2026 NPPES data Pulmonary Disease Physician NPI 1598879678 M.D.
Verify on CMS →

Roberto Adachi, M.D.

Pulmonary Disease Physician in Houston, Texas.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 9,647 in Pulmonary Disease Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.

Federal data, no proprietary rating. We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
105
Medicare Part D claims · 31 beneficiaries · Pulmonary Disease Physician avg: 1K
Generic prescribing
13%
generic claims · 87% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
81.4/100
▼ 2 pts below national avg 83.5 · Above neutral

What the federal data shows

Roberto Adachi, M.D. reported a CMS MIPS final score of 81.4/100 - below the 83.5 national average - and filed 105 Medicare Part D claims in 2024.

81.4/100
MIPS score · -2 vs avg
105
Part D claims, 2024
13%
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.

Federal trust snapshot

What official records show about Roberto Adachi, M.D.

Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.

  • Verified

    NPI registry status

    Active listing in the CMS National Provider Identifier Registry (NPI 1598879678), first enumerated 08/18/2006.

    Source: CMS NPPES

  • Reported

    Medicare Part D participation

    Filed 105 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.

    Source: CMS Part D Prescriber PUF

  • Reported

    CMS quality reporting (MIPS)

    Reported a CMS MIPS final score of 81.4/100 in the Quality Payment Program — a federal quality measure, not a patient review.

    Source: CMS Quality Payment Program

  • Reported

    Board certification signal

    Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.

    Source: NUCC taxonomy + CMS participation heuristic

  • Reported

    Hospital affiliations

    1 CMS Care Compare hospital affiliation on record — practice footprint from the Doctors and Clinicians file.

    Source: CMS Care Compare

  • State context

    State board disciplinary context

    Texas statewide board action statistics are published annually — these figures describe aggregate state activity, not Roberto Adachi, M.D.'s individual license status. Verify directly with the state medical board.

    Source: TMB annual report 2023

  • Not in federal data

    Individual sanction lookup

    PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.

    Source: State medical board / FSMB

This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.

CMS NPPES provider registry desk

NPI 1598879678 · Pulmonary Disease Physician

NPI-10 · ENUM-LEGACY · TAX-MID · MIPS-INLINE · RX-LIGHT · BOOK-LIGHT · PHOTO-FINISH

  • NPI-10 1598879678
  • ENUM-LEGACY 2006
  • TAX-MID 10K Pulmonary Disease
  • MIPS-INLINE 81.4/100
  • RX-LIGHT 105
  • BOOK-LIGHT 600 in Texas
  • PHOTO-FINISH Janpreet Mokha · ±0.0

MIPS final-score neighbourhood

Same-specialty nationwide peers by CMS final score, not geographic proximity

MIPS pts

What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).

Source CMS Quality Payment Program (MIPS) As of 2023

Roberto Adachi, M.D.'s MIPS score vs every measured U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.

81 ≥ 32nd percentile 32% of 454,083 measured providers are in lower value bands

0–10: 8,684 measured providers (2%). Below this entry. 10–20: 3,008 measured providers (1%). Below this entry. 20–30: 3,069 measured providers (1%). Below this entry. 30–40: 2,746 measured providers (1%). Below this entry. 40–50: 2,928 measured providers (1%). Below this entry. 50–60: 5,882 measured providers (1%). Below this entry. 60–70: 13,906 measured providers (3%). Below this entry. 70–80: 94,570 measured providers (21%). Below this entry. 80–90: 129,887 measured providers (29%). This entry sits in this band. 90+: 189,403 measured providers (42%). Above this entry. This provider 0 100 every measured MIPS clinician, bucketed by value

Each bar is a band; taller bars hold more measured 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.

The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Where Roberto Adachi, M.D. sits

This provider among pulmonary disease physician peers

Across the 2,467 pulmonary disease physician providers who report both Medicare Part D prescribing and a MIPS quality score, Roberto Adachi, M.D. writes more Part D claims than 12% of them and scores higher on MIPS quality than 38% - placing this provider in the lower-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality0255075100024.448.873.297.7Part D claim volume, percentile in specialtyMIPS quality, percentilePoint, Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 63Point, Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 25Point, Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 62Point, Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 68Point, Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 18Point, Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 52Point, Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 93Point, Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 30Point, Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 20Point, Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 75Point, Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 22Point, Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 3Point, Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 35Point, Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 58Point, Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 45Point, Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 57Point, Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 23Point, Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 55Point, Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 65Point, Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 17Point, Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 42Point, Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 70Point, Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 80Point, Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 28Point, Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 32Point, Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 50Point, Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 47Point, Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 90Point, Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 7Point, Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 10Point, Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 67Point, Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 88Point, Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 53Point, Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 38Point, Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 5Point, Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 60Point, Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 93Point, Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 15Point, Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 73Point, Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 77Point, Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 72Point, Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 82Point, Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 93Point, Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 43Point, Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 93Point, Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 13Point, Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 25Point, Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 2Point, Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 93Point, Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 12Point, Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 83Point, Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 33Point, Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 37Point, Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 8Point, Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 48Point, Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 78Point, Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 85Roberto Adachi, M.D., Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 38
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one pulmonary disease physician peer from a representative sample of 60; the gold marker is Roberto Adachi, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

Board certification likely (heuristic, not verified)

Roberto Adachi, M.D. 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).

What does the federal data show about Roberto Adachi, M.D.?

