2026 NPPES data Pediatric Otolaryngology Physician NPI 1467452193 M.D.
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ALBERTO FERNANDEZ, M.D.

Pediatric Otolaryngology Physician in SOUTH MIAMI, 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
3K
Medicare Part D claims · 1K beneficiaries · Pediatric Otolaryngology Physician avg: 313
Generic prescribing
96%
generic claims · 4% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
87.5908/100
▲ 4 pts above national avg 83.1 · [object Object]
Industry payments
$901.69
29 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

ALBERTO FERNANDEZ, M.D. reported a CMS MIPS final score of 87.5908/100 — above the 83.1 national average — and filed 2,842 Medicare Part D claims in 2023.

87.5908/100
MIPS score · +4 vs avg
3K
Part D claims, 2023
96%
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.

ALBERTO FERNANDEZ, M.D.'s MIPS score vs every scored U.S. clinician

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

88 Top 46% higher than 54% 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%). This entry sits in this band. 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)

ALBERTO FERNANDEZ, M.D. 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 ALBERTO FERNANDEZ, M.D.?

High performer (top quartile)

NPI registry status

Active

Issued 07/22/2005

NPI 1467452193

Primary specialty

Pediatric Otolaryngology Physician

Niche

574 US NPIs in this specialty

Medicare Part D claims

2,842 808% vs specialty avg

2023 prescription claims

Specialty avg: 313

MIPS final score

87.5908/100 4.490800000000007% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Florida

How Pediatric Otolaryngology Physician compares to other specialties among Florida providers

Florida providers

Pediatric Otolaryngology Physician share within Florida

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

Medicare quality performance — MIPS

ALBERTO FERNANDEZ, M.D.'s 2023 MIPS final score plotted against the Pediatric Otolaryngology Physician national average

High performer (top quartile)
MIPS Final Score
87.5908/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Pediatric Otolaryngology Physician) — 87.5908/100 vs national avg 83.1

0%100%National avg83%87.6%
MIPS final score (Pediatric Otolaryngology Physician) — 87.5908/100 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).

ALBERTO FERNANDEZ, M.D. appears in the CMS NPPES registry as a Pediatric Otolaryngology Physician provider holding M.D. credentials at 6705 S RED RD, SOUTH MIAMI, FL, 33143, with a listed phone of (305) 666-0203. NPI 1467452193 was issued on 07/22/2005. 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 2,842 prescription claims written by this provider, covering 1,035 Medicare beneficiaries and totaling roughly $132K in drug spend, split 4% brand-name and 96% generic by claim count. 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 87.5908/100 for the 2023 performance year (Quality 82.3468), compared with the national average of 83.1.

Pediatric Otolaryngology Physician is a narrow specialty nationwide, with 574 enrolled providers across 43 states and an average of 313 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

6705 S RED RD
SOUTH MIAMI, FL 33143

Provider Details

NPI 1467452193
Specialty Pediatric Otolaryngology Physician
Credentials M.D.
Gender Male
NPI Issued 07/22/2005

CMS Quality Score (MIPS)

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

87.5908
Final Score
Avg: 83.1
82.3468
Quality
91
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where ALBERTO FERNANDEZ, M.D. 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.

FLORIDA ENT ASSOCIATES INC
SOUTH MIAMI, 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).

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 ALBERTO FERNANDEZ, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$902

Largest payer

GENZYME 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.

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 ALBERTO FERNANDEZ, M.D.. To verify ALBERTO FERNANDEZ, M.D.'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 · Generic-heavy

ALBERTO FERNANDEZ, M.D. — brand share 4.0%
Specialty average (est.)

4% brand-name claims vs 96% generic, on 2,842 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.

2,842
Total Claims
$132K
Total Drug Cost
1,035
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
4,091
Total Day Supply
101,370
Brand vs Generic
4% brand / 96% generic
Brand Drug Cost
$37K
Generic Drug Cost
$95K
Antibiotic Claims
387

Patient Demographics

Average Patient Age
76.3 years
Avg HCC Risk Score
1.55
Gender Split
60% female / 40% male
Age Distribution
<65: 20, 65-74: 425, 75-84: 432, 85+: 158

Top Prescribed Drugs (Medicare Part D)

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

What ALBERTO FERNANDEZ, M.D. 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
Azelastine Hcl
1,073
Fluticasone Propionate
271
Montelukast Sodium
198
Ipratropium Bromide
147
Amoxicillin-Clavulanate Potass
Amoxicillin/Potassium Clav
138
Cefdinir
127
Mupirocin
125
Methylprednisolone
123
Fluocinolone Acetonide Oil
102
Ofloxacin
50

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

Pediatric Otolaryngology Physician Overview

How ALBERTO FERNANDEZ, M.D. fits within the Pediatric Otolaryngology Physician landscape nationally.

574
Pediatric Otolaryngology Physician Providers in US
43
States with Pediatric Otolaryngology Physician
313
Avg Claims per Provider

ALBERTO FERNANDEZ, M.D.'s 2,842 claims are above the specialty average of 313.

Nearby Pediatric Otolaryngology Physician Providers in Florida

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

Compare Pediatric Otolaryngology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is ALBERTO FERNANDEZ, M.D.'s specialty?
ALBERTO FERNANDEZ, M.D. specializes in Pediatric Otolaryngology Physician and practices in SOUTH MIAMI, Florida. Credentials: M.D..
How much does ALBERTO FERNANDEZ, M.D. prescribe under Medicare Part D?
In 2023, ALBERTO FERNANDEZ, M.D. wrote 2,842 Medicare Part D claims totaling $132K in drug costs for 1,035 beneficiaries.
What is ALBERTO FERNANDEZ, M.D.'s Medicare quality score?
ALBERTO FERNANDEZ, M.D. has a CMS MIPS Final Score of 87.5908/100 (Quality: 82.3468). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is ALBERTO FERNANDEZ, M.D. located?
ALBERTO FERNANDEZ, M.D. is located at 6705 S RED RD, SOUTH MIAMI, FL, 33143. Phone: (305) 666-0203.
What is ALBERTO FERNANDEZ, M.D.'s NPI number?
ALBERTO FERNANDEZ, M.D.'s National Provider Identifier (NPI) is 1467452193, issued on 07/22/2005.
Does ALBERTO FERNANDEZ, M.D. prescribe more brand-name or generic drugs?
ALBERTO FERNANDEZ, M.D.'s prescribing is 4% brand-name and 96% generic drugs by claim count, with $37K in brand drug costs.
How many Pediatric Otolaryngology Physician providers are there in the US?
There are 574 Pediatric Otolaryngology Physician providers across 43 states in the US. The average Pediatric Otolaryngology Physician provider writes 313 Medicare Part D claims per year.
What drugs does ALBERTO FERNANDEZ, M.D. prescribe most often?
Based on 2023 Medicare Part D data, ALBERTO FERNANDEZ, M.D.'s most frequently prescribed drugs include Azelastine Hcl, Fluticasone Propionate, Montelukast Sodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does ALBERTO FERNANDEZ, M.D. accept Medicare?
ALBERTO FERNANDEZ, M.D. appears in CMS Medicare data with 2,842 Part D claims and 1,035 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify ALBERTO FERNANDEZ, M.D.'s credentials?
ALBERTO FERNANDEZ, M.D.'s NPI is 1467452193 with credentials M.D.. 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