.3 years
- Avg HCC Risk Score
- 1.51
- Gender Split
- 75% female / 25% male
- Age Distribution
- <65: 95, 65-74: 230, 75-84: 135, 85+: 27
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Leroy Pacheco, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Methotrexate
Methotrexate
622 claims
- Prednisone
Prednisone
559 claims
- Hydrocodone-Acetam…
Hydrocodone-Acetaminophen
413 claims
- Hydroxychloroquine…
Hydroxychloroquine Sulfate
292 claims
- Oxycodone-Acetamin… 240
Oxycodone-Acetaminophen
240 claims
- Gabapentin 186
Gabapentin
186 claims
- Tramadol Hcl 171
Tramadol Hcl
171 claims
- Morphine Sulfate Er 121
Morphine Sulfate Er
121 claims
| Drug | Claims |
|---|---|
| Methotrexate Methotrexate Sodium | 622 |
| Prednisone | 559 |
| Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen | 413 |
| Hydroxychloroquine Sulfate | 292 |
| Oxycodone-Acetaminophen Oxycodone Hcl/Acetaminophen | 240 |
| Gabapentin | 186 |
| Tramadol Hcl | 171 |
| Morphine Sulfate Er Morphine Sulfate | 121 |
| Baclofen | 119 |
| Leflunomide | 117 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Rheumatology Physician Overview
How Leroy Pacheco, MD fits within the Rheumatology Physician landscape nationally.
6,200
Rheumatology Physician Providers in US
52
States with Rheumatology Physician
2,054
Avg Claims per Provider
Leroy Pacheco, MD's 5,357 claims are above the specialty average of 2,054.
Nearby Rheumatology Physician Providers in New Mexico
Other clinicians with the same primary specialty enrolled in New Mexico, drawn from the same CMS NPPES roster as Pacheco.
Dr. Zain Abideen
M.D
Roswell, NM
Dr. Lyle Amer
MD
Santa Fe, NM
Dr. Armando Angel
M.D.
Las Cruces, NM
Dr. Chandrahasa Annem
M.D
Albuquerque, NM
Dr. Arthur Bankhurst
MD
Albuquerque, NM
Compare Rheumatology 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 Mexico medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Rheumatology 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.
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Frequently Asked Questions
What is Leroy Pacheco, MD's specialty? ▼
Leroy Pacheco, MD specializes in Rheumatology Physician and practices in Albuquerque, New Mexico. Credentials: MD.
How much does Leroy Pacheco, MD prescribe under Medicare Part D? ▼
In 2023, Leroy Pacheco, MD wrote 5,357 Medicare Part D claims totaling $4.0M in drug costs for 487 beneficiaries.
What is Leroy Pacheco, MD's Medicare quality score? ▼
Leroy Pacheco, MD has a CMS MIPS Final Score of 96.5/100 (Quality: 93.1). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Leroy Pacheco, MD located? ▼
Leroy Pacheco, MD is located at 1617 UNIVERSITY BLVD NE, Albuquerque, NM, 87102. Phone: (505) 341-4148.
What is Leroy Pacheco, MD's NPI number? ▼
Leroy Pacheco, MD's National Provider Identifier (NPI) is 1568438752, issued on 02/27/2006.
Does Leroy Pacheco, MD prescribe more brand-name or generic drugs? ▼
Leroy Pacheco, MD's prescribing is 13% brand-name and 87% generic drugs by claim count, with $3.8M in brand drug costs.
Does Leroy Pacheco, MD prescribe opioids? ▼
Yes, Leroy Pacheco, MD had 1,153 opioid claims in 2023 with an opioid prescribing rate of 21.5%.
How many Rheumatology Physician providers are there in the US? ▼
There are 6,200 Rheumatology Physician providers across 52 states in the US. The average Rheumatology Physician provider writes 2,054 Medicare Part D claims per year.
What drugs does Leroy Pacheco, MD prescribe most often? ▼
Based on 2023 Medicare Part D data, Leroy Pacheco, MD's most frequently prescribed drugs include Methotrexate, Prednisone, Hydrocodone-Acetaminophen. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Leroy Pacheco, MD accept Medicare? ▼
Leroy Pacheco, MD appears in CMS Medicare data with 5,357 Part D claims and 487 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Leroy Pacheco, MD's credentials? ▼
Leroy Pacheco, MD's NPI is 1568438752 with credentials MD. 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.
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.