2026 NPPES data Advanced Heart Failure and Transplant Cardiology Physician NPI 1285976373 M.D.
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MIGUEL PINILLA VERA, M.D.

Advanced Heart Failure and Transplant Cardiology Physician in PITTSBURGH, Pennsylvania. 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
629
Medicare Part D claims · 143 beneficiaries · Advanced Heart Failure and Transplant Cardiology Physician avg: 2K
MIPS score
88.2391/100
▲ 5 pts above national avg 83.1 · [object Object]
Industry payments
$566.22
6 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: MIGUEL PINILLA VERA, M.D. is a Advanced Heart Failure and Transplant Cardiology Physician ([object Object]) practicing in PITTSBURGH, Pennsylvania with a Medicare Part D prescribing footprint of 629 claims across 143 beneficiaries . Their CMS MIPS Final Score of 88.2391/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $566.22 across 6 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: MIGUEL PINILLA VERA, M.D. reported a CMS MIPS final score of 88.2391 out of 100, above the 83.1 national average, and filed 629 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

MIGUEL PINILLA VERA, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 2 hospital affiliations — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

MIGUEL PINILLA VERA, M.D. at a glance

High performer (top quartile)

NPI registry status

Active

Issued 03/27/2013

NPI 1285976373

Primary specialty

Advanced Heart Failure and Transplant Cardiology Physician

Niche

510 US NPIs in this specialty

Medicare Part D claims

629 64% vs specialty avg

2023 prescription claims

Specialty avg: 1,762

MIPS final score

88.2391/100 5.139099999999999% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Pennsylvania

How Advanced Heart Failure and Transplant Cardiology Physician compares to other specialties among Pennsylvania providers

Pennsylvania providers

Advanced Heart Failure and Transplant Cardiology Physician share within Pennsylvania

1. Advanced Heart Failure and Transplant Cardiology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Advanced Heart Failure and Transplant Cardiology Physician share within Pennsylvania

Medicare quality performance — MIPS

MIGUEL PINILLA VERA, M.D.'s 2023 MIPS final score plotted against the Advanced Heart Failure and Transplant Cardiology Physician national average

High performer (top quartile)
MIPS Final Score
88.2391/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Advanced Heart Failure and Transplant Cardiology Physician) — 88.2391/100 vs national avg 83.1

0%100%National avg83%88.2%
MIPS final score (Advanced Heart Failure and Transplant Cardiology Physician) — 88.2391/100 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).

MIGUEL PINILLA VERA, M.D. is a Advanced Heart Failure and Transplant Cardiology Physician provider practicing in PITTSBURGH, Pennsylvania, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1285976373. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

MIGUEL PINILLA VERA, M.D. appears in the CMS NPPES registry as a Advanced Heart Failure and Transplant Cardiology Physician provider holding M.D. credentials at 200 LOTHROP ST, PITTSBURGH, PA, 15213, with a listed phone of (412) 692-4700. NPI 1285976373 was issued on 03/27/2013. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what PINILLA VERA 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 629 prescription claims written by this provider, covering 143 Medicare beneficiaries and totaling roughly $232K in drug spend. 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 88.2391/100 for the 2023 performance year (Quality 72.9364, Cost 60.0002), compared with the national average of 83.1.

Advanced Heart Failure and Transplant Cardiology Physician is a narrow specialty nationwide, with 510 enrolled providers across 48 states and an average of 1,762 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

200 LOTHROP ST
PITTSBURGH, PA 15213

Provider Details

NPI 1285976373
Specialty Advanced Heart Failure and Transplant Cardiology Physician
Credentials M.D.
Gender Male
NPI Issued 03/27/2013

CMS Quality Score (MIPS)

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

88.2391
Final Score
Avg: 83.1
72.9364
Quality
60.0002
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where MIGUEL PINILLA VERA, 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.

