2026 NPPES data Geriatric Medicine (Internal Medicine) Physician NPI 1518200054 M.D.
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RACHEL OMBRES, M.D.

Geriatric Medicine (Internal Medicine) 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
568
Medicare Part D claims · 79 beneficiaries · Geriatric Medicine (Internal Medicine) Physician avg: 4K
Generic prescribing
93%
generic claims · 7% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
93.7848/100
▲ 11 pts above national avg 83.1 · [object Object]
What the federal data reveals: RACHEL OMBRES, M.D. is a Geriatric Medicine (Internal Medicine) Physician ([object Object]) practicing in PITTSBURGH, Pennsylvania with a Medicare Part D prescribing footprint of 568 claims across 79 beneficiaries — 7% brand-name prescribing . Their CMS MIPS Final Score of 93.7848/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities .

What stands out: RACHEL OMBRES, M.D. reported a CMS MIPS final score of 93.7848 out of 100, above the 83.1 national average, and filed 568 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)

RACHEL OMBRES, 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).

RACHEL OMBRES, M.D. at a glance

High performer (top quartile)

NPI registry status

Active

Issued 04/03/2013

NPI 1518200054

Primary specialty

Geriatric Medicine (Internal Medicine) Physician

Niche

4,161 US NPIs in this specialty

Medicare Part D claims

568 87% vs specialty avg

2023 prescription claims

Specialty avg: 4,450

MIPS final score

93.7848/100 10.68480000000001% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Pennsylvania

How Geriatric Medicine (Internal Medicine) Physician compares to other specialties among Pennsylvania providers

Pennsylvania providers

Geriatric Medicine (Internal Medicine) Physician share within Pennsylvania

1. Geriatric Medicine (Internal Medicine) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Geriatric Medicine (Internal Medicine) Physician share within Pennsylvania

Medicare quality performance — MIPS

RACHEL OMBRES, M.D.'s 2023 MIPS final score plotted against the Geriatric Medicine (Internal Medicine) Physician national average

High performer (top quartile)
MIPS Final Score
93.7848/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Geriatric Medicine (Internal Medicine) Physician) — 93.7848/100 vs national avg 83.1

0%100%National avg83%93.8%
MIPS final score (Geriatric Medicine (Internal Medicine) Physician) — 93.7848/100 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).

RACHEL OMBRES, M.D. is a Geriatric Medicine (Internal Medicine) Physician provider practicing in PITTSBURGH, Pennsylvania, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1518200054. 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.

RACHEL OMBRES, M.D. appears in the CMS NPPES registry as a Geriatric Medicine (Internal Medicine) Physician provider holding M.D. credentials at 4800 FRIENDSHIP AVE, PITTSBURGH, PA, 15224, with a listed phone of (412) 578-6808. NPI 1518200054 was issued on 04/03/2013. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what OMBRES 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 568 prescription claims written by this provider, covering 79 Medicare beneficiaries and totaling roughly $41K in drug spend, split 7% brand-name and 93% generic by claim count, with an opioid prescribing rate of 50.2%. 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 93.7848/100 for the 2023 performance year (Quality 85.0781), compared with the national average of 83.1.

Geriatric Medicine (Internal Medicine) Physician is a narrow specialty nationwide, with 4,161 enrolled providers across 52 states and an average of 4,450 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

4800 FRIENDSHIP AVE
PITTSBURGH, PA 15224

Provider Details

NPI 1518200054
Specialty Geriatric Medicine (Internal Medicine) Physician
Credentials M.D.
Gender Female
NPI Issued 04/03/2013

CMS Quality Score (MIPS)

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

93.7848
Final Score
Avg: 83.1
85.0781
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where RACHEL OMBRES, 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.

ALLEGHENY CLINIC
NATRONA HEIGHTS, PA

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 — 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 RACHEL OMBRES, M.D.. To verify RACHEL OMBRES, 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.

