Dr. Arturo Pelayo, MD

  • Orange, CA
  • Emergency medicine physician
NPI1205882883PAC ID3274436613
Medicare services, 2024
567
Medicare patients, 2024
481
Part D claims, 2024
240
MIPS score, 2024
97
Hospital affiliations
2
Practice address
101 City Drive South, Orange, CA 92868
Practice phone
Call (714) 456-7890
Professional email
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Personal email
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Mobile number
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Social profiles

Primary practice

UCI Health - Orange

Hospital · Orange, California

See all 4 affiliations

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Dr. Arturo Pelayo is an emergency medicine physician in Orange, California

Dr. Pelayo practices at UCI Health - Orange in Orange, California, part of UC Irvine.

Dr. Pelayo's NPI, 1205882883, was assigned on May 26, 2006. Dr. Pelayo graduated from Stanford University School Of Medicine in 1999. Dr. Pelayo holds California license A72916.

NPI and contact details
Medicare PAC ID
3274436613
NPI enumeration date
May 26, 2006
NPI status
Active
Accepts Medicare assignment
Yes
Practice phone
(714) 456-7890
Professional email
Get email
Personal email
Get email
Mobile number
Get number
Sex
Male
Estimated age
53
Medical school graduation
1999

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)

Dr. Arturo Pelayo practices at UCI Health - Orange in Orange, California

Dr. Pelayo's primary practice is UCI Health - Orange, at 101 City Drive South, Orange, CA 92868 in Orange County. The practice phone is (714) 456-7890.

  • UCI Health - Orange
    101 City Drive South, Orange, CA 92868 · Orange CountyPhone(714) 456-7890

Source: Dmand AI Affiliation Data

Dr. Arturo Pelayo is affiliated with 2 sites of care and 2 medical groups

Dr. Pelayo's primary practice is UCI Health - Orange in Orange, California, part of UC Irvine. Dr. Pelayo is also affiliated with St. Francis Medical Center. The medical group on file is Vituity. Dmand AI also links Dr. Pelayo to 1 more medical group, named with a free account.

See all 4 affiliations for Dr. Pelayo

Sources: Dmand AI Affiliation Data; and Dmand AI Org Hierarchy Data

Dmand AI tracks the EHR system at Dr. Arturo Pelayo's practice

Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Pelayo practices, 2 sites in all. Vendor and product names are available with a free account.

EHR by site
SiteEHR vendor and product
UCI Health - OrangeAvailable with a free account
+1 more site and 1 medical groupAvailable with a free account

Source: Dmand AI Technology Install Data

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Dr. Arturo Pelayo is one of 7,423 emergency medicine physicians in California

Emergency medicine is Dr. Pelayo's primary specialty in the NPI Registry, under taxonomy code 207P00000X. Dr. Pelayo is board certified in emergency medicine by the American Board of Emergency Medicine. Dr. Pelayo is licensed in California.

Specialties and state licenses

  • Emergency medicine, CaliforniaPrimaryLicense A72916 · 2000 to 2026 · taxonomy 207P00000X

Emergency medicine physicians near Dr. Pelayo

Counts of emergency medicine physicians with a Dmand AI profile, by place and practice. Each opens the list.

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks

Dr. Arturo Pelayo billed Medicare for 567 services in 2024

CMS data shows 567 Medicare services from Dr. Pelayo across 4 procedure codes in 2024, for 481 Medicare patients. Medicare paid $67,449 for them. Every service was in a facility, such as a hospital, rather than an office.

Medicare services, 2024567
Medicare patients481
Paid by Medicare$67,449
Procedure codes4

Dr. Pelayo's Medicare services by type, 2023 to 2024

  • 2023
  • 2024
Office and hospital visits
2023: 4472024: 49912%
Tests and treatments
2023: 852024: 6820%

Dr. Pelayo compared with the California median for emergency medicine physicians, 2024

  • Dr. Pelayo
  • California median
Medicare services
567vs 2652.1 times
Medicare patients
481vs 24398% above
Part D claims
115vs 6285% above

Medians across 7,079 emergency medicine physicians in California with Dmand AI profiles that report each measure.

Dr. Pelayo's most billed Medicare procedure codes, 2024

CMS publishes codes billed for 11 or more Medicare patients. Each label is the code family; CPT descriptions are licensed by the AMA.

