NPI registry status
Active
2026 NPPES data Internal Medicine Physician NPI 1356521074 MD
Verify on CMS → Sergio Burguete, MD
Internal Medicine Physician in Live Oak, 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 172,737 in Internal Medicine 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
445
Medicare Part D claims · 99 beneficiaries · Internal Medicine Physician avg: 3K
Generic prescribing
29%
generic claims · 71% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
49.3/100
▼ 34 pts below national avg 83.1 · Below average
Industry payments
$1.0K
40 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Sergio Burguete, MD reported a CMS MIPS final score of 49.3/100 - below the 83.1 national average - and filed 445 Medicare Part D claims in 2023.
- 49.3/100
- MIPS score · -34 vs avg
- 445
- Part D claims, 2023
- 29%
- 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.
Sergio Burguete, MD's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
49 4th percentile higher than 4% of 477,587 scored providers
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
Where Sergio Burguete, MD sits
This provider among internal medicine physician peers
Across the 36,260 internal medicine physician providers who report both Medicare Part D prescribing and a MIPS quality score, Sergio Burguete, MD writes more Part D claims than 41% of them and scores higher on MIPS quality than 5% - placing this provider in the lower-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Part D claim volume vs MIPS quality, by specialty percentile
Each dot is one internal medicine physician peer from a representative sample of 60; the gold marker is Sergio Burguete, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Sergio Burguete, 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).
What does the federal data show about Sergio Burguete, MD?
Below national averagePrimary specialty
Internal Medicine Physician
Medicare Part D claims
445 84% vs specialty avg
MIPS final score
49.3/100 33.8 pts vs avg
Specialty distribution in Texas
How Internal Medicine Physician compares to other specialties among Texas providers
Medicare quality performance, MIPS
Sergio Burguete, MD's 2023 MIPS final score plotted against the Internal Medicine Physician national average
- MIPS Final Score
- 49.3/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Internal Medicine Physician) - 49.3/100 vs national avg 83.1
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).
Sergio Burguete, MD appears in the CMS NPPES registry as an Internal Medicine Physician provider holding MD credentials at 12709 TOEPPERWEIN RD, Live Oak, TX, 78233, with a listed phone of (210) 655-6400. NPI 1356521074 was issued on 11/09/2007.
Medicare Part D records for calendar year 2023 show 445 prescription claims written by this provider, covering 99 Medicare beneficiaries and totaling roughly $475K in drug spend, split 71% brand-name and 29% generic by claim count. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 49.3/100 for the 2023 performance year (Quality 31.2, Cost 72.5), compared with the national average of 83.1.
Internal Medicine Physician is a high-volume specialty nationwide, with 172,737 enrolled providers across 56 states and an average of 2,716 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
Provider Details
| NPI | 1356521074 |
|---|---|
| Specialty | Internal Medicine Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 11/09/2007 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
49.3448
Final Score
Avg: 83.1
31.1777
Quality
72.4715
Cost
23
Promoting Interoperability
Reporting: Individual
Hospital and facility affiliations
Facilities where Sergio Burguete, 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.
S. Rodrigo Burguete MD PA
Live Oak, TX
University OF Texas Health Science Center AT San Antonio
San Antonio, 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).
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 Sergio Burguete, MD. Source: openpaymentsdata.cms.gov.
Total received
$1.0K
Largest payer
Inspire Medical Systems, 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 - 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 Sergio Burguete, MD. To verify Sergio Burguete, MD'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
Sergio Burguete, MD - brand share 71.0%
Internal Medicine Physician average
71% brand-name claims vs 29% generic, on 445 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.
