NPI registry status
Active
2026 NPPES data Pain Medicine (Anesthesiology) Physician NPI 1508088196 MD
Verify on CMS → Tristan Pico, MD
Pain Medicine (Anesthesiology) Physician in Chandler, Arizona.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 4,032 in Pain Medicine (Anesthesiology) 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
753
Medicare Part D claims · 234 beneficiaries · Pain Medicine (Anesthesiology) Physician avg: 2K
Generic prescribing
90%
generic claims · 10% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
75/100
CMS neutral threshold · no category scores published
Industry payments
$34.0K
165 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2023
What the federal data shows
Tristan Pico, MD carries the neutral CMS MIPS final score of 75/100, assigned where no category was scored - and filed 753 Medicare Part D claims in 2023.
- 75/100
- CMS neutral score · not measured
- 753
- Part D claims, 2023
- 90%
- 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.
CMS NPPES provider registry desk
NPI 1508088196 · Pain Medicine (Anesthesiology) Physician
NPI-10 · ENUM-MID · TAX-NARROW · MIPS-NEUTRAL · RX-LIGHT · BOOK-THIN · PHOTO-ENUM
- NPI-10 1508088196
- ENUM-MID 2007
- TAX-NARROW 4,032
- MIPS-NEUTRAL 75/100
- RX-LIGHT 753
- BOOK-THIN 83 in Arizona
- PHOTO-ENUM Olga Gorenyuk · 2007
Tristan Pico, MD's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023, across all CMS prescribers nationally
753 ≥ 71st percentile 71% of 1,370,886 prescribers are in lower value bands
Each bar is a band; taller bars hold more prescribers. 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.
The percentile is a conservative 100-claim band: it counts only prescribers in lower claim-volume bands. Medicare Part D claim volume is activity context, not a quality measure or recommendation. See methodology § corpus placement.
Source CMS Medicare Part D Prescriber Public Use File · 2023
✓
Board certification likely (heuristic, not verified)
Tristan Pico, 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 Tristan Pico, MD?
CMS neutral score, not measuredPrimary specialty
Pain Medicine (Anesthesiology) Physician
Medicare Part D claims
753 55% vs specialty avg
MIPS final score
75/100
Specialty distribution in Arizona
How Pain Medicine (Anesthesiology) Physician compares to other specialties among Arizona providers
MIPS score not measured
CMS assigned a neutral 75/100 threshold
CMS did not publish any Quality, Cost, Promoting Interoperability, or Improvement Activities category score for this clinician. This administrative threshold is not comparable with the national average of clinicians whose MIPS score was measured.
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).
Practice Address
Provider Details
| NPI | 1508088196 |
|---|---|
| Specialty | Pain Medicine (Anesthesiology) Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 05/03/2007 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
75
Final Score
CMS neutral threshold · not measured
Reporting: Group practice
Hospital and facility affiliations
Facilities where Tristan Pico, 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.
Arizona Spine And Pain Specialists LLC
Chandler, AZ
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 Tristan Pico, MD. Source: openpaymentsdata.cms.gov.
Total received
$34.0K
Largest payer
Boston Scientific 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 · Typical
Tristan Pico, MD - brand share 10.0%
Pain Medicine (Anesthesiology) Physician average
10% brand-name claims vs 90% generic, on 753 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.
753
Total Claims
$55K
Total Drug Cost
234
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 796
- Total Day Supply
- 20,706
- Brand vs Generic
- 10% brand / 90% generic
- Brand Drug Cost
- $39K
- Generic Drug Cost
- $16K
- Opioid Claims
- 427 (56.7% rate)
- Antibiotic Claims
- 30
Patient Demographics
- Average Patient Age
- 68.1 years
- Avg HCC Risk Score
- 1.81
- Gender Split
- 65% female / 35% male
- Age Distribution
- <65: 74, 65-74: 95, 75-84: 51, 85+: 14
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Tristan Pico, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Oxycodone-Acetamin…
Oxycodone-Acetaminophen
86 claims
- Oxycodone Hcl
Oxycodone Hcl
70 claims
- Gabapentin
Gabapentin
67 claims
- Hydrocodone-Acetam…
Hydrocodone-Acetaminophen
67 claims
- Morphine Sulfate Er
Morphine Sulfate Er
44 claims
- Tizanidine Hcl
Tizanidine Hcl
37 claims
- Pregabalin 34
Pregabalin
34 claims
- Tramadol Hcl 32
Tramadol Hcl
32 claims
| Drug | Claims |
|---|---|
| Oxycodone-Acetaminophen Oxycodone Hcl/Acetaminophen | 86 |
| Oxycodone Hcl | 70 |
| Gabapentin | 67 |
| Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen | 67 |
| Morphine Sulfate Er Morphine Sulfate | 44 |
| Tizanidine Hcl | 37 |
| Pregabalin | 34 |
| Tramadol Hcl | 32 |
| Belbuca Buprenorphine Hcl | 29 |
| Morphine Sulfate | 26 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
More Pain Medicine (Anesthesiology) Physician in AZ →
All providers in Arizona →
Compare specialties →
Pain Medicine (Anesthesiology) Physician Overview
How Tristan Pico, MD fits within the Pain Medicine (Anesthesiology) Physician landscape nationally.
