NPI registry status
Active
2026 NPPES data Clinical Cardiac Electrophysiology Physician NPI 1346796059
Verify on CMS → Alfredo Lamela Domenech
Clinical Cardiac Electrophysiology Physician in Cayey, Puerto Rico.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 1,570 in Clinical Cardiac Electrophysiology Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
192
Medicare Part D claims · 47 beneficiaries · Clinical Cardiac Electrophysiology Physician avg: 2K
Generic prescribing
77%
generic claims · 23% brand-name · higher generic rates reduce patient out-of-pocket costs
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Alfredo Lamela Domenech filed 192 Medicare Part D claims in 2023 as a Clinical Cardiac Electrophysiology Physician in Cayey, Puerto Rico, prescribing 77% generic.
- 192
- Part D claims, 2023
- 77%
- generic prescribing
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.
Alfredo Lamela Domenech's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023, across all CMS prescribers nationally
192 35th percentile higher than 35% of 1,370,886 prescribers
Each bar is a band; taller bars hold more prescribers. 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 Medicare Part D Prescriber Public Use File · 2023
◑
Board-eligible specialty (heuristic, not verified)
Alfredo Lamela Domenech practices in an ABMS-board-eligible specialty but we don't have enough CMS-participation signals to confirm active board-certified status. Consult CertificationMatters.org (the official ABMS public lookup).
What does the federal data show about Alfredo Lamela Domenech?
Quality data not reportedPrimary specialty
Clinical Cardiac Electrophysiology Physician
Medicare Part D claims
192 88% vs specialty avg
Specialty distribution in Puerto Rico
How Clinical Cardiac Electrophysiology Physician compares to other specialties among Puerto Rico providers
Board certification
Not published by CMS
CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Clinical Cardiac Electrophysiology Physician. Verify directly:
How MIPS and board certification work
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).
Alfredo Lamela Domenech appears in the CMS NPPES registry as a Clinical Cardiac Electrophysiology Physician provider at 14 CALLE KM 72.9 BARRIO RINCON LOMAS, Cayey, PR, 00737, with a listed phone of (787) 434-1700. NPI 1346796059 was issued on 09/01/2016.
Medicare Part D records for calendar year 2023 show 192 prescription claims written by this provider, covering 47 Medicare beneficiaries and totaling roughly $31K in drug spend, split 23% brand-name and 77% generic by claim count.
Clinical Cardiac Electrophysiology Physician is a narrow specialty nationwide, with 1,570 enrolled providers across 52 states and an average of 1,596 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
Provider Details
| NPI | 1346796059 |
|---|---|
| Specialty | Clinical Cardiac Electrophysiology Physician |
| Gender | Male |
| NPI Issued | 09/01/2016 |
Brand vs generic prescribing mix · Typical
Alfredo Lamela Domenech - brand share 23.0%
Clinical Cardiac Electrophysiology Physician average
23% brand-name claims vs 77% generic, on 192 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.
192
Total Claims
$31K
Total Drug Cost
47
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 257
- Total Day Supply
- 7,591
- Brand vs Generic
- 23% brand / 77% generic
- Brand Drug Cost
- $29K
- Generic Drug Cost
- $1K
Patient Demographics
- Average Patient Age
- 74.8 years
- Avg HCC Risk Score
- 2.20
- Gender Split
- 55% female / 45% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Alfredo Lamela Domenech prescribes most
Top Medicare Part D drugs by claim count, 2023
- Farxiga
Farxiga
20 claims
- Spironolactone
Spironolactone
19 claims
- Atorvastatin Calcium
Atorvastatin Calcium
18 claims
- Amlodipine Besylate
Amlodipine Besylate
16 claims
- Losartan Potassium
Losartan Potassium
16 claims
- Carvedilol
Carvedilol
14 claims
- Furosemide
Furosemide
13 claims
| Drug | Claims |
|---|---|
| Farxiga Dapagliflozin Propanediol | 20 |
| Spironolactone | 19 |
| Atorvastatin Calcium | 18 |
| Amlodipine Besylate | 16 |
| Losartan Potassium | 16 |
| Carvedilol | 14 |
| Furosemide | 13 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
More Clinical Cardiac Electrophysiology Physician in PR →
All providers in Puerto Rico →
Compare specialties →
Clinical Cardiac Electrophysiology Physician Overview
How Alfredo Lamela Domenech fits within the Clinical Cardiac Electrophysiology Physician landscape nationally.
1,570
Clinical Cardiac Electrophysiology Physician Providers in US
52
States with Clinical Cardiac Electrophysiology Physician
1,596
Avg Claims per Provider
Alfredo Lamela Domenech's 192 claims are below the specialty average of 1,596.
Nearby Clinical Cardiac Electrophysiology Physician Providers in Puerto Rico
Other clinicians with the same primary specialty enrolled in Puerto Rico, drawn from the same CMS NPPES roster as Lamela Domenech.
Dr. Miguel Abreu
M.D., FACC
San Juan, PR
Dr. Daniel Arzola-Castaner
M.D.
Guaynabo, PR
Dr. Leonell Freytes
MD
Ponce, PR
Dr. Luis Jimenez Reyes
MD
Caguas, PR
Dr. Jose Rivera Rodriguez
MD
San Juan, PR
Compare Clinical Cardiac Electrophysiology Physician nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the Puerto Rico medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Clinical Cardiac Electrophysiology Physician peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
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Frequently Asked Questions
What is Alfredo Lamela Domenech's specialty? ▼
Alfredo Lamela Domenech specializes in Clinical Cardiac Electrophysiology Physician and practices in Cayey, Puerto Rico.
How much does Alfredo Lamela Domenech prescribe under Medicare Part D? ▼
In 2023, Alfredo Lamela Domenech wrote 192 Medicare Part D claims totaling $31K in drug costs for 47 beneficiaries.
Where is Alfredo Lamela Domenech located? ▼
Alfredo Lamela Domenech is located at 14 CALLE KM 72.9 BARRIO RINCON LOMAS, Cayey, PR, 00737. Phone: (787) 434-1700.
What is Alfredo Lamela Domenech's NPI number? ▼
Alfredo Lamela Domenech's National Provider Identifier (NPI) is 1346796059, issued on 09/01/2016.
Does Alfredo Lamela Domenech prescribe more brand-name or generic drugs? ▼
Alfredo Lamela Domenech's prescribing is 23% brand-name and 77% generic drugs by claim count, with $29K in brand drug costs.
How many Clinical Cardiac Electrophysiology Physician providers are there in the US? ▼
There are 1,570 Clinical Cardiac Electrophysiology Physician providers across 52 states in the US. The average Clinical Cardiac Electrophysiology Physician provider writes 1,596 Medicare Part D claims per year.
What drugs does Alfredo Lamela Domenech prescribe most often? ▼
Based on 2023 Medicare Part D data, Alfredo Lamela Domenech's most frequently prescribed drugs include Farxiga, Spironolactone, Atorvastatin Calcium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Alfredo Lamela Domenech accept Medicare? ▼
Alfredo Lamela Domenech appears in CMS Medicare data with 192 Part D claims and 47 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Alfredo Lamela Domenech's credentials? ▼
Alfredo Lamela Domenech's NPI is 1346796059. 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
View source datasets and methodology notes
- 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.
- 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
Compiled from official public sources by the PlainDoctor editorial team.