2026 NPPES data Gastroenterology Physician NPI 1265701494
Verify on CMS →

Maria Aguilar

Gastroenterology Physician in Sacramento, California. This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 16,567 in Gastroenterology 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
234
Medicare Part D claims · 60 beneficiaries · Gastroenterology Physician avg: 833
Generic prescribing
85%
generic claims · 15% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
92.1/100
▲ 9 pts above national avg 83.1 · Exceptional
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Maria Aguilar reported a CMS MIPS final score of 92.1/100 - above the 83.1 national average - and filed 234 Medicare Part D claims in 2023.

92.1/100
MIPS score · +9 vs avg
234
Part D claims, 2023
85%
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.

Maria Aguilar's MIPS score vs every scored U.S. clinician

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

92 Top 32% higher than 68% 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+: 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

Where Maria Aguilar sits

This provider among gastroenterology physician peers

Across the 5,957 gastroenterology physician providers who report both Medicare Part D prescribing and a MIPS quality score, Maria Aguilar writes more Part D claims than 17% of them and scores higher on MIPS quality than 71% - placing this provider in the lower-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

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality02550751000255075100Part D claim volume, percentile in specialtyMIPS quality, percentilePart D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 83Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 68Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 8Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 87Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 38Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 77Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 30Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 45Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 7Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 47Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 58Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 3Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 20Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 10Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 97Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 27Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 57Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 15Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 97Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 48Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 78Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 80Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 22Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 23Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 43Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 65Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 42Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 25Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 82Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 50Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 30Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 92Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 60Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 13Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 10Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 62Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 52Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 28Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 85Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 40Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 37Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 3Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 17Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 67Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 92Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 30Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 73Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 2Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 18Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 97Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 68Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 63Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 30Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 52Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 95Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 68Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 52Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 0Maria Aguilar-Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 71
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one gastroenterology physician peer from a representative sample of 60; the gold marker is Maria Aguilar. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

Board certification likely (heuristic, not verified)

Maria Aguilar 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 Maria Aguilar?

High performer (top quartile)

NPI registry status

Active

Issued 12/16/2011

NPI 1265701494

Primary specialty

Gastroenterology Physician

Mid-sized

16,567 US NPIs in this specialty

Medicare Part D claims

234 72% vs specialty avg

2023 prescription claims

Specialty avg: 833

MIPS final score

92.1/100 9 pts vs avg

Exceptional band

vs 83.1 national avg

Specialty distribution in California

How Gastroenterology Physician compares to other specialties among California providers

California providers

Largest specialties in California (% of in-state providers)

Behavior Technician - 17.3%Behavior Technician17.3%Marriage & Family Therapist - 5.5%Marriage & Family Therapist5.5%Student in an Organized Health Care Education/Training Program - 5%Student in an Organized Health Care Education/Training Program5%Mental Health Counselor - 3.9%Mental Health Counselor3.9%Pharmacist - 3.5%Pharmacist3.5%Clinical Social Worker - 3.1%Clinical Social Worker3.1%Gastroenterology Physician - 0.2%Gastroenterology Physician0.2%
Largest specialties in California (% of in-state providers)

Medicare quality performance, MIPS

Maria Aguilar's 2023 MIPS final score plotted against the Gastroenterology Physician national average

High performer (top quartile)
MIPS Final Score
92.1/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Gastroenterology Physician) - 92.1/100 vs national avg 83.1

0%100%National avg83%92.1%
MIPS final score (Gastroenterology Physician) - 92.1/100 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).

Maria Aguilar appears in the CMS NPPES registry as a Gastroenterology Physician provider at 4150 V ST STE 3500, Sacramento, CA, 95817, with a listed phone of (916) 734-2786. NPI 1265701494 was issued on 12/16/2011. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Aguilar 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 234 prescription claims written by this provider, covering 60 Medicare beneficiaries and totaling roughly $251K in drug spend, split 15% brand-name and 85% 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 92.1/100 for the 2023 performance year (Quality 85.6), compared with the national average of 83.1.

