2026 NPPES data Emergency Medicine Physician NPI 1417909839 MD
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RAUL RODRIGUEZ, MD

Emergency Medicine Physician in WOODBRIDGE, Virginia. 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
557
Medicare Part D claims · 385 beneficiaries · Emergency Medicine Physician avg: 352
Generic prescribing
94%
generic claims · 6% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
94.0775/100
▲ 11 pts above national avg 83.1 · [object Object]
Industry payments
$16.28
1 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

RAUL RODRIGUEZ, MD reported a CMS MIPS final score of 94.0775/100 — above the 83.1 national average — and filed 557 Medicare Part D claims in 2023.

94.0775/100
MIPS score · +11 vs avg
557
Part D claims, 2023
94%
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.

RAUL RODRIGUEZ, MD's MIPS score vs every scored U.S. clinician

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

94 Top 25% higher than 75% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). Below this entry. 90–100: 189,403 scored providers (40%). This entry sits in this band. 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)

RAUL RODRIGUEZ, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting — 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 RAUL RODRIGUEZ, MD?

High performer (top quartile)

NPI registry status

Active

Issued 05/16/2006

NPI 1417909839

Primary specialty

Emergency Medicine Physician

High-volume

64,398 US NPIs in this specialty

Medicare Part D claims

557 58% vs specialty avg

2023 prescription claims

Specialty avg: 352

MIPS final score

94.0775/100 10.977500000000006% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Virginia

How Emergency Medicine Physician compares to other specialties among Virginia providers

Virginia providers

Emergency Medicine Physician share within Virginia

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

Medicare quality performance — MIPS

RAUL RODRIGUEZ, MD's 2023 MIPS final score plotted against the Emergency Medicine Physician national average

High performer (top quartile)
MIPS Final Score
94.0775/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Emergency Medicine Physician) — 94.0775/100 vs national avg 83.1

0%100%National avg83%94.1%
MIPS final score (Emergency Medicine Physician) — 94.0775/100 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 RODRIGUEZ, MD appears in the CMS NPPES registry as a Emergency Medicine Physician provider holding MD credentials at 2300 OPITZ BLVD, WOODBRIDGE, VA, 22191, with a listed phone of (703) 670-1313. NPI 1417909839 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 RODRIGUEZ 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 557 prescription claims written by this provider, covering 385 Medicare beneficiaries and totaling roughly $11K in drug spend, split 6% brand-name and 94% generic by claim count, with an opioid prescribing rate of 4.8%. 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 94.0775/100 for the 2023 performance year (Quality 90.6515), compared with the national average of 83.1.

Emergency Medicine Physician is a high-volume specialty nationwide, with 64,398 enrolled providers across 56 states and an average of 352 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

2300 OPITZ BLVD
WOODBRIDGE, VA 22191

Provider Details

NPI 1417909839
Specialty Emergency 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.

94.0775
Final Score
Avg: 83.1
90.6515
Quality
95.8391
Promoting Interoperability

Reporting: Alternative Payment Model

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 RODRIGUEZ, MD. Source: openpaymentsdata.cms.gov.

Total received

$16

Largest payer

PFIZER 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

RAUL RODRIGUEZ, MD — brand share 6.0%
Specialty average (est.)

6% brand-name claims vs 94% generic, on 557 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.

557
Total Claims
$11K
Total Drug Cost
385
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
562
Total Day Supply
5,420
Brand vs Generic
6% brand / 94% generic
Brand Drug Cost
$5K
Generic Drug Cost
$5K
Opioid Claims
27 (4.8% rate)
Antibiotic Claims
163

Patient Demographics

Average Patient Age
71.0 years
Avg HCC Risk Score
1.17
Gender Split
68% female / 32% male
Age Distribution
<65: 65, 65-74: 175, 75-84: 113, 85+: 32

Top Prescribed Drugs (Medicare Part D)

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

What RAUL RODRIGUEZ, 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
Prednisone
174
Cephalexin
64
Amoxicillin-Clavulanate Potass
Amoxicillin/Potassium Clav
30
Albuterol Sulfate Hfa
Albuterol Sulfate
29
Sulfamethoxazole-Trimethoprim
Sulfamethoxazole/Trimethoprim
27
Tramadol Hcl
23
Doxycycline Hyclate
19
Paxlovid (Eua)
Nirmatrelvir/Ritonavir
19
Fluconazole
14

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

Emergency Medicine Physician Overview

How RAUL RODRIGUEZ, MD fits within the Emergency Medicine Physician landscape nationally.

64,398
Emergency Medicine Physician Providers in US
56
States with Emergency Medicine Physician
352
Avg Claims per Provider

RAUL RODRIGUEZ, MD's 557 claims are above the specialty average of 352.

Nearby Emergency Medicine Physician Providers in Virginia

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

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

Frequently Asked Questions

What is RAUL RODRIGUEZ, MD's specialty?
RAUL RODRIGUEZ, MD specializes in Emergency Medicine Physician and practices in WOODBRIDGE, Virginia. Credentials: MD.
How much does RAUL RODRIGUEZ, MD prescribe under Medicare Part D?
In 2023, RAUL RODRIGUEZ, MD wrote 557 Medicare Part D claims totaling $11K in drug costs for 385 beneficiaries.
What is RAUL RODRIGUEZ, MD's Medicare quality score?
RAUL RODRIGUEZ, MD has a CMS MIPS Final Score of 94.0775/100 (Quality: 90.6515). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is RAUL RODRIGUEZ, MD located?
RAUL RODRIGUEZ, MD is located at 2300 OPITZ BLVD, WOODBRIDGE, VA, 22191. Phone: (703) 670-1313.
What is RAUL RODRIGUEZ, MD's NPI number?
RAUL RODRIGUEZ, MD's National Provider Identifier (NPI) is 1417909839, issued on 05/16/2006.
Does RAUL RODRIGUEZ, MD prescribe more brand-name or generic drugs?
RAUL RODRIGUEZ, MD's prescribing is 6% brand-name and 94% generic drugs by claim count, with $5K in brand drug costs.
Does RAUL RODRIGUEZ, MD prescribe opioids?
Yes, RAUL RODRIGUEZ, MD had 27 opioid claims in 2023 with an opioid prescribing rate of 4.8%.
How many Emergency Medicine Physician providers are there in the US?
There are 64,398 Emergency Medicine Physician providers across 56 states in the US. The average Emergency Medicine Physician provider writes 352 Medicare Part D claims per year.
What drugs does RAUL RODRIGUEZ, MD prescribe most often?
Based on 2023 Medicare Part D data, RAUL RODRIGUEZ, MD's most frequently prescribed drugs include Prednisone, Cephalexin, Amoxicillin-Clavulanate Potass. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does RAUL RODRIGUEZ, MD accept Medicare?
RAUL RODRIGUEZ, MD appears in CMS Medicare data with 557 Part D claims and 385 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify RAUL RODRIGUEZ, MD's credentials?
RAUL RODRIGUEZ, MD's NPI is 1417909839 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