2026 NPPES data General Practice Physician NPI 1376021642 MD
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PAULINA CRUZ-VENEGAS, MD

General Practice Physician in ATLANTA, Georgia. 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
2K
Medicare Part D claims · 448 beneficiaries · General Practice Physician avg: 3K
MIPS score
90.8/100
▲ 8 pts above national avg 83.1 · [object Object]

What the federal data shows

PAULINA CRUZ-VENEGAS, MD reported a CMS MIPS final score of 90.8/100 — above the 83.1 national average — and filed 2,127 Medicare Part D claims in 2023.

90.8/100
MIPS score · +8 vs avg
2K
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.

PAULINA CRUZ-VENEGAS, MD's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

91 Top 40% higher than 60% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). Below this entry. 90–100: 189,403 scored providers (40%). This entry sits in this band. This provider 0 100 every MIPS-scored clinician, bucketed by value

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

Board certification likely (heuristic — not verified)

PAULINA CRUZ-VENEGAS, MD 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 PAULINA CRUZ-VENEGAS, MD?

High performer (top quartile)

NPI registry status

Active

Issued 07/30/2018

NPI 1376021642

Primary specialty

General Practice Physician

Mid-sized

16,677 US NPIs in this specialty

Medicare Part D claims

2,127 26% vs specialty avg

2023 prescription claims

Specialty avg: 2,872

MIPS final score

90.8/100 7.700000000000003% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Georgia

How General Practice Physician compares to other specialties among Georgia providers

Georgia providers

General Practice Physician share within Georgia

1. General Practice Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
General Practice Physician share within Georgia

Medicare quality performance — MIPS

PAULINA CRUZ-VENEGAS, MD's 2023 MIPS final score plotted against the General Practice Physician national average

High performer (top quartile)
MIPS Final Score
90.8/100
vs 83.1 national avg · 2023 performance year

MIPS final score (General Practice Physician) — 90.8/100 vs national avg 83.1

0%100%National avg83%90.8%
MIPS final score (General Practice Physician) — 90.8/100 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).

PAULINA CRUZ-VENEGAS, MD is a General Practice Physician provider practicing in ATLANTA, Georgia, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1376021642. 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.

PAULINA CRUZ-VENEGAS, MD appears in the CMS NPPES registry as a General Practice Physician provider holding MD credentials at 1325 RALPH DAVID ABERNATHY BLVD SW, ATLANTA, GA, 30310, with a listed phone of (404) 836-0136. NPI 1376021642 was issued on 07/30/2018. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what CRUZ-VENEGAS 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 2,127 prescription claims written by this provider, covering 448 Medicare beneficiaries and totaling roughly $111K 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 90.8/100 for the 2023 performance year, compared with the national average of 83.1.

General Practice Physician is a mid-sized specialty nationwide, with 16,677 enrolled providers across 56 states and an average of 2,872 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

1325 RALPH DAVID ABERNATHY BLVD SW
ATLANTA, GA 30310

Provider Details

NPI 1376021642
Specialty General Practice Physician
Credentials MD
Gender Female
NPI Issued 07/30/2018

CMS Quality Score (MIPS)

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

90.8
Final Score
Avg: 83.1
98
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where PAULINA CRUZ-VENEGAS, 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.

PMR GEORGIA HOLDING LLC
ATLANTA, GA

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

2,127
Total Claims
$111K
Total Drug Cost
448
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
5,488
Total Day Supply
162,372
Generic Drug Cost
$27K
Antibiotic Claims
21

Patient Demographics

Average Patient Age
72.5 years
Avg HCC Risk Score
1.38
Gender Split
65% female / 35% male
Age Distribution
<65: 43, 65-74: 238, 75-84: 132, 85+: 35

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Atorvastatin Calcium
154
Amlodipine Besylate
129
Losartan Potassium
114
Rosuvastatin Calcium
108
Lisinopril
103
Levothyroxine Sodium
90
Hydrochlorothiazide
64
Metformin Hcl
59
Metoprolol Succinate
53
Simvastatin
49

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

General Practice Physician Overview

How PAULINA CRUZ-VENEGAS, MD fits within the General Practice Physician landscape nationally.

16,677
General Practice Physician Providers in US
56
States with General Practice Physician
2,872
Avg Claims per Provider

PAULINA CRUZ-VENEGAS, MD's 2,127 claims are below the specialty average of 2,872.

Nearby General Practice Physician Providers in Georgia

Other clinicians with the same primary specialty enrolled in Georgia, drawn from the same CMS NPPES roster as CRUZ-VENEGAS.

Compare General Practice Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is PAULINA CRUZ-VENEGAS, MD's specialty?
PAULINA CRUZ-VENEGAS, MD specializes in General Practice Physician and practices in ATLANTA, Georgia. Credentials: MD.
How much does PAULINA CRUZ-VENEGAS, MD prescribe under Medicare Part D?
In 2023, PAULINA CRUZ-VENEGAS, MD wrote 2,127 Medicare Part D claims totaling $111K in drug costs for 448 beneficiaries.
What is PAULINA CRUZ-VENEGAS, MD's Medicare quality score?
PAULINA CRUZ-VENEGAS, MD has a CMS MIPS Final Score of 90.8/100. The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is PAULINA CRUZ-VENEGAS, MD located?
PAULINA CRUZ-VENEGAS, MD is located at 1325 RALPH DAVID ABERNATHY BLVD SW, ATLANTA, GA, 30310. Phone: (404) 836-0136.
What is PAULINA CRUZ-VENEGAS, MD's NPI number?
PAULINA CRUZ-VENEGAS, MD's National Provider Identifier (NPI) is 1376021642, issued on 07/30/2018.
How many General Practice Physician providers are there in the US?
There are 16,677 General Practice Physician providers across 56 states in the US. The average General Practice Physician provider writes 2,872 Medicare Part D claims per year.
What drugs does PAULINA CRUZ-VENEGAS, MD prescribe most often?
Based on 2023 Medicare Part D data, PAULINA CRUZ-VENEGAS, MD's most frequently prescribed drugs include Atorvastatin Calcium, Amlodipine Besylate, Losartan Potassium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does PAULINA CRUZ-VENEGAS, MD accept Medicare?
PAULINA CRUZ-VENEGAS, MD appears in CMS Medicare data with 2,127 Part D claims and 448 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify PAULINA CRUZ-VENEGAS, MD's credentials?
PAULINA CRUZ-VENEGAS, MD's NPI is 1376021642 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.
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