2026 NPPES data Rheumatology Physician NPI 1255414207 MD
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MARCO ALBORNOZ, MD

Rheumatology Physician in MEDIA, Pennsylvania. 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
4K
Medicare Part D claims · 618 beneficiaries · Rheumatology Physician avg: 2K
Generic prescribing
89%
generic claims · 11% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$470.48
17 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: MARCO ALBORNOZ, MD is a Rheumatology Physician ([object Object]) practicing in MEDIA, Pennsylvania with a Medicare Part D prescribing footprint of 4K claims across 618 beneficiaries — 11% brand-name prescribing . Industry payments of $470.48 across 17 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: MARCO ALBORNOZ, MD filed 3,833 Medicare Part D claims in 2023 across MEDIA, Pennsylvania. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

MARCO ALBORNOZ, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

MARCO ALBORNOZ, MD at a glance

Quality data not reported

NPI registry status

Active

Issued 10/23/2006

NPI 1255414207

Primary specialty

Rheumatology Physician

Mid-sized

6,181 US NPIs in this specialty

Medicare Part D claims

3,833 87% vs specialty avg

2023 prescription claims

Specialty avg: 2,054

Specialty distribution in Pennsylvania

How Rheumatology Physician compares to other specialties among Pennsylvania providers

Pennsylvania providers

Rheumatology Physician share within Pennsylvania

1. Rheumatology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Rheumatology Physician share within Pennsylvania

Specialty board-certification context

Estimated specialty board-certified rate — Rheumatology Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Rheumatology Physician ABMS/AOA estimate

Est. board-certified rate (Rheumatology Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Rheumatology Physician) — ABMS / AOA estimate

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).

MARCO ALBORNOZ, MD is a Rheumatology Physician provider practicing in MEDIA, Pennsylvania, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1255414207. 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.

MARCO ALBORNOZ, MD appears in the CMS NPPES registry as a Rheumatology Physician provider holding MD credentials at 1088 W BALTIMORE PIKE STE 2105, MEDIA, PA, 19063, with a listed phone of (610) 237-5801. NPI 1255414207 was issued on 10/23/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what ALBORNOZ 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 3,833 prescription claims written by this provider, covering 618 Medicare beneficiaries and totaling roughly $2.5 million in drug spend, split 11% brand-name and 89% generic by claim count, with an opioid prescribing rate of 17.7%. 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.

Rheumatology Physician is a mid-sized specialty nationwide, with 6,181 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

1088 W BALTIMORE PIKE STE 2105
MEDIA, PA 19063

Provider Details

NPI 1255414207
Specialty Rheumatology Physician
Credentials MD
Gender Male
NPI Issued 10/23/2006

Hospital and facility affiliations

Facilities where MARCO ALBORNOZ, 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.

NOVACARE OUTPATIENT REHABILITATION EAST, INC.
COLLEGEVILLE, PA

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 MARCO ALBORNOZ, MD. Source: openpaymentsdata.cms.gov.

Total received

$470

Largest payer

Amgen 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.

License & disciplinary context — Pennsylvania PA-BOM 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 ~45K Pennsylvania medical licensees in 2023 — they are NOT specific to MARCO ALBORNOZ, MD. To verify MARCO ALBORNOZ, MD's current license status, search the PA-BOM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

133
Total board actions, Pennsylvania 2023
Across 129 cases
2.96
Actions per 1,000 licensees
Pennsylvania statewide rate
probation
Most common action type
48 cases

PA-BOM 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 Pennsylvania disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

MARCO ALBORNOZ, MD — brand share 11.0%
Specialty average (est.)

11% brand-name claims vs 89% generic, on 3,833 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.

3,833
Total Claims
$2.5M
Total Drug Cost
618
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
7,581
Total Day Supply
222,097
Brand vs Generic
11% brand / 89% generic
Brand Drug Cost
$2.4M
Generic Drug Cost
$112K
Opioid Claims
680 (17.7% rate)

Patient Demographics

Average Patient Age
75.6 years
Avg HCC Risk Score
1.47
Gender Split
75% female / 25% male
Age Distribution
<65: 48, 65-74: 237, 75-84: 228, 85+: 105

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Prednisone
782
Methotrexate
Methotrexate Sodium
425
Tramadol Hcl
401
Gabapentin
232
Hydroxychloroquine Sulfate
201
Allopurinol
130
Duloxetine Hcl
130
Enbrel Sureclick
Etanercept
97
Ibandronate Sodium
83
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
74

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

Rheumatology Physician Overview

How MARCO ALBORNOZ, MD fits within the Rheumatology Physician landscape nationally.

6,181
Rheumatology Physician Providers in US
52
States with Rheumatology Physician
2,054
Avg Claims per Provider

MARCO ALBORNOZ, MD's 3,833 claims are above the specialty average of 2,054.

Nearby Rheumatology Physician Providers in Pennsylvania

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

Compare Rheumatology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is MARCO ALBORNOZ, MD's specialty?
MARCO ALBORNOZ, MD specializes in Rheumatology Physician and practices in MEDIA, Pennsylvania. Credentials: MD.
How much does MARCO ALBORNOZ, MD prescribe under Medicare Part D?
In 2023, MARCO ALBORNOZ, MD wrote 3,833 Medicare Part D claims totaling $2.5M in drug costs for 618 beneficiaries.
Where is MARCO ALBORNOZ, MD located?
MARCO ALBORNOZ, MD is located at 1088 W BALTIMORE PIKE STE 2105, MEDIA, PA, 19063. Phone: (610) 237-5801.
What is MARCO ALBORNOZ, MD's NPI number?
MARCO ALBORNOZ, MD's National Provider Identifier (NPI) is 1255414207, issued on 10/23/2006.
Does MARCO ALBORNOZ, MD prescribe more brand-name or generic drugs?
MARCO ALBORNOZ, MD's prescribing is 11% brand-name and 89% generic drugs by claim count, with $2.4M in brand drug costs.
Does MARCO ALBORNOZ, MD prescribe opioids?
Yes, MARCO ALBORNOZ, MD had 680 opioid claims in 2023 with an opioid prescribing rate of 17.7%.
How many Rheumatology Physician providers are there in the US?
There are 6,181 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 MARCO ALBORNOZ, MD prescribe most often?
Based on 2023 Medicare Part D data, MARCO ALBORNOZ, MD's most frequently prescribed drugs include Prednisone, Methotrexate, Tramadol Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does MARCO ALBORNOZ, MD accept Medicare?
MARCO ALBORNOZ, MD appears in CMS Medicare data with 3,833 Part D claims and 618 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify MARCO ALBORNOZ, MD's credentials?
MARCO ALBORNOZ, MD's NPI is 1255414207 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.
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