2026 NPPES data Family Medicine Physician NPI 1083742829 M.D.
Verify on CMS →

Rafael Fornaris, M.D.

Family Medicine Physician in San Antonio, Texas.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 147,640 in Family Medicine Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.

Federal data, no proprietary rating. We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
318
Medicare Part D claims · 155 beneficiaries · Family Medicine Physician avg: 3K
MIPS score
16.4/100
▼ 67 pts below national avg 83.1 · Penalty band
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Rafael Fornaris, M.D. reported a CMS MIPS final score of 16.4/100 - below the 83.1 national average - and filed 318 Medicare Part D claims in 2023.

16.4/100
MIPS score · -67 vs avg
318
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.

Rafael Fornaris, 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

16 2nd percentile higher than 2% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). This entry sits in this band. 20–30: 3,069 scored providers (1%). Above this entry. 30–40: 2,746 scored providers (1%). Above this entry. 40–50: 2,928 scored providers (1%). Above this entry. 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+: 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

Where Rafael Fornaris, M.D. sits

This provider among family medicine physician peers

Across the 22,040 family medicine physician providers who report both Medicare Part D prescribing and a MIPS quality score, Rafael Fornaris, M.D. writes more Part D claims than 17% of them and scores higher on MIPS quality than 2% - placing this provider in the lower-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Part D claim volume vs MIPS quality, by specialty percentile

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality02550751000255075100Part D claim volume, percentile in specialtyMIPS quality, percentilePart D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 82Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 47Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 68Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 60Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 77Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 37Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 80Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 90Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 38Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 92Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 63Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 58Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 42Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 23Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 17Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 98Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 22Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 15Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 35Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 43Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 12Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 13Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 72Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 18Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 3Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 10Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 73Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 87Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 5Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 92Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 40Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 27Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 97Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 2Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 50Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 78Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 7Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 62Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 28Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 32Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 25Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 50Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 18Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 48Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 33Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 8Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 30Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 45Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 82Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 98Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 68Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 73Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 50Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 55Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 85Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 63Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 87Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 57Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 67Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 92Rafael Fornaris, M.D.-Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 2
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one family medicine physician peer from a representative sample of 60; the gold marker is Rafael Fornaris, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

Board certification likely (heuristic, not verified)

Rafael Fornaris, 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 Fornaris, M.D.?

Below national average

NPI registry status

Active

Issued 03/01/2007

NPI 1083742829

Primary specialty

Family Medicine Physician

High-volume

147,640 US NPIs in this specialty

Medicare Part D claims

318 91% vs specialty avg

2023 prescription claims

Specialty avg: 3,418

MIPS final score

16.4/100 66.7 pts vs avg

Penalty band band

vs 83.1 national avg

Specialty distribution in Texas

How Family Medicine Physician compares to other specialties among Texas providers

Texas providers
Behavior Technician - 5.6%Behavior Technician5.6%Student in an Organized Health Care Education/Training Program - 5.1%Student in an Organized Health Care Education/Training Program5.1%Family Nurse Practitioner - 4.5%Family Nurse Practitioner4.5%Professional Counselor - 4.4%Professional Counselor4.4%Pharmacist - 4.4%Pharmacist4.4%Speech-Language Pathologist - 3.9%Speech-Language Pathologist3.9%Family Medicine Physician - 2.5%Family Medicine Physician2.5%
Largest specialties in Texas (% of in-state providers)

Medicare quality performance, MIPS

Rafael Fornaris, M.D.'s 2023 MIPS final score plotted against the Family Medicine Physician national average

Below national average
MIPS Final Score
16.4/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Family Medicine Physician) - 16.4/100 vs national avg 83.1

0%100%National avg83%16.4%
MIPS final score (Family Medicine Physician) - 16.4/100 vs national avg 83.1
How MIPS and board certification work

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 Fornaris, M.D. appears in the CMS NPPES registry as a Family Medicine Physician provider holding M.D. credentials at 434 NW LOOP 1604, San Antonio, TX, 78232, with a listed phone of (210) 946-6677. NPI 1083742829 was issued on 03/01/2007.

Medicare Part D records for calendar year 2023 show 318 prescription claims written by this provider, covering 155 Medicare beneficiaries and totaling roughly $22K in drug spend, with an opioid prescribing rate of 7.9%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 16.4/100 for the 2023 performance year (Quality 0, Cost 54.7), compared with the national average of 83.1.

