2026 NPPES data Family Nurse Practitioner NPI 1265805147 APRN
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RAFAEL PINEIRO, APRN

Family Nurse Practitioner in NORTH MIAMI BEACH, Florida. 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
611
Medicare Part D claims · 84 beneficiaries · Family Nurse Practitioner avg: 1K
Generic prescribing
83%
generic claims · 17% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$638.97
29 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

RAFAEL PINEIRO, APRN filed 611 Medicare Part D claims in 2023 as a Family Nurse Practitioner in NORTH MIAMI BEACH, Florida, prescribing 83% generic.

611
Part D claims, 2023
83%
generic prescribing
$638.97
industry payments (Sunshine Act)

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 PINEIRO, APRN's Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

611 Top 31% higher than 69% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). Below this entry. 400–600: 90,619 prescribers (7%). Below this entry. 600–800: 56,224 prescribers (4%). This entry sits in this band. 800–1,000: 40,919 prescribers (3%). Above this entry. 1,000–1,200: 31,827 prescribers (2%). Above this entry. 1,200–1,400: 26,224 prescribers (2%). Above this entry. 1,400–1,600: 21,710 prescribers (2%). Above this entry. 1,600–1,800: 19,072 prescribers (1%). Above this entry. 1,800–2,000: 16,451 prescribers (1%). Above this entry. 2,000–2,200: 213,991 prescribers (16%). Above this entry. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

Each bar is a band; taller bars hold more prescribers. 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 Medicare Part D Prescriber Public Use File · 2023

What does the federal data show about RAFAEL PINEIRO, APRN?

Quality data not reported

NPI registry status

Active

Issued 11/02/2015

NPI 1265805147

Primary specialty

Family Nurse Practitioner

High-volume

209,817 US NPIs in this specialty

Medicare Part D claims

611 50% vs specialty avg

2023 prescription claims

Specialty avg: 1,222

Specialty distribution in Florida

How Family Nurse Practitioner compares to other specialties among Florida providers

Florida providers

Family Nurse Practitioner share within Florida

1. Family Nurse Practitioner42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Family Nurse Practitioner share within Florida

Specialty board-certification context

Estimated specialty board-certified rate — Family Nurse Practitioner (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Family Nurse Practitioner ABMS/AOA estimate

Est. board-certified rate (Family Nurse Practitioner) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Family Nurse Practitioner) — 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 PINEIRO, APRN appears in the CMS NPPES registry as a Family Nurse Practitioner provider holding APRN credentials at 1380 NE MIAMI GARDENS DR STE 220, NORTH MIAMI BEACH, FL, 33179, with a listed phone of (305) 692-9009. NPI 1265805147 was issued on 11/02/2015. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what PINEIRO 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 611 prescription claims written by this provider, covering 84 Medicare beneficiaries and totaling roughly $129K in drug spend, split 17% brand-name and 83% generic by claim count. 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.

Family Nurse Practitioner is a high-volume specialty nationwide, with 209,817 enrolled providers across 56 states and an average of 1,222 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

1380 NE MIAMI GARDENS DR STE 220
NORTH MIAMI BEACH, FL 33179

Provider Details

NPI 1265805147
Specialty Family Nurse Practitioner
Credentials APRN
Gender Male
NPI Issued 11/02/2015

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 PINEIRO, APRN. Source: openpaymentsdata.cms.gov.

Total received

$639

Largest payer

Bayer Healthcare Pharmaceuticals Inc.

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 — Florida FLDOH 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 ~75K Florida medical licensees in 2023 — they are NOT specific to RAFAEL PINEIRO, APRN. To verify RAFAEL PINEIRO, APRN's current license status, search the FLDOH public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

480
Total board actions, Florida 2023
Across 467 cases
6.40
Actions per 1,000 licensees
Florida statewide rate
monetary fine
Most common action type
138 cases

FLDOH 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 Florida disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

RAFAEL PINEIRO, APRN — brand share 17.0%
Specialty average (est.)

17% brand-name claims vs 83% generic, on 611 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.

611
Total Claims
$129K
Total Drug Cost
84
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,214
Total Day Supply
35,179
Brand vs Generic
17% brand / 83% generic
Brand Drug Cost
$121K
Generic Drug Cost
$8K
Antibiotic Claims
14

Patient Demographics

Average Patient Age
70.0 years
Avg HCC Risk Score
1.20
Gender Split
50% female / 50% male

Top Prescribed Drugs (Medicare Part D)

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

What RAFAEL PINEIRO, APRN 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
Losartan Potassium
37
Rosuvastatin Calcium
26
Atorvastatin Calcium
22
Lisinopril
21
Amlodipine Besylate
17
Gabapentin
17
Glipizide
17
Omeprazole
17
Clopidogrel
Clopidogrel Bisulfate
16
Metformin Hcl
15

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

Family Nurse Practitioner Overview

How RAFAEL PINEIRO, APRN fits within the Family Nurse Practitioner landscape nationally.

209,817
Family Nurse Practitioner Providers in US
56
States with Family Nurse Practitioner
1,222
Avg Claims per Provider

RAFAEL PINEIRO, APRN's 611 claims are below the specialty average of 1,222.

Nearby Family Nurse Practitioner Providers in Florida

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

Compare Family Nurse Practitioner nationally: see state-by-state distribution →

Frequently Asked Questions

What is RAFAEL PINEIRO, APRN's specialty?
RAFAEL PINEIRO, APRN specializes in Family Nurse Practitioner and practices in NORTH MIAMI BEACH, Florida. Credentials: APRN.
How much does RAFAEL PINEIRO, APRN prescribe under Medicare Part D?
In 2023, RAFAEL PINEIRO, APRN wrote 611 Medicare Part D claims totaling $129K in drug costs for 84 beneficiaries.
Where is RAFAEL PINEIRO, APRN located?
RAFAEL PINEIRO, APRN is located at 1380 NE MIAMI GARDENS DR STE 220, NORTH MIAMI BEACH, FL, 33179. Phone: (305) 692-9009.
What is RAFAEL PINEIRO, APRN's NPI number?
RAFAEL PINEIRO, APRN's National Provider Identifier (NPI) is 1265805147, issued on 11/02/2015.
Does RAFAEL PINEIRO, APRN prescribe more brand-name or generic drugs?
RAFAEL PINEIRO, APRN's prescribing is 17% brand-name and 83% generic drugs by claim count, with $121K in brand drug costs.
How many Family Nurse Practitioner providers are there in the US?
There are 209,817 Family Nurse Practitioner providers across 56 states in the US. The average Family Nurse Practitioner provider writes 1,222 Medicare Part D claims per year.
What drugs does RAFAEL PINEIRO, APRN prescribe most often?
Based on 2023 Medicare Part D data, RAFAEL PINEIRO, APRN's most frequently prescribed drugs include Losartan Potassium, Rosuvastatin Calcium, Atorvastatin Calcium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does RAFAEL PINEIRO, APRN accept Medicare?
RAFAEL PINEIRO, APRN appears in CMS Medicare data with 611 Part D claims and 84 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify RAFAEL PINEIRO, APRN's credentials?
RAFAEL PINEIRO, APRN's NPI is 1265805147 with credentials APRN. 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