2026 NPPES data Internal Medicine Physician NPI 1083666234 MD
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Randy Villanueva, MD

Internal Medicine Physician in Memphis, Tennessee. 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
25K
Medicare Part D claims · 1K beneficiaries · Internal Medicine Physician avg: 3K
Generic prescribing
90%
generic claims · 10% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
11.4/100
▼ 72 pts below national avg 83.1 · [object Object]
Industry payments
$1.3K
68 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

Randy Villanueva, MD reported a CMS MIPS final score of 11.4/100 — below the 83.1 national average — and filed 25,409 Medicare Part D claims in 2023.

11.4/100
MIPS score · -72 vs avg
25K
Part D claims, 2023
90%
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.

Randy Villanueva, MD's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

11 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. 90–100: 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)

Randy Villanueva, MD 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 Randy Villanueva, MD?

Below national average

NPI registry status

Active

Issued 05/16/2006

NPI 1083666234

Primary specialty

Internal Medicine Physician

High-volume

172,858 US NPIs in this specialty

Medicare Part D claims

25,409 vs specialty avg

2023 prescription claims

Specialty avg: 2,716

MIPS final score

11.4/100 71.7 pts vs avg

Penalty band band

vs 83.1 national avg

Specialty distribution in Tennessee

How Internal Medicine Physician compares to other specialties among Tennessee providers

Tennessee providers

Internal Medicine Physician share within Tennessee

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

Medicare quality performance — MIPS

Randy Villanueva, MD's 2023 MIPS final score plotted against the Internal Medicine Physician national average

Below national average
MIPS Final Score
11.4/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Internal Medicine Physician) — 11.4/100 vs national avg 83.1

0%100%National avg83%11.4%
MIPS final score (Internal Medicine Physician) — 11.4/100 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).

Randy Villanueva, MD appears in the CMS NPPES registry as a Internal Medicine Physician provider holding MD credentials at 6027 WALNUT GROVE, Memphis, TN, 38120, with a listed phone of (901) 818-3921. NPI 1083666234 was issued on 05/16/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Villanueva 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 25,409 prescription claims written by this provider, covering 1,054 Medicare beneficiaries and totaling roughly $2.0 million in drug spend, split 10% brand-name and 90% generic by claim count, with an opioid prescribing rate of 1.1%. 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 11.4/100 for the 2023 performance year (Quality 0, Cost 38), 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

6027 WALNUT GROVE
Memphis, TN 38120

Provider Details

NPI 1083666234
Specialty Internal Medicine Physician
Credentials MD
Gender Male
NPI Issued 05/16/2006

CMS Quality Score (MIPS)

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

11.3886
Final Score
Avg: 83.1
0
Quality
37.962
Cost
0
Promoting Interoperability

Reporting: Individual

Hospital and facility affiliations

Facilities where Randy Villanueva, 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.

Consolidated Medical Practices OF Memphis,pllc
Memphis, TN

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 Randy Villanueva, MD. Source: openpaymentsdata.cms.gov.

Total received

$1.3K

Largest payer

AstraZeneca Pharmaceuticals LP

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

Randy Villanueva, MD — brand share 10.0%
Specialty average (est.)

10% brand-name claims vs 90% generic, on 25,409 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.

25,409
Total Claims
$2.0M
Total Drug Cost
1,054
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
35,001
Total Day Supply
950,956
Brand vs Generic
10% brand / 90% generic
Brand Drug Cost
$1.5M
Generic Drug Cost
$525K
Opioid Claims
267 (1.1% rate)
Antibiotic Claims
810

Patient Demographics

Average Patient Age
77.8 years
Avg HCC Risk Score
1.90
Gender Split
65% female / 35% male
Age Distribution
<65: 107, 65-74: 269, 75-84: 362, 85+: 316

Top Prescribed Drugs (Medicare Part D)

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

What Randy Villanueva, MD 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
965
Amlodipine Besylate
822
Pantoprazole Sodium
693
Levothyroxine Sodium
663
Donepezil Hcl
652
Potassium Chloride
644
Losartan Potassium
623
Montelukast Sodium
580
Furosemide
569
Memantine Hcl
518

* 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 Randy Villanueva, MD 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

Randy Villanueva, MD's 25,409 claims are above the specialty average of 2,716.

Nearby Internal Medicine Physician Providers in Tennessee

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

Compare Internal 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 Tennessee medical board — federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Internal 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 Randy Villanueva, MD's specialty?
Randy Villanueva, MD specializes in Internal Medicine Physician and practices in Memphis, Tennessee. Credentials: MD.
How much does Randy Villanueva, MD prescribe under Medicare Part D?
In 2023, Randy Villanueva, MD wrote 25,409 Medicare Part D claims totaling $2.0M in drug costs for 1,054 beneficiaries.
What is Randy Villanueva, MD's Medicare quality score?
Randy Villanueva, MD has a CMS MIPS Final Score of 11.4/100 (Quality: 0, Cost: 38). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Randy Villanueva, MD located?
Randy Villanueva, MD is located at 6027 WALNUT GROVE, Memphis, TN, 38120. Phone: (901) 818-3921.
What is Randy Villanueva, MD's NPI number?
Randy Villanueva, MD's National Provider Identifier (NPI) is 1083666234, issued on 05/16/2006.
Does Randy Villanueva, MD prescribe more brand-name or generic drugs?
Randy Villanueva, MD's prescribing is 10% brand-name and 90% generic drugs by claim count, with $1.5M in brand drug costs.
Does Randy Villanueva, MD prescribe opioids?
Yes, Randy Villanueva, MD had 267 opioid claims in 2023 with an opioid prescribing rate of 1.1%.
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 Randy Villanueva, MD prescribe most often?
Based on 2023 Medicare Part D data, Randy Villanueva, MD's most frequently prescribed drugs include Atorvastatin Calcium, Amlodipine Besylate, Pantoprazole Sodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Randy Villanueva, MD accept Medicare?
Randy Villanueva, MD appears in CMS Medicare data with 25,409 Part D claims and 1,054 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Randy Villanueva, MD's credentials?
Randy Villanueva, MD's NPI is 1083666234 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

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