NPI registry status
Active
2026 NPPES data Pulmonary Disease Physician NPI 1003832817 M.D.
Verify on CMS → Michael Mistretta, M.D.
Pulmonary Disease Physician in Richmond, Virginia.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 9,271 in Pulmonary Disease 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
3K
Medicare Part D claims · 496 beneficiaries · Pulmonary Disease Physician avg: 1K
Generic prescribing
0%
generic claims · 62% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
76.5/100
▼ 7 pts below national avg 83.1 · Above neutral
Industry payments
$2.4K
117 payments · CMS Open Payments (Sunshine Act)
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
Michael Mistretta, M.D. reported a CMS MIPS final score of 76.5/100 - below the 83.1 national average - and filed 2,950 Medicare Part D claims in 2023.
- 76.5/100
- MIPS score · -7 vs avg
- 3K
- Part D claims, 2023
- 0%
- 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.
Michael Mistretta, 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
77 21st percentile higher than 21% 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 Michael Mistretta, M.D. sits
This provider among pulmonary disease physician peers
Across the 2,676 pulmonary disease physician providers who report both Medicare Part D prescribing and a MIPS quality score, Michael Mistretta, M.D. writes more Part D claims than 83% of them and scores higher on MIPS quality than 27% - 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 pulmonary disease physician peer from a representative sample of 60; the gold marker is Michael Mistretta, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Michael Mistretta, 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 Michael Mistretta, M.D.?
Below national averagePrimary specialty
Pulmonary Disease Physician
Medicare Part D claims
2,950 102% vs specialty avg
MIPS final score
76.5/100 6.6 pts vs avg
Specialty distribution in Virginia
How Pulmonary Disease Physician compares to other specialties among Virginia providers
Medicare quality performance, MIPS
Michael Mistretta, M.D.'s 2023 MIPS final score plotted against the Pulmonary Disease Physician national average
- MIPS Final Score
- 76.5/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Pulmonary Disease Physician) - 76.5/100 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).
Michael Mistretta, M.D. appears in the CMS NPPES registry as a Pulmonary Disease Physician provider holding M.D. credentials at 6600 W BROAD ST STE 300, Richmond, VA, 23230, with a listed phone of (804) 320-4243. NPI 1003832817 was issued on 07/14/2006.
Medicare Part D records for calendar year 2023 show 2,950 prescription claims written by this provider, covering 496 Medicare beneficiaries and totaling roughly $1.4 million in drug spend, split 62% brand-name and 0% generic by claim count. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 76.5/100 for the 2023 performance year (Quality 67.3, Cost 56.9), compared with the national average of 83.1.
Pulmonary Disease Physician is a mid-sized specialty nationwide, with 9,271 enrolled providers across 53 states and an average of 1,457 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 | 1003832817 |
|---|---|
| Specialty | Pulmonary Disease Physician |
| Credentials | M.D. |
| Gender | Male |
| NPI Issued | 07/14/2006 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
76.5063
Final Score
Avg: 83.1
67.3173
Quality
56.8703
Cost
97
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where Michael Mistretta, 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.
Pulmonary Associates OF Richmond Inc
Richmond, VA
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 Michael Mistretta, M.D.. Source: openpaymentsdata.cms.gov.
Total received
$2.4K
Largest payer
GlaxoSmithKline, LLC.
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.
Brand vs generic prescribing mix · Brand-heavy
Michael Mistretta, M.D. - brand share 62.0%
Pulmonary Disease Physician average
62% brand-name claims vs 0% generic, on 2,950 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.
