2026 NPPES data Family Medicine Physician NPI 1760464119 MD
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ANTI SOTO-HERNANDEZ, MD

Family Medicine Physician in ALBUQUERQUE, New Mexico. 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 · 413 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
83.8451/100
▲ 1 pts above national avg 83.1 · [object Object]

What the federal data shows

ANTI SOTO-HERNANDEZ, MD reported a CMS MIPS final score of 83.8451/100 — above the 83.1 national average — and filed 2,952 Medicare Part D claims in 2023.

83.8451/100
MIPS score · +1 vs avg
3K
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.

ANTI SOTO-HERNANDEZ, MD's MIPS score vs every scored U.S. clinician

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

84 42nd percentile higher than 42% 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)

ANTI SOTO-HERNANDEZ, 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 ANTI SOTO-HERNANDEZ, MD?

Near national average

NPI registry status

Active

Issued 11/18/2005

NPI 1760464119

Primary specialty

Family Medicine Physician

High-volume

147,640 US NPIs in this specialty

Medicare Part D claims

2,952 14% vs specialty avg

2023 prescription claims

Specialty avg: 3,418

MIPS final score

83.8451/100 0.7451000000000079% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in New Mexico

How Family Medicine Physician compares to other specialties among New Mexico providers

New Mexico providers

Family Medicine Physician share within New Mexico

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

Medicare quality performance — MIPS

ANTI SOTO-HERNANDEZ, MD's 2023 MIPS final score plotted against the Family Medicine Physician national average

Near national average
MIPS Final Score
83.8451/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Family Medicine Physician) — 83.8451/100 vs national avg 83.1

0%100%National avg83%83.8%
MIPS final score (Family Medicine Physician) — 83.8451/100 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).

ANTI SOTO-HERNANDEZ, MD appears in the CMS NPPES registry as a Family Medicine Physician provider holding MD credentials at 4005 HIGH RESORT BLVD SE, ALBUQUERQUE, NM, 87124, with a listed phone of (505) 462-6000. NPI 1760464119 was issued on 11/18/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what SOTO-HERNANDEZ 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 2,952 prescription claims written by this provider, covering 413 Medicare beneficiaries and totaling roughly $142K in drug spend, split 12% brand-name and 88% generic by claim count, with an opioid prescribing rate of 2.2%. 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 83.8451/100 for the 2023 performance year (Quality 84.5974, Cost 58.6394), 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

4005 HIGH RESORT BLVD SE
ALBUQUERQUE, NM 87124

Provider Details

NPI 1760464119
Specialty Family Medicine Physician
Credentials MD
Gender Female
NPI Issued 11/18/2005

CMS Quality Score (MIPS)

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

83.8451
Final Score
Avg: 83.1
84.5974
Quality
58.6394
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where ANTI SOTO-HERNANDEZ, 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.

PRESBYTERIAN HEALTHCARE SERVICES
RIO RANCHO, NM

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 · Typical

ANTI SOTO-HERNANDEZ, MD — brand share 12.0%
Specialty average (est.)

12% brand-name claims vs 88% generic, on 2,952 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.

2,952
Total Claims
$142K
Total Drug Cost
413
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
6,841
Total Day Supply
199,992
Brand vs Generic
12% brand / 88% generic
Brand Drug Cost
$70K
Generic Drug Cost
$70K
Opioid Claims
66 (2.2% rate)
Antibiotic Claims
50

Patient Demographics

Average Patient Age
72.6 years
Avg HCC Risk Score
1.08
Gender Split
74% female / 26% male
Age Distribution
<65: 42, 65-74: 198, 75-84: 138, 85+: 35

Top Prescribed Drugs (Medicare Part D)

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

What ANTI SOTO-HERNANDEZ, 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
Levothyroxine Sodium
301
Gabapentin
219
Atorvastatin Calcium
161
Lisinopril
144
Amlodipine Besylate
110
Losartan Potassium
97
Hydrochlorothiazide
76
Trazodone Hcl
63
Omeprazole
62
Simvastatin
55

* 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 ANTI SOTO-HERNANDEZ, MD 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

ANTI SOTO-HERNANDEZ, MD's 2,952 claims are below the specialty average of 3,418.

Nearby Family Medicine Physician Providers in New Mexico

Other clinicians with the same primary specialty enrolled in New Mexico, drawn from the same CMS NPPES roster as SOTO-HERNANDEZ.

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

Frequently Asked Questions

What is ANTI SOTO-HERNANDEZ, MD's specialty?
ANTI SOTO-HERNANDEZ, MD specializes in Family Medicine Physician and practices in ALBUQUERQUE, New Mexico. Credentials: MD.
How much does ANTI SOTO-HERNANDEZ, MD prescribe under Medicare Part D?
In 2023, ANTI SOTO-HERNANDEZ, MD wrote 2,952 Medicare Part D claims totaling $142K in drug costs for 413 beneficiaries.
What is ANTI SOTO-HERNANDEZ, MD's Medicare quality score?
ANTI SOTO-HERNANDEZ, MD has a CMS MIPS Final Score of 83.8451/100 (Quality: 84.5974, Cost: 58.6394). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is ANTI SOTO-HERNANDEZ, MD located?
ANTI SOTO-HERNANDEZ, MD is located at 4005 HIGH RESORT BLVD SE, ALBUQUERQUE, NM, 87124. Phone: (505) 462-6000.
What is ANTI SOTO-HERNANDEZ, MD's NPI number?
ANTI SOTO-HERNANDEZ, MD's National Provider Identifier (NPI) is 1760464119, issued on 11/18/2005.
Does ANTI SOTO-HERNANDEZ, MD prescribe more brand-name or generic drugs?
ANTI SOTO-HERNANDEZ, MD's prescribing is 12% brand-name and 88% generic drugs by claim count, with $70K in brand drug costs.
Does ANTI SOTO-HERNANDEZ, MD prescribe opioids?
Yes, ANTI SOTO-HERNANDEZ, MD had 66 opioid claims in 2023 with an opioid prescribing rate of 2.2%.
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 ANTI SOTO-HERNANDEZ, MD prescribe most often?
Based on 2023 Medicare Part D data, ANTI SOTO-HERNANDEZ, MD's most frequently prescribed drugs include Levothyroxine Sodium, Gabapentin, Atorvastatin Calcium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does ANTI SOTO-HERNANDEZ, MD accept Medicare?
ANTI SOTO-HERNANDEZ, MD appears in CMS Medicare data with 2,952 Part D claims and 413 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify ANTI SOTO-HERNANDEZ, MD's credentials?
ANTI SOTO-HERNANDEZ, MD's NPI is 1760464119 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