NPI registry status
Active
2026 NPPES data Interventional Pain Medicine Physician NPI 1851390363 MD
Verify on CMS → Ramon Espinal, MD
Interventional Pain Medicine Physician in Covington, Georgia.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 1,528 in Interventional Pain 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
6K
Medicare Part D claims · 2K beneficiaries · Interventional Pain Medicine Physician avg: 2K
Generic prescribing
92%
generic claims · 8% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
85/100
▲ 2 pts above national avg 83.1 · Above neutral
Industry payments
$798.37
18 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Ramon Espinal, MD reported a CMS MIPS final score of 85/100 - above the 83.1 national average - and filed 6,196 Medicare Part D claims in 2023.
- 85/100
- MIPS score · +2 vs avg
- 6K
- Part D claims, 2023
- 92%
- 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.
Ramon Espinal, MD's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
85 49th percentile higher than 49% of 477,587 scored providers
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 Ramon Espinal, MD sits
This provider among interventional pain medicine physician peers
Across the 546 interventional pain medicine physician providers who report both Medicare Part D prescribing and a MIPS quality score, Ramon Espinal, MD writes more Part D claims than 86% of them and scores higher on MIPS quality than 63% - placing this provider in the high-volume, high-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
Each dot is one interventional pain medicine physician peer from a representative sample of 60; the gold marker is Ramon Espinal, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Ramon Espinal, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 2 hospital affiliations - 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 Ramon Espinal, MD?
High performer (top quartile)Primary specialty
Interventional Pain Medicine Physician
Medicare Part D claims
6,196 182% vs specialty avg
MIPS final score
85/100 1.9 pts vs avg
Specialty distribution in Georgia
How Interventional Pain Medicine Physician compares to other specialties among Georgia providers
Medicare quality performance, MIPS
Ramon Espinal, MD's 2023 MIPS final score plotted against the Interventional Pain Medicine Physician national average
- MIPS Final Score
- 85/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Interventional Pain Medicine Physician) - 85/100 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).
Ramon Espinal, MD appears in the CMS NPPES registry as a Interventional Pain Medicine Physician provider holding MD credentials at 5303 ADAMS ST NE, Covington, GA, 30014, with a listed phone of (678) 729-8590. NPI 1851390363 was issued on 07/18/2005.
Medicare Part D records for calendar year 2023 show 6,196 prescription claims written by this provider, covering 2,021 Medicare beneficiaries and totaling roughly $587K in drug spend, split 8% brand-name and 92% generic by claim count, with an opioid prescribing rate of 63.7%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 85/100 for the 2023 performance year (Quality 89.4, Cost 60.7), compared with the national average of 83.1.
Interventional Pain Medicine Physician is a narrow specialty nationwide, with 1,528 enrolled providers across 53 states and an average of 2,197 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
Provider Details
| NPI | 1851390363 |
|---|---|
| Specialty | Interventional Pain Medicine Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 07/18/2005 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
85.0243
Final Score
Avg: 83.1
89.4304
Quality
60.6507
Cost
100
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where Ramon Espinal, MD 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.
Georgia Pain And Wellness Center
Lawrenceville, GA
Physiotherapy Associates Inc
Dunwoody, GA
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 Ramon Espinal, MD. Source: openpaymentsdata.cms.gov.
Total received
$798
Largest payer
Medtronic, 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 · Generic-heavy
Ramon Espinal, MD - brand share 8.0%
Interventional Pain Medicine Physician average
8% brand-name claims vs 92% generic, on 6,196 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.
