Maria Sandra Umali, M.D.
Gastroenterology Physician in Newhall, 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 16,601 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.
Source: CMS Medicare Part D Prescriber Public Use File, 2023
What the federal data shows
Maria Sandra Umali, M.D. reported a CMS MIPS final score of 19.5/100 - below the 83.1 national average - and filed 4,538 Medicare Part D claims in 2023.
- 19.5/100
- MIPS score · -64 vs avg
- 5K
- Part D claims, 2023
- 90%
- 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 Sandra Umali, 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
20 2nd percentile higher than 2% of 477,587 scored providers
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 Sandra Umali, M.D. 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 Sandra Umali, M.D. writes more Part D claims than 99% of them and scores higher on MIPS quality than 2% - placing this provider in the high-volume, lower-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
Each dot is one gastroenterology physician peer from a representative sample of 60; the gold marker is Maria Sandra Umali, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
Maria Sandra Umali, M.D. 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 Maria Sandra Umali, M.D.?
Below national averagePrimary specialty
Medicare Part D claims
MIPS final score
Specialty distribution in California
How Gastroenterology Physician compares to other specialties among California providers
Gastroenterology Physician ranks #68 among California's specialties (0.2% of in-state providers)
Each bar is a specialty's share of the California provider total, by primary NUCC taxonomy. The highlighted bar is Gastroenterology Physician; the long tail of smaller specialties is omitted for legibility.
Medicare quality performance, MIPS
Maria Sandra Umali, M.D.'s 2023 MIPS final score plotted against the Gastroenterology Physician national average
- MIPS Final Score
- 19.5/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Gastroenterology Physician) - 19.5/100 vs national avg 83.1
Quality benchmarks
- National MIPS avg 2023 reporting year
- Quality dim CMS Quality category
- Cost dim CMS Cost category
- Specialty volume Gastroenterology Physician US NPIs
19.5/100 MIPS final score - 63.6 pts below the 83.1 national average
Quality, Cost, Promoting Interoperability, and Improvement Activities composite score for the 2023 performance year. Specialty: Gastroenterology Physician. Quality dim: 0. Cost dim: 65.
How MIPS and board certification work
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 Sandra Umali, M.D. appears in the CMS NPPES registry as a Gastroenterology Physician provider holding M.D. credentials at 22621 LYONS AVE, Newhall, CA, 91321, with a listed phone of (661) 964-0597. NPI 1790817328 was issued on 03/09/2007.
Medicare Part D records for calendar year 2023 show 4,538 prescription claims written by this provider, covering 337 Medicare beneficiaries and totaling roughly $326K in drug spend, split 9% brand-name and 90% generic by claim count, with an opioid prescribing rate of 0.7%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 19.5/100 for the 2023 performance year (Quality 0, Cost 65), compared with the national average of 83.1.
Gastroenterology Physician is a mid-sized specialty nationwide, with 16,601 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
Provider Details
| NPI | 1790817328 |
|---|---|
| Specialty | Gastroenterology Physician |
| Credentials | M.D. |
| Gender | Female |
| NPI Issued | 03/09/2007 |
Verify this provider's license
PlainDoctor pulls this profile from the CMS NPPES public registry. Confirm Maria Sandra Umali, M.D.'s current license status, disciplinary history, and board certifications with the Medical Board of California in California before relying on this page for a clinical or care decision.
How we sourced this profile
Profile fields combine the CMS NPPES monthly snapshot (provider directory, taxonomy, and address) with calendar-year 2023 Medicare Part D and MIPS public-use files when records are present. NPI 1790817328 is the unique 10-digit identifier CMS uses to link Umali across every Medicare, Medicaid, and HIPAA-covered transaction. Read full methodology →
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
Reporting: Individual
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 Sandra Umali, M.D.. To verify Maria Sandra Umali, M.D.'s current license status, search the MBC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
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 · Generic-heavy
9% brand-name claims vs 90% generic, on 4,538 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.
Prescribing Breakdown
- 30-Day Fills
- 10,638
- Total Day Supply
- 312,372
- Brand vs Generic
- 9% brand / 90% generic
- Brand Drug Cost
- $232K
- Generic Drug Cost
- $93K
- Opioid Claims
- 33 (0.7% rate)
- Antibiotic Claims
- 99
Patient Demographics
- Average Patient Age
- 76.7 years
- Avg HCC Risk Score
- 0.92
- Gender Split
- 68% female / 32% 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 Sandra Umali, M.D. prescribes most
Top Medicare Part D drugs by claim count, 2023
- Atorvastatin Calcium
Atorvastatin Calcium
336 claims
- Levothyroxine Sodium
Levothyroxine Sodium
213 claims
- Losartan Potassium
Losartan Potassium
211 claims
- Amlodipine Besylate
Amlodipine Besylate
170 claims
- Simvastatin
Simvastatin
170 claims
- Lisinopril
Lisinopril
143 claims
- Metoprolol Succinate
Metoprolol Succinate
140 claims
- Hydrochlorothiazide 125
Hydrochlorothiazide
125 claims
| Drug | Claims |
|---|---|
| Atorvastatin Calcium | 336 |
| Levothyroxine Sodium | 213 |
| Losartan Potassium | 211 |
| Amlodipine Besylate | 170 |
| Simvastatin | 170 |
| Lisinopril | 143 |
| Metoprolol Succinate | 140 |
| Hydrochlorothiazide | 125 |
| Pantoprazole Sodium | 118 |
| Gabapentin | 81 |
* 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 Sandra Umali, M.D. fits within the Gastroenterology Physician landscape nationally.
Maria Sandra Umali, M.D.'s 4,538 claims are above 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 Umali.
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.
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Frequently Asked Questions
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Data Sources
View source datasets and methodology notes
- 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
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of May 2026.
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