Paul H Brion, M.D.

Rheumatology Internal Medicine

Telehealth Available
NPI Active per CMS — Q2 2026|Medicare Enrolled|Order & Refer

With over 32 years in internal medicine, Paul H Brion, M.D. is a long-established rheumatologist in Vista. He graduated from Rutgers New Jersey Medical School in 1994 and has 32+ years of clinical experience. He regularly sees Medicare patients with arthritis, high cholesterol, and hypertension (per CMS claims data). CMS MIPS quality score: 96.68/100 (2023).

At a glance

  • Federal MIPS score higher than 86% of MIPS-scored doctors in California
  • Virtual visits available — no app or travel required
1 of 418 Internal Medicine providers in CASee all Internal Medicine in Vista32+ years experienceNPI since 2005

Older · 5824dNPPES updated 2010-05-26 · verify on CMS

Contact & Location

Practice Location

2023 W Vista Way Suite H, Vista, CA 92083-6030

Fax: (760) 724-1617
CMS Clinical Data

How Does This Doctor Compare?

Based on Medicare data, this doctor scores better than 86% of doctors in California on federal quality measures.

MIPS Score

2023

96.68/100

California avg: 78.6 · US avg: 83.6

Higher than most doctors nationally(+13.1 pts)

Better than 86% of MIPS-scored doctors in California

How the government rates this doctor's Medicare care quality. Scores above 75 are considered good.

Opioid Rx

↓ Lower = better

9.97%

California avg: 5.2 · US avg: 5.1

Lower than most doctors nationally(+4.9 pts)

9.97% of this doctor's prescriptions are opioid pain medications. Lower means more cautious prescribing.

Medicare Patients

561

Unique beneficiaries

High volume

Prescription Recipients

345

Patients prescribed

Prescriptions Written

2,176

Total claims

Total Medicare drug cost: $1.39M

Percentile rankings compared against 9,360 reporting peers in California.

Data Note: Sourced from CMS Medicare Provider Utilization & Payment Data. Percentile rankings compare this provider against all peers with reported data in the same state. Updated annually to reflect the latest federal reporting cycle.

Patient Condition Panel

What This Doctor Treats Most

Based on Medicare claims data — here's what patients commonly see this doctor for

Based on Medicare data, this doctor primarily manages Arthritis, High Cholesterol, and Hypertension.

Arthritis
Higher than avg (+26%)75%

Joint inflammation causing pain, swelling, and stiffness

US avg: 49.3%

↑ More patients than average (+26%) — a focus area for this doctor

High Cholesterol
Higher than avg (+2%)72%

Elevated cholesterol or triglycerides that increase heart disease risk

US avg: 70.4%

↑ More patients than average (+2%) — a focus area for this doctor

Hypertension
Lower than avg (-1%)69%

High blood pressure — a leading risk factor for heart disease and stroke

US avg: 70.2%

↓ Fewer patients than average (-1%) — less common here

Osteoporosis
Higher than avg (+22%)40%

Weakened bones that are more prone to fractures, common in older adults

US avg: 18.1%

↑ More patients than average (+22%) — a focus area for this doctor

Mood Disorders
27%

Conditions affecting emotional state, including depression and bipolar disorder

Depression
Lower than avg (-8%)24%

A mood disorder causing persistent sadness and loss of interest in activities

US avg: 31.8%

↓ Fewer patients than average (-8%) — less common here

Ischemic Heart Disease
Lower than avg (-12%)20%

Reduced blood flow to the heart muscle, commonly known as coronary artery disease

US avg: 31.7%

↓ Fewer patients than average (-12%) — less common here

GeneralBehavioralNational avg

Percentage of this provider's Medicare patients diagnosed with each condition. Source: CMS Utilization Data.

Industry Payment Transparency

$1.4k received from industry

51 transactions reported in 2024 ·Moderate tier

View on CMS Open Payments →

Payments include consulting fees, speaking honoraria, food & beverage, travel, research support, and ownership interests from drug and medical device manufacturers. Disclosure is required by the federal Physician Payments Sunshine Act. These payments do not necessarily indicate conflicts of interest. National median: $338 across 136 000 tracked providers.

Tiers — Low: under $500 · Moderate: $500-5 000 · High: $5 000-25 000 · Very High: $25 000+. Source: CMS Open Payments 2024, attributed to Paul H Brion's NPI.

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Background & Specialty

Education, training, and specialty classification from CMS NPPES and Medicare records.

Career Journey
  1. Graduated medical school · 1994

    Rutgers New Jersey Medical School

  2. 32 years in practice

    Senior practitioner

Internal MedicineAllopathic & Osteopathic Physicians

Rheumatologists treat autoimmune and inflammatory conditions including rheumatoid arthritis, lupus, psoriatic arthritis, gout, osteoarthritis, and vasculitis. They manage biologic therapies and joint-preserving treatments.

Taxonomy: 207RR0500X

Education & Training

Rutgers New Jersey Medical School (Class of 1994)

Practice Footprint

Primary hospital affiliation: Acute Care Hospitals

CMS Certification Number: 190218

View hospital on Medicare Care Compare

Virtual Internal Medicine Care With Paul H Brion

NPPES records indicate this provider offers telehealth services. Contact the office to confirm availability and scheduling.

Schedule a virtual visit with Paul H Brion for arthritis follow-ups, cholesterol management, blood pressure monitoring — no travel to Vista required. The office sends a secure video link before your appointment. Most visits take 15–30 minutes. Medicare enrolled per CMS records.

Frequently Asked Questions

Common questions about Paul H Brion

NPI records show Dr. Brion as active with telehealth listed in Vista, CA. NPI status alone doesn't confirm open availability — call the office to confirm. Phone: (760) 724-5800.

Verified across 6 federal data sources

Sourced from CMS NPPES · OIG LEIE · CMS QPP 2023 · CMS Medicare Part D · CMS Open Payments 2024 · CMS Physician Comparator. See Data Methodology.

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Medical Disclaimer: NPI Telehealth is a provider directory for informational purposes only. This page does not constitute medical advice, diagnosis, or treatment recommendations. Provider data is sourced from the CMS NPPES federal registry and public Medicare datasets. NPI Telehealth does not verify clinical qualifications beyond federal records. Data may not reflect real-time availability — always contact the provider's office directly to confirm details before seeking care.

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