6,196
Total Claims
$587K
Total Drug Cost
2,021
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 6,295
- Total Day Supply
- 178,416
- Brand vs Generic
- 8% brand / 92% generic
- Brand Drug Cost
- $375K
- Generic Drug Cost
- $212K
- Opioid Claims
- 3,944 (63.7% rate)
- Antibiotic Claims
- 17
Patient Demographics
- Average Patient Age
- 64.7 years
- Avg HCC Risk Score
- 1.89
- Gender Split
- 68% female / 32% male
- Age Distribution
- <65: 886, 65-74: 781, 75-84: 302, 85+: 52
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Ramon Espinal, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Oxycodone-Acetamin…
Oxycodone-Acetaminophen
1,296 claims
- Hydrocodone-Acetam…
Hydrocodone-Acetaminophen
1,163 claims
- Gabapentin 466
Gabapentin
466 claims
- Oxycodone Hcl 428
Oxycodone Hcl
428 claims
- Pregabalin 426
Pregabalin
426 claims
- Tizanidine Hcl 292
Tizanidine Hcl
292 claims
- Tramadol Hcl 225
Tramadol Hcl
225 claims
- Buprenorphine 222
Buprenorphine
222 claims
| Drug | Claims |
|---|---|
| Oxycodone-Acetaminophen Oxycodone Hcl/Acetaminophen | 1,296 |
| Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen | 1,163 |
| Gabapentin | 466 |
| Oxycodone Hcl | 428 |
| Pregabalin | 426 |
| Tizanidine Hcl | 292 |
| Tramadol Hcl | 225 |
| Buprenorphine | 222 |
| Cyclobenzaprine Hcl | 182 |
| Diclofenac Sodium | 181 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
More Interventional Pain Medicine Physician in GA →
All providers in Georgia →
Compare specialties →
Interventional Pain Medicine Physician Overview
How Ramon Espinal, MD fits within the Interventional Pain Medicine Physician landscape nationally.
1,528
Interventional Pain Medicine Physician Providers in US
53
States with Interventional Pain Medicine Physician
2,197
Avg Claims per Provider
Ramon Espinal, MD's 6,196 claims are above the specialty average of 2,197.
Nearby Interventional Pain Medicine Physician Providers in Georgia
Other clinicians with the same primary specialty enrolled in Georgia, drawn from the same CMS NPPES roster as Espinal.
Dr. Chad Achilles
M.D.
Atlanta, GA
Dr. Naureen Adam
M.D.
Atlanta, GA
Dr. Brian Adams
MD
Gainesville, GA
Dr. Jolaade Adebayo
M.D.
Gainesville, GA
Dr. Randall Berinhout
M.D.
Stockbridge, GA
Compare Interventional Pain 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 Georgia medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Interventional Pain 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.
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Frequently Asked Questions
What is Ramon Espinal, MD's specialty? ▼
Ramon Espinal, MD specializes in Interventional Pain Medicine Physician and practices in Covington, Georgia. Credentials: MD.
How much does Ramon Espinal, MD prescribe under Medicare Part D? ▼
In 2023, Ramon Espinal, MD wrote 6,196 Medicare Part D claims totaling $587K in drug costs for 2,021 beneficiaries.
What is Ramon Espinal, MD's Medicare quality score? ▼
Ramon Espinal, MD has a CMS MIPS Final Score of 85/100 (Quality: 89.4, Cost: 60.7). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Ramon Espinal, MD located? ▼
Ramon Espinal, MD is located at 5303 ADAMS ST NE, Covington, GA, 30014. Phone: (678) 729-8590.
What is Ramon Espinal, MD's NPI number? ▼
Ramon Espinal, MD's National Provider Identifier (NPI) is 1851390363, issued on 07/18/2005.
Does Ramon Espinal, MD prescribe more brand-name or generic drugs? ▼
Ramon Espinal, MD's prescribing is 8% brand-name and 92% generic drugs by claim count, with $375K in brand drug costs.
Does Ramon Espinal, MD prescribe opioids? ▼
Yes, Ramon Espinal, MD had 3,944 opioid claims in 2023 with an opioid prescribing rate of 63.7%.
How many Interventional Pain Medicine Physician providers are there in the US? ▼
There are 1,528 Interventional Pain Medicine Physician providers across 53 states in the US. The average Interventional Pain Medicine Physician provider writes 2,197 Medicare Part D claims per year.
What drugs does Ramon Espinal, MD prescribe most often? ▼
Based on 2023 Medicare Part D data, Ramon Espinal, MD's most frequently prescribed drugs include Oxycodone-Acetaminophen, Hydrocodone-Acetaminophen, Gabapentin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Ramon Espinal, MD accept Medicare? ▼
Ramon Espinal, MD appears in CMS Medicare data with 6,196 Part D claims and 2,021 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Ramon Espinal, MD's credentials? ▼
Ramon Espinal, MD's NPI is 1851390363 with credentials MD. 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.