2026 NPPES data Family Medicine Physician NPI 1063868578
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ABNER FERNANDEZ

Family Medicine Physician in PUEBLO WEST, Colorado. 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
7K
Medicare Part D claims · 614 beneficiaries · Family Medicine Physician avg: 3K
Generic prescribing
88%
generic claims · 12% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
97.5814/100
▲ 14 pts above national avg 83.1 · [object Object]
Industry payments
$215.14
12 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

ABNER FERNANDEZ reported a CMS MIPS final score of 97.5814/100 — above the 83.1 national average — and filed 7,146 Medicare Part D claims in 2023.

97.5814/100
MIPS score · +14 vs avg
7K
Part D claims, 2023
88%
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.

ABNER FERNANDEZ's MIPS score vs every scored U.S. clinician

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

98 Top 15% higher than 85% 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%). Below this entry. 90–100: 189,403 scored providers (40%). This entry sits in this band. 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)

ABNER FERNANDEZ practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 3 hospital affiliations — 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 ABNER FERNANDEZ?

High performer (top quartile)

NPI registry status

Active

Issued 05/13/2016

NPI 1063868578

Primary specialty

Family Medicine Physician

High-volume

147,640 US NPIs in this specialty

Medicare Part D claims

7,146 109% vs specialty avg

2023 prescription claims

Specialty avg: 3,418

MIPS final score

97.5814/100 14.481400000000008% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Colorado

How Family Medicine Physician compares to other specialties among Colorado providers

Colorado providers

Family Medicine Physician share within Colorado

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

Medicare quality performance — MIPS

ABNER FERNANDEZ's 2023 MIPS final score plotted against the Family Medicine Physician national average

High performer (top quartile)
MIPS Final Score
97.5814/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Family Medicine Physician) — 97.5814/100 vs national avg 83.1

0%100%National avg83%97.6%
MIPS final score (Family Medicine Physician) — 97.5814/100 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).

ABNER FERNANDEZ appears in the CMS NPPES registry as a Family Medicine Physician provider at 121 S. CRESCENT DRIVE, PUEBLO WEST, CO, 81007, with a listed phone of (719) 595-7575. NPI 1063868578 was issued on 05/13/2016. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what FERNANDEZ 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 7,146 prescription claims written by this provider, covering 614 Medicare beneficiaries and totaling roughly $860K in drug spend, split 12% brand-name and 88% generic by claim count, with an opioid prescribing rate of 0.9%. 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 97.5814/100 for the 2023 performance year (Quality 86.5348), compared with the national average of 83.1.

Family Medicine Physician is a high-volume specialty nationwide, with 147,640 enrolled providers across 56 states and an average of 3,418 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

121 S. CRESCENT DRIVE
PUEBLO WEST, CO 81007

Provider Details

NPI 1063868578
Specialty Family Medicine Physician
Gender Male
NPI Issued 05/13/2016

CMS Quality Score (MIPS)

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

97.5814
Final Score
Avg: 83.1
86.5348
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where ABNER FERNANDEZ 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.

PARKVIEW ANCILLARY SERVICES CORPORATION
PUEBLO, CO
POUDRE VALLEY MEDICAL GROUP LLC
PUEBLO WEST, CO
SANGRE DE CRISTO HOSPICE AND PALLIATIVE CARE
PUEBLO, CO

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 ABNER FERNANDEZ. Source: openpaymentsdata.cms.gov.

Total received

$215

Largest payer

Bayer Healthcare Pharmaceuticals 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.

Brand vs generic prescribing mix · Typical

ABNER FERNANDEZ — brand share 12.0%
Specialty average (est.)

12% brand-name claims vs 88% generic, on 7,146 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.

7,146
Total Claims
$860K
Total Drug Cost
614
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
16,992
Total Day Supply
495,921
Brand vs Generic
12% brand / 88% generic
Brand Drug Cost
$748K
Generic Drug Cost
$111K
Opioid Claims
66 (0.9% rate)
Antibiotic Claims
144

Patient Demographics

Average Patient Age
74.2 years
Avg HCC Risk Score
1.13
Gender Split
50% female / 50% male
Age Distribution
<65: 57, 65-74: 259, 75-84: 224, 85+: 74

Top Prescribed Drugs (Medicare Part D)

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

What ABNER FERNANDEZ 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
576
Levothyroxine Sodium
443
Lisinopril
394
Amlodipine Besylate
273
Losartan Potassium
245
Omeprazole
197
Metformin Hcl
195
Hydrochlorothiazide
175
Pravastatin Sodium
139
Gabapentin
138

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

Family Medicine Physician Overview

How ABNER FERNANDEZ fits within the Family Medicine Physician landscape nationally.

147,640
Family Medicine Physician Providers in US
56
States with Family Medicine Physician
3,418
Avg Claims per Provider

ABNER FERNANDEZ's 7,146 claims are above the specialty average of 3,418.

Nearby Family Medicine Physician Providers in Colorado

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

Compare Family Medicine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is ABNER FERNANDEZ's specialty?
ABNER FERNANDEZ specializes in Family Medicine Physician and practices in PUEBLO WEST, Colorado.
How much does ABNER FERNANDEZ prescribe under Medicare Part D?
In 2023, ABNER FERNANDEZ wrote 7,146 Medicare Part D claims totaling $860K in drug costs for 614 beneficiaries.
What is ABNER FERNANDEZ's Medicare quality score?
ABNER FERNANDEZ has a CMS MIPS Final Score of 97.5814/100 (Quality: 86.5348). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is ABNER FERNANDEZ located?
ABNER FERNANDEZ is located at 121 S. CRESCENT DRIVE, PUEBLO WEST, CO, 81007. Phone: (719) 595-7575.
What is ABNER FERNANDEZ's NPI number?
ABNER FERNANDEZ's National Provider Identifier (NPI) is 1063868578, issued on 05/13/2016.
Does ABNER FERNANDEZ prescribe more brand-name or generic drugs?
ABNER FERNANDEZ's prescribing is 12% brand-name and 88% generic drugs by claim count, with $748K in brand drug costs.
Does ABNER FERNANDEZ prescribe opioids?
Yes, ABNER FERNANDEZ had 66 opioid claims in 2023 with an opioid prescribing rate of 0.9%.
How many Family Medicine Physician providers are there in the US?
There are 147,640 Family Medicine Physician providers across 56 states in the US. The average Family Medicine Physician provider writes 3,418 Medicare Part D claims per year.
What drugs does ABNER FERNANDEZ prescribe most often?
Based on 2023 Medicare Part D data, ABNER FERNANDEZ's most frequently prescribed drugs include Atorvastatin Calcium, Levothyroxine Sodium, Lisinopril. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does ABNER FERNANDEZ accept Medicare?
ABNER FERNANDEZ appears in CMS Medicare data with 7,146 Part D claims and 614 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify ABNER FERNANDEZ's credentials?
ABNER FERNANDEZ's NPI is 1063868578. 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