NPI registry status
Active
2026 NPPES data General Practice Physician NPI 1043505183 MD
Verify on CMS → Anthony Fojo, MD
General Practice Physician in Baltimore, Maryland.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 16,838 in General Practice 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
258
Medicare Part D claims · General Practice Physician avg: 3K
Generic prescribing
60%
generic claims · 40% brand-name · higher generic rates reduce patient out-of-pocket costs
Source: CMS Medicare Part D Prescriber Public Use File, 2024
What the federal data shows
Anthony Fojo, MD filed 258 Medicare Part D claims in 2024 as a General Practice Physician in Baltimore, Maryland, prescribing 60% generic.
- 258
- Part D claims, 2024
- 60%
- generic prescribing
- Likely
- board-certified (heuristic)
- ≥48th
- pct by Part D claim volume (lower-bound band)
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.
Federal trust snapshot
What official records show about Anthony Fojo, MD
Federal records show an active NPI with Medicare Part D prescribing activity — verifiable registry data, not a proprietary rating.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1043505183), first enumerated 06/16/2011.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 258 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- Reported
Board certification signal
Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.
- Reported
Hospital affiliations
1 CMS Care Compare hospital affiliation on record — practice footprint from the Doctors and Clinicians file.
Source: CMS Care Compare
- Not in federal data
Individual sanction lookup
PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.
Source: State medical board / FSMB
This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.
CMS NPPES provider registry desk
NPI 1043505183 · General Practice Physician
NPI-10 · ENUM-MID · TAX-MID · RX-LIGHT · BOOK-THIN · PHOTO-ENUM
- NPI-10 1043505183
- ENUM-MID 2011
- TAX-MID 17K General Practice
- RX-LIGHT 258
- BOOK-THIN 378 in Maryland
- PHOTO-ENUM Ed Ortega Cortes, M.D. · 2011
Anthony Fojo, MD's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2024, across all CMS prescribers nationally
258 ≥ 48th percentile 48% of 1,416,883 prescribers are in lower value bands
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.
The percentile is a conservative 100-claim band: it counts only prescribers in lower claim-volume bands. Medicare Part D claim volume is activity context, not a quality measure or recommendation. See methodology § corpus placement.
Source CMS Medicare Part D Prescriber Public Use File · 2024
✓
Board certification likely (heuristic, not verified)
Anthony Fojo, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 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 Anthony Fojo, MD?
Quality data not reportedPrimary specialty
General Practice Physician
Medicare Part D claims
258 91% vs specialty avg
Specialty distribution in Maryland
How General Practice Physician compares to other specialties among Maryland 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 General Practice 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).
Practice Address
Provider Details
| NPI | 1043505183 |
|---|---|
| Specialty | General Practice Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 06/16/2011 |
Hospital and facility affiliations
Facilities where Anthony Fojo, 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.
Johns Hopkins University
Baltimore, MD
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
Brand vs generic prescribing mix · Above average
Anthony Fojo, MD - brand share 40.0%
General Practice Physician average
40% brand-name claims vs 60% generic, on 258 2024 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 2024.
258
Total Claims
$186K
Total Drug Cost
N/A
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 351.833
- Total Day Supply
- 9,671
- Brand vs Generic
- 40% brand / 60% generic
- Brand Drug Cost
- $177K
- Generic Drug Cost
- $9K
Patient Demographics
- Average Patient Age
- 62.3 years
- Avg HCC Risk Score
- 3.43
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
What Anthony Fojo, MD prescribes most
Top Medicare Part D drugs by claim count, 2024
- Biktarvy
Biktarvy
28 claims
- Atorvastatin Calcium
Atorvastatin Calcium
15 claims
- Fioricet
Fioricet
12 claims
- Anoro Ellipta 11
Anoro Ellipta
11 claims
- Arnuity Ellipta 11
Arnuity Ellipta
11 claims
| Drug | Claims |
|---|---|
| Biktarvy Bictegrav/Emtricit/Tenofov Ala | 28 |
| Atorvastatin Calcium | 15 |
| Fioricet Butalb/Acetaminophen/Caffeine | 12 |
| Anoro Ellipta Umeclidinium Brm/Vilanterol Tr | 11 |
| Arnuity Ellipta Fluticasone Furoate | 11 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
General Practice Physician Overview
How Anthony Fojo, MD fits within the General Practice Physician landscape nationally.
16,838
General Practice Physician Providers in US
56
States with General Practice Physician
2,957
Avg Claims per Provider
Anthony Fojo, MD's 258 claims are below the specialty average of 2,957.
Nationwide General Practice Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Fojo, both outside Maryland so the neighborhoods are not geographic containment.
Same NPPES enumeration year (2011)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby General Practice Physician Providers in Maryland
Other clinicians with the same primary specialty enrolled in Maryland, drawn from the same CMS NPPES roster as Fojo.
One of 378 General Practice Physician providers enrolled in Maryland, 5 are shown here.
Walid Abu Saleh
MBBS
Baltimore, MD
Dr. Michael Adams
DO
Bethesda, MD
Dr. Nathaniel Adams
DO
Bethesda, MD
Dr. Sarah Adkins
DO, PHD
Bethesda, MD
Lillian Adu
NP
Hanover, MD
Compare General Practice Physician nationally: see state-by-state distribution →
Frequently Asked Questions
What is Anthony Fojo, MD's specialty? ▼
Anthony Fojo, MD specializes in General Practice Physician and practices in Baltimore, Maryland. Credentials: MD.
How much does Anthony Fojo, MD prescribe under Medicare Part D? ▼
In 2024, Anthony Fojo, MD wrote 258 Medicare Part D claims totaling $186K in drug costs for N/A beneficiaries.
Where is Anthony Fojo, MD located? ▼
Anthony Fojo, MD is located at 4940 EASTERN AVE, Baltimore, MD, 21224. Phone: (410) 550-0596.
What is Anthony Fojo, MD's NPI number? ▼
Anthony Fojo, MD's National Provider Identifier (NPI) is 1043505183, issued on 06/16/2011.
Does Anthony Fojo, MD prescribe more brand-name or generic drugs? ▼
Anthony Fojo, MD's prescribing is 40% brand-name and 60% generic drugs by claim count, with $177K in brand drug costs.
How many General Practice Physician providers are there in the US? ▼
There are 16,838 General Practice Physician providers across 56 states in the US. The average General Practice Physician provider writes 2,957 Medicare Part D claims per year.
What drugs does Anthony Fojo, MD prescribe most often? ▼
Based on 2024 Medicare Part D data, Anthony Fojo, MD's most frequently prescribed drugs include Biktarvy, Atorvastatin Calcium, Fioricet. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Anthony Fojo, MD accept Medicare? ▼
Anthony Fojo, MD appears in CMS Medicare data with 258 Part D claims and N/A Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Anthony Fojo, MD's credentials? ▼
Anthony Fojo, MD's NPI is 1043505183 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
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 (2024). 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 August 2026 (NPPES) / 2024 (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
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of August 2026.