2026 NPPES data Hospitalist Physician NPI 1871507368 MD
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AGUSTIN ANCAYA, MD

Hospitalist Physician in LAKELAND, Florida. 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
515
Medicare Part D claims · 261 beneficiaries · Hospitalist Physician avg: 888
Generic prescribing
87%
generic claims · 13% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
76.4138/100
▼ 7 pts below national avg 83.1 · [object Object]

What the federal data shows

AGUSTIN ANCAYA, MD reported a CMS MIPS final score of 76.4138/100 — below the 83.1 national average — and filed 515 Medicare Part D claims in 2023.

76.4138/100
MIPS score · -7 vs avg
515
Part D claims, 2023
87%
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.

AGUSTIN ANCAYA, MD's MIPS score vs every scored U.S. clinician

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

76 21st percentile higher than 21% 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)

AGUSTIN ANCAYA, 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 AGUSTIN ANCAYA, MD?

Below national average

NPI registry status

Active

Issued 07/28/2006

NPI 1871507368

Primary specialty

Hospitalist Physician

Mid-sized

16,825 US NPIs in this specialty

Medicare Part D claims

515 42% vs specialty avg

2023 prescription claims

Specialty avg: 888

MIPS final score

76.4138/100 6.6861999999999995% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Florida

How Hospitalist Physician compares to other specialties among Florida providers

Florida providers

Hospitalist Physician share within Florida

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

Medicare quality performance — MIPS

AGUSTIN ANCAYA, MD's 2023 MIPS final score plotted against the Hospitalist Physician national average

Below national average
MIPS Final Score
76.4138/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Hospitalist Physician) — 76.4138/100 vs national avg 83.1

0%100%National avg83%76.4%
MIPS final score (Hospitalist Physician) — 76.4138/100 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).

AGUSTIN ANCAYA, MD appears in the CMS NPPES registry as a Hospitalist Physician provider holding MD credentials at 1600 LAKELAND HILLS BLVD, LAKELAND, FL, 33805, with a listed phone of (863) 680-7000. NPI 1871507368 was issued on 07/28/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what ANCAYA 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 515 prescription claims written by this provider, covering 261 Medicare beneficiaries and totaling roughly $46K in drug spend, split 13% brand-name and 87% generic by claim count, with an opioid prescribing rate of 5.8%. 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 76.4138/100 for the 2023 performance year (Quality 61.8707, Cost 59.5085), compared with the national average of 83.1.

Hospitalist Physician is a mid-sized specialty nationwide, with 16,825 enrolled providers across 54 states and an average of 888 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

1600 LAKELAND HILLS BLVD
LAKELAND, FL 33805

Provider Details

NPI 1871507368
Specialty Hospitalist Physician
Credentials MD
Gender Male
NPI Issued 07/28/2006

CMS Quality Score (MIPS)

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

76.4138
Final Score
Avg: 83.1
61.8707
Quality
59.5085
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where AGUSTIN ANCAYA, 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.

WATSON CLINIC LLP
LAKELAND, FL

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

License & disciplinary context — Florida FLDOH 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~75K Florida medical licensees in 2023 — they are NOT specific to AGUSTIN ANCAYA, MD. To verify AGUSTIN ANCAYA, MD's current license status, search the FLDOH public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

480
Total board actions, Florida 2023
Across 467 cases
6.40
Actions per 1,000 licensees
Florida statewide rate
monetary fine
Most common action type
138 cases

FLDOH publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Florida disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

AGUSTIN ANCAYA, MD — brand share 13.0%
Specialty average (est.)

13% brand-name claims vs 87% generic, on 515 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.

515
Total Claims
$46K
Total Drug Cost
261
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
575
Total Day Supply
11,479
Brand vs Generic
13% brand / 87% generic
Brand Drug Cost
$38K
Generic Drug Cost
$8K
Opioid Claims
30 (5.8% rate)
Antibiotic Claims
117

Patient Demographics

Average Patient Age
76.4 years
Avg HCC Risk Score
2.58
Gender Split
56% female / 44% male
Age Distribution
<65: 20, 65-74: 75, 75-84: 115, 85+: 51

Top Prescribed Drugs (Medicare Part D)

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

What AGUSTIN ANCAYA, 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
Cephalexin
32
Methylprednisolone
32
Levofloxacin
26
Furosemide
22
Metoprolol Succinate
21
Eliquis
Apixaban
20
Pantoprazole Sodium
19
Azithromycin
16
Clopidogrel
Clopidogrel Bisulfate
14
Diltiazem 24hr Er (Cd)
Diltiazem Hcl
14

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

Hospitalist Physician Overview

How AGUSTIN ANCAYA, MD fits within the Hospitalist Physician landscape nationally.

16,825
Hospitalist Physician Providers in US
54
States with Hospitalist Physician
888
Avg Claims per Provider

AGUSTIN ANCAYA, MD's 515 claims are below the specialty average of 888.

Nearby Hospitalist Physician Providers in Florida

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

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

Frequently Asked Questions

What is AGUSTIN ANCAYA, MD's specialty?
AGUSTIN ANCAYA, MD specializes in Hospitalist Physician and practices in LAKELAND, Florida. Credentials: MD.
How much does AGUSTIN ANCAYA, MD prescribe under Medicare Part D?
In 2023, AGUSTIN ANCAYA, MD wrote 515 Medicare Part D claims totaling $46K in drug costs for 261 beneficiaries.
What is AGUSTIN ANCAYA, MD's Medicare quality score?
AGUSTIN ANCAYA, MD has a CMS MIPS Final Score of 76.4138/100 (Quality: 61.8707, Cost: 59.5085). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is AGUSTIN ANCAYA, MD located?
AGUSTIN ANCAYA, MD is located at 1600 LAKELAND HILLS BLVD, LAKELAND, FL, 33805. Phone: (863) 680-7000.
What is AGUSTIN ANCAYA, MD's NPI number?
AGUSTIN ANCAYA, MD's National Provider Identifier (NPI) is 1871507368, issued on 07/28/2006.
Does AGUSTIN ANCAYA, MD prescribe more brand-name or generic drugs?
AGUSTIN ANCAYA, MD's prescribing is 13% brand-name and 87% generic drugs by claim count, with $38K in brand drug costs.
Does AGUSTIN ANCAYA, MD prescribe opioids?
Yes, AGUSTIN ANCAYA, MD had 30 opioid claims in 2023 with an opioid prescribing rate of 5.8%.
How many Hospitalist Physician providers are there in the US?
There are 16,825 Hospitalist Physician providers across 54 states in the US. The average Hospitalist Physician provider writes 888 Medicare Part D claims per year.
What drugs does AGUSTIN ANCAYA, MD prescribe most often?
Based on 2023 Medicare Part D data, AGUSTIN ANCAYA, MD's most frequently prescribed drugs include Cephalexin, Methylprednisolone, Levofloxacin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does AGUSTIN ANCAYA, MD accept Medicare?
AGUSTIN ANCAYA, MD appears in CMS Medicare data with 515 Part D claims and 261 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify AGUSTIN ANCAYA, MD's credentials?
AGUSTIN ANCAYA, MD's NPI is 1871507368 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