445
Total Claims
$475K
Total Drug Cost
99
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 651
- Total Day Supply
- 18,475
- Brand vs Generic
- 71% brand / 29% generic
- Brand Drug Cost
- $469K
- Generic Drug Cost
- $6K
- Antibiotic Claims
- 16
Patient Demographics
- Average Patient Age
- 74.2 years
- Avg HCC Risk Score
- 2.48
- 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 Sergio Burguete, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Trelegy Ellipta
Trelegy Ellipta
106 claims
- Albuterol Sulfate …
Albuterol Sulfate Hfa
70 claims
- Anoro Ellipta 36
Anoro Ellipta
36 claims
- Symbicort 31
Symbicort
31 claims
- Prednisone 26
Prednisone
26 claims
- Advair Diskus 23
Advair Diskus
23 claims
- Breztri Aerosphere 15
Breztri Aerosphere
15 claims
- Fluticasone-Salmet… 14
Fluticasone-Salmeterol
14 claims
| Drug | Claims |
|---|---|
| Trelegy Ellipta Fluticasone/Umeclidin/Vilanter | 106 |
| Albuterol Sulfate Hfa Albuterol Sulfate | 70 |
| Anoro Ellipta Umeclidinium Brm/Vilanterol Tr | 36 |
| Symbicort Budesonide/Formoterol Fumarate | 31 |
| Prednisone | 26 |
| Advair Diskus Fluticasone Propion/Salmeterol | 23 |
| Breztri Aerosphere Budesonide/Glycopyr/Formoterol | 15 |
| Fluticasone-Salmeterol Fluticasone Propion/Salmeterol | 14 |
| Breo Ellipta Fluticasone/Vilanterol | 11 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Internal Medicine Physician Overview
How Sergio Burguete, MD fits within the Internal Medicine Physician landscape nationally.
172,737
Internal Medicine Physician Providers in US
56
States with Internal Medicine Physician
2,716
Avg Claims per Provider
Sergio Burguete, MD's 445 claims are below the specialty average of 2,716.
Nearby Internal Medicine Physician Providers in Texas
Other clinicians with the same primary specialty enrolled in Texas, drawn from the same CMS NPPES roster as Burguete.
Dr. Muhammad A. Sattar
MD
Dallas, TX
Anunaya Aashish
Denton, TX
Dr. Queenie Ann Abad
M.D.
San Antonio, TX
Dr. Fuad Abaleka
M.D
Lubbock, TX
Dr. Carol Abalihi
M.D.
El Paso, TX
Compare Internal Medicine Physician nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the Texas medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Internal Medicine Physician peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
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Frequently Asked Questions
What is Sergio Burguete, MD's specialty? ▼
Sergio Burguete, MD specializes in Internal Medicine Physician and practices in Live Oak, Texas. Credentials: MD.
How much does Sergio Burguete, MD prescribe under Medicare Part D? ▼
In 2023, Sergio Burguete, MD wrote 445 Medicare Part D claims totaling $475K in drug costs for 99 beneficiaries.
What is Sergio Burguete, MD's Medicare quality score? ▼
Sergio Burguete, MD has a CMS MIPS Final Score of 49.3/100 (Quality: 31.2, Cost: 72.5). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Sergio Burguete, MD located? ▼
Sergio Burguete, MD is located at 12709 TOEPPERWEIN RD, Live Oak, TX, 78233. Phone: (210) 655-6400.
What is Sergio Burguete, MD's NPI number? ▼
Sergio Burguete, MD's National Provider Identifier (NPI) is 1356521074, issued on 11/09/2007.
Does Sergio Burguete, MD prescribe more brand-name or generic drugs? ▼
Sergio Burguete, MD's prescribing is 71% brand-name and 29% generic drugs by claim count, with $469K in brand drug costs.
How many Internal Medicine Physician providers are there in the US? ▼
There are 172,737 Internal Medicine Physician providers across 56 states in the US. The average Internal Medicine Physician provider writes 2,716 Medicare Part D claims per year.
What drugs does Sergio Burguete, MD prescribe most often? ▼
Based on 2023 Medicare Part D data, Sergio Burguete, MD's most frequently prescribed drugs include Trelegy Ellipta, Albuterol Sulfate Hfa, Anoro Ellipta. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Sergio Burguete, MD accept Medicare? ▼
Sergio Burguete, MD appears in CMS Medicare data with 445 Part D claims and 99 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Sergio Burguete, MD's credentials? ▼
Sergio Burguete, MD's NPI is 1356521074 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
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 (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
Compiled from official public sources by the PlainDoctor editorial team.
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 May 2026.