2026 NPPES data Pediatrics Physician NPI 1104358076 MD
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TERESA CAYA, MD

Pediatrics Physician in TUBA CITY, Arizona. 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
2K
Medicare Part D claims · 101 beneficiaries · Pediatrics Physician avg: 762
Generic prescribing
75%
generic claims · 25% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
70.5849/100
▼ 13 pts below national avg 83.1 · [object Object]

What the federal data shows

TERESA CAYA, MD reported a CMS MIPS final score of 70.5849/100 — below the 83.1 national average — and filed 1,807 Medicare Part D claims in 2023.

70.5849/100
MIPS score · -13 vs avg
2K
Part D claims, 2023
75%
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.

TERESA CAYA, MD's MIPS score vs every scored U.S. clinician

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

71 8th percentile higher than 8% 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%). This entry sits in this band. 80–90: 129,887 scored providers (27%). Above this entry. 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)

TERESA CAYA, MD 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 TERESA CAYA, MD?

Below national average

NPI registry status

Active

Issued 03/30/2017

NPI 1104358076

Primary specialty

Pediatrics Physician

High-volume

80,574 US NPIs in this specialty

Medicare Part D claims

1,807 137% vs specialty avg

2023 prescription claims

Specialty avg: 762

MIPS final score

70.5849/100 12.51509999999999% pts

Mid-tier band

vs 83.1 national avg

Specialty distribution in Arizona

How Pediatrics Physician compares to other specialties among Arizona providers

Arizona providers

Pediatrics Physician share within Arizona

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

Medicare quality performance — MIPS

TERESA CAYA, MD's 2023 MIPS final score plotted against the Pediatrics Physician national average

Below national average
MIPS Final Score
70.5849/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Pediatrics Physician) — 70.5849/100 vs national avg 83.1

0%100%National avg83%70.6%
MIPS final score (Pediatrics Physician) — 70.5849/100 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).

TERESA CAYA, MD appears in the CMS NPPES registry as a Pediatrics Physician provider holding MD credentials at 167 N MAIN STREET, TUBA CITY, AZ, 86045, with a listed phone of (866) 976-5941. NPI 1104358076 was issued on 03/30/2017. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what CAYA 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 1,807 prescription claims written by this provider, covering 101 Medicare beneficiaries and totaling roughly $214K in drug spend, split 25% brand-name and 75% 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 70.5849/100 for the 2023 performance year (Quality 39.6808, Cost 63.1023), 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

167 N MAIN STREET
TUBA CITY, AZ 86045

Provider Details

NPI 1104358076
Specialty Pediatrics Physician
Credentials MD
Gender Female
NPI Issued 03/30/2017

CMS Quality Score (MIPS)

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

70.5849
Final Score
Avg: 83.1
39.6808
Quality
63.1023
Cost
79
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where TERESA CAYA, 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.

TUBA CITY REGIONAL HEALTH CARE CORPORATION
TUBA CITY, AZ
Acute Care Hospitals
CMS CCN: 030073

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

Brand vs generic prescribing mix · Above average

TERESA CAYA, MD — brand share 25.0%
Specialty average (est.)

25% brand-name claims vs 75% generic, on 1,807 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.

1,807
Total Claims
$214K
Total Drug Cost
101
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,934
Total Day Supply
55,247
Brand vs Generic
25% brand / 75% generic
Brand Drug Cost
$171K
Generic Drug Cost
$41K
Antibiotic Claims
23

Patient Demographics

Average Patient Age
74.5 years
Avg HCC Risk Score
1.85
Gender Split
76% female / 24% male

Top Prescribed Drugs (Medicare Part D)

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

What TERESA CAYA, MD prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Atorvastatin Calcium
155
Metformin Hcl Er
Metformin Hcl
104
Lisinopril
100
Diclofenac Sodium
72
Losartan Potassium
68
Synthroid
Levothyroxine Sodium
66
Fluticasone Propionate
64
Ozempic
Semaglutide
61
Jardiance
Empagliflozin
56
Carvedilol
55

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

Pediatrics Physician Overview

How TERESA CAYA, MD fits within the Pediatrics Physician landscape nationally.

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

TERESA CAYA, MD's 1,807 claims are above the specialty average of 762.

Nearby Pediatrics Physician Providers in Arizona

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

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

Frequently Asked Questions

What is TERESA CAYA, MD's specialty?
TERESA CAYA, MD specializes in Pediatrics Physician and practices in TUBA CITY, Arizona. Credentials: MD.
How much does TERESA CAYA, MD prescribe under Medicare Part D?
In 2023, TERESA CAYA, MD wrote 1,807 Medicare Part D claims totaling $214K in drug costs for 101 beneficiaries.
What is TERESA CAYA, MD's Medicare quality score?
TERESA CAYA, MD has a CMS MIPS Final Score of 70.5849/100 (Quality: 39.6808, Cost: 63.1023). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is TERESA CAYA, MD located?
TERESA CAYA, MD is located at 167 N MAIN STREET, TUBA CITY, AZ, 86045. Phone: (866) 976-5941.
What is TERESA CAYA, MD's NPI number?
TERESA CAYA, MD's National Provider Identifier (NPI) is 1104358076, issued on 03/30/2017.
Does TERESA CAYA, MD prescribe more brand-name or generic drugs?
TERESA CAYA, MD's prescribing is 25% brand-name and 75% generic drugs by claim count, with $171K in brand drug costs.
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 TERESA CAYA, MD prescribe most often?
Based on 2023 Medicare Part D data, TERESA CAYA, MD's most frequently prescribed drugs include Atorvastatin Calcium, Metformin Hcl Er, Lisinopril. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does TERESA CAYA, MD accept Medicare?
TERESA CAYA, MD appears in CMS Medicare data with 1,807 Part D claims and 101 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify TERESA CAYA, MD's credentials?
TERESA CAYA, MD's NPI is 1104358076 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