Near national average

NPI registry status

Active

Issued 08/18/2006

NPI 1598879678

Primary specialty

Pulmonary Disease Physician

Mid-sized

9,647 US NPIs in this specialty

Medicare Part D claims

105 93% vs specialty avg

2024 prescription claims

Specialty avg: 1,498

MIPS final score

81.4/100 2.1 pts vs avg

Above neutral band

vs 83.5 national avg

Specialty distribution in Texas

How Pulmonary Disease Physician compares to other specialties among Texas providers

Texas providers
Behavior Technician6%Student in an Organized Heal…5.3%Family Nurse Practitioner4.5%Professional Counselor4.4%Pharmacist4.3%Speech-Language Pathologist3.9%Pulmonary Disease Physician0.1%
Largest specialties in Texas (% of in-state providers)

Medicare quality performance, MIPS

Roberto Adachi, M.D.'s 2023 MIPS final score plotted against the Pulmonary Disease Physician national average

Near national average
MIPS Final Score
81.4/100
vs 83.5 national avg · 2023 performance year
0%100%National avg84%81.4%
MIPS final score (Pulmonary Disease Physician) - 81.4/100 vs national avg 83.5
How MIPS and board certification work

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).

Practice Address

1515 HOLCOMBE BLVD
Houston, TX 77030

Provider Details

NPI 1598879678
Specialty Pulmonary Disease Physician
Credentials M.D.
Gender Male
NPI Issued 08/18/2006

CMS Quality Score (MIPS)

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

81.3897
Final Score
Measured-score avg: 83.5
81.2519
Quality
49.9786
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where Roberto Adachi, M.D. 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.

Physicians Referral Service
Houston, TX

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

License & disciplinary context - Texas TMB 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 ~77K Texas medical licensees in 2023 - they are NOT specific to Roberto Adachi, M.D.. To verify Roberto Adachi, M.D.'s current license status, search the TMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

344
Total board actions, Texas 2023
Across 334 cases
4.47
Actions per 1,000 licensees
Texas statewide rate
probation
Most common action type
94 cases

TMB 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 Texas disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Brand-heavy

Roberto Adachi, M.D. - brand share 87.0%
Pulmonary Disease Physician average

87% brand-name claims vs 13% generic, on 105 2024 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 2024.

105
Total Claims
$46K
Total Drug Cost
31
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
124
Total Day Supply
3,657
Brand vs Generic
87% brand / 13% generic
Brand Drug Cost
$46K
Generic Drug Cost
$244

Patient Demographics

Average Patient Age
72.0 years
Avg HCC Risk Score
2.52
Gender Split
65% female / 35% male

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.

Drug Claims
Breo Ellipta
Fluticasone/Vilanterol
43
Trelegy Ellipta
Fluticasone/Umeclidin/Vilanter
40

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

Pulmonary Disease Physician Overview

How Roberto Adachi, M.D. fits within the Pulmonary Disease Physician landscape nationally.

9,647
Pulmonary Disease Physician Providers in US
53
States with Pulmonary Disease Physician
1,498
Avg Claims per Provider

Roberto Adachi, M.D.'s 105 claims are below the specialty average of 1,498.

Nationwide Pulmonary Disease Physician peers with similar MIPS or enrollment year

Two federal-record peer sets for Adachi, both outside Texas so the neighborhoods are not geographic containment.

Similar MIPS final score

Nearest same-specialty clinicians by CMS MIPS final score (81.4 here).

Same NPPES enumeration year (2006)

Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.

Nearby Pulmonary Disease Physician Providers in Texas

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

One of 600 Pulmonary Disease Physician providers enrolled in Texas, 5 are shown here.

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

Frequently Asked Questions

What is Roberto Adachi, M.D.'s specialty?
Roberto Adachi, M.D. specializes in Pulmonary Disease Physician and practices in Houston, Texas. Credentials: M.D..
How much does Roberto Adachi, M.D. prescribe under Medicare Part D?
In 2024, Roberto Adachi, M.D. wrote 105 Medicare Part D claims totaling $46K in drug costs for 31 beneficiaries.
What is Roberto Adachi, M.D.'s Medicare quality score?
Roberto Adachi, M.D. has a CMS MIPS Final Score of 81.4/100 (Quality: 81.3, Cost: 50). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Roberto Adachi, M.D. located?
Roberto Adachi, M.D. is located at 1515 HOLCOMBE BLVD, Houston, TX, 77030. Phone: (713) 792-6161.
What is Roberto Adachi, M.D.'s NPI number?
Roberto Adachi, M.D.'s National Provider Identifier (NPI) is 1598879678, issued on 08/18/2006.
Does Roberto Adachi, M.D. prescribe more brand-name or generic drugs?
Roberto Adachi, M.D.'s prescribing is 87% brand-name and 13% generic drugs by claim count, with $46K in brand drug costs.
How many Pulmonary Disease Physician providers are there in the US?
There are 9,647 Pulmonary Disease Physician providers across 53 states in the US. The average Pulmonary Disease Physician provider writes 1,498 Medicare Part D claims per year.
What drugs does Roberto Adachi, M.D. prescribe most often?
Based on 2024 Medicare Part D data, Roberto Adachi, M.D.'s most frequently prescribed drugs include Breo Ellipta, Trelegy Ellipta. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Roberto Adachi, M.D. accept Medicare?
Roberto Adachi, M.D. appears in CMS Medicare data with 105 Part D claims and 31 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Roberto Adachi, M.D.'s credentials?
Roberto Adachi, M.D.'s NPI is 1598879678 with credentials M.D.. 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

View source datasets and methodology notes
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 (2024). 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 August 2026 (NPPES) / 2024 (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

Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of August 2026.