2026 NPPES data Allergy & Immunology Physician NPI 1477513927 M.D.
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LUIS DESTARAC, M.D.

Allergy & Immunology Physician in TYLER, 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
2K
Medicare Part D claims · 439 beneficiaries · Allergy & Immunology Physician avg: 764
Generic prescribing
49%
generic claims · 51% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
97.5814/100
▲ 14 pts above national avg 83.1 · [object Object]
Industry payments
$3.9K
95 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: LUIS DESTARAC, M.D. is a Allergy & Immunology Physician ([object Object]) practicing in TYLER, Texas with a Medicare Part D prescribing footprint of 2K claims across 439 beneficiaries — 51% brand-name prescribing . Their CMS MIPS Final Score of 97.5814/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $3.9K across 95 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: LUIS DESTARAC, M.D. reported a CMS MIPS final score of 97.5814 out of 100, above the 83.1 national average, and filed 2,395 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)

LUIS DESTARAC, 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).

LUIS DESTARAC, M.D. at a glance

High performer (top quartile)

NPI registry status

Active

Issued 03/27/2006

NPI 1477513927

Primary specialty

Allergy & Immunology Physician

Niche

3,390 US NPIs in this specialty

Medicare Part D claims

2,395 213% vs specialty avg

2023 prescription claims

Specialty avg: 764

MIPS final score

97.5814/100 14.481400000000008% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Texas

How Allergy & Immunology Physician compares to other specialties among Texas providers

Texas providers

Allergy & Immunology Physician share within Texas

1. Allergy & Immunology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Allergy & Immunology Physician share within Texas

Medicare quality performance — MIPS

LUIS DESTARAC, M.D.'s 2023 MIPS final score plotted against the Allergy & Immunology Physician national average

High performer (top quartile)
MIPS Final Score
97.5814/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Allergy & Immunology Physician) — 97.5814/100 vs national avg 83.1

0%100%National avg83%97.6%
MIPS final score (Allergy & Immunology Physician) — 97.5814/100 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).

LUIS DESTARAC, M.D. is a Allergy & Immunology Physician provider practicing in TYLER, Texas, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1477513927. 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.

LUIS DESTARAC, M.D. appears in the CMS NPPES registry as a Allergy & Immunology Physician provider holding M.D. credentials at 912 S FLEISHEL AVE, TYLER, TX, 75701, with a listed phone of (903) 592-6901. NPI 1477513927 was issued on 03/27/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what DESTARAC 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 2,395 prescription claims written by this provider, covering 439 Medicare beneficiaries and totaling roughly $1.3 million in drug spend, split 51% brand-name and 49% 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 97.5814/100 for the 2023 performance year (Quality 86.5348), compared with the national average of 83.1.

Allergy & Immunology Physician is a narrow specialty nationwide, with 3,390 enrolled providers across 52 states and an average of 764 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

912 S FLEISHEL AVE
TYLER, TX 75701

Provider Details

NPI 1477513927
Specialty Allergy & Immunology Physician
Credentials M.D.
Gender Male
NPI Issued 03/27/2006

CMS Quality Score (MIPS)

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

97.5814
Final Score
Avg: 83.1
86.5348
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where LUIS DESTARAC, 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.

ETMC PHYSICIAN GROUP, INC.
TYLER, 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 LUIS DESTARAC, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$3.9K

Largest payer

Mylan Specialty L.P.

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 LUIS DESTARAC, M.D.. To verify LUIS DESTARAC, 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

LUIS DESTARAC, M.D. — brand share 51.0%
Specialty average (est.)

51% brand-name claims vs 49% generic, on 2,395 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.

2,395
Total Claims
$1.3M
Total Drug Cost
439
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
3,062
Total Day Supply
83,164
Brand vs Generic
51% brand / 49% generic
Brand Drug Cost
$1.3M
Antibiotic Claims
202

Patient Demographics

Average Patient Age
71.4 years
Avg HCC Risk Score
2.00
Gender Split
63% female / 37% male
Age Distribution
<65: 73, 65-74: 203, 75-84: 132, 85+: 31

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Albuterol Sulfate Hfa
Albuterol Sulfate
316
Trelegy Ellipta
Fluticasone/Umeclidin/Vilanter
306
Montelukast Sodium
249
Prednisone
201
Cefuroxime
Cefuroxime Axetil
120
Symbicort
Budesonide/Formoterol Fumarate
108
Breztri Aerosphere
Budesonide/Glycopyr/Formoterol
107
Anoro Ellipta
Umeclidinium Brm/Vilanterol Tr
65
Combivent Respimat
Ipratropium/Albuterol Sulfate
48
Clarithromycin
46

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

Allergy & Immunology Physician Overview

How LUIS DESTARAC, M.D. fits within the Allergy & Immunology Physician landscape nationally.

3,390
Allergy & Immunology Physician Providers in US
52
States with Allergy & Immunology Physician
764
Avg Claims per Provider

LUIS DESTARAC, M.D.'s 2,395 claims are above the specialty average of 764.

Nearby Allergy & Immunology Physician Providers in Texas

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

Compare Allergy & Immunology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is LUIS DESTARAC, M.D.'s specialty?
LUIS DESTARAC, M.D. specializes in Allergy & Immunology Physician and practices in TYLER, Texas. Credentials: M.D..
How much does LUIS DESTARAC, M.D. prescribe under Medicare Part D?
In 2023, LUIS DESTARAC, M.D. wrote 2,395 Medicare Part D claims totaling $1.3M in drug costs for 439 beneficiaries.
What is LUIS DESTARAC, M.D.'s Medicare quality score?
LUIS DESTARAC, M.D. has a CMS MIPS Final Score of 97.5814/100 (Quality: 86.5348). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is LUIS DESTARAC, M.D. located?
LUIS DESTARAC, M.D. is located at 912 S FLEISHEL AVE, TYLER, TX, 75701. Phone: (903) 592-6901.
What is LUIS DESTARAC, M.D.'s NPI number?
LUIS DESTARAC, M.D.'s National Provider Identifier (NPI) is 1477513927, issued on 03/27/2006.
Does LUIS DESTARAC, M.D. prescribe more brand-name or generic drugs?
LUIS DESTARAC, M.D.'s prescribing is 51% brand-name and 49% generic drugs by claim count, with $1.3M in brand drug costs.
How many Allergy & Immunology Physician providers are there in the US?
There are 3,390 Allergy & Immunology Physician providers across 52 states in the US. The average Allergy & Immunology Physician provider writes 764 Medicare Part D claims per year.
What drugs does LUIS DESTARAC, M.D. prescribe most often?
Based on 2023 Medicare Part D data, LUIS DESTARAC, M.D.'s most frequently prescribed drugs include Albuterol Sulfate Hfa, Trelegy Ellipta, Montelukast Sodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does LUIS DESTARAC, M.D. accept Medicare?
LUIS DESTARAC, M.D. appears in CMS Medicare data with 2,395 Part D claims and 439 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify LUIS DESTARAC, M.D.'s credentials?
LUIS DESTARAC, M.D.'s NPI is 1477513927 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