Brand vs generic prescribing mix · Generic-heavy

RACHEL OMBRES, M.D. — brand share 7.0%
Specialty average (est.)

7% brand-name claims vs 93% generic, on 568 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.

568
Total Claims
$41K
Total Drug Cost
79
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
576
Total Day Supply
13,744
Brand vs Generic
7% brand / 93% generic
Brand Drug Cost
$22K
Generic Drug Cost
$19K
Opioid Claims
285 (50.2% rate)

Patient Demographics

Average Patient Age
71.5 years
Avg HCC Risk Score
3.74
Gender Split
68% female / 32% male
Age Distribution
<65: 14, 65-74: 39, 75-84: 15, 85+: 11

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Oxycodone Hcl
134
Gabapentin
69
Pregabalin
30
Hydromorphone Hcl
27
Methadone Hcl
26
Buprenorphine
25
Mirtazapine
21
Duloxetine Hcl
20
Fentanyl
20
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
18

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

Geriatric Medicine (Internal Medicine) Physician Overview

How RACHEL OMBRES, M.D. fits within the Geriatric Medicine (Internal Medicine) Physician landscape nationally.

4,161
Geriatric Medicine (Internal Medicine) Physician Providers in US
52
States with Geriatric Medicine (Internal Medicine) Physician
4,450
Avg Claims per Provider

RACHEL OMBRES, M.D.'s 568 claims are below the specialty average of 4,450.

Nearby Geriatric Medicine (Internal Medicine) Physician Providers in Pennsylvania

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

Compare Geriatric Medicine (Internal Medicine) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is RACHEL OMBRES, M.D.'s specialty?
RACHEL OMBRES, M.D. specializes in Geriatric Medicine (Internal Medicine) Physician and practices in PITTSBURGH, Pennsylvania. Credentials: M.D..
How much does RACHEL OMBRES, M.D. prescribe under Medicare Part D?
In 2023, RACHEL OMBRES, M.D. wrote 568 Medicare Part D claims totaling $41K in drug costs for 79 beneficiaries.
What is RACHEL OMBRES, M.D.'s Medicare quality score?
RACHEL OMBRES, M.D. has a CMS MIPS Final Score of 93.7848/100 (Quality: 85.0781). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is RACHEL OMBRES, M.D. located?
RACHEL OMBRES, M.D. is located at 4800 FRIENDSHIP AVE, PITTSBURGH, PA, 15224. Phone: (412) 578-6808.
What is RACHEL OMBRES, M.D.'s NPI number?
RACHEL OMBRES, M.D.'s National Provider Identifier (NPI) is 1518200054, issued on 04/03/2013.
Does RACHEL OMBRES, M.D. prescribe more brand-name or generic drugs?
RACHEL OMBRES, M.D.'s prescribing is 7% brand-name and 93% generic drugs by claim count, with $22K in brand drug costs.
Does RACHEL OMBRES, M.D. prescribe opioids?
Yes, RACHEL OMBRES, M.D. had 285 opioid claims in 2023 with an opioid prescribing rate of 50.2%.
How many Geriatric Medicine (Internal Medicine) Physician providers are there in the US?
There are 4,161 Geriatric Medicine (Internal Medicine) Physician providers across 52 states in the US. The average Geriatric Medicine (Internal Medicine) Physician provider writes 4,450 Medicare Part D claims per year.
What drugs does RACHEL OMBRES, M.D. prescribe most often?
Based on 2023 Medicare Part D data, RACHEL OMBRES, M.D.'s most frequently prescribed drugs include Oxycodone Hcl, Gabapentin, Pregabalin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does RACHEL OMBRES, M.D. accept Medicare?
RACHEL OMBRES, M.D. appears in CMS Medicare data with 568 Part D claims and 79 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify RACHEL OMBRES, M.D.'s credentials?
RACHEL OMBRES, M.D.'s NPI is 1518200054 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