2026 NPPES data Family Medicine Physician NPI 1053498303 MD
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RAUL BARRERA, MD

Family Medicine Physician in EL MONTE, California. 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
4K
Medicare Part D claims · 372 beneficiaries · Family Medicine Physician avg: 3K
Generic prescribing
87%
generic claims · 13% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$330.36
2 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: RAUL BARRERA, MD is a Family Medicine Physician ([object Object]) practicing in EL MONTE, California with a Medicare Part D prescribing footprint of 4K claims across 372 beneficiaries — 13% brand-name prescribing . Industry payments of $330.36 across 2 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: RAUL BARRERA, MD filed 4,451 Medicare Part D claims in 2023 across EL MONTE, California. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board-eligible specialty (heuristic — not verified)

RAUL BARRERA, MD 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).

RAUL BARRERA, MD at a glance

Quality data not reported

NPI registry status

Active

Issued 11/01/2006

NPI 1053498303

Primary specialty

Family Medicine Physician

High-volume

147,640 US NPIs in this specialty

Medicare Part D claims

4,451 30% vs specialty avg

2023 prescription claims

Specialty avg: 3,418

Specialty distribution in California

How Family Medicine Physician compares to other specialties among California providers

California providers

Family Medicine Physician share within California

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

Specialty board-certification context

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

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

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

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

RAUL BARRERA, MD is a Family Medicine Physician provider practicing in EL MONTE, California, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1053498303. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

RAUL BARRERA, MD appears in the CMS NPPES registry as a Family Medicine Physician provider holding MD credentials at 10418 VALLEY BLVD STE B, EL MONTE, CA, 91731, with a listed phone of (626) 453-9466. NPI 1053498303 was issued on 11/01/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BARRERA 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 4,451 prescription claims written by this provider, covering 372 Medicare beneficiaries and totaling roughly $592K in drug spend, split 13% brand-name and 87% generic by claim count, with an opioid prescribing rate of 1.4%. 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.

Family Medicine Physician is a high-volume specialty nationwide, with 147,640 enrolled providers across 56 states and an average of 3,418 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

10418 VALLEY BLVD STE B
EL MONTE, CA 91731

Provider Details

NPI 1053498303
Specialty Family Medicine Physician
Credentials MD
Gender Male
NPI Issued 11/01/2006

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 RAUL BARRERA, MD. Source: openpaymentsdata.cms.gov.

Total received

$330

Largest payer

Abbott Laboratories

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.

License & disciplinary context — California MBC 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 ~150K California medical licensees in 2023 — they are NOT specific to RAUL BARRERA, MD. To verify RAUL BARRERA, MD's current license status, search the MBC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

576
Total board actions, California 2023
Across 556 cases
3.84
Actions per 1,000 licensees
California statewide rate
probation
Most common action type
186 cases

MBC 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 California disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

RAUL BARRERA, MD — brand share 13.0%
Specialty average (est.)

13% brand-name claims vs 87% generic, on 4,451 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.

4,451
Total Claims
$592K
Total Drug Cost
372
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
9,957
Total Day Supply
293,309
Brand vs Generic
13% brand / 87% generic
Brand Drug Cost
$505K
Generic Drug Cost
$80K
Opioid Claims
64 (1.4% rate)
Antibiotic Claims
44

Patient Demographics

Average Patient Age
69.2 years
Avg HCC Risk Score
1.49
Gender Split
47% female / 53% male

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Atorvastatin Calcium
384
Lisinopril
234
Metformin Hcl
211
Losartan Potassium
180
Amlodipine Besylate
175
Tamsulosin Hcl
115
Omeprazole
111
Levothyroxine Sodium
104
Jardiance
Empagliflozin
102
Gabapentin
98

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

Family Medicine Physician Overview

How RAUL BARRERA, MD fits within the Family Medicine Physician landscape nationally.

147,640
Family Medicine Physician Providers in US
56
States with Family Medicine Physician
3,418
Avg Claims per Provider

RAUL BARRERA, MD's 4,451 claims are above the specialty average of 3,418.

Nearby Family Medicine Physician Providers in California

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

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

Frequently Asked Questions

What is RAUL BARRERA, MD's specialty?
RAUL BARRERA, MD specializes in Family Medicine Physician and practices in EL MONTE, California. Credentials: MD.
How much does RAUL BARRERA, MD prescribe under Medicare Part D?
In 2023, RAUL BARRERA, MD wrote 4,451 Medicare Part D claims totaling $592K in drug costs for 372 beneficiaries.
Where is RAUL BARRERA, MD located?
RAUL BARRERA, MD is located at 10418 VALLEY BLVD STE B, EL MONTE, CA, 91731. Phone: (626) 453-9466.
What is RAUL BARRERA, MD's NPI number?
RAUL BARRERA, MD's National Provider Identifier (NPI) is 1053498303, issued on 11/01/2006.
Does RAUL BARRERA, MD prescribe more brand-name or generic drugs?
RAUL BARRERA, MD's prescribing is 13% brand-name and 87% generic drugs by claim count, with $505K in brand drug costs.
Does RAUL BARRERA, MD prescribe opioids?
Yes, RAUL BARRERA, MD had 64 opioid claims in 2023 with an opioid prescribing rate of 1.4%.
How many Family Medicine Physician providers are there in the US?
There are 147,640 Family Medicine Physician providers across 56 states in the US. The average Family Medicine Physician provider writes 3,418 Medicare Part D claims per year.
What drugs does RAUL BARRERA, MD prescribe most often?
Based on 2023 Medicare Part D data, RAUL BARRERA, MD's most frequently prescribed drugs include Atorvastatin Calcium, Lisinopril, Metformin Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does RAUL BARRERA, MD accept Medicare?
RAUL BARRERA, MD appears in CMS Medicare data with 4,451 Part D claims and 372 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify RAUL BARRERA, MD's credentials?
RAUL BARRERA, MD's NPI is 1053498303 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.
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