2026 NPPES data Critical Care Medicine (Internal Medicine) Physician NPI 1902150063 M.D.
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SILVIA ALVAREZ DE LEON, M.D.

Critical Care Medicine (Internal Medicine) Physician in SPRINGFIELD, Missouri. 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
1K
Medicare Part D claims · 269 beneficiaries · Critical Care Medicine (Internal Medicine) Physician avg: 1K
Generic prescribing
23%
generic claims · 77% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$230.14
12 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: SILVIA ALVAREZ DE LEON, M.D. is a Critical Care Medicine (Internal Medicine) Physician ([object Object]) practicing in SPRINGFIELD, Missouri with a Medicare Part D prescribing footprint of 1K claims across 269 beneficiaries — 77% brand-name prescribing . Industry payments of $230.14 across 12 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: SILVIA ALVAREZ DE LEON, M.D. filed 1,156 Medicare Part D claims in 2023 across SPRINGFIELD, Missouri. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

SILVIA ALVAREZ DE LEON, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

SILVIA ALVAREZ DE LEON, M.D. at a glance

Quality data not reported

NPI registry status

Active

Issued 10/28/2012

NPI 1902150063

Primary specialty

Critical Care Medicine (Internal Medicine) Physician

Mid-sized

6,631 US NPIs in this specialty

Medicare Part D claims

1,156 8% vs specialty avg

2023 prescription claims

Specialty avg: 1,069

Specialty distribution in Missouri

How Critical Care Medicine (Internal Medicine) Physician compares to other specialties among Missouri providers

Missouri providers

Critical Care Medicine (Internal Medicine) Physician share within Missouri

1. Critical Care Medicine (Internal Medicine) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Critical Care Medicine (Internal Medicine) Physician share within Missouri

Specialty board-certification context

Estimated specialty board-certified rate — Critical Care Medicine (Internal Medicine) Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Critical Care Medicine (Internal Medicine) Physician ABMS/AOA estimate

Est. board-certified rate (Critical Care Medicine (Internal Medicine) Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Critical Care Medicine (Internal Medicine) Physician) — 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).

SILVIA ALVAREZ DE LEON, M.D. is a Critical Care Medicine (Internal Medicine) Physician provider practicing in SPRINGFIELD, Missouri, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1902150063. 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.

SILVIA ALVAREZ DE LEON, M.D. appears in the CMS NPPES registry as a Critical Care Medicine (Internal Medicine) Physician provider holding M.D. credentials at 1229 E SEMINOLE ST STE 230, SPRINGFIELD, MO, 65804, with a listed phone of (417) 888-5696. NPI 1902150063 was issued on 10/28/2012. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what ALVAREZ DE LEON 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 1,156 prescription claims written by this provider, covering 269 Medicare beneficiaries and totaling roughly $456K in drug spend, split 77% brand-name and 23% 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.

Critical Care Medicine (Internal Medicine) Physician is a mid-sized specialty nationwide, with 6,631 enrolled providers across 53 states and an average of 1,069 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

1229 E SEMINOLE ST STE 230
SPRINGFIELD, MO 65804

Provider Details

NPI 1902150063
Specialty Critical Care Medicine (Internal Medicine) Physician
Credentials M.D.
Gender Female
NPI Issued 10/28/2012

Hospital and facility affiliations

Facilities where SILVIA ALVAREZ DE LEON, 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.

MERCY CLINIC SPRINGFIELD COMMUNITIES
SPRINGFIELD, MO

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 SILVIA ALVAREZ DE LEON, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$230

Largest payer

GENZYME CORPORATION

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 · Brand-heavy

SILVIA ALVAREZ DE LEON, M.D. — brand share 77.0%
Specialty average (est.)

77% brand-name claims vs 23% generic, on 1,156 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.

