2026 NPPES data Pain Medicine (Anesthesiology) Physician NPI 1073521381 D.O.
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RALPH STEIN, D.O.

Pain Medicine (Anesthesiology) Physician in MESQUITE, Texas. 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
364
Medicare Part D claims · 25 beneficiaries · Pain Medicine (Anesthesiology) Physician avg: 2K
Generic prescribing
96%
generic claims · 4% brand-name · higher generic rates reduce patient out-of-pocket costs

What the federal data shows

RALPH STEIN, D.O. filed 364 Medicare Part D claims in 2023 as a Pain Medicine (Anesthesiology) Physician in MESQUITE, Texas, prescribing 96% generic.

364
Part D claims, 2023
96%
generic prescribing

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.

RALPH STEIN, D.O.'s Medicare Part D volume vs every U.S. prescriber

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

364 Top 43% higher than 57% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). This entry sits in this band. 400–600: 90,619 prescribers (7%). Above this entry. 600–800: 56,224 prescribers (4%). Above this entry. 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

Board-eligible specialty (heuristic — not verified)

RALPH STEIN, D.O. 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).

What does the federal data show about RALPH STEIN, D.O.?

Quality data not reported

NPI registry status

Active

Issued 08/03/2006

NPI 1073521381

Primary specialty

Pain Medicine (Anesthesiology) Physician

Niche

4,020 US NPIs in this specialty

Medicare Part D claims

364 78% vs specialty avg

2023 prescription claims

Specialty avg: 1,657

Specialty distribution in Texas

How Pain Medicine (Anesthesiology) Physician compares to other specialties among Texas providers

Texas providers

Pain Medicine (Anesthesiology) Physician share within Texas

1. Pain Medicine (Anesthesiology) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Pain Medicine (Anesthesiology) Physician share within Texas

Specialty board-certification context

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

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

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

0%100%78%
Est. board-certified rate (Pain Medicine (Anesthesiology) 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).

RALPH STEIN, D.O. appears in the CMS NPPES registry as a Pain Medicine (Anesthesiology) Physician provider holding D.O. credentials at 508 WOODSTREAM PLACE, MESQUITE, TX, 75149, with a listed phone of (254) 694-5092. NPI 1073521381 was issued on 08/03/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what STEIN 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 364 prescription claims written by this provider, covering 25 Medicare beneficiaries and totaling roughly $20K in drug spend, split 4% brand-name and 96% generic by claim count, with an opioid prescribing rate of 49.7%. 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 (Anesthesiology) Physician is a narrow specialty nationwide, with 4,020 enrolled providers across 53 states and an average of 1,657 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

508 WOODSTREAM PLACE
MESQUITE, TX 75149

Provider Details

NPI 1073521381
Specialty Pain Medicine (Anesthesiology) Physician
Credentials D.O.
Gender Male
NPI Issued 08/03/2006

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 RALPH STEIN, D.O.. To verify RALPH STEIN, D.O.'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.

Brand vs generic prescribing mix · Generic-heavy

RALPH STEIN, D.O. — brand share 4.0%
Specialty average (est.)

4% brand-name claims vs 96% generic, on 364 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.

364
Total Claims
$20K
Total Drug Cost
25
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
414
Total Day Supply
11,670
Brand vs Generic
4% brand / 96% generic
Brand Drug Cost
$9K
Generic Drug Cost
$11K
Opioid Claims
181 (49.7% rate)

Patient Demographics

Average Patient Age
67.4 years
Avg HCC Risk Score
1.33
Gender Split
56% female / 44% male

Top Prescribed Drugs (Medicare Part D)

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

What RALPH STEIN, D.O. 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
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
97
Gabapentin
41
Cyclobenzaprine Hcl
34
Oxycodone-Acetaminophen
Oxycodone Hcl/Acetaminophen
32
Pregabalin
22
Methocarbamol
20
Oxycodone Hcl
14
Acetaminophen-Codeine
Acetaminophen With Codeine
13
Carisoprodol
13
Amitriptyline Hcl
12

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

Pain Medicine (Anesthesiology) Physician Overview

How RALPH STEIN, D.O. fits within the Pain Medicine (Anesthesiology) Physician landscape nationally.

4,020
Pain Medicine (Anesthesiology) Physician Providers in US
53
States with Pain Medicine (Anesthesiology) Physician
1,657
Avg Claims per Provider

RALPH STEIN, D.O.'s 364 claims are below the specialty average of 1,657.

Nearby Pain Medicine (Anesthesiology) Physician Providers in Texas

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

Compare Pain Medicine (Anesthesiology) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is RALPH STEIN, D.O.'s specialty?
RALPH STEIN, D.O. specializes in Pain Medicine (Anesthesiology) Physician and practices in MESQUITE, Texas. Credentials: D.O..
How much does RALPH STEIN, D.O. prescribe under Medicare Part D?
In 2023, RALPH STEIN, D.O. wrote 364 Medicare Part D claims totaling $20K in drug costs for 25 beneficiaries.
Where is RALPH STEIN, D.O. located?
RALPH STEIN, D.O. is located at 508 WOODSTREAM PLACE, MESQUITE, TX, 75149. Phone: (254) 694-5092.
What is RALPH STEIN, D.O.'s NPI number?
RALPH STEIN, D.O.'s National Provider Identifier (NPI) is 1073521381, issued on 08/03/2006.
Does RALPH STEIN, D.O. prescribe more brand-name or generic drugs?
RALPH STEIN, D.O.'s prescribing is 4% brand-name and 96% generic drugs by claim count, with $9K in brand drug costs.
Does RALPH STEIN, D.O. prescribe opioids?
Yes, RALPH STEIN, D.O. had 181 opioid claims in 2023 with an opioid prescribing rate of 49.7%.
How many Pain Medicine (Anesthesiology) Physician providers are there in the US?
There are 4,020 Pain Medicine (Anesthesiology) Physician providers across 53 states in the US. The average Pain Medicine (Anesthesiology) Physician provider writes 1,657 Medicare Part D claims per year.
What drugs does RALPH STEIN, D.O. prescribe most often?
Based on 2023 Medicare Part D data, RALPH STEIN, D.O.'s most frequently prescribed drugs include Hydrocodone-Acetaminophen, Gabapentin, Cyclobenzaprine Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does RALPH STEIN, D.O. accept Medicare?
RALPH STEIN, D.O. appears in CMS Medicare data with 364 Part D claims and 25 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify RALPH STEIN, D.O.'s credentials?
RALPH STEIN, D.O.'s NPI is 1073521381 with credentials D.O.. 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