2026 NPPES data Cardiovascular Disease Physician NPI 1396747127 MD
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ROBERTO ARCE, MD

Cardiovascular Disease Physician in MIAMI, Florida. 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
5K
Medicare Part D claims · 884 beneficiaries · Cardiovascular Disease Physician avg: 3K
Generic prescribing
87%
generic claims · 13% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
46.3147/100
▼ 37 pts below national avg 83.1 · [object Object]
Industry payments
$1.8K
69 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: ROBERTO ARCE, MD is a Cardiovascular Disease Physician ([object Object]) practicing in MIAMI, Florida with a Medicare Part D prescribing footprint of 5K claims across 884 beneficiaries — 13% brand-name prescribing . Their CMS MIPS Final Score of 46.3147/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $1.8K across 69 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: ROBERTO ARCE, MD reported a CMS MIPS final score of 46.3147 out of 100, below the 83.1 national average, and filed 5,368 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)

ROBERTO ARCE, 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).

ROBERTO ARCE, MD at a glance

Below national average

NPI registry status

Active

Issued 08/11/2005

NPI 1396747127

Primary specialty

Cardiovascular Disease Physician

Mid-sized

24,795 US NPIs in this specialty

Medicare Part D claims

5,368 77% vs specialty avg

2023 prescription claims

Specialty avg: 3,033

MIPS final score

46.3147/100 36.78529999999999% pts

Below average band

vs 83.1 national avg

Specialty distribution in Florida

How Cardiovascular Disease Physician compares to other specialties among Florida providers

Florida providers

Cardiovascular Disease Physician share within Florida

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

Medicare quality performance — MIPS

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

Below national average
MIPS Final Score
46.3147/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Cardiovascular Disease Physician) — 46.3147/100 vs national avg 83.1

0%100%National avg83%46.3%
MIPS final score (Cardiovascular Disease Physician) — 46.3147/100 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).

ROBERTO ARCE, MD is a Cardiovascular Disease Physician provider practicing in MIAMI, Florida, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1396747127. 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.

ROBERTO ARCE, MD appears in the CMS NPPES registry as a Cardiovascular Disease Physician provider holding MD credentials at 11020 N KENDALL DR, MIAMI, FL, 33176, with a listed phone of (305) 274-0170. NPI 1396747127 was issued on 08/11/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what ARCE 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 5,368 prescription claims written by this provider, covering 884 Medicare beneficiaries and totaling roughly $998K in drug spend, split 13% brand-name and 87% 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 46.3147/100 for the 2023 performance year (Quality 51.0381, Cost 60.8125), 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

11020 N KENDALL DR
MIAMI, FL 33176

Provider Details

NPI 1396747127
Specialty Cardiovascular Disease Physician
Credentials MD
Gender Male
NPI Issued 08/11/2005

CMS Quality Score (MIPS)

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

46.3147
Final Score
Avg: 83.1
51.0381
Quality
60.8125
Cost

Reporting: Group practice

Hospital and facility affiliations

Facilities where ROBERTO ARCE, 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.

BAPTIST HEALTH MEDICAL GROUP PHYSICIANS LLC
PINECREST, FL
BAPTIST OUTPATIENT SERVICES INC
CORAL GABLES, FL

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 ROBERTO ARCE, MD. Source: openpaymentsdata.cms.gov.

Total received

$1.8K

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.

License & disciplinary context — Florida FLDOH 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 ~75K Florida medical licensees in 2023 — they are NOT specific to ROBERTO ARCE, MD. To verify ROBERTO ARCE, MD's current license status, search the FLDOH public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

480
Total board actions, Florida 2023
Across 467 cases
6.40
Actions per 1,000 licensees
Florida statewide rate
monetary fine
Most common action type
138 cases

FLDOH 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 Florida disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

ROBERTO ARCE, MD — brand share 13.0%
Specialty average (est.)

13% brand-name claims vs 87% generic, on 5,368 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.

5,368
Total Claims
$998K
Total Drug Cost
884
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
14,043
Total Day Supply
419,722
Brand vs Generic
13% brand / 87% generic
Brand Drug Cost
$838K
Generic Drug Cost
$159K
Antibiotic Claims
15

Patient Demographics

Average Patient Age
76.5 years
Avg HCC Risk Score
1.66
Gender Split
60% female / 40% male
Age Distribution
<65: 29, 65-74: 372, 75-84: 323, 85+: 160

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Rosuvastatin Calcium
869
Olmesartan Medoxomil
549
Nifedipine Er
Nifedipine
411
Eliquis
Apixaban
312
Metoprolol Succinate
268
Amlodipine Besylate
266
Atorvastatin Calcium
218
Labetalol Hcl
210
Metoprolol Tartrate
199
Ezetimibe
163

* 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 ROBERTO ARCE, 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

ROBERTO ARCE, MD's 5,368 claims are above the specialty average of 3,033.

Nearby Cardiovascular Disease Physician Providers in Florida

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

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

Frequently Asked Questions

What is ROBERTO ARCE, MD's specialty?
ROBERTO ARCE, MD specializes in Cardiovascular Disease Physician and practices in MIAMI, Florida. Credentials: MD.
How much does ROBERTO ARCE, MD prescribe under Medicare Part D?
In 2023, ROBERTO ARCE, MD wrote 5,368 Medicare Part D claims totaling $998K in drug costs for 884 beneficiaries.
What is ROBERTO ARCE, MD's Medicare quality score?
ROBERTO ARCE, MD has a CMS MIPS Final Score of 46.3147/100 (Quality: 51.0381, Cost: 60.8125). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is ROBERTO ARCE, MD located?
ROBERTO ARCE, MD is located at 11020 N KENDALL DR, MIAMI, FL, 33176. Phone: (305) 274-0170.
What is ROBERTO ARCE, MD's NPI number?
ROBERTO ARCE, MD's National Provider Identifier (NPI) is 1396747127, issued on 08/11/2005.
Does ROBERTO ARCE, MD prescribe more brand-name or generic drugs?
ROBERTO ARCE, MD's prescribing is 13% brand-name and 87% generic drugs by claim count, with $838K 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 ROBERTO ARCE, MD prescribe most often?
Based on 2023 Medicare Part D data, ROBERTO ARCE, MD's most frequently prescribed drugs include Rosuvastatin Calcium, Olmesartan Medoxomil, Nifedipine Er. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does ROBERTO ARCE, MD accept Medicare?
ROBERTO ARCE, MD appears in CMS Medicare data with 5,368 Part D claims and 884 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify ROBERTO ARCE, MD's credentials?
ROBERTO ARCE, MD's NPI is 1396747127 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