2026 NPPES data Cardiovascular Disease Physician NPI 1053323493 MD
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RHEA PIMENTEL, MD

Cardiovascular Disease Physician in KANSAS CITY, Kansas. 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 · 559 beneficiaries · Cardiovascular Disease Physician avg: 3K
Generic prescribing
76%
generic claims · 24% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
91.8902/100
▲ 9 pts above national avg 83.1 · [object Object]
Industry payments
$27.8K
104 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: RHEA PIMENTEL, MD is a Cardiovascular Disease Physician ([object Object]) practicing in KANSAS CITY, Kansas with a Medicare Part D prescribing footprint of 4K claims across 559 beneficiaries — 24% brand-name prescribing . Their CMS MIPS Final Score of 91.8902/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $27.8K across 104 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: RHEA PIMENTEL, MD reported a CMS MIPS final score of 91.8902 out of 100, above the 83.1 national average, and filed 3,545 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)

RHEA PIMENTEL, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 2 hospital affiliations — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

RHEA PIMENTEL, MD at a glance

High performer (top quartile)

NPI registry status

Active

Issued 08/13/2006

NPI 1053323493

Primary specialty

Cardiovascular Disease Physician

Mid-sized

24,795 US NPIs in this specialty

Medicare Part D claims

3,545 17% vs specialty avg

2023 prescription claims

Specialty avg: 3,033

MIPS final score

91.8902/100 8.790199999999999% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Kansas

How Cardiovascular Disease Physician compares to other specialties among Kansas providers

Kansas providers

Cardiovascular Disease Physician share within Kansas

1. Cardiovascular Disease Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Cardiovascular Disease Physician share within Kansas

Medicare quality performance — MIPS

RHEA PIMENTEL, MD's 2023 MIPS final score plotted against the Cardiovascular Disease Physician national average

High performer (top quartile)
MIPS Final Score
91.8902/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Cardiovascular Disease Physician) — 91.8902/100 vs national avg 83.1

0%100%National avg83%91.9%
MIPS final score (Cardiovascular Disease Physician) — 91.8902/100 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).

RHEA PIMENTEL, MD is a Cardiovascular Disease Physician provider practicing in KANSAS CITY, Kansas, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1053323493. 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.

RHEA PIMENTEL, MD appears in the CMS NPPES registry as a Cardiovascular Disease Physician provider holding MD credentials at 4000 CAMBRIDGE STREET, KANSAS CITY, KS, 66160, with a listed phone of (913) 588-9600. NPI 1053323493 was issued on 08/13/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what PIMENTEL 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 3,545 prescription claims written by this provider, covering 559 Medicare beneficiaries and totaling roughly $1.0 million in drug spend, split 24% brand-name and 76% 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. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 91.8902/100 for the 2023 performance year (Quality 75.1734), compared with the national average of 83.1.

Cardiovascular Disease Physician is a mid-sized specialty nationwide, with 24,795 enrolled providers across 54 states and an average of 3,033 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

4000 CAMBRIDGE STREET
KANSAS CITY, KS 66160

Provider Details

NPI 1053323493
Specialty Cardiovascular Disease Physician
Credentials MD
Gender Female
NPI Issued 08/13/2006

CMS Quality Score (MIPS)

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

91.8902
Final Score
Avg: 83.1
75.1734
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where RHEA PIMENTEL, 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.

KANSAS UNIVERSITY PHYSICIANS INC
LENEXA, KS
MID-AMERICA CARDIOLOGY ASSOCIATES INC
OVERLAND PARK, KS

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 RHEA PIMENTEL, MD. Source: openpaymentsdata.cms.gov.

Total received

$27.8K

Largest payer

Medical Device Business Services, 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 · Typical

RHEA PIMENTEL, MD — brand share 24.0%
Specialty average (est.)

24% brand-name claims vs 76% generic, on 3,545 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.

3,545
Total Claims
$1.0M
Total Drug Cost
559
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
8,729
Total Day Supply
258,858
Brand vs Generic
24% brand / 76% generic
Brand Drug Cost
$919K
Generic Drug Cost
$104K
Antibiotic Claims
44

Patient Demographics

Average Patient Age
74.9 years
Avg HCC Risk Score
1.73
Gender Split
57% female / 43% male
Age Distribution
<65: 23, 65-74: 235, 75-84: 255, 85+: 46

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Eliquis
Apixaban
523
Metoprolol Succinate
380
Flecainide Acetate
241
Xarelto
Rivaroxaban
238
Carvedilol
167
Dofetilide
148
Diltiazem 24hr Er (Cd)
Diltiazem Hcl
139
Atorvastatin Calcium
124
Warfarin Sodium
122
Sotalol
Sotalol Hcl
121

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

Cardiovascular Disease Physician Overview

How RHEA PIMENTEL, MD fits within the Cardiovascular Disease Physician landscape nationally.

24,795
Cardiovascular Disease Physician Providers in US
54
States with Cardiovascular Disease Physician
3,033
Avg Claims per Provider

RHEA PIMENTEL, MD's 3,545 claims are above the specialty average of 3,033.

Nearby Cardiovascular Disease Physician Providers in Kansas

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

Compare Cardiovascular Disease Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is RHEA PIMENTEL, MD's specialty?
RHEA PIMENTEL, MD specializes in Cardiovascular Disease Physician and practices in KANSAS CITY, Kansas. Credentials: MD.
How much does RHEA PIMENTEL, MD prescribe under Medicare Part D?
In 2023, RHEA PIMENTEL, MD wrote 3,545 Medicare Part D claims totaling $1.0M in drug costs for 559 beneficiaries.
What is RHEA PIMENTEL, MD's Medicare quality score?
RHEA PIMENTEL, MD has a CMS MIPS Final Score of 91.8902/100 (Quality: 75.1734). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is RHEA PIMENTEL, MD located?
RHEA PIMENTEL, MD is located at 4000 CAMBRIDGE STREET, KANSAS CITY, KS, 66160. Phone: (913) 588-9600.
What is RHEA PIMENTEL, MD's NPI number?
RHEA PIMENTEL, MD's National Provider Identifier (NPI) is 1053323493, issued on 08/13/2006.
Does RHEA PIMENTEL, MD prescribe more brand-name or generic drugs?
RHEA PIMENTEL, MD's prescribing is 24% brand-name and 76% generic drugs by claim count, with $919K in brand drug costs.
How many Cardiovascular Disease Physician providers are there in the US?
There are 24,795 Cardiovascular Disease Physician providers across 54 states in the US. The average Cardiovascular Disease Physician provider writes 3,033 Medicare Part D claims per year.
What drugs does RHEA PIMENTEL, MD prescribe most often?
Based on 2023 Medicare Part D data, RHEA PIMENTEL, MD's most frequently prescribed drugs include Eliquis, Metoprolol Succinate, Flecainide Acetate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does RHEA PIMENTEL, MD accept Medicare?
RHEA PIMENTEL, MD appears in CMS Medicare data with 3,545 Part D claims and 559 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify RHEA PIMENTEL, MD's credentials?
RHEA PIMENTEL, MD's NPI is 1053323493 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