Family Medicine Physician is a high-volume specialty nationwide, with 147,640 enrolled providers across 56 states and an average of 3,418 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

434 NW LOOP 1604
San Antonio, TX 78232

Provider Details

NPI 1083742829
Specialty Family Medicine Physician
Credentials M.D.
Gender Male
NPI Issued 03/01/2007

CMS Quality Score (MIPS)

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

16.3986
Final Score
Avg: 83.1
0
Quality
54.6621
Cost

Reporting: Individual

Hospital and facility affiliations

Facilities where Rafael Fornaris, 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.

Geoff R Weikle DO PLLC
San Antonio, TX

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 - Texas TMB 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 ~77K Texas medical licensees in 2023 - they are NOT specific to Rafael Fornaris, M.D.. To verify Rafael Fornaris, M.D.'s current license status, search the TMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

344
Total board actions, Texas 2023
Across 334 cases
4.47
Actions per 1,000 licensees
Texas statewide rate
probation
Most common action type
94 cases

TMB 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 Texas disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Medicare Part D Prescribing Data

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

318
Total Claims
$22K
Total Drug Cost
155
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
331
Total Day Supply
6,557
Generic Drug Cost
$4K
Opioid Claims
25 (7.9% rate)
Antibiotic Claims
69

Patient Demographics

Average Patient Age
74.9 years
Avg HCC Risk Score
2.19
Gender Split
45% female / 55% male
Age Distribution
<65: 12, 65-74: 54, 75-84: 70, 85+: 19

Top Prescribed Drugs (Medicare Part D)

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

What Rafael Fornaris, 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
Cefdinir
28
Metoprolol Tartrate
16
Prednisone
16
Clopidogrel
Clopidogrel Bisulfate
14
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
14
Metoprolol Succinate
12

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

Family Medicine Physician Overview

How Rafael Fornaris, M.D. fits within the Family Medicine Physician landscape nationally.

147,640
Family Medicine Physician Providers in US
56
States with Family Medicine Physician
3,418
Avg Claims per Provider

Rafael Fornaris, M.D.'s 318 claims are below the specialty average of 3,418.

Nearby Family Medicine Physician Providers in Texas

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

Compare Family Medicine Physician nationally: see state-by-state distribution →

Before you book an appointment

Use this federal record as your verification checklist, not as a recommendation.

  • Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
  • Check the active license and any disciplinary history with the Texas medical board, federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Family Medicine Physician peer on Medicare volume and prescribing patterns. Compare providers

Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.

Frequently Asked Questions

What is Rafael Fornaris, M.D.'s specialty?
Rafael Fornaris, M.D. specializes in Family Medicine Physician and practices in San Antonio, Texas. Credentials: M.D..
How much does Rafael Fornaris, M.D. prescribe under Medicare Part D?
In 2023, Rafael Fornaris, M.D. wrote 318 Medicare Part D claims totaling $22K in drug costs for 155 beneficiaries.
What is Rafael Fornaris, M.D.'s Medicare quality score?
Rafael Fornaris, M.D. has a CMS MIPS Final Score of 16.4/100 (Quality: 0, Cost: 54.7). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Rafael Fornaris, M.D. located?
Rafael Fornaris, M.D. is located at 434 NW LOOP 1604, San Antonio, TX, 78232. Phone: (210) 946-6677.
What is Rafael Fornaris, M.D.'s NPI number?
Rafael Fornaris, M.D.'s National Provider Identifier (NPI) is 1083742829, issued on 03/01/2007.
Does Rafael Fornaris, M.D. prescribe opioids?
Yes, Rafael Fornaris, M.D. had 25 opioid claims in 2023 with an opioid prescribing rate of 7.9%.
How many Family Medicine Physician providers are there in the US?
There are 147,640 Family Medicine Physician providers across 56 states in the US. The average Family Medicine Physician provider writes 3,418 Medicare Part D claims per year.
What drugs does Rafael Fornaris, M.D. prescribe most often?
Based on 2023 Medicare Part D data, Rafael Fornaris, M.D.'s most frequently prescribed drugs include Cefdinir, Metoprolol Tartrate, Prednisone. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Rafael Fornaris, M.D. accept Medicare?
Rafael Fornaris, M.D. appears in CMS Medicare data with 318 Part D claims and 155 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Rafael Fornaris, M.D.'s credentials?
Rafael Fornaris, M.D.'s NPI is 1083742829 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

View source datasets and methodology notes
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

Compiled from official public sources by the PlainDoctor editorial team.