2026 NPPES data Pain Medicine (Physical Medicine & Rehabilitation) Physician NPI 1396185831 MD
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RAFAEL ARIAS BERRIOS, MD

Pain Medicine (Physical Medicine & Rehabilitation) Physician in BAYAMON, Puerto Rico. 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
4K
Medicare Part D claims · 940 beneficiaries · Pain Medicine (Physical Medicine & Rehabilitation) Physician avg: 1K
Generic prescribing
99%
generic claims · 1% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$67.94
2 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: RAFAEL ARIAS BERRIOS, MD is a Pain Medicine (Physical Medicine & Rehabilitation) Physician ([object Object]) practicing in BAYAMON, Puerto Rico with a Medicare Part D prescribing footprint of 4K claims across 940 beneficiaries — 1% brand-name prescribing . Industry payments of $67.94 across 2 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: RAFAEL ARIAS BERRIOS, MD filed 4,389 Medicare Part D claims in 2023 across BAYAMON, Puerto Rico. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board-eligible specialty (heuristic — not verified)

RAFAEL ARIAS BERRIOS, MD practices in an ABMS-board-eligible specialty but we don't have enough CMS-participation signals to confirm active board-certified status. Consult CertificationMatters.org (the official ABMS public lookup).

RAFAEL ARIAS BERRIOS, MD at a glance

Quality data not reported

NPI registry status

Active

Issued 06/28/2013

NPI 1396185831

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) Physician

Niche

1,626 US NPIs in this specialty

Medicare Part D claims

4,389 213% vs specialty avg

2023 prescription claims

Specialty avg: 1,401

Specialty distribution in Puerto Rico

How Pain Medicine (Physical Medicine & Rehabilitation) Physician compares to other specialties among Puerto Rico providers

Puerto Rico providers

Pain Medicine (Physical Medicine & Rehabilitation) Physician share within Puerto Rico

1. Pain Medicine (Physical Medicine & Rehabilitation) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Pain Medicine (Physical Medicine & Rehabilitation) Physician share within Puerto Rico

Specialty board-certification context

Estimated specialty board-certified rate — Pain Medicine (Physical Medicine & Rehabilitation) Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Pain Medicine (Physical Medicine & Rehabilitation) Physician ABMS/AOA estimate

Est. board-certified rate (Pain Medicine (Physical Medicine & Rehabilitation) Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Pain Medicine (Physical Medicine & Rehabilitation) Physician) — 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).

RAFAEL ARIAS BERRIOS, MD is a Pain Medicine (Physical Medicine & Rehabilitation) Physician provider practicing in BAYAMON, Puerto Rico, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1396185831. 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.

RAFAEL ARIAS BERRIOS, MD appears in the CMS NPPES registry as a Pain Medicine (Physical Medicine & Rehabilitation) Physician provider holding MD credentials at INSTITUTO SAN PABLO SUITE 309, BAYAMON, PR, 00961, with a listed phone of (787) 740-2270. NPI 1396185831 was issued on 06/28/2013. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what ARIAS BERRIOS 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 4,389 prescription claims written by this provider, covering 940 Medicare beneficiaries and totaling roughly $66K in drug spend, split 1% brand-name and 99% generic by claim count, with an opioid prescribing rate of 0.5%. 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.

Pain Medicine (Physical Medicine & Rehabilitation) Physician is a narrow specialty nationwide, with 1,626 enrolled providers across 50 states and an average of 1,401 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

INSTITUTO SAN PABLO SUITE 309
BAYAMON, PR 00961

Provider Details

NPI 1396185831
Specialty Pain Medicine (Physical Medicine & Rehabilitation) Physician
Credentials MD
Gender Male
NPI Issued 06/28/2013

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 RAFAEL ARIAS BERRIOS, MD. Source: openpaymentsdata.cms.gov.

Total received

$68

Largest payer

Abbott Laboratories

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.

Brand vs generic prescribing mix · Generic-heavy

RAFAEL ARIAS BERRIOS, MD — brand share 1.0%
Specialty average (est.)

1% brand-name claims vs 99% generic, on 4,389 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.

4,389
Total Claims
$66K
Total Drug Cost
940
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
4,510
Total Day Supply
113,744
Brand vs Generic
1% brand / 99% generic
Brand Drug Cost
$1K
Generic Drug Cost
$65K
Opioid Claims
24 (0.5% rate)

Patient Demographics

Average Patient Age
70.3 years
Avg HCC Risk Score
1.62
Gender Split
61% female / 39% male
Age Distribution
<65: 190, 65-74: 446, 75-84: 238, 85+: 66

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Gabapentin
1,533
Meloxicam
768
Diclofenac Sodium
639
Diclofenac Potassium
476
Tizanidine Hcl
175
Celecoxib
155
Cyclobenzaprine Hcl
106
Pregabalin
83
Triamcinolone Acetonide
69
Nabumetone
67

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

Pain Medicine (Physical Medicine & Rehabilitation) Physician Overview

How RAFAEL ARIAS BERRIOS, MD fits within the Pain Medicine (Physical Medicine & Rehabilitation) Physician landscape nationally.

1,626
Pain Medicine (Physical Medicine & Rehabilitation) Physician Providers in US
50
States with Pain Medicine (Physical Medicine & Rehabilitation) Physician
1,401
Avg Claims per Provider

RAFAEL ARIAS BERRIOS, MD's 4,389 claims are above the specialty average of 1,401.

Nearby Pain Medicine (Physical Medicine & Rehabilitation) Physician Providers in Puerto Rico

Other clinicians with the same primary specialty enrolled in Puerto Rico, drawn from the same CMS NPPES roster as ARIAS BERRIOS.

Compare Pain Medicine (Physical Medicine & Rehabilitation) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is RAFAEL ARIAS BERRIOS, MD's specialty?
RAFAEL ARIAS BERRIOS, MD specializes in Pain Medicine (Physical Medicine & Rehabilitation) Physician and practices in BAYAMON, Puerto Rico. Credentials: MD.
How much does RAFAEL ARIAS BERRIOS, MD prescribe under Medicare Part D?
In 2023, RAFAEL ARIAS BERRIOS, MD wrote 4,389 Medicare Part D claims totaling $66K in drug costs for 940 beneficiaries.
Where is RAFAEL ARIAS BERRIOS, MD located?
RAFAEL ARIAS BERRIOS, MD is located at INSTITUTO SAN PABLO SUITE 309, BAYAMON, PR, 00961. Phone: (787) 740-2270.
What is RAFAEL ARIAS BERRIOS, MD's NPI number?
RAFAEL ARIAS BERRIOS, MD's National Provider Identifier (NPI) is 1396185831, issued on 06/28/2013.
Does RAFAEL ARIAS BERRIOS, MD prescribe more brand-name or generic drugs?
RAFAEL ARIAS BERRIOS, MD's prescribing is 1% brand-name and 99% generic drugs by claim count, with $1K in brand drug costs.
Does RAFAEL ARIAS BERRIOS, MD prescribe opioids?
Yes, RAFAEL ARIAS BERRIOS, MD had 24 opioid claims in 2023 with an opioid prescribing rate of 0.5%.
How many Pain Medicine (Physical Medicine & Rehabilitation) Physician providers are there in the US?
There are 1,626 Pain Medicine (Physical Medicine & Rehabilitation) Physician providers across 50 states in the US. The average Pain Medicine (Physical Medicine & Rehabilitation) Physician provider writes 1,401 Medicare Part D claims per year.
What drugs does RAFAEL ARIAS BERRIOS, MD prescribe most often?
Based on 2023 Medicare Part D data, RAFAEL ARIAS BERRIOS, MD's most frequently prescribed drugs include Gabapentin, Meloxicam, Diclofenac Sodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does RAFAEL ARIAS BERRIOS, MD accept Medicare?
RAFAEL ARIAS BERRIOS, MD appears in CMS Medicare data with 4,389 Part D claims and 940 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify RAFAEL ARIAS BERRIOS, MD's credentials?
RAFAEL ARIAS BERRIOS, MD's NPI is 1396185831 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