2026 NPPES data Pediatric Nephrology Physician NPI 1528144896 MD
Verify on CMS →

MARCELA DEL RIO, MD

Pediatric Nephrology Physician in BRONX, New York. 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
76
Medicare Part D claims · Pediatric Nephrology Physician avg: 97
MIPS score
100/100
▲ 17 pts above national avg 83.1 · [object Object]
What the federal data reveals: MARCELA DEL RIO, MD is a Pediatric Nephrology Physician ([object Object]) practicing in BRONX, New York with a Medicare Part D prescribing footprint of 76 claims . Their CMS MIPS Final Score of 100/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities .

What the federal data shows

MARCELA DEL RIO, MD reported a CMS MIPS final score of 100/100 — above the 83.1 national average — and filed 76 Medicare Part D claims in 2023.

100/100
MIPS score · +17 vs avg
76
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.

MARCELA DEL RIO, MD's MIPS score vs every scored U.S. clinician

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

100 Top 7% higher than 93% 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%). Below this entry. 80–90: 129,887 scored providers (27%). Below this entry. 90–100: 189,403 scored providers (40%). This entry sits in this band. 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)

MARCELA DEL RIO, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

MARCELA DEL RIO, MD at a glance

High performer (top quartile)

NPI registry status

Active

Issued 10/30/2006

NPI 1528144896

Primary specialty

Pediatric Nephrology Physician

Niche

723 US NPIs in this specialty

Medicare Part D claims

76 22% vs specialty avg

2023 prescription claims

Specialty avg: 97

MIPS final score

100/100 16.900000000000006% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in New York

How Pediatric Nephrology Physician compares to other specialties among New York providers

New York providers

Pediatric Nephrology Physician share within New York

1. Pediatric Nephrology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Pediatric Nephrology Physician share within New York

Medicare quality performance — MIPS

MARCELA DEL RIO, MD's 2023 MIPS final score plotted against the Pediatric Nephrology Physician national average

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

MIPS final score (Pediatric Nephrology Physician) — 100/100 vs national avg 83.1

0%100%National avg83%99%
MIPS final score (Pediatric Nephrology Physician) — 100/100 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).

MARCELA DEL RIO, MD is a Pediatric Nephrology Physician provider practicing in BRONX, New York, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1528144896. 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.

MARCELA DEL RIO, MD appears in the CMS NPPES registry as a Pediatric Nephrology Physician provider holding MD credentials at CHAM, BRONX, NY, 10467, with a listed phone of (718) 741-2450. NPI 1528144896 was issued on 10/30/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what DEL RIO 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 76 prescription claims written by this provider, covering N/A Medicare beneficiaries and totaling roughly $10K 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 100/100 for the 2023 performance year, compared with the national average of 83.1.

Pediatric Nephrology Physician is a narrow specialty nationwide, with 723 enrolled providers across 50 states and an average of 97 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

CHAM
BRONX, NY 10467

Provider Details

NPI 1528144896
Specialty Pediatric Nephrology Physician
Credentials MD
Gender Female
NPI Issued 10/30/2006

CMS Quality Score (MIPS)

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

100
Final Score
Avg: 83.1
100
Promoting Interoperability

Reporting: Group practice

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 MARCELA DEL RIO, MD. To verify MARCELA DEL RIO, MD'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.

76
Total Claims
$10K
Total Drug Cost
N/A
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
78
Total Day Supply
2,338
Generic Drug Cost
$9K
Antibiotic Claims
12

Patient Demographics

Average Patient Age
21.0 years
Avg HCC Risk Score
0.81

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Tacrolimus
22
Azathioprine
12
Cephalexin
12
Mupirocin
12

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

Pediatric Nephrology Physician Overview

How MARCELA DEL RIO, MD fits within the Pediatric Nephrology Physician landscape nationally.

723
Pediatric Nephrology Physician Providers in US
50
States with Pediatric Nephrology Physician
97
Avg Claims per Provider

MARCELA DEL RIO, MD's 76 claims are below the specialty average of 97.

Nearby Pediatric Nephrology Physician Providers in New York

Other clinicians with the same primary specialty enrolled in New York, drawn from the same CMS NPPES roster as DEL RIO.

Compare Pediatric Nephrology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is MARCELA DEL RIO, MD's specialty?
MARCELA DEL RIO, MD specializes in Pediatric Nephrology Physician and practices in BRONX, New York. Credentials: MD.
How much does MARCELA DEL RIO, MD prescribe under Medicare Part D?
In 2023, MARCELA DEL RIO, MD wrote 76 Medicare Part D claims totaling $10K in drug costs for N/A beneficiaries.
What is MARCELA DEL RIO, MD's Medicare quality score?
MARCELA DEL RIO, MD has a CMS MIPS Final Score of 100/100. The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is MARCELA DEL RIO, MD located?
MARCELA DEL RIO, MD is located at CHAM, BRONX, NY, 10467. Phone: (718) 741-2450.
What is MARCELA DEL RIO, MD's NPI number?
MARCELA DEL RIO, MD's National Provider Identifier (NPI) is 1528144896, issued on 10/30/2006.
How many Pediatric Nephrology Physician providers are there in the US?
There are 723 Pediatric Nephrology Physician providers across 50 states in the US. The average Pediatric Nephrology Physician provider writes 97 Medicare Part D claims per year.
What drugs does MARCELA DEL RIO, MD prescribe most often?
Based on 2023 Medicare Part D data, MARCELA DEL RIO, MD's most frequently prescribed drugs include Tacrolimus, Azathioprine, Cephalexin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does MARCELA DEL RIO, MD accept Medicare?
MARCELA DEL RIO, MD appears in CMS Medicare data with 76 Part D claims and N/A Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify MARCELA DEL RIO, MD's credentials?
MARCELA DEL RIO, MD's NPI is 1528144896 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

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