NPI registry status
Active
2026 NPPES data Rheumatology Physician NPI 1538117676 MD
Verify on CMS → Miguel Rodriguez, MD
Rheumatology Physician in Gainesville, Florida.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 6,181 in Rheumatology 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 · 501 beneficiaries · Rheumatology Physician avg: 2K
MIPS score
77.2/100
▼ 6 pts below national avg 83.1 · Above neutral
Industry payments
$78.82
4 payments · CMS Open Payments (Sunshine Act)
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Miguel Rodriguez, MD reported a CMS MIPS final score of 77.2/100 - below the 83.1 national average - and filed 3,167 Medicare Part D claims in 2023.
- 77.2/100
- MIPS score · -6 vs avg
- 3K
- 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.
Miguel Rodriguez, MD's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
77 24th percentile higher than 24% 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 Miguel Rodriguez, MD sits
This provider among rheumatology physician peers
Across the 2,181 rheumatology physician providers who report both Medicare Part D prescribing and a MIPS quality score, Miguel Rodriguez, MD writes more Part D claims than 74% of them and scores higher on MIPS quality than 31% - 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 rheumatology physician peer from a representative sample of 60; the gold marker is Miguel Rodriguez, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Miguel Rodriguez, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 4 hospital affiliations - 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 Miguel Rodriguez, MD?
Below national averagePrimary specialty
Rheumatology Physician
Medicare Part D claims
3,167 54% vs specialty avg
MIPS final score
77.2/100 5.9 pts vs avg
Specialty distribution in Florida
How Rheumatology Physician compares to other specialties among Florida providers
Medicare quality performance, MIPS
Miguel Rodriguez, MD's 2023 MIPS final score plotted against the Rheumatology Physician national average
- MIPS Final Score
- 77.2/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Rheumatology Physician) - 77.2/100 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).
Miguel Rodriguez, MD appears in the CMS NPPES registry as a Rheumatology Physician provider holding MD credentials at 4343 W NEWBERRY RD, Gainesville, FL, 32607, with a listed phone of (352) 378-5173. NPI 1538117676 was issued on 05/04/2006.
Medicare Part D records for calendar year 2023 show 3,167 prescription claims written by this provider, covering 501 Medicare beneficiaries and totaling roughly $2.0 million in drug spend, with an opioid prescribing rate of 15.1%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 77.2/100 for the 2023 performance year (Quality 57.6, Cost 77.2), compared with the national average of 83.1.
Rheumatology Physician is a mid-sized specialty nationwide, with 6,181 enrolled providers across 52 states and an average of 2,054 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 | 1538117676 |
|---|---|
| Specialty | Rheumatology Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 05/04/2006 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
77.194
Final Score
Avg: 83.1
57.5716
Quality
77.2418
Cost
87
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where Miguel Rodriguez, MD 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.
According to CMS billing records, Miguel Rodriguez, MD is affiliated with 4 Medicare-billing facilities.
Cora Health Services Inc
Ocala, FL
Lake Area Physical Therapy Inc.
Melrose, FL
Legacy Healthcare Services Inc
The Villages, FL
Simedhealth LLC
Gainesville, FL
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 Rodriguez, MD. Source: openpaymentsdata.cms.gov.
Total received
$79
Largest payer
ABBVIE 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 - Florida FLDOH 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 ~75K Florida medical licensees in 2023 - they are NOT specific to Miguel Rodriguez, MD. To verify Miguel Rodriguez, MD's current license status, search the FLDOH public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
480
Total board actions, Florida 2023
Across 467 cases
6.40
Actions per 1,000 licensees
Florida statewide rate
monetary fine
Most common action type
138 cases
FLDOH 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 Florida 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.