MEDSTAR HEART INSTITUTE LLC
WASHINGTON, DC
MEDSTAR MEDICAL GROUP II LLC
WASHINGTON, DC

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 MIGUEL PINILLA VERA, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$566

Largest payer

Cardiac Dimensions, 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 — Pennsylvania PA-BOM 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 ~45K Pennsylvania medical licensees in 2023 — they are NOT specific to MIGUEL PINILLA VERA, M.D.. To verify MIGUEL PINILLA VERA, M.D.'s current license status, search the PA-BOM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

133
Total board actions, Pennsylvania 2023
Across 129 cases
2.96
Actions per 1,000 licensees
Pennsylvania statewide rate
probation
Most common action type
48 cases

PA-BOM 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 Pennsylvania 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.

629
Total Claims
$232K
Total Drug Cost
143
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,441
Total Day Supply
42,715
Generic Drug Cost
$38K
Antibiotic Claims
18

Patient Demographics

Average Patient Age
65.9 years
Avg HCC Risk Score
3.50
Gender Split
41% female / 59% male
Age Distribution
<65: 54, 65-74: 55, 75-84: N/A, 85+: N/A

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Entresto
Sacubitril/Valsartan
52
Atorvastatin Calcium
38
Warfarin Sodium
30
Amlodipine Besylate
29
Jardiance
Empagliflozin
27
Pantoprazole Sodium
27
Torsemide
27
Spironolactone
25
Furosemide
24
Metoprolol Succinate
23

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

Advanced Heart Failure and Transplant Cardiology Physician Overview

How MIGUEL PINILLA VERA, M.D. fits within the Advanced Heart Failure and Transplant Cardiology Physician landscape nationally.

510
Advanced Heart Failure and Transplant Cardiology Physician Providers in US
48
States with Advanced Heart Failure and Transplant Cardiology Physician
1,762
Avg Claims per Provider

MIGUEL PINILLA VERA, M.D.'s 629 claims are below the specialty average of 1,762.

Nearby Advanced Heart Failure and Transplant Cardiology Physician Providers in Pennsylvania

Other clinicians with the same primary specialty enrolled in Pennsylvania, drawn from the same CMS NPPES roster as PINILLA VERA.

Compare Advanced Heart Failure and Transplant Cardiology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is MIGUEL PINILLA VERA, M.D.'s specialty?
MIGUEL PINILLA VERA, M.D. specializes in Advanced Heart Failure and Transplant Cardiology Physician and practices in PITTSBURGH, Pennsylvania. Credentials: M.D..
How much does MIGUEL PINILLA VERA, M.D. prescribe under Medicare Part D?
In 2023, MIGUEL PINILLA VERA, M.D. wrote 629 Medicare Part D claims totaling $232K in drug costs for 143 beneficiaries.
What is MIGUEL PINILLA VERA, M.D.'s Medicare quality score?
MIGUEL PINILLA VERA, M.D. has a CMS MIPS Final Score of 88.2391/100 (Quality: 72.9364, Cost: 60.0002). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is MIGUEL PINILLA VERA, M.D. located?
MIGUEL PINILLA VERA, M.D. is located at 200 LOTHROP ST, PITTSBURGH, PA, 15213. Phone: (412) 692-4700.
What is MIGUEL PINILLA VERA, M.D.'s NPI number?
MIGUEL PINILLA VERA, M.D.'s National Provider Identifier (NPI) is 1285976373, issued on 03/27/2013.
How many Advanced Heart Failure and Transplant Cardiology Physician providers are there in the US?
There are 510 Advanced Heart Failure and Transplant Cardiology Physician providers across 48 states in the US. The average Advanced Heart Failure and Transplant Cardiology Physician provider writes 1,762 Medicare Part D claims per year.
What drugs does MIGUEL PINILLA VERA, M.D. prescribe most often?
Based on 2023 Medicare Part D data, MIGUEL PINILLA VERA, M.D.'s most frequently prescribed drugs include Entresto, Atorvastatin Calcium, Warfarin Sodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does MIGUEL PINILLA VERA, M.D. accept Medicare?
MIGUEL PINILLA VERA, M.D. appears in CMS Medicare data with 629 Part D claims and 143 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify MIGUEL PINILLA VERA, M.D.'s credentials?
MIGUEL PINILLA VERA, M.D.'s NPI is 1285976373 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