2026 NPPES data Sports Medicine (Family Medicine) Physician NPI 1962889832 M.D.
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CAMILO VILLALOBOS, M.D.

Sports Medicine (Family Medicine) Physician in ELMHURST, New York. 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
251
Medicare Part D claims · 184 beneficiaries · Sports Medicine (Family Medicine) Physician avg: 1K
Generic prescribing
96%
generic claims · 4% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
76.5288/100
▼ 7 pts below national avg 83.1 · [object Object]
What the federal data reveals: CAMILO VILLALOBOS, M.D. is a Sports Medicine (Family Medicine) Physician ([object Object]) practicing in ELMHURST, New York with a Medicare Part D prescribing footprint of 251 claims across 184 beneficiaries — 4% brand-name prescribing . Their CMS MIPS Final Score of 76.5288/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities .

What stands out: CAMILO VILLALOBOS, M.D. reported a CMS MIPS final score of 76.5288 out of 100, below the 83.1 national average, and filed 251 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

CAMILO VILLALOBOS, 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).

CAMILO VILLALOBOS, M.D. at a glance

Below national average

NPI registry status

Active

Issued 04/29/2015

NPI 1962889832

Primary specialty

Sports Medicine (Family Medicine) Physician

Niche

2,087 US NPIs in this specialty

Medicare Part D claims

251 80% vs specialty avg

2023 prescription claims

Specialty avg: 1,242

MIPS final score

76.5288/100 6.57119999999999% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in New York

How Sports Medicine (Family Medicine) Physician compares to other specialties among New York providers

New York providers

Sports Medicine (Family Medicine) Physician share within New York

1. Sports Medicine (Family Medicine) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Sports Medicine (Family Medicine) Physician share within New York

Medicare quality performance — MIPS

CAMILO VILLALOBOS, