2026 NPPES data Specialist NPI 1265541346 MD
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RICHARD FERNANDEZ, MD

Specialist in DALY CITY, 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
642
Medicare Part D claims · 90 beneficiaries · Specialist avg: 1K
Generic prescribing
90%
generic claims · 10% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$157.13
8 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

RICHARD FERNANDEZ, MD filed 642 Medicare Part D claims in 2023 as a Specialist in DALY CITY, California, prescribing 90% generic.

642
Part D claims, 2023
90%
generic prescribing
$157.13
industry payments (Sunshine Act)

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.

RICHARD FERNANDEZ, MD's Medicare Part D volume vs every U.S. prescriber

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

642 Top 31% higher than 69% 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%). This entry sits in this band. 800–1,000: 40,919 prescribers (3%). Above this entry. 1,000–1,200: 31,827 prescribers (2%). Above this entry. 1,200–1,400: 26,224 prescribers (2%). Above this entry. 1,400–1,600: 21,710 prescribers (2%). Above this entry. 1,600–1,800: 19,072 prescribers (1%). Above this entry. 1,800–2,000: 16,451 prescribers (1%). Above this entry. 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

What does the federal data show about RICHARD FERNANDEZ, MD?

Quality data not reported

NPI registry status

Active

Issued 08/30/2006

NPI 1265541346

Primary specialty

Specialist

High-volume

69,658 US NPIs in this specialty

Medicare Part D claims

642 56% vs specialty avg

2023 prescription claims

Specialty avg: 1,474

Specialty distribution in California

How Specialist compares to other specialties among California providers

California providers

Specialist share within California

1. Specialist42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Specialist share within California

Specialty board-certification context

Estimated specialty board-certified rate — Specialist (ABMS / AOA reference)

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

Est. board-certified rate (Specialist) — ABMS / AOA estimate

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

RICHARD FERNANDEZ, MD appears in the CMS NPPES registry as a Specialist provider holding MD credentials at 901 CAMPUS DR STE 208, DALY CITY, CA, 94015, with a listed phone of (650) 755-0733. NPI 1265541346 was issued on 08/30/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what FERNANDEZ 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 642 prescription claims written by this provider, covering 90 Medicare beneficiaries and totaling roughly $64K in drug spend, split 10% brand-name and 90% generic by claim count, with an opioid prescribing rate of 43.8%. 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.

Specialist is a high-volume specialty nationwide, with 69,658 enrolled providers across 55 states and an average of 1,474 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

901 CAMPUS DR STE 208
DALY CITY, CA 94015

Provider Details

NPI 1265541346
Specialty Specialist
Credentials MD
Gender Male
NPI Issued 08/30/2006

Hospital and facility affiliations

Facilities where RICHARD FERNANDEZ, 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.

INTEGRATED PAIN MANAGEMENT MEDICAL GROUP INC
WALNUT CREEK, CA

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 RICHARD FERNANDEZ, MD. Source: openpaymentsdata.cms.gov.

Total received

$157

Largest payer

Collegium Pharmaceutical, 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.

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 RICHARD FERNANDEZ, MD. To verify RICHARD FERNANDEZ, 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

RICHARD FERNANDEZ, MD — brand share 10.0%
Specialty average (est.)

10% brand-name claims vs 90% generic, on 642 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.

642
Total Claims
$64K
Total Drug Cost
90
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
691
Total Day Supply
19,345
Brand vs Generic
10% brand / 90% generic
Brand Drug Cost
$42K
Generic Drug Cost
$21K
Opioid Claims
281 (43.8% rate)

Patient Demographics

Average Patient Age
72.4 years
Avg HCC Risk Score
1.40
Gender Split
64% female / 36% male

Top Prescribed Drugs (Medicare Part D)

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

What RICHARD FERNANDEZ, 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
Gabapentin
129
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
88
Acetaminophen-Codeine
Acetaminophen With Codeine
59
Tramadol Hcl-Acetaminophen
Tramadol Hcl/Acetaminophen
33
Pregabalin
32
Morphine Sulfate Er
Morphine Sulfate
24
Ibuprofen
23
Belbuca
Buprenorphine Hcl
21
Diclofenac Potassium
16
Oxycodone-Acetaminophen
Oxycodone Hcl/Acetaminophen
15

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

Specialist Overview

How RICHARD FERNANDEZ, MD fits within the Specialist landscape nationally.

69,658
Specialist Providers in US
55
States with Specialist
1,474
Avg Claims per Provider

RICHARD FERNANDEZ, MD's 642 claims are below the specialty average of 1,474.

Nearby Specialist Providers in California

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

Compare Specialist nationally: see state-by-state distribution →

Frequently Asked Questions

What is RICHARD FERNANDEZ, MD's specialty?
RICHARD FERNANDEZ, MD specializes in Specialist and practices in DALY CITY, California. Credentials: MD.
How much does RICHARD FERNANDEZ, MD prescribe under Medicare Part D?
In 2023, RICHARD FERNANDEZ, MD wrote 642 Medicare Part D claims totaling $64K in drug costs for 90 beneficiaries.
Where is RICHARD FERNANDEZ, MD located?
RICHARD FERNANDEZ, MD is located at 901 CAMPUS DR STE 208, DALY CITY, CA, 94015. Phone: (650) 755-0733.
What is RICHARD FERNANDEZ, MD's NPI number?
RICHARD FERNANDEZ, MD's National Provider Identifier (NPI) is 1265541346, issued on 08/30/2006.
Does RICHARD FERNANDEZ, MD prescribe more brand-name or generic drugs?
RICHARD FERNANDEZ, MD's prescribing is 10% brand-name and 90% generic drugs by claim count, with $42K in brand drug costs.
Does RICHARD FERNANDEZ, MD prescribe opioids?
Yes, RICHARD FERNANDEZ, MD had 281 opioid claims in 2023 with an opioid prescribing rate of 43.8%.
How many Specialist providers are there in the US?
There are 69,658 Specialist providers across 55 states in the US. The average Specialist provider writes 1,474 Medicare Part D claims per year.
What drugs does RICHARD FERNANDEZ, MD prescribe most often?
Based on 2023 Medicare Part D data, RICHARD FERNANDEZ, MD's most frequently prescribed drugs include Gabapentin, Hydrocodone-Acetaminophen, Acetaminophen-Codeine. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does RICHARD FERNANDEZ, MD accept Medicare?
RICHARD FERNANDEZ, MD appears in CMS Medicare data with 642 Part D claims and 90 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify RICHARD FERNANDEZ, MD's credentials?
RICHARD FERNANDEZ, MD's NPI is 1265541346 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