2026 NPPES data Hospitalist Physician NPI 1225268444 MD
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RAUL BERIO-DORTA, MD

Hospitalist Physician in VOORHEES, New Jersey. 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
47
Medicare Part D claims · 12 beneficiaries · Hospitalist Physician avg: 888
MIPS score
100/100
▲ 17 pts above national avg 83.1 · [object Object]
What the federal data reveals: RAUL BERIO-DORTA, MD is a Hospitalist Physician ([object Object]) practicing in VOORHEES, New Jersey with a Medicare Part D prescribing footprint of 47 claims across 12 beneficiaries . Their CMS MIPS Final Score of 100/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities .

What stands out: RAUL BERIO-DORTA, MD reported a CMS MIPS final score of 100 out of 100, above the 83.1 national average, and filed 47 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

RAUL BERIO-DORTA, 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).

RAUL BERIO-DORTA, MD at a glance

High performer (top quartile)

NPI registry status

Active

Issued 07/22/2009

NPI 1225268444

Primary specialty

Hospitalist Physician

Mid-sized

16,825 US NPIs in this specialty

Medicare Part D claims

47 95% vs specialty avg

2023 prescription claims

Specialty avg: 888

MIPS final score

100/100 16.900000000000006% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in New Jersey

How Hospitalist Physician compares to other specialties among New Jersey providers

New Jersey providers

Hospitalist Physician share within New Jersey

1. Hospitalist Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Hospitalist Physician share within New Jersey

Medicare quality performance — MIPS

RAUL BERIO-DORTA, MD's 2023 MIPS final score plotted against the Hospitalist Physician national average

High performer (top quartile)
MIPS Final Score
100/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Hospitalist Physician) — 100/100 vs national avg 83.1

0%100%National avg83%99%
MIPS final score (Hospitalist Physician) — 100/100 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).

RAUL BERIO-DORTA, MD is a Hospitalist Physician provider practicing in VOORHEES, New Jersey, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1225268444. 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 BERIO-DORTA, MD appears in the CMS NPPES registry as a Hospitalist Physician provider holding MD credentials at 100 BOWMAN DRIVE, VOORHEES, NJ, 08043, with a listed phone of (856) 247-2594. NPI 1225268444 was issued on 07/22/2009. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BERIO-DORTA 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 47 prescription claims written by this provider, covering 12 Medicare beneficiaries and totaling roughly $4K in drug spend. 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 100/100 for the 2023 performance year, compared with the national average of 83.1.

Hospitalist Physician is a mid-sized specialty nationwide, with 16,825 enrolled providers across 54 states and an average of 888 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

100 BOWMAN DRIVE
VOORHEES, NJ 08043

Provider Details

NPI 1225268444
Specialty Hospitalist Physician
Credentials MD
Gender Male
NPI Issued 07/22/2009

CMS Quality Score (MIPS)

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

100
Final Score
Avg: 83.1
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where RAUL BERIO-DORTA, 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.

VIRTUA MEDICAL GROUP, PA
VOORHEES, NJ

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

47
Total Claims
$4K
Total Drug Cost
12
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
47
Total Day Supply
1,126
Generic Drug Cost
$2K

Patient Demographics

Average Patient Age
77.3 years
Avg HCC Risk Score
2.10

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Losartan Potassium
15
Diltiazem 24hr Er (Cd)
Diltiazem Hcl
14

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

Hospitalist Physician Overview

How RAUL BERIO-DORTA, MD fits within the Hospitalist Physician landscape nationally.

16,825
Hospitalist Physician Providers in US
54
States with Hospitalist Physician
888
Avg Claims per Provider

RAUL BERIO-DORTA, MD's 47 claims are below the specialty average of 888.

Nearby Hospitalist Physician Providers in New Jersey

Other clinicians with the same primary specialty enrolled in New Jersey, drawn from the same CMS NPPES roster as BERIO-DORTA.

Compare Hospitalist Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is RAUL BERIO-DORTA, MD's specialty?
RAUL BERIO-DORTA, MD specializes in Hospitalist Physician and practices in VOORHEES, New Jersey. Credentials: MD.
How much does RAUL BERIO-DORTA, MD prescribe under Medicare Part D?
In 2023, RAUL BERIO-DORTA, MD wrote 47 Medicare Part D claims totaling $4K in drug costs for 12 beneficiaries.
What is RAUL BERIO-DORTA, MD's Medicare quality score?
RAUL BERIO-DORTA, MD has a CMS MIPS Final Score of 100/100. The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is RAUL BERIO-DORTA, MD located?
RAUL BERIO-DORTA, MD is located at 100 BOWMAN DRIVE, VOORHEES, NJ, 08043. Phone: (856) 247-2594.
What is RAUL BERIO-DORTA, MD's NPI number?
RAUL BERIO-DORTA, MD's National Provider Identifier (NPI) is 1225268444, issued on 07/22/2009.
How many Hospitalist Physician providers are there in the US?
There are 16,825 Hospitalist Physician providers across 54 states in the US. The average Hospitalist Physician provider writes 888 Medicare Part D claims per year.
What drugs does RAUL BERIO-DORTA, MD prescribe most often?
Based on 2023 Medicare Part D data, RAUL BERIO-DORTA, MD's most frequently prescribed drugs include Losartan Potassium, Diltiazem 24hr Er (Cd). This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does RAUL BERIO-DORTA, MD accept Medicare?
RAUL BERIO-DORTA, MD appears in CMS Medicare data with 47 Part D claims and 12 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify RAUL BERIO-DORTA, MD's credentials?
RAUL BERIO-DORTA, MD's NPI is 1225268444 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