NPI registry status
Active
2026 NPPES data Pain Medicine (Anesthesiology) Physician NPI 1689894974 M.D.
Verify on CMS → Marisol Rivera-Misla, M.D.
Pain Medicine (Anesthesiology) Physician in Mayaguez, Puerto Rico.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 4,020 in Pain Medicine (Anesthesiology) 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
837
Medicare Part D claims · 234 beneficiaries · Pain Medicine (Anesthesiology) Physician avg: 2K
Generic prescribing
92%
generic claims · 8% brand-name · higher generic rates reduce patient out-of-pocket costs
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Marisol Rivera-Misla, M.D. filed 837 Medicare Part D claims in 2023 as a Pain Medicine (Anesthesiology) Physician in Mayaguez, Puerto Rico, prescribing 92% generic.
- 837
- Part D claims, 2023
- 92%
- generic prescribing
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.
Marisol Rivera-Misla, M.D.'s Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023, across all CMS prescribers nationally
837 Top 27% higher than 73% of 1,370,886 prescribers
Each bar is a band; taller bars hold more prescribers. 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 Medicare Part D Prescriber Public Use File · 2023
◑
Board-eligible specialty (heuristic, not verified)
Marisol Rivera-Misla, M.D. practices in an ABMS-board-eligible specialty but we don't have enough CMS-participation signals to confirm active board-certified status. Consult CertificationMatters.org (the official ABMS public lookup).
What does the federal data show about Marisol Rivera-Misla, M.D.?
Quality data not reportedPrimary specialty
Pain Medicine (Anesthesiology) Physician
Medicare Part D claims
837 49% vs specialty avg
Specialty distribution in Puerto Rico
How Pain Medicine (Anesthesiology) Physician compares to other specialties among Puerto Rico providers
Board certification
Not published by CMS
CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Pain Medicine (Anesthesiology) Physician. Verify directly:
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).
Marisol Rivera-Misla, M.D. appears in the CMS NPPES registry as a Pain Medicine (Anesthesiology) Physician provider holding M.D. credentials at CALLE MENDEZ VIGO 165-E, Mayaguez, PR, 00680, with a listed phone of (787) 832-7246. NPI 1689894974 was issued on 04/27/2007.
Medicare Part D records for calendar year 2023 show 837 prescription claims written by this provider, covering 234 Medicare beneficiaries and totaling roughly $47K in drug spend, split 8% brand-name and 92% generic by claim count, with an opioid prescribing rate of 67.1%.
Pain Medicine (Anesthesiology) Physician is a narrow specialty nationwide, with 4,020 enrolled providers across 53 states and an average of 1,657 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 | 1689894974 |
|---|---|
| Specialty | Pain Medicine (Anesthesiology) Physician |
| Credentials | M.D. |
| Gender | Female |
| NPI Issued | 04/27/2007 |
Brand vs generic prescribing mix · Generic-heavy
Marisol Rivera-Misla, M.D. - brand share 8.0%
Pain Medicine (Anesthesiology) Physician average
8% brand-name claims vs 92% generic, on 837 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.
837
Total Claims
$47K
Total Drug Cost
234
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 850
- Total Day Supply
- 14,440
- Brand vs Generic
- 8% brand / 92% generic
- Brand Drug Cost
- $33K
- Generic Drug Cost
- $15K
- Opioid Claims
- 562 (67.1% rate)
- Antibiotic Claims
- 26
Patient Demographics
- Average Patient Age
- 70.6 years
- Avg HCC Risk Score
- 2.33
- Gender Split
- 64% female / 36% male
- Age Distribution
- <65: 50, 65-74: 91, 75-84: 77, 85+: 16
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Marisol Rivera-Misla, M.D. prescribes most
Top Medicare Part D drugs by claim count, 2023
- Tramadol Hcl
Tramadol Hcl
231 claims
- Oxycodone-Acetamin…
Oxycodone-Acetaminophen
156 claims
- Meloxicam 48
Meloxicam
48 claims
- Baclofen 43
Baclofen
43 claims
- Fentanyl 43
Fentanyl
43 claims
- Oxycontin 41
Oxycontin
41 claims
- Tramadol Hcl-Aceta… 38
Tramadol Hcl-Acetaminophen
38 claims
- Pregabalin 27
Pregabalin
27 claims
| Drug | Claims |
|---|---|
| Tramadol Hcl | 231 |
| Oxycodone-Acetaminophen Oxycodone Hcl/Acetaminophen | 156 |
| Meloxicam | 48 |
| Baclofen | 43 |
| Fentanyl | 43 |
| Oxycontin Oxycodone Hcl | 41 |
| Tramadol Hcl-Acetaminophen Tramadol Hcl/Acetaminophen | 38 |
| Pregabalin | 27 |
| Nabumetone | 25 |
| Cefadroxil | 23 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
More Pain Medicine (Anesthesiology) Physician in PR →
All providers in Puerto Rico →
Compare specialties →
Pain Medicine (Anesthesiology) Physician Overview
How Marisol Rivera-Misla, M.D. fits within the Pain Medicine (Anesthesiology) Physician landscape nationally.
