2026 NPPES data Pediatrics Physician NPI 1467475228 M.D.
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STEPHEN ASHWAL, M.D.

Pediatrics Physician in LOMA LINDA, 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
79
Medicare Part D claims · Pediatrics Physician avg: 762
MIPS score
85.186/100
▲ 2 pts above national avg 83.1 · [object Object]
Industry payments
$60.44
2 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

STEPHEN ASHWAL, M.D. reported a CMS MIPS final score of 85.186/100 — above the 83.1 national average — and filed 79 Medicare Part D claims in 2023.

85.186/100
MIPS score · +2 vs avg
79
Part D claims, 2023
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.

STEPHEN ASHWAL, M.D.'s MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

85 49th percentile higher than 49% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). This entry sits in this band. 90–100: 189,403 scored providers (40%). Above this entry. This provider 0 100 every MIPS-scored clinician, bucketed by value

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

Board certification likely (heuristic — not verified)

STEPHEN ASHWAL, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting — 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 STEPHEN ASHWAL, M.D.?

High performer (top quartile)

NPI registry status

Active

Issued 07/25/2006

NPI 1467475228

Primary specialty

Pediatrics Physician

High-volume

80,574 US NPIs in this specialty

Medicare Part D claims

79 90% vs specialty avg

2023 prescription claims

Specialty avg: 762

MIPS final score

85.186/100 2.0860000000000127% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in California

How Pediatrics Physician compares to other specialties among California providers

California providers

Pediatrics Physician share within California

1. Pediatrics Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Pediatrics Physician share within California

Medicare quality performance — MIPS

STEPHEN ASHWAL, M.D.'s 2023 MIPS final score plotted against the Pediatrics Physician national average

High performer (top quartile)
MIPS Final Score
85.186/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Pediatrics Physician) — 85.186/100 vs national avg 83.1

0%100%National avg83%85.2%
MIPS final score (Pediatrics Physician) — 85.186/100 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).

STEPHEN ASHWAL, M.D. appears in the CMS NPPES registry as a Pediatrics Physician provider holding M.D. credentials at 11370 ANDERSON ST, LOMA LINDA, CA, 92354, with a listed phone of (909) 558-2848. NPI 1467475228 was issued on 07/25/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what ASHWAL 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 79 prescription claims written by this provider, covering N/A Medicare beneficiaries and totaling roughly $8K in drug spend. 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 85.186/100 for the 2023 performance year (Quality 71.8166, Cost 64.5435), compared with the national average of 83.1.

Pediatrics Physician is a high-volume specialty nationwide, with 80,574 enrolled providers across 56 states and an average of 762 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

11370 ANDERSON ST
LOMA LINDA, CA 92354

Provider Details

NPI 1467475228
Specialty Pediatrics Physician
Credentials M.D.
Gender Male
NPI Issued 07/25/2006

CMS Quality Score (MIPS)

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

85.186
Final Score
Avg: 83.1
71.8166
Quality
64.5435
Cost
82
Promoting Interoperability

Reporting: Group practice

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 STEPHEN ASHWAL, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$60

Largest payer

UCB, 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 STEPHEN ASHWAL, M.D.. To verify STEPHEN ASHWAL, M.D.'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.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

79
Total Claims
$8K
Total Drug Cost
N/A
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
135
Total Day Supply
3,926
Generic Drug Cost
$5K

Patient Demographics

Average Patient Age
28.9 years
Avg HCC Risk Score
1.02

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Risperidone
15
Levetiracetam
14

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

Pediatrics Physician Overview

How STEPHEN ASHWAL, M.D. fits within the Pediatrics Physician landscape nationally.

80,574
Pediatrics Physician Providers in US
56
States with Pediatrics Physician
762
Avg Claims per Provider

STEPHEN ASHWAL, M.D.'s 79 claims are below the specialty average of 762.

Nearby Pediatrics Physician Providers in California

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

Compare Pediatrics Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is STEPHEN ASHWAL, M.D.'s specialty?
STEPHEN ASHWAL, M.D. specializes in Pediatrics Physician and practices in LOMA LINDA, California. Credentials: M.D..
How much does STEPHEN ASHWAL, M.D. prescribe under Medicare Part D?
In 2023, STEPHEN ASHWAL, M.D. wrote 79 Medicare Part D claims totaling $8K in drug costs for N/A beneficiaries.
What is STEPHEN ASHWAL, M.D.'s Medicare quality score?
STEPHEN ASHWAL, M.D. has a CMS MIPS Final Score of 85.186/100 (Quality: 71.8166, Cost: 64.5435). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is STEPHEN ASHWAL, M.D. located?
STEPHEN ASHWAL, M.D. is located at 11370 ANDERSON ST, LOMA LINDA, CA, 92354. Phone: (909) 558-2848.
What is STEPHEN ASHWAL, M.D.'s NPI number?
STEPHEN ASHWAL, M.D.'s National Provider Identifier (NPI) is 1467475228, issued on 07/25/2006.
How many Pediatrics Physician providers are there in the US?
There are 80,574 Pediatrics Physician providers across 56 states in the US. The average Pediatrics Physician provider writes 762 Medicare Part D claims per year.
What drugs does STEPHEN ASHWAL, M.D. prescribe most often?
Based on 2023 Medicare Part D data, STEPHEN ASHWAL, M.D.'s most frequently prescribed drugs include Risperidone, Levetiracetam. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does STEPHEN ASHWAL, M.D. accept Medicare?
STEPHEN ASHWAL, M.D. appears in CMS Medicare data with 79 Part D claims and N/A Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify STEPHEN ASHWAL, M.D.'s credentials?
STEPHEN ASHWAL, M.D.'s NPI is 1467475228 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.
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