2026 NPPES data Internal Medicine Physician NPI 1497965198 M.D.
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RAFAEL ROBLEDO, M.D.

Internal Medicine Physician in HAMMOND, Louisiana. 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
20K
Medicare Part D claims · 708 beneficiaries · Internal Medicine Physician avg: 3K
Generic prescribing
86%
generic claims · 14% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
75/100
▼ 8 pts below national avg 83.1 · [object Object]
Industry payments
$1.5K
33 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

RAFAEL ROBLEDO, M.D. reported a CMS MIPS final score of 75/100 — below the 83.1 national average — and filed 20,389 Medicare Part D claims in 2023.

75/100
MIPS score · -8 vs avg
20K
Part D claims, 2023
86%
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 ROBLEDO, 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

75 15th percentile higher than 15% 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%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). This entry sits in this band. 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 ROBLEDO, 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 ROBLEDO, M.D.?

Below national average

NPI registry status

Active

Issued 05/23/2007

NPI 1497965198

Primary specialty

Internal Medicine Physician

High-volume

172,858 US NPIs in this specialty

Medicare Part D claims

20,389 651% vs specialty avg

2023 prescription claims

Specialty avg: 2,716

MIPS final score

75/100 8.099999999999994% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Louisiana

How Internal Medicine Physician compares to other specialties among Louisiana providers

Louisiana providers

Internal Medicine Physician share within Louisiana

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

Medicare quality performance — MIPS

RAFAEL ROBLEDO, M.D.'s 2023 MIPS final score plotted against the Internal Medicine Physician national average

Below national average
MIPS Final Score
75/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Internal Medicine Physician) — 75/100 vs national avg 83.1

0%100%National avg83%75%
MIPS final score (Internal Medicine Physician) — 75/100 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 ROBLEDO, M.D. appears in the CMS NPPES registry as a Internal Medicine Physician provider holding M.D. credentials at 42388 PELICAN PROFESSIONAL PARK, HAMMOND, LA, 70403, with a listed phone of (985) 542-6251. NPI 1497965198 was issued on 05/23/2007. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what ROBLEDO 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 20,389 prescription claims written by this provider, covering 708 Medicare beneficiaries and totaling roughly $1.5 million in drug spend, split 14% brand-name and 86% generic by claim count, with an opioid prescribing rate of 1.6%. 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 75/100 for the 2023 performance year, compared with the national average of 83.1.

Internal Medicine Physician is a high-volume specialty nationwide, with 172,858 enrolled providers across 56 states and an average of 2,716 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

42388 PELICAN PROFESSIONAL PARK
HAMMOND, LA 70403

Provider Details

NPI 1497965198
Specialty Internal Medicine Physician
Credentials M.D.
Gender Male
NPI Issued 05/23/2007

CMS Quality Score (MIPS)

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

75
Final Score
Avg: 83.1

Reporting: Group practice

Hospital and facility affiliations

Facilities where RAFAEL ROBLEDO, 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.

INTERNAL MEDICINE CLINIC OF TANGIPAHOA, LLC
HAMMOND, LA

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

Total received

$1.5K

Largest payer

Amgen 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.

Brand vs generic prescribing mix · Typical

RAFAEL ROBLEDO, M.D. — brand share 14.0%
Specialty average (est.)

14% brand-name claims vs 86% generic, on 20,389 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.

20,389
Total Claims
$1.5M
Total Drug Cost
708
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
24,795
Total Day Supply
606,130
Brand vs Generic
14% brand / 86% generic
Brand Drug Cost
$1.2M
Generic Drug Cost
$324K
Opioid Claims
319 (1.6% rate)
Antibiotic Claims
525

Patient Demographics

Average Patient Age
72.6 years
Avg HCC Risk Score
2.63
Gender Split
60% female / 40% male
Age Distribution
<65: 131, 65-74: 252, 75-84: 218, 85+: 107

Top Prescribed Drugs (Medicare Part D)

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

What RAFAEL ROBLEDO, 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
1,006
Pantoprazole Sodium
696
Amlodipine Besylate
597
Furosemide
581
Gabapentin
573
Eliquis
Apixaban
554
Levothyroxine Sodium
533
Clopidogrel
Clopidogrel Bisulfate
450
Potassium Chloride
437
Metoprolol Succinate
378

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

Internal Medicine Physician Overview

How RAFAEL ROBLEDO, M.D. fits within the Internal Medicine Physician landscape nationally.

172,858
Internal Medicine Physician Providers in US
56
States with Internal Medicine Physician
2,716
Avg Claims per Provider

RAFAEL ROBLEDO, M.D.'s 20,389 claims are above the specialty average of 2,716.

Nearby Internal Medicine Physician Providers in Louisiana

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

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

Frequently Asked Questions

What is RAFAEL ROBLEDO, M.D.'s specialty?
RAFAEL ROBLEDO, M.D. specializes in Internal Medicine Physician and practices in HAMMOND, Louisiana. Credentials: M.D..
How much does RAFAEL ROBLEDO, M.D. prescribe under Medicare Part D?
In 2023, RAFAEL ROBLEDO, M.D. wrote 20,389 Medicare Part D claims totaling $1.5M in drug costs for 708 beneficiaries.
What is RAFAEL ROBLEDO, M.D.'s Medicare quality score?
RAFAEL ROBLEDO, M.D. has a CMS MIPS Final Score of 75/100. The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is RAFAEL ROBLEDO, M.D. located?
RAFAEL ROBLEDO, M.D. is located at 42388 PELICAN PROFESSIONAL PARK, HAMMOND, LA, 70403. Phone: (985) 542-6251.
What is RAFAEL ROBLEDO, M.D.'s NPI number?
RAFAEL ROBLEDO, M.D.'s National Provider Identifier (NPI) is 1497965198, issued on 05/23/2007.
Does RAFAEL ROBLEDO, M.D. prescribe more brand-name or generic drugs?
RAFAEL ROBLEDO, M.D.'s prescribing is 14% brand-name and 86% generic drugs by claim count, with $1.2M in brand drug costs.
Does RAFAEL ROBLEDO, M.D. prescribe opioids?
Yes, RAFAEL ROBLEDO, M.D. had 319 opioid claims in 2023 with an opioid prescribing rate of 1.6%.
How many Internal Medicine Physician providers are there in the US?
There are 172,858 Internal Medicine Physician providers across 56 states in the US. The average Internal Medicine Physician provider writes 2,716 Medicare Part D claims per year.
What drugs does RAFAEL ROBLEDO, M.D. prescribe most often?
Based on 2023 Medicare Part D data, RAFAEL ROBLEDO, M.D.'s most frequently prescribed drugs include Atorvastatin Calcium, Pantoprazole Sodium, Amlodipine Besylate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does RAFAEL ROBLEDO, M.D. accept Medicare?
RAFAEL ROBLEDO, M.D. appears in CMS Medicare data with 20,389 Part D claims and 708 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify RAFAEL ROBLEDO, M.D.'s credentials?
RAFAEL ROBLEDO, M.D.'s NPI is 1497965198 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