4,032
Pain Medicine (Anesthesiology) Physician Providers in US
53
States with Pain Medicine (Anesthesiology) Physician
1,657
Avg Claims per Provider
Tristan Pico, MD's 753 claims are below the specialty average of 1,657.
Nationwide Pain Medicine (Anesthesiology) Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Pico, both outside Arizona so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (75 here).
Same NPPES enumeration year (2007)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Pain Medicine (Anesthesiology) Physician Providers in Arizona
Other clinicians with the same primary specialty enrolled in Arizona, drawn from the same CMS NPPES roster as Pico.
One of 83 Pain Medicine (Anesthesiology) Physician providers enrolled in Arizona, 5 are shown here.
Dr. Amin Alishahi
M.D.
Sun City, AZ
Dr. Neelesh Anand
M.D.
Scottsdale, AZ
Dr. Kerry Ando
MD
Phoenix, AZ
Dr. Emil Annabi
MD
Tucson, AZ
Dr. Robert Berens
M.D.
Tucson, AZ
Compare Pain Medicine (Anesthesiology) Physician nationally: see state-by-state distribution →
Frequently Asked Questions
What is Tristan Pico, MD's specialty? ▼
Tristan Pico, MD specializes in Pain Medicine (Anesthesiology) Physician and practices in Chandler, Arizona. Credentials: MD.
How much does Tristan Pico, MD prescribe under Medicare Part D? ▼
In 2023, Tristan Pico, MD wrote 753 Medicare Part D claims totaling $55K in drug costs for 234 beneficiaries.
What is Tristan Pico, MD's Medicare quality score? ▼
Tristan Pico, MD has a CMS MIPS Final Score of 75/100. CMS published no Quality, Promoting Interoperability, Improvement Activity or Cost score for this clinician, so the final score is the neutral performance threshold CMS assigns rather than a measured result. The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Tristan Pico, MD located? ▼
Tristan Pico, MD is located at 725 S DOBSON RD, Chandler, AZ, 85224. Phone: (602) 795-8700.
What is Tristan Pico, MD's NPI number? ▼
Tristan Pico, MD's National Provider Identifier (NPI) is 1508088196, issued on 05/03/2007.
Does Tristan Pico, MD prescribe more brand-name or generic drugs? ▼
Tristan Pico, MD's prescribing is 10% brand-name and 90% generic drugs by claim count, with $39K in brand drug costs.
Does Tristan Pico, MD prescribe opioids? ▼
Yes, Tristan Pico, MD had 427 opioid claims in 2023 with an opioid prescribing rate of 56.7%.
How many Pain Medicine (Anesthesiology) Physician providers are there in the US? ▼
There are 4,032 Pain Medicine (Anesthesiology) Physician providers across 53 states in the US. The average Pain Medicine (Anesthesiology) Physician provider writes 1,657 Medicare Part D claims per year.
What drugs does Tristan Pico, MD prescribe most often? ▼
Based on 2023 Medicare Part D data, Tristan Pico, MD's most frequently prescribed drugs include Oxycodone-Acetaminophen, Oxycodone Hcl, Gabapentin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Tristan Pico, MD accept Medicare? ▼
Tristan Pico, MD appears in CMS Medicare data with 753 Part D claims and 234 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Tristan Pico, MD's credentials? ▼
Tristan Pico, MD's NPI is 1508088196 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
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.