2026 NPPES data Internal Medicine Physician NPI 1740462803 M.D.
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RAQUEL DE LEON ANEL-TIANGCO, M.D.

Internal Medicine Physician in SIOUX FALLS, South Dakota. 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
2K
Medicare Part D claims · 202 beneficiaries · Internal Medicine Physician avg: 3K
Generic prescribing
46%
generic claims · 54% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$72.32
4 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

RAQUEL DE LEON ANEL-TIANGCO, M.D. filed 1,996 Medicare Part D claims in 2023 as a Internal Medicine Physician in SIOUX FALLS, South Dakota, prescribing 46% generic.

2K
Part D claims, 2023
46%
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.

RAQUEL DE LEON ANEL-TIANGCO, M.D.'s Medicare Part D volume vs every U.S. prescriber

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

1,996 Top 16% higher than 84% 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%). Below this entry. 800–1,000: 40,919 prescribers (3%). Below this entry. 1,000–1,200: 31,827 prescribers (2%). Below this entry. 1,200–1,400: 26,224 prescribers (2%). Below this entry. 1,400–1,600: 21,710 prescribers (2%). Below this entry. 1,600–1,800: 19,072 prescribers (1%). Below this entry. 1,800–2,000: 16,451 prescribers (1%). This entry sits in this band. 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 certification likely (heuristic — not verified)

RAQUEL DE LEON ANEL-TIANGCO, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 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 RAQUEL DE LEON ANEL-TIANGCO, M.D.?

Quality data not reported

NPI registry status

Active

Issued 11/30/2007

NPI 1740462803

Primary specialty

Internal Medicine Physician

High-volume

172,858 US NPIs in this specialty

Medicare Part D claims

1,996 27% vs specialty avg

2023 prescription claims

Specialty avg: 2,716

Specialty distribution in South Dakota

How Internal Medicine Physician compares to other specialties among South Dakota providers

South Dakota providers

Internal Medicine Physician share within South Dakota

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

Specialty board-certification context

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

Quality data not reported
Est. board-certified rate
78%
Internal Medicine Physician ABMS/AOA estimate

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

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

RAQUEL DE LEON ANEL-TIANGCO, M.D. appears in the CMS NPPES registry as a Internal Medicine Physician provider holding M.D. credentials at 1315 S. CLIFF AVE., SIOUX FALLS, SD, 57105, with a listed phone of (605) 322-7600. NPI 1740462803 was issued on 11/30/2007. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what ANEL-TIANGCO 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 1,996 prescription claims written by this provider, covering 202 Medicare beneficiaries and totaling roughly $681K in drug spend, split 54% brand-name and 46% 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.

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

1315 S. CLIFF AVE.
SIOUX FALLS, SD 57105

Provider Details

NPI 1740462803
Specialty Internal Medicine Physician
Credentials M.D.
Gender Female
NPI Issued 11/30/2007

Hospital and facility affiliations

Facilities where RAQUEL DE LEON ANEL-TIANGCO, 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.

AVERA MCKENNAN
SIOUX FALLS, SD

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 RAQUEL DE LEON ANEL-TIANGCO, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$72

Largest payer

Dexcom, 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 · Brand-heavy

RAQUEL DE LEON ANEL-TIANGCO, M.D. — brand share 54.0%
Specialty average (est.)

54% brand-name claims vs 46% generic, on 1,996 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.

1,996
Total Claims
$681K
Total Drug Cost
202
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
3,322
Total Day Supply
97,144
Brand vs Generic
54% brand / 46% generic
Brand Drug Cost
$645K
Generic Drug Cost
$18K

Patient Demographics

Average Patient Age
70.3 years
Avg HCC Risk Score
1.39
Gender Split
69% female / 31% male

Top Prescribed Drugs (Medicare Part D)

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

What RAQUEL DE LEON ANEL-TIANGCO, 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
Levothyroxine Sodium
309
Synthroid
Levothyroxine Sodium
189
Metformin Hcl
106
Atorvastatin Calcium
81
Ozempic
Semaglutide
81
Methimazole
79
Jardiance
Empagliflozin
71
Novolog Flexpen
Insulin Aspart
56
Metformin Hcl Er
Metformin Hcl
55
Novolog
Insulin Aspart
53

* 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 RAQUEL DE LEON ANEL-TIANGCO, 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

RAQUEL DE LEON ANEL-TIANGCO, M.D.'s 1,996 claims are below the specialty average of 2,716.

Nearby Internal Medicine Physician Providers in South Dakota

Other clinicians with the same primary specialty enrolled in South Dakota, drawn from the same CMS NPPES roster as ANEL-TIANGCO.

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

Frequently Asked Questions

What is RAQUEL DE LEON ANEL-TIANGCO, M.D.'s specialty?
RAQUEL DE LEON ANEL-TIANGCO, M.D. specializes in Internal Medicine Physician and practices in SIOUX FALLS, South Dakota. Credentials: M.D..
How much does RAQUEL DE LEON ANEL-TIANGCO, M.D. prescribe under Medicare Part D?
In 2023, RAQUEL DE LEON ANEL-TIANGCO, M.D. wrote 1,996 Medicare Part D claims totaling $681K in drug costs for 202 beneficiaries.
Where is RAQUEL DE LEON ANEL-TIANGCO, M.D. located?
RAQUEL DE LEON ANEL-TIANGCO, M.D. is located at 1315 S. CLIFF AVE., SIOUX FALLS, SD, 57105. Phone: (605) 322-7600.
What is RAQUEL DE LEON ANEL-TIANGCO, M.D.'s NPI number?
RAQUEL DE LEON ANEL-TIANGCO, M.D.'s National Provider Identifier (NPI) is 1740462803, issued on 11/30/2007.
Does RAQUEL DE LEON ANEL-TIANGCO, M.D. prescribe more brand-name or generic drugs?
RAQUEL DE LEON ANEL-TIANGCO, M.D.'s prescribing is 54% brand-name and 46% generic drugs by claim count, with $645K in brand drug costs.
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 RAQUEL DE LEON ANEL-TIANGCO, M.D. prescribe most often?
Based on 2023 Medicare Part D data, RAQUEL DE LEON ANEL-TIANGCO, M.D.'s most frequently prescribed drugs include Levothyroxine Sodium, Synthroid, Metformin Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does RAQUEL DE LEON ANEL-TIANGCO, M.D. accept Medicare?
RAQUEL DE LEON ANEL-TIANGCO, M.D. appears in CMS Medicare data with 1,996 Part D claims and 202 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify RAQUEL DE LEON ANEL-TIANGCO, M.D.'s credentials?
RAQUEL DE LEON ANEL-TIANGCO, M.D.'s NPI is 1740462803 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.
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