2026 NPPES data Family Medicine Physician NPI 1568431542 MD
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Margarita Sevilla, MD

Family Medicine Physician in Highlands Ranch, Colorado. 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
371
Medicare Part D claims · 154 beneficiaries · Family Medicine Physician avg: 3K
MIPS score
97.6/100
▲ 14 pts above national avg 83.1 · [object Object]

What the federal data shows

Margarita Sevilla, MD reported a CMS MIPS final score of 97.6/100 — above the 83.1 national average — and filed 371 Medicare Part D claims in 2023.

97.6/100
MIPS score · +14 vs avg
371
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.

Margarita Sevilla, MD's MIPS score vs every scored U.S. clinician

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

98 Top 15% higher than 85% 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)

Margarita Sevilla, 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).

What does the federal data show about Margarita Sevilla, MD?

High performer (top quartile)

NPI registry status

Active

Issued 03/14/2006

NPI 1568431542

Primary specialty

Family Medicine Physician

High-volume

147,640 US NPIs in this specialty

Medicare Part D claims

371 89% vs specialty avg

2023 prescription claims

Specialty avg: 3,418

MIPS final score

97.6/100 14.5 pts vs avg

Exceptional band

vs 83.1 national avg

Specialty distribution in Colorado

How Family Medicine Physician compares to other specialties among Colorado providers

Colorado providers

Family Medicine Physician share within Colorado

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

Medicare quality performance — MIPS

Margarita Sevilla, MD's 2023 MIPS final score plotted against the Family Medicine Physician national average

High performer (top quartile)
MIPS Final Score
97.6/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Family Medicine Physician) — 97.6/100 vs national avg 83.1

0%100%National avg83%97.6%
MIPS final score (Family Medicine Physician) — 97.6/100 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).

Margarita Sevilla, MD appears in the CMS NPPES registry as a Family Medicine Physician provider holding MD credentials at 9475 S UNIVERSITY BLVD, Highlands Ranch, CO, 80126, with a listed phone of (303) 470-4071. NPI 1568431542 was issued on 03/14/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Sevilla 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 371 prescription claims written by this provider, covering 154 Medicare beneficiaries and totaling roughly $14K 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 97.6/100 for the 2023 performance year (Quality 86.5), compared with the national average of 83.1.

Family Medicine Physician is a high-volume specialty nationwide, with 147,640 enrolled providers across 56 states and an average of 3,418 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

9475 S UNIVERSITY BLVD
Highlands Ranch, CO 80126

Provider Details

NPI 1568431542
Specialty Family Medicine Physician
Credentials MD
Gender Female
NPI Issued 03/14/2006

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

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

371
Total Claims
$14K
Total Drug Cost
154
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
919
Total Day Supply
25,934
Generic Drug Cost
$5K
Antibiotic Claims
38

Patient Demographics

Average Patient Age
73.1 years
Avg HCC Risk Score
0.93
Gender Split
71% female / 29% male

Top Prescribed Drugs (Medicare Part D)

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

What Margarita Sevilla, MD prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Atorvastatin Calcium
32
Levothyroxine Sodium
26
Gabapentin
14
Lisinopril
13
Simvastatin
12
Azithromycin
11

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

Family Medicine Physician Overview

How Margarita Sevilla, MD fits within the Family Medicine Physician landscape nationally.

147,640
Family Medicine Physician Providers in US
56
States with Family Medicine Physician
3,418
Avg Claims per Provider

Margarita Sevilla, MD's 371 claims are below the specialty average of 3,418.

Nearby Family Medicine Physician Providers in Colorado

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

Compare Family Medicine 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 Colorado medical board — federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Family Medicine 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.

Frequently Asked Questions

What is Margarita Sevilla, MD's specialty?
Margarita Sevilla, MD specializes in Family Medicine Physician and practices in Highlands Ranch, Colorado. Credentials: MD.
How much does Margarita Sevilla, MD prescribe under Medicare Part D?
In 2023, Margarita Sevilla, MD wrote 371 Medicare Part D claims totaling $14K in drug costs for 154 beneficiaries.
What is Margarita Sevilla, MD's Medicare quality score?
Margarita Sevilla, MD has a CMS MIPS Final Score of 97.6/100 (Quality: 86.5). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Margarita Sevilla, MD located?
Margarita Sevilla, MD is located at 9475 S UNIVERSITY BLVD, Highlands Ranch, CO, 80126. Phone: (303) 470-4071.
What is Margarita Sevilla, MD's NPI number?
Margarita Sevilla, MD's National Provider Identifier (NPI) is 1568431542, issued on 03/14/2006.
How many Family Medicine Physician providers are there in the US?
There are 147,640 Family Medicine Physician providers across 56 states in the US. The average Family Medicine Physician provider writes 3,418 Medicare Part D claims per year.
What drugs does Margarita Sevilla, MD prescribe most often?
Based on 2023 Medicare Part D data, Margarita Sevilla, MD's most frequently prescribed drugs include Atorvastatin Calcium, Levothyroxine Sodium, Gabapentin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Margarita Sevilla, MD accept Medicare?
Margarita Sevilla, MD appears in CMS Medicare data with 371 Part D claims and 154 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Margarita Sevilla, MD's credentials?
Margarita Sevilla, MD's NPI is 1568431542 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