4,020
Pain Medicine (Anesthesiology) Physician Providers in US
53
States with Pain Medicine (Anesthesiology) Physician
1,657
Avg Claims per Provider
Marisol Rivera-Misla, M.D.'s 837 claims are below the specialty average of 1,657.
Nearby Pain Medicine (Anesthesiology) Physician Providers in Puerto Rico
Other clinicians with the same primary specialty enrolled in Puerto Rico, drawn from the same CMS NPPES roster as Rivera-Misla.
Dr. Carlos Buxo Tirado
MD
Toa Baja, PR
Dr. Hector Casiano Pagan
M.D.
Arecibo, PR
Dr. Jose Cruz Cestero
M.D
Coto Laurel, PR
Dr. Roberto Cummings
MD
Mayaguez, PR
Dr. Fernando Gerena Nieves
M.D ,D.A.B.A ,F.ABPM
Catano, PR
Compare Pain Medicine (Anesthesiology) 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 Puerto Rico medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Pain Medicine (Anesthesiology) 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
What is Marisol Rivera-Misla, M.D.'s specialty? ▼
Marisol Rivera-Misla, M.D. specializes in Pain Medicine (Anesthesiology) Physician and practices in Mayaguez, Puerto Rico. Credentials: M.D..
How much does Marisol Rivera-Misla, M.D. prescribe under Medicare Part D? ▼
In 2023, Marisol Rivera-Misla, M.D. wrote 837 Medicare Part D claims totaling $47K in drug costs for 234 beneficiaries.
Where is Marisol Rivera-Misla, M.D. located? ▼
Marisol Rivera-Misla, M.D. is located at CALLE MENDEZ VIGO 165-E, Mayaguez, PR, 00680. Phone: (787) 832-7246.
What is Marisol Rivera-Misla, M.D.'s NPI number? ▼
Marisol Rivera-Misla, M.D.'s National Provider Identifier (NPI) is 1689894974, issued on 04/27/2007.
Does Marisol Rivera-Misla, M.D. prescribe more brand-name or generic drugs? ▼
Marisol Rivera-Misla, M.D.'s prescribing is 8% brand-name and 92% generic drugs by claim count, with $33K in brand drug costs.
Does Marisol Rivera-Misla, M.D. prescribe opioids? ▼
Yes, Marisol Rivera-Misla, M.D. had 562 opioid claims in 2023 with an opioid prescribing rate of 67.1%.
How many Pain Medicine (Anesthesiology) Physician providers are there in the US? ▼
There are 4,020 Pain Medicine (Anesthesiology) Physician providers across 53 states in the US. The average Pain Medicine (Anesthesiology) Physician provider writes 1,657 Medicare Part D claims per year.
What drugs does Marisol Rivera-Misla, M.D. prescribe most often? ▼
Based on 2023 Medicare Part D data, Marisol Rivera-Misla, M.D.'s most frequently prescribed drugs include Tramadol Hcl, Oxycodone-Acetaminophen, Meloxicam. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Marisol Rivera-Misla, M.D. accept Medicare? ▼
Marisol Rivera-Misla, M.D. appears in CMS Medicare data with 837 Part D claims and 234 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Marisol Rivera-Misla, M.D.'s credentials? ▼
Marisol Rivera-Misla, M.D.'s NPI is 1689894974 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
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.
- 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.