Gastroenterology Physician is a mid-sized specialty nationwide, with 16,567 enrolled providers across 54 states and an average of 833 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

4150 V ST STE 3500
Sacramento, CA 95817

Provider Details

NPI 1265701494
Specialty Gastroenterology Physician
Gender Female
NPI Issued 12/16/2011

CMS Quality Score (MIPS)

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

92.0664
Final Score
Avg: 83.1
85.5753
Quality
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where Maria Aguilar 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.

Regents OF The Univ OF CA
Sacramento, CA

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

License & disciplinary context - California MBC 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 ~150K California medical licensees in 2023 - they are NOT specific to Maria Aguilar. To verify Maria Aguilar's current license status, search the MBC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

576
Total board actions, California 2023
Across 556 cases
3.84
Actions per 1,000 licensees
California statewide rate
probation
Most common action type
186 cases

MBC 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 California disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

Maria Aguilar - brand share 15.0%
Gastroenterology Physician average

15% brand-name claims vs 85% generic, on 234 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.

234
Total Claims
$251K
Total Drug Cost
60
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
359
Total Day Supply
10,301
Brand vs Generic
15% brand / 85% generic
Brand Drug Cost
$234K
Generic Drug Cost
$16K
Antibiotic Claims
20

Patient Demographics

Average Patient Age
64.7 years
Avg HCC Risk Score
2.67
Gender Split
53% female / 47% male
Age Distribution
<65: 19, 65-74: 29, 75-84: N/A, 85+: N/A

Top Prescribed Drugs (Medicare Part D)

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

What Maria Aguilar 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
Lactulose
22
Omeprazole
17
Xifaxan
Rifaximin
16
Amlodipine Besylate
14
Pantoprazole Sodium
13
Furosemide
12
Tacrolimus
12
Spironolactone
11

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

Gastroenterology Physician Overview

How Maria Aguilar fits within the Gastroenterology Physician landscape nationally.

16,567
Gastroenterology Physician Providers in US
54
States with Gastroenterology Physician
833
Avg Claims per Provider

Maria Aguilar's 234 claims are below the specialty average of 833.

Nearby Gastroenterology Physician Providers in California

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

Compare Gastroenterology 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 California medical board, federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Gastroenterology 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 Maria Aguilar's specialty?
Maria Aguilar specializes in Gastroenterology Physician and practices in Sacramento, California.
How much does Maria Aguilar prescribe under Medicare Part D?
In 2023, Maria Aguilar wrote 234 Medicare Part D claims totaling $251K in drug costs for 60 beneficiaries.
What is Maria Aguilar's Medicare quality score?
Maria Aguilar has a CMS MIPS Final Score of 92.1/100 (Quality: 85.6). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Maria Aguilar located?
Maria Aguilar is located at 4150 V ST STE 3500, Sacramento, CA, 95817. Phone: (916) 734-2786.
What is Maria Aguilar's NPI number?
Maria Aguilar's National Provider Identifier (NPI) is 1265701494, issued on 12/16/2011.
Does Maria Aguilar prescribe more brand-name or generic drugs?
Maria Aguilar's prescribing is 15% brand-name and 85% generic drugs by claim count, with $234K in brand drug costs.
How many Gastroenterology Physician providers are there in the US?
There are 16,567 Gastroenterology Physician providers across 54 states in the US. The average Gastroenterology Physician provider writes 833 Medicare Part D claims per year.
What drugs does Maria Aguilar prescribe most often?
Based on 2023 Medicare Part D data, Maria Aguilar's most frequently prescribed drugs include Lactulose, Omeprazole, Xifaxan. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Maria Aguilar accept Medicare?
Maria Aguilar appears in CMS Medicare data with 234 Part D claims and 60 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Maria Aguilar's credentials?
Maria Aguilar's NPI is 1265701494. 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

Compiled from official public sources by the PlainDoctor editorial team.