2,950
Total Claims
$1.4M
Total Drug Cost
496
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 4,207
- Total Day Supply
- 119,800
- Brand vs Generic
- 62% brand / 0% generic
- Brand Drug Cost
- $1.4M
- Antibiotic Claims
- 92
Patient Demographics
- Average Patient Age
- 73.4 years
- Avg HCC Risk Score
- 1.54
- Gender Split
- 65% female / 35% male
- Age Distribution
- <65: 48, 65-74: 224, 75-84: 180, 85+: 44
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Michael Mistretta, M.D. prescribes most
Top Medicare Part D drugs by claim count, 2023
- Trelegy Ellipta
Trelegy Ellipta
612 claims
- Albuterol Sulfate …
Albuterol Sulfate Hfa
289 claims
- Montelukast Sodium
Montelukast Sodium
263 claims
- Prednisone 158
Prednisone
158 claims
- Symbicort 154
Symbicort
154 claims
- Ipratropium Bromide 120
Ipratropium Bromide
120 claims
- Breztri Aerosphere 119
Breztri Aerosphere
119 claims
- Azelastine Hcl 115
Azelastine Hcl
115 claims
| Drug | Claims |
|---|---|
| Trelegy Ellipta Fluticasone/Umeclidin/Vilanter | 612 |
| Albuterol Sulfate Hfa Albuterol Sulfate | 289 |
| Montelukast Sodium | 263 |
| Prednisone | 158 |
| Symbicort Budesonide/Formoterol Fumarate | 154 |
| Ipratropium Bromide | 120 |
| Breztri Aerosphere Budesonide/Glycopyr/Formoterol | 119 |
| Azelastine Hcl | 115 |
| Breo Ellipta Fluticasone/Vilanterol | 110 |
| Advair Diskus Fluticasone Propion/Salmeterol | 101 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Pulmonary Disease Physician Overview
How Michael Mistretta, M.D. fits within the Pulmonary Disease Physician landscape nationally.
9,271
Pulmonary Disease Physician Providers in US
53
States with Pulmonary Disease Physician
1,457
Avg Claims per Provider
Michael Mistretta, M.D.'s 2,950 claims are above the specialty average of 1,457.
Nearby Pulmonary Disease Physician Providers in Virginia
Other clinicians with the same primary specialty enrolled in Virginia, drawn from the same CMS NPPES roster as Mistretta.
Dr. Nathalie Abi Hatem
M.D.
Salem, VA
Dr. Youssef Abouleish
MD
Suffolk, VA
Dr. Jawed Abubaker
MD
Petersburg, VA
Dr. Richard Ackart
MD
Williamsburg, VA
Dr. Choi Mei Adams
FNP
Charlottesville, VA
Compare Pulmonary Disease 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 Virginia medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Pulmonary Disease 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 Michael Mistretta, M.D.'s specialty? ▼
Michael Mistretta, M.D. specializes in Pulmonary Disease Physician and practices in Richmond, Virginia. Credentials: M.D..
How much does Michael Mistretta, M.D. prescribe under Medicare Part D? ▼
In 2023, Michael Mistretta, M.D. wrote 2,950 Medicare Part D claims totaling $1.4M in drug costs for 496 beneficiaries.
What is Michael Mistretta, M.D.'s Medicare quality score? ▼
Michael Mistretta, M.D. has a CMS MIPS Final Score of 76.5/100 (Quality: 67.3, Cost: 56.9). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Michael Mistretta, M.D. located? ▼
Michael Mistretta, M.D. is located at 6600 W BROAD ST STE 300, Richmond, VA, 23230. Phone: (804) 320-4243.
What is Michael Mistretta, M.D.'s NPI number? ▼
Michael Mistretta, M.D.'s National Provider Identifier (NPI) is 1003832817, issued on 07/14/2006.
Does Michael Mistretta, M.D. prescribe more brand-name or generic drugs? ▼
Michael Mistretta, M.D.'s prescribing is 62% brand-name and 0% generic drugs by claim count, with $1.4M in brand drug costs.
How many Pulmonary Disease Physician providers are there in the US? ▼
There are 9,271 Pulmonary Disease Physician providers across 53 states in the US. The average Pulmonary Disease Physician provider writes 1,457 Medicare Part D claims per year.
What drugs does Michael Mistretta, M.D. prescribe most often? ▼
Based on 2023 Medicare Part D data, Michael Mistretta, M.D.'s most frequently prescribed drugs include Trelegy Ellipta, Albuterol Sulfate Hfa, Montelukast Sodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Michael Mistretta, M.D. accept Medicare? ▼
Michael Mistretta, M.D. appears in CMS Medicare data with 2,950 Part D claims and 496 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Michael Mistretta, M.D.'s credentials? ▼
Michael Mistretta, M.D.'s NPI is 1003832817 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.