See all procedures by Dr. Pelayo

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Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks

Dr. Arturo Pelayo treated 481 Medicare patients in 2024, average age 75

CMS counts 481 Medicare patients who saw Dr. Pelayo in 2024. The largest group is 65 to 74, with 169 patients. 75% of them have high blood pressure, and 75% have high cholesterol. 87% are also on Medicaid. Their average risk score is 2.96, where 1.00 is the Medicare average, so they are sicker than most Medicare patients.

Across all payers, Dmand AI patient panel data puts Dr. Pelayo's median patient age at 49, with 56% women.

Medicare patients, 2024481
Average age75
Average risk score2.96
Also on Medicaid87%

Dr. Pelayo's Medicare patients by age, 2024

Dr. Pelayo's Medicare patients by sex, 2024

  • Women26555%
  • Men21645%

Chronic conditions among Dr. Pelayo's Medicare patients, 2024

  1. High blood pressure75%
  2. High cholesterol75%
  3. Diabetes65%
  4. Chronic kidney disease54%
  5. Ischemic heart disease54%
  6. Arthritis53%
  7. Heart failure52%
  8. Mood disorders40%

Share of Medicare patients with each condition. A patient can have several.

Dr. Pelayo's patients across all payers

Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.

Patient panel by age, all payers

Median age 49

Patient panel by sex, all payers

  • Women56%
  • Men44%

Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data

Dr. Arturo Pelayo wrote 240 Medicare Part D claims in 2024

In 2024, Dr. Pelayo wrote 240 Medicare Part D claims for 180 patients. 95% of them were for generic drugs. CMS names the drug for 115 of them, across 3 drugs with 11 or more claims each, at $465 in total drug cost. In 2023, CMS named 142 claims across 7 drugs.

Part D claims, 2024240
Drugs named by CMS3
Total drug cost$465
Part D patients180

Dr. Pelayo's Part D claims by kind of drug, 2024

  • Generic229 claims95%
  • Brand-name11 claims5%

Dr. Pelayo's most prescribed drugs by claims, 2024

CMS names a drug when it has 11 or more claims. Share is of the claims for drugs CMS names.

Drug classes CMS tracks in Dr. Pelayo's Part D claims, 2024

  • Opioids23%55 of 240 claims
  • Antibiotics32%77 of 240 claims

Share of all Part D claims for each drug class CMS reports on. Classes with no claims are left out.

Part D claims for drugs CMS names, 2023 to 2024

  • 2023
  • 2024
Claims for drugs CMS names
2023: 1422024: 11519%

Drugs named by CMS: 3 in 2024, 7 in 2023.

See all prescribing by Dr. Pelayo

Sources: Medicare Part D Prescribers - by Provider and Drug (CMS), 2024 data, released May 6, 2026; and Medicare Part D Prescribers - by Provider (CMS), 2024 data

Dr. Arturo Pelayo scored 97 out of 100 in Medicare's MIPS program for 2024

CMS publishes a Merit-based Incentive Payment System (MIPS) score of 97 out of 100 for Dr. Pelayo for performance year 2024, reported as part of a group. Dr. Pelayo accepts Medicare assignment, so Medicare's approved amount is taken as full payment.

Accepts Medicare assignment
Yes

Dr. Pelayo's MIPS scores, performance year 2024

  • 97of 100Final score
  • 90of 100Quality
  • 40of 100Improvement Activities
  • 78of 100Cost

Each score is out of 100. The final score weighs the categories CMS scored for this clinician.

Sources: Doctors and Clinicians National Downloadable File (CMS); and Clinician Public Reporting: Overall MIPS Performance (CMS), 2024 data, released September 10, 2026

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Dr. Arturo Pelayo graduated from Stanford University School Of Medicine

Dr. Pelayo graduated from Stanford University School Of Medicine in 1999.

  1. Medical schoolStanford University School Of Medicine
  2. Board certified in emergency medicineAmerican Board of Emergency Medicine

Source: Dmand AI Professional Profile Data

Dr. Arturo Pelayo accepts plans from 2 insurance carriers

Dr. Pelayo is in network with 2 carriers, including CMS Medicare and Molina. Medicare plans come from the most carriers, 2. Check the plan with the practice before a visit.

