2026 NPPES data Student in an Organized Health Care Education/Training Program NPI 1881141448 MD
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PAOLA BARRIERA SILVESTRINI, MD

Student in an Organized Health Care Education/Training Program in CLEVELAND, Ohio. 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
133
Medicare Part D claims · 90 beneficiaries · Student in an Organized Health Care Education/Training Program avg: 459
Generic prescribing
78%
generic claims · 22% brand-name · higher generic rates reduce patient out-of-pocket costs

What the federal data shows

PAOLA BARRIERA SILVESTRINI, MD filed 133 Medicare Part D claims in 2023 as a Student in an Organized Health Care Education/Training Program in CLEVELAND, Ohio, prescribing 78% generic.

133
Part D claims, 2023
78%
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.

PAOLA BARRIERA SILVESTRINI, MD's Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

133 35th percentile higher than 35% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). This entry sits in this band. 200–400: 182,923 prescribers (13%). Above this entry. 400–600: 90,619 prescribers (7%). Above this entry. 600–800: 56,224 prescribers (4%). Above this entry. 800–1,000: 40,919 prescribers (3%). Above this entry. 1,000–1,200: 31,827 prescribers (2%). Above this entry. 1,200–1,400: 26,224 prescribers (2%). Above this entry. 1,400–1,600: 21,710 prescribers (2%). Above this entry. 1,600–1,800: 19,072 prescribers (1%). Above this entry. 1,800–2,000: 16,451 prescribers (1%). Above this entry. 2,000–2,200: 213,991 prescribers (16%). Above this entry. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

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

What does the federal data show about PAOLA BARRIERA SILVESTRINI, MD?

Quality data not reported

NPI registry status

Active

Issued 09/01/2016

NPI 1881141448

Primary specialty

Student in an Organized Health Care Education/Training Program

High-volume

331,761 US NPIs in this specialty

Medicare Part D claims

133 71% vs specialty avg

2023 prescription claims

Specialty avg: 459

Specialty distribution in Ohio

How Student in an Organized Health Care Education/Training Program compares to other specialties among Ohio providers

Ohio providers

Student in an Organized Health Care Education/Training Program share within Ohio

1. Student in an Organized Health Care Education/Training Program42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Student in an Organized Health Care Education/Training Program share within Ohio

Specialty board-certification context

Estimated specialty board-certified rate — Student in an Organized Health Care Education/Training Program (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Student in an Organized Health Care Education/Training Program ABMS/AOA estimate

Est. board-certified rate (Student in an Organized Health Care Education/Training Program) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Student in an Organized Health Care Education/Training Program) — ABMS / AOA estimate

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).

PAOLA BARRIERA SILVESTRINI, MD appears in the CMS NPPES registry as a Student in an Organized Health Care Education/Training Program provider holding MD credentials at 2500 METROHEALTH DR, CLEVELAND, OH, 44109, with a listed phone of (216) 778-7800. NPI 1881141448 was issued on 09/01/2016. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BARRIERA SILVESTRINI 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 133 prescription claims written by this provider, covering 90 Medicare beneficiaries and totaling roughly $132K in drug spend, split 22% brand-name and 78% generic by claim count. 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.

Student in an Organized Health Care Education/Training Program is a high-volume specialty nationwide, with 331,761 enrolled providers across 55 states and an average of 459 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

2500 METROHEALTH DR
CLEVELAND, OH 44109

Provider Details

NPI 1881141448
Specialty Student in an Organized Health Care Education/Training Program
Credentials MD
Gender Female
NPI Issued 09/01/2016

Hospital and facility affiliations

Facilities where PAOLA BARRIERA SILVESTRINI, 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.

THE METROHEALTH SYSTEM
CLEVELAND, OH

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 — Ohio OMB 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 ~48K Ohio medical licensees in 2023 — they are NOT specific to PAOLA BARRIERA SILVESTRINI, MD. To verify PAOLA BARRIERA SILVESTRINI, MD's current license status, search the OMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

158
Total board actions, Ohio 2023
Across 154 cases
3.29
Actions per 1,000 licensees
Ohio statewide rate
probation
Most common action type
56 cases

OMB 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 Ohio disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

PAOLA BARRIERA SILVESTRINI, MD — brand share 22.0%
Specialty average (est.)

