NPI registry status
Active
2026 NPPES data Pain Medicine (Physical Medicine & Rehabilitation) Physician NPI 1437160934 M.D.
Verify on CMS → Mark Queralt, M.D.
Pain Medicine (Physical Medicine & Rehabilitation) Physician in Austin, Texas.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 1,630 in Pain Medicine (Physical Medicine & Rehabilitation) 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
419
Medicare Part D claims · 102 beneficiaries · Pain Medicine (Physical Medicine & Rehabilitation) Physician avg: 1K
MIPS score
71.5/100
▼ 12 pts below national avg 83.1 · Mid-tier
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Mark Queralt, M.D. reported a CMS MIPS final score of 71.5/100 - below the 83.1 national average - and filed 419 Medicare Part D claims in 2023.
- 71.5/100
- MIPS score · -12 vs avg
- 419
- 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.
Mark Queralt, 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
72 9th percentile higher than 9% 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 Mark Queralt, M.D. sits
This provider among pain medicine (physical medicine & rehabilitation) physician peers
Across the 526 pain medicine (physical medicine & rehabilitation) physician providers who report both Medicare Part D prescribing and a MIPS quality score, Mark Queralt, M.D. writes more Part D claims than 32% of them and scores higher on MIPS quality than 25% - placing this provider in the lower-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 pain medicine (physical medicine & rehabilitation) physician peer from a representative sample of 60; the gold marker is Mark Queralt, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Mark Queralt, 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 Mark Queralt, M.D.?
Below national averagePrimary specialty
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Medicare Part D claims
419 70% vs specialty avg
MIPS final score
71.5/100 11.6 pts vs avg
Specialty distribution in Texas
How Pain Medicine (Physical Medicine & Rehabilitation) Physician compares to other specialties among Texas providers
Medicare quality performance, MIPS
Mark Queralt, M.D.'s 2023 MIPS final score plotted against the Pain Medicine (Physical Medicine & Rehabilitation) Physician national average
- MIPS Final Score
- 71.5/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Pain Medicine (Physical Medicine & Rehabilitation) Physician) - 71.5/100 vs national avg 83.1
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).
Mark Queralt, M.D. appears in the CMS NPPES registry as a Pain Medicine (Physical Medicine & Rehabilitation) Physician provider holding M.D. credentials at 3724 EXECUTIVE CENTER DR, Austin, TX, 78731, with a listed phone of (512) 345-5925. NPI 1437160934 was issued on 08/10/2006.
Medicare Part D records for calendar year 2023 show 419 prescription claims written by this provider, covering 102 Medicare beneficiaries and totaling roughly $9K in drug spend. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 71.5/100 for the 2023 performance year (Quality 64.9, Cost 69.6), compared with the national average of 83.1.
Pain Medicine (Physical Medicine & Rehabilitation) Physician is a narrow specialty nationwide, with 1,630 enrolled providers across 50 states and an average of 1,401 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 | 1437160934 |
|---|---|
| Specialty | Pain Medicine (Physical Medicine & Rehabilitation) Physician |
| Credentials | M.D. |
| Gender | Male |
| NPI Issued | 08/10/2006 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
71.5366
Final Score
Avg: 83.1
64.8573
Quality
69.5505
Cost
Reporting: Group practice
Hospital and facility affiliations
Facilities where Mark Queralt, 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.
The University OF Texas AT Austin
Austin, 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).
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 Mark Queralt, M.D.. To verify Mark Queralt, 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.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
419
Total Claims
$9K
Total Drug Cost
102
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 523
- Total Day Supply
- 15,260
- Generic Drug Cost
- $9K
Patient Demographics
- Average Patient Age
- 70.9 years
- Avg HCC Risk Score
- 0.87
- 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 Mark Queralt, M.D. prescribes most
Top Medicare Part D drugs by claim count, 2023
- Pregabalin
Pregabalin
183 claims
- Gabapentin
Gabapentin
175 claims
- Duloxetine Hcl 30
Duloxetine Hcl
30 claims
- Trazodone Hcl 18
Trazodone Hcl
18 claims
| Drug | Claims |
|---|---|
| Pregabalin | 183 |
| Gabapentin | 175 |
| Duloxetine Hcl | 30 |
| Trazodone Hcl | 18 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
More Pain Medicine (Physical Medicine & Rehabilitation) Physician in TX →
All providers in Texas →
Compare specialties →
Pain Medicine (Physical Medicine & Rehabilitation) Physician Overview
How Mark Queralt, M.D. fits within the Pain Medicine (Physical Medicine & Rehabilitation) Physician landscape nationally.
1,630
Pain Medicine (Physical Medicine & Rehabilitation) Physician Providers in US
50
States with Pain Medicine (Physical Medicine & Rehabilitation) Physician
1,401
Avg Claims per Provider
Mark Queralt, M.D.'s 419 claims are below the specialty average of 1,401.
Nearby Pain Medicine (Physical Medicine & Rehabilitation) Physician Providers in Texas
Other clinicians with the same primary specialty enrolled in Texas, drawn from the same CMS NPPES roster as Queralt.
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 Texas medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Pain Medicine (Physical Medicine & Rehabilitation) 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 Mark Queralt, M.D.'s specialty? ▼
Mark Queralt, M.D. specializes in Pain Medicine (Physical Medicine & Rehabilitation) Physician and practices in Austin, Texas. Credentials: M.D..
How much does Mark Queralt, M.D. prescribe under Medicare Part D? ▼
In 2023, Mark Queralt, M.D. wrote 419 Medicare Part D claims totaling $9K in drug costs for 102 beneficiaries.
What is Mark Queralt, M.D.'s Medicare quality score? ▼
Mark Queralt, M.D. has a CMS MIPS Final Score of 71.5/100 (Quality: 64.9, Cost: 69.6). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Mark Queralt, M.D. located? ▼
Mark Queralt, M.D. is located at 3724 EXECUTIVE CENTER DR, Austin, TX, 78731. Phone: (512) 345-5925.
What is Mark Queralt, M.D.'s NPI number? ▼
Mark Queralt, M.D.'s National Provider Identifier (NPI) is 1437160934, issued on 08/10/2006.
How many Pain Medicine (Physical Medicine & Rehabilitation) Physician providers are there in the US? ▼
There are 1,630 Pain Medicine (Physical Medicine & Rehabilitation) Physician providers across 50 states in the US. The average Pain Medicine (Physical Medicine & Rehabilitation) Physician provider writes 1,401 Medicare Part D claims per year.
What drugs does Mark Queralt, M.D. prescribe most often? ▼
Based on 2023 Medicare Part D data, Mark Queralt, M.D.'s most frequently prescribed drugs include Pregabalin, Gabapentin, Duloxetine Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Mark Queralt, M.D. accept Medicare? ▼
Mark Queralt, M.D. appears in CMS Medicare data with 419 Part D claims and 102 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Mark Queralt, M.D.'s credentials? ▼
Mark Queralt, M.D.'s NPI is 1437160934 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.
- 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.
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.