  • CMS Medicare
  • Molina

Source: Dmand AI Insurance Network Data

Sources for Dr. Arturo Pelayo's profile data

Sources for the data on this page
Data on this pageSource
NPI, name, sex, specialty and licensesNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data
Practice locations and phoneDmand AI Affiliation Data
Primary practice, affiliations and health systemDmand AI Affiliation DataDmand AI Org Hierarchy Data
Medicare services and procedure codesMedicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab)
State medians for the same specialtyDmand AI Peer Benchmarks
Medicare patients and the all-payer patient panelDmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab)
Part D prescribingMedicare Part D Prescribers - by Provider and Drug (CMS) (opens in a new tab)Medicare Part D Prescribers - by Provider (CMS) (opens in a new tab)
MIPS scores, telehealth, assignment and procedure percentilesDoctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Clinician Public Reporting: Overall MIPS Performance (CMS) (opens in a new tab)
Training, board certification and membershipsDmand AI Professional Profile Data
Insurance carriers and plan typesDmand AI Insurance Network Data
EHR at each practice siteDmand AI Technology Install Data
Similar physiciansDmand AI Affiliation Data

Data last refreshed October 2026Report an inaccuracyRemove my information

FAQ

Frequently asked questions about Dr. Arturo Pelayo

Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.

What is Dr. Arturo Pelayo's NPI number?

Dr. Arturo Pelayo's NPI number is 1205882883. It was assigned on May 26, 2006, and it is active in the NPI Registry.

What kind of doctor is Dr. Arturo Pelayo?

Dr. Arturo Pelayo is an emergency medicine physician in Orange, California. The primary specialty in the NPI Registry is Emergency Medicine Physician (taxonomy code 207P00000X).

Where does Dr. Arturo Pelayo practice?

Dr. Pelayo practices at 101 City Drive South, Orange, CA 92868. Dr. Pelayo's primary practice is UCI Health - Orange in Orange, California, part of UC Irvine. Dmand AI also links Dr. Pelayo to 1 medical group.

What is Dr. Arturo Pelayo's office phone number?

The practice phone on file for Dr. Pelayo is (714) 456-7890.

What is Dr. Arturo Pelayo's medical license number?

Dr. Pelayo holds California license A72916.

Which hospitals is Dr. Arturo Pelayo affiliated with?

Dr. Pelayo practices at UCI Health - Orange in Orange, California. Dr. Pelayo is also affiliated with St. Francis Medical Center.

What medical group is Dr. Arturo Pelayo part of?

Dr. Pelayo is linked to Vituity. Dmand AI links Dr. Pelayo to 1 more medical group.

Does Dr. Arturo Pelayo accept Medicare?

Yes. CMS data shows Dr. Pelayo billed Medicare for 567 services in 2024, and Dr. Pelayo accepts Medicare assignment.

What is Dr. Arturo Pelayo's MIPS score?

Dr. Pelayo's MIPS final score for performance year 2024 is 97 out of 100, reported as part of a group.

How many Medicare patients does Dr. Arturo Pelayo see?

CMS counts 481 Medicare patients who saw Dr. Pelayo in 2024, with an average age of 75.

Show 6 more questionsShow fewer questions

Is Dr. Arturo Pelayo board certified?

Yes. Dr. Pelayo is board certified in emergency medicine by the American Board of Emergency Medicine.

What services does Dr. Arturo Pelayo bill to Medicare?

In 2024, Dr. Pelayo's most billed Medicare services were emergency department visit (99285), emergency department visit (99284) and critical care (99291).

Where did Dr. Arturo Pelayo go to medical school?

Dr. Pelayo graduated from Stanford University School Of Medicine in 1999.

What drugs does Dr. Arturo Pelayo prescribe most?

In 2024 Medicare Part D data, Dr. Pelayo's most prescribed drugs by claims were Tramadol HCl, Cephalexin and Ondansetron ODT.

How long has Dr. Arturo Pelayo been practicing?

Dr. Pelayo graduated from medical school in 1999, 27 years ago.

What insurance does Dr. Arturo Pelayo accept?

Dr. Pelayo is in network with 2 carriers, including CMS Medicare and Molina. Medicare plans come from the most carriers, 2. Check the plan with the practice before a visit.

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