22% brand-name claims vs 78% generic, on 133 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.

133
Total Claims
$132K
Total Drug Cost
90
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
141
Total Day Supply
2,783
Brand vs Generic
22% brand / 78% generic
Brand Drug Cost
$130K
Generic Drug Cost
$2K
Antibiotic Claims
40

Patient Demographics

Average Patient Age
75.3 years
Avg HCC Risk Score
1.49
Gender Split
42% female / 58% male

Top Prescribed Drugs (Medicare Part D)

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

What PAOLA BARRIERA SILVESTRINI, MD prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Cephalexin
31
Gentamicin Sulfate
17
Mupirocin
16
Dupixent Syringe
Dupilumab
14
Fluorouracil
12

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

Student in an Organized Health Care Education/Training Program Overview

How PAOLA BARRIERA SILVESTRINI, MD fits within the Student in an Organized Health Care Education/Training Program landscape nationally.

331,761
Student in an Organized Health Care Education/Training Program Providers in US
55
States with Student in an Organized Health Care Education/Training Program
459
Avg Claims per Provider

PAOLA BARRIERA SILVESTRINI, MD's 133 claims are below the specialty average of 459.

Nearby Student in an Organized Health Care Education/Training Program Providers in Ohio

Other clinicians with the same primary specialty enrolled in Ohio, drawn from the same CMS NPPES roster as BARRIERA SILVESTRINI.

Compare Student in an Organized Health Care Education/Training Program nationally: see state-by-state distribution →

Frequently Asked Questions

What is PAOLA BARRIERA SILVESTRINI, MD's specialty?
PAOLA BARRIERA SILVESTRINI, MD specializes in Student in an Organized Health Care Education/Training Program and practices in CLEVELAND, Ohio. Credentials: MD.
How much does PAOLA BARRIERA SILVESTRINI, MD prescribe under Medicare Part D?
In 2023, PAOLA BARRIERA SILVESTRINI, MD wrote 133 Medicare Part D claims totaling $132K in drug costs for 90 beneficiaries.
Where is PAOLA BARRIERA SILVESTRINI, MD located?
PAOLA BARRIERA SILVESTRINI, MD is located at 2500 METROHEALTH DR, CLEVELAND, OH, 44109. Phone: (216) 778-7800.
What is PAOLA BARRIERA SILVESTRINI, MD's NPI number?
PAOLA BARRIERA SILVESTRINI, MD's National Provider Identifier (NPI) is 1881141448, issued on 09/01/2016.
Does PAOLA BARRIERA SILVESTRINI, MD prescribe more brand-name or generic drugs?
PAOLA BARRIERA SILVESTRINI, MD's prescribing is 22% brand-name and 78% generic drugs by claim count, with $130K in brand drug costs.
How many Student in an Organized Health Care Education/Training Program providers are there in the US?
There are 331,761 Student in an Organized Health Care Education/Training Program providers across 55 states in the US. The average Student in an Organized Health Care Education/Training Program provider writes 459 Medicare Part D claims per year.
What drugs does PAOLA BARRIERA SILVESTRINI, MD prescribe most often?
Based on 2023 Medicare Part D data, PAOLA BARRIERA SILVESTRINI, MD's most frequently prescribed drugs include Cephalexin, Gentamicin Sulfate, Mupirocin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does PAOLA BARRIERA SILVESTRINI, MD accept Medicare?
PAOLA BARRIERA SILVESTRINI, MD appears in CMS Medicare data with 133 Part D claims and 90 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify PAOLA BARRIERA SILVESTRINI, MD's credentials?
PAOLA BARRIERA SILVESTRINI, MD's NPI is 1881141448 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

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