2026 NPPES data Hepatology Physician NPI 1396799847 M.D.
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MARIA LEPE SUASTEGUI, M.D.

Hepatology Physician in DALLAS, 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
483
Medicare Part D claims · 113 beneficiaries · Hepatology Physician avg: 803
Generic prescribing
79%
generic claims · 21% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
74.5984/100
▼ 9 pts below national avg 83.1 · [object Object]
Industry payments
$483.64
21 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

MARIA LEPE SUASTEGUI, M.D. reported a CMS MIPS final score of 74.5984/100 — below the 83.1 national average — and filed 483 Medicare Part D claims in 2023.

74.5984/100
MIPS score · -9 vs avg
483
Part D claims, 2023
79%
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 LEPE SUASTEGUI, M.D.'s MIPS score vs every scored U.S. clinician

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

75 12th percentile higher than 12% 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%). This entry sits in this band. 80–90: 129,887 scored providers (27%). Above this entry. 90–100: 189,403 scored providers (40%). Above this entry. 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)

MARIA LEPE SUASTEGUI, 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).

What does the federal data show about MARIA LEPE SUASTEGUI, M.D.?

Below national average

NPI registry status

Active

Issued 05/20/2006

NPI 1396799847

Primary specialty

Hepatology Physician

Rare

281 US NPIs in this specialty

Medicare Part D claims

483 40% vs specialty avg

2023 prescription claims

Specialty avg: 803

MIPS final score

74.5984/100 8.501599999999996% pts

Mid-tier band

vs 83.1 national avg

Specialty distribution in Texas

How Hepatology Physician compares to other specialties among Texas providers

Texas providers

Hepatology Physician share within Texas

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

Medicare quality performance — MIPS

MARIA LEPE SUASTEGUI, M.D.'s 2023 MIPS final score plotted against the Hepatology Physician national average

Below national average
MIPS Final Score
74.5984/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Hepatology Physician) — 74.5984/100 vs national avg 83.1

0%100%National avg83%74.6%
MIPS final score (Hepatology Physician) — 74.5984/100 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 LEPE SUASTEGUI, M.D. appears in the CMS NPPES registry as a Hepatology Physician provider holding M.D. credentials at 8200 WALNUT HILL LN, DALLAS, TX, 75231, with a listed phone of (214) 645-0595. NPI 1396799847 was issued on 05/20/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what LEPE SUASTEGUI 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 483 prescription claims written by this provider, covering 113 Medicare beneficiaries and totaling roughly $489K in drug spend, split 21% brand-name and 79% 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 74.5984/100 for the 2023 performance year (Quality 56.1252, Cost 59.2027), compared with the national average of 83.1.

Hepatology Physician is a narrow specialty nationwide, with 281 enrolled providers across 36 states and an average of 803 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

8200 WALNUT HILL LN
DALLAS, TX 75231

Provider Details

NPI 1396799847
Specialty Hepatology Physician
Credentials M.D.
Gender Female
NPI Issued 05/20/2006

CMS Quality Score (MIPS)

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

74.5984
Final Score
Avg: 83.1
56.1252
Quality
59.2027
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where MARIA LEPE SUASTEGUI, 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.

UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS
DALLAS, 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 MARIA LEPE SUASTEGUI, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$484

Largest payer

Gilead Sciences, 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 — 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 MARIA LEPE SUASTEGUI, M.D.. To verify MARIA LEPE SUASTEGUI, 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 · Typical

MARIA LEPE SUASTEGUI, M.D. — brand share 21.0%
Specialty average (est.)

21% brand-name claims vs 79% generic, on 483 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.

483
Total Claims
$489K
Total Drug Cost
113
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
632
Total Day Supply
15,583
Brand vs Generic
21% brand / 79% generic
Brand Drug Cost
$474K
Generic Drug Cost
$15K
Antibiotic Claims
41

Patient Demographics

Average Patient Age
69.1 years
Avg HCC Risk Score
2.35
Gender Split
59% female / 41% male

Top Prescribed Drugs (Medicare Part D)

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

What MARIA LEPE SUASTEGUI, M.D. 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
36
Prednisone
36
Vemlidy
Tenofovir Alafenamide
35
Furosemide
27
Ondansetron Hcl
25
Spironolactone
24
Ursodiol
23
Xifaxan
Rifaximin
23
Propranolol Hcl
21
Ezetimibe
16

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

Hepatology Physician Overview

How MARIA LEPE SUASTEGUI, M.D. fits within the Hepatology Physician landscape nationally.

281
Hepatology Physician Providers in US
36
States with Hepatology Physician
803
Avg Claims per Provider

MARIA LEPE SUASTEGUI, M.D.'s 483 claims are below the specialty average of 803.

Nearby Hepatology Physician Providers in Texas

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

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

Frequently Asked Questions

What is MARIA LEPE SUASTEGUI, M.D.'s specialty?
MARIA LEPE SUASTEGUI, M.D. specializes in Hepatology Physician and practices in DALLAS, Texas. Credentials: M.D..
How much does MARIA LEPE SUASTEGUI, M.D. prescribe under Medicare Part D?
In 2023, MARIA LEPE SUASTEGUI, M.D. wrote 483 Medicare Part D claims totaling $489K in drug costs for 113 beneficiaries.
What is MARIA LEPE SUASTEGUI, M.D.'s Medicare quality score?
MARIA LEPE SUASTEGUI, M.D. has a CMS MIPS Final Score of 74.5984/100 (Quality: 56.1252, Cost: 59.2027). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is MARIA LEPE SUASTEGUI, M.D. located?
MARIA LEPE SUASTEGUI, M.D. is located at 8200 WALNUT HILL LN, DALLAS, TX, 75231. Phone: (214) 645-0595.
What is MARIA LEPE SUASTEGUI, M.D.'s NPI number?
MARIA LEPE SUASTEGUI, M.D.'s National Provider Identifier (NPI) is 1396799847, issued on 05/20/2006.
Does MARIA LEPE SUASTEGUI, M.D. prescribe more brand-name or generic drugs?
MARIA LEPE SUASTEGUI, M.D.'s prescribing is 21% brand-name and 79% generic drugs by claim count, with $474K in brand drug costs.
How many Hepatology Physician providers are there in the US?
There are 281 Hepatology Physician providers across 36 states in the US. The average Hepatology Physician provider writes 803 Medicare Part D claims per year.
What drugs does MARIA LEPE SUASTEGUI, M.D. prescribe most often?
Based on 2023 Medicare Part D data, MARIA LEPE SUASTEGUI, M.D.'s most frequently prescribed drugs include Lactulose, Prednisone, Vemlidy. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does MARIA LEPE SUASTEGUI, M.D. accept Medicare?
MARIA LEPE SUASTEGUI, M.D. appears in CMS Medicare data with 483 Part D claims and 113 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify MARIA LEPE SUASTEGUI, M.D.'s credentials?
MARIA LEPE SUASTEGUI, M.D.'s NPI is 1396799847 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