1,156
Total Claims
$456K
Total Drug Cost
269
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,388
Total Day Supply
39,278
Brand vs Generic
77% brand / 23% generic
Brand Drug Cost
$439K
Generic Drug Cost
$17K
Antibiotic Claims
35

Patient Demographics

Average Patient Age
71.6 years
Avg HCC Risk Score
1.66
Gender Split
56% female / 44% male
Age Distribution
<65: 49, 65-74: 117, 75-84: 85, 85+: 18

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Albuterol Sulfate Hfa
Albuterol Sulfate
138
Symbicort
Budesonide/Formoterol Fumarate
118
Anoro Ellipta
Umeclidinium Brm/Vilanterol Tr
93
Incruse Ellipta
Umeclidinium Bromide
82
Trelegy Ellipta
Fluticasone/Umeclidin/Vilanter
82
Stiolto Respimat
Tiotropium Br/Olodaterol Hcl
64
Spiriva Respimat
Tiotropium Bromide
50
Montelukast Sodium
49
Breo Ellipta
Fluticasone/Vilanterol
47
Prednisone
45

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

Critical Care Medicine (Internal Medicine) Physician Overview

How SILVIA ALVAREZ DE LEON, M.D. fits within the Critical Care Medicine (Internal Medicine) Physician landscape nationally.

6,631
Critical Care Medicine (Internal Medicine) Physician Providers in US
53
States with Critical Care Medicine (Internal Medicine) Physician
1,069
Avg Claims per Provider

SILVIA ALVAREZ DE LEON, M.D.'s 1,156 claims are above the specialty average of 1,069.

Nearby Critical Care Medicine (Internal Medicine) Physician Providers in Missouri

Other clinicians with the same primary specialty enrolled in Missouri, drawn from the same CMS NPPES roster as ALVAREZ DE LEON.

Compare Critical Care Medicine (Internal Medicine) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is SILVIA ALVAREZ DE LEON, M.D.'s specialty?
SILVIA ALVAREZ DE LEON, M.D. specializes in Critical Care Medicine (Internal Medicine) Physician and practices in SPRINGFIELD, Missouri. Credentials: M.D..
How much does SILVIA ALVAREZ DE LEON, M.D. prescribe under Medicare Part D?
In 2023, SILVIA ALVAREZ DE LEON, M.D. wrote 1,156 Medicare Part D claims totaling $456K in drug costs for 269 beneficiaries.
Where is SILVIA ALVAREZ DE LEON, M.D. located?
SILVIA ALVAREZ DE LEON, M.D. is located at 1229 E SEMINOLE ST STE 230, SPRINGFIELD, MO, 65804. Phone: (417) 888-5696.
What is SILVIA ALVAREZ DE LEON, M.D.'s NPI number?
SILVIA ALVAREZ DE LEON, M.D.'s National Provider Identifier (NPI) is 1902150063, issued on 10/28/2012.
Does SILVIA ALVAREZ DE LEON, M.D. prescribe more brand-name or generic drugs?
SILVIA ALVAREZ DE LEON, M.D.'s prescribing is 77% brand-name and 23% generic drugs by claim count, with $439K in brand drug costs.
How many Critical Care Medicine (Internal Medicine) Physician providers are there in the US?
There are 6,631 Critical Care Medicine (Internal Medicine) Physician providers across 53 states in the US. The average Critical Care Medicine (Internal Medicine) Physician provider writes 1,069 Medicare Part D claims per year.
What drugs does SILVIA ALVAREZ DE LEON, M.D. prescribe most often?
Based on 2023 Medicare Part D data, SILVIA ALVAREZ DE LEON, M.D.'s most frequently prescribed drugs include Albuterol Sulfate Hfa, Symbicort, Anoro Ellipta. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does SILVIA ALVAREZ DE LEON, M.D. accept Medicare?
SILVIA ALVAREZ DE LEON, M.D. appears in CMS Medicare data with 1,156 Part D claims and 269 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify SILVIA ALVAREZ DE LEON, M.D.'s credentials?
SILVIA ALVAREZ DE LEON, M.D.'s NPI is 1902150063 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

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