3,167
Total Claims
$2.0M
Total Drug Cost
501
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 5,809
- Total Day Supply
- 170,100
- Generic Drug Cost
- $102K
- Opioid Claims
- 477 (15.1% rate)
- Antibiotic Claims
- 14
Patient Demographics
- Average Patient Age
- 73.3 years
- Avg HCC Risk Score
- 1.57
- Gender Split
- 74% female / 26% male
- Age Distribution
- <65: 51, 65-74: 229, 75-84: 173, 85+: 48
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Miguel Rodriguez, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Methylprednisolone
Methylprednisolone
366 claims
- Methotrexate
Methotrexate
322 claims
- Hydroxychloroquine…
Hydroxychloroquine Sulfate
308 claims
- Prednisone
Prednisone
267 claims
- Tramadol Hcl
Tramadol Hcl
195 claims
- Hydrocodone-Acetam…
Hydrocodone-Acetaminophen
194 claims
- Alendronate Sodium
Alendronate Sodium
156 claims
- Gabapentin 145
Gabapentin
145 claims
| Drug | Claims |
|---|---|
| Methylprednisolone | 366 |
| Methotrexate Methotrexate Sodium | 322 |
| Hydroxychloroquine Sulfate | 308 |
| Prednisone | 267 |
| Tramadol Hcl | 195 |
| Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen | 194 |
| Alendronate Sodium | 156 |
| Gabapentin | 145 |
| Leflunomide | 88 |
| Baclofen | 83 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Rheumatology Physician Overview
How Miguel Rodriguez, MD fits within the Rheumatology Physician landscape nationally.
6,181
Rheumatology Physician Providers in US
52
States with Rheumatology Physician
2,054
Avg Claims per Provider
Miguel Rodriguez, MD's 3,167 claims are above the specialty average of 2,054.
Nearby Rheumatology Physician Providers in Florida
Other clinicians with the same primary specialty enrolled in Florida, drawn from the same CMS NPPES roster as Rodriguez.
Dr. Mohamed Aboyoussef
M.D.
Merritt Island, FL
Dr. Andy Abril
MD
Jacksonville, FL
Dr. Hasan Abualula
MD
Summerfield, FL
Sewar Abuarqob
Gainesville, FL
Dr. Mayra Acosta
MD
Miami, FL
Compare Rheumatology 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 Florida medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Rheumatology 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.
Healthcare Guides
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Medical Specialties Explained
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Understanding Medicare Claims Data
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How insurance networks affect your costs
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Frequently Asked Questions
What is Miguel Rodriguez, MD's specialty? ▼
Miguel Rodriguez, MD specializes in Rheumatology Physician and practices in Gainesville, Florida. Credentials: MD.
How much does Miguel Rodriguez, MD prescribe under Medicare Part D? ▼
In 2023, Miguel Rodriguez, MD wrote 3,167 Medicare Part D claims totaling $2.0M in drug costs for 501 beneficiaries.
What is Miguel Rodriguez, MD's Medicare quality score? ▼
Miguel Rodriguez, MD has a CMS MIPS Final Score of 77.2/100 (Quality: 57.6, Cost: 77.2). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Miguel Rodriguez, MD located? ▼
Miguel Rodriguez, MD is located at 4343 W NEWBERRY RD, Gainesville, FL, 32607. Phone: (352) 378-5173.
What is Miguel Rodriguez, MD's NPI number? ▼
Miguel Rodriguez, MD's National Provider Identifier (NPI) is 1538117676, issued on 05/04/2006.
Does Miguel Rodriguez, MD prescribe opioids? ▼
Yes, Miguel Rodriguez, MD had 477 opioid claims in 2023 with an opioid prescribing rate of 15.1%.
How many Rheumatology Physician providers are there in the US? ▼
There are 6,181 Rheumatology Physician providers across 52 states in the US. The average Rheumatology Physician provider writes 2,054 Medicare Part D claims per year.
What drugs does Miguel Rodriguez, MD prescribe most often? ▼
Based on 2023 Medicare Part D data, Miguel Rodriguez, MD's most frequently prescribed drugs include Methylprednisolone, Methotrexate, Hydroxychloroquine Sulfate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Miguel Rodriguez, MD accept Medicare? ▼
Miguel Rodriguez, MD appears in CMS Medicare data with 3,167 Part D claims and 501 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Miguel Rodriguez, MD's credentials? ▼
Miguel Rodriguez, MD's NPI is 1538117676 with credentials MD. 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.