2026 NPPES data Hospitalist Physician NPI 1588790349 M.D.
Verify on CMS →

RAFAEL FLEITES, M.D.

Hospitalist Physician in CINCINNATI, 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
6K
Medicare Part D claims · 173 beneficiaries · Hospitalist Physician avg: 888
Generic prescribing
80%
generic claims · 20% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
40.9608/100
▼ 42 pts below national avg 83.1 · [object Object]
Industry payments
$488.42
4 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

RAFAEL FLEITES, M.D. reported a CMS MIPS final score of 40.9608/100 — below the 83.1 national average — and filed 5,913 Medicare Part D claims in 2023.

40.9608/100
MIPS score · -42 vs avg
6K
Part D claims, 2023
80%
generic prescribing
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.

RAFAEL FLEITES, M.D.'s MIPS score vs every scored U.S. clinician

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

41 4th percentile higher than 4% 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%). This entry sits in this band. 50–60: 5,882 scored providers (1%). Above this entry. 60–70: 13,906 scored providers (3%). Above this entry. 70–80: 118,074 scored providers (25%). Above this entry. 80–90: 129,887 scored providers (27%). Above this entry. 90–100: 189,403 scored providers (40%). Above this entry. 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)

RAFAEL FLEITES, 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).

What does the federal data show about RAFAEL FLEITES, M.D.?

Below national average

NPI registry status

Active

Issued 02/26/2007

NPI 1588790349

Primary specialty

Hospitalist Physician

Mid-sized

16,825 US NPIs in this specialty

Medicare Part D claims

5,913 566% vs specialty avg

2023 prescription claims

Specialty avg: 888

MIPS final score

40.9608/100 42.139199999999995% pts

Below average band

vs 83.1 national avg

Specialty distribution in Ohio

How Hospitalist Physician compares to other specialties among Ohio providers

Ohio providers

Hospitalist Physician share within Ohio

1. Hospitalist Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Hospitalist Physician share within Ohio

Medicare quality performance — MIPS

RAFAEL FLEITES, M.D.'s 2023 MIPS final score plotted against the Hospitalist Physician national average

Below national average
MIPS Final Score
40.9608/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Hospitalist Physician) — 40.9608/100 vs national avg 83.1

0%100%National avg83%41%
MIPS final score (Hospitalist Physician) — 40.9608/100 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).

RAFAEL FLEITES, M.D. appears in the CMS NPPES registry as a Hospitalist Physician provider holding M.D. credentials at 8622 WINTON RD, CINCINNATI, OH, 45231, with a listed phone of (513) 522-4600. NPI 1588790349 was issued on 02/26/2007. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what FLEITES 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 5,913 prescription claims written by this provider, covering 173 Medicare beneficiaries and totaling roughly $522K in drug spend, split 20% brand-name and 80% generic by claim count, with an opioid prescribing rate of 0.4%. 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 40.9608/100 for the 2023 performance year (Quality 52.7292, Cost 25.4733), compared with the national average of 83.1.

Hospitalist Physician is a mid-sized specialty nationwide, with 16,825 enrolled providers across 54 states and an average of 888 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

8622 WINTON RD
CINCINNATI, OH 45231

Provider Details

NPI 1588790349
Specialty Hospitalist Physician
Credentials M.D.
Gender Male
NPI Issued 02/26/2007

CMS Quality Score (MIPS)

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

40.9608
Final Score
Avg: 83.1
52.7292
Quality
25.4733
Cost
0
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where RAFAEL FLEITES, 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.

GERIATRIC PROVIDERS AND HOSPITALISTS INC
BLUE ASH, 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).

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 FLEITES, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$488

Largest payer

La Jolla Pharmaceutical Company

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 — 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 RAFAEL FLEITES, M.D.. To verify RAFAEL FLEITES, M.D.'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

RAFAEL FLEITES, M.D. — brand share 20.0%
Specialty average (est.)

20% brand-name claims vs 80% generic, on 5,913 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.

5,913
Total Claims
$522K
Total Drug Cost
173
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
5,956
Total Day Supply
127,563
Brand vs Generic
20% brand / 80% generic
Brand Drug Cost
$387K
Generic Drug Cost
$126K
Opioid Claims
26 (0.4% rate)
Antibiotic Claims
303

Patient Demographics

Average Patient Age
77.8 years
Avg HCC Risk Score
2.94
Gender Split
68% female / 32% male
Age Distribution
<65: 25, 65-74: 43, 75-84: 43, 85+: 62

Top Prescribed Drugs (Medicare Part D)

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

What RAFAEL FLEITES, M.D. 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
Atorvastatin Calcium
244
Levothyroxine Sodium
210
Furosemide
207
Gabapentin
192
Metoprolol Tartrate
128
Potassium Chloride
125
Januvia
Sitagliptin Phosphate
119
Sertraline Hcl
117
Eliquis
Apixaban
100
Spironolactone
98

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

Hospitalist Physician Overview

How RAFAEL FLEITES, M.D. fits within the Hospitalist Physician landscape nationally.

16,825
Hospitalist Physician Providers in US
54
States with Hospitalist Physician
888
Avg Claims per Provider

RAFAEL FLEITES, M.D.'s 5,913 claims are above the specialty average of 888.

Nearby Hospitalist Physician Providers in Ohio

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

Compare Hospitalist Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is RAFAEL FLEITES, M.D.'s specialty?
RAFAEL FLEITES, M.D. specializes in Hospitalist Physician and practices in CINCINNATI, Ohio. Credentials: M.D..
How much does RAFAEL FLEITES, M.D. prescribe under Medicare Part D?
In 2023, RAFAEL FLEITES, M.D. wrote 5,913 Medicare Part D claims totaling $522K in drug costs for 173 beneficiaries.
What is RAFAEL FLEITES, M.D.'s Medicare quality score?
RAFAEL FLEITES, M.D. has a CMS MIPS Final Score of 40.9608/100 (Quality: 52.7292, Cost: 25.4733). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is RAFAEL FLEITES, M.D. located?
RAFAEL FLEITES, M.D. is located at 8622 WINTON RD, CINCINNATI, OH, 45231. Phone: (513) 522-4600.
What is RAFAEL FLEITES, M.D.'s NPI number?
RAFAEL FLEITES, M.D.'s National Provider Identifier (NPI) is 1588790349, issued on 02/26/2007.
Does RAFAEL FLEITES, M.D. prescribe more brand-name or generic drugs?
RAFAEL FLEITES, M.D.'s prescribing is 20% brand-name and 80% generic drugs by claim count, with $387K in brand drug costs.
Does RAFAEL FLEITES, M.D. prescribe opioids?
Yes, RAFAEL FLEITES, M.D. had 26 opioid claims in 2023 with an opioid prescribing rate of 0.4%.
How many Hospitalist Physician providers are there in the US?
There are 16,825 Hospitalist Physician providers across 54 states in the US. The average Hospitalist Physician provider writes 888 Medicare Part D claims per year.
What drugs does RAFAEL FLEITES, M.D. prescribe most often?
Based on 2023 Medicare Part D data, RAFAEL FLEITES, M.D.'s most frequently prescribed drugs include Atorvastatin Calcium, Levothyroxine Sodium, Furosemide. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does RAFAEL FLEITES, M.D. accept Medicare?
RAFAEL FLEITES, M.D. appears in CMS Medicare data with 5,913 Part D claims and 173 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify RAFAEL FLEITES, M.D.'s credentials?
RAFAEL FLEITES, M.D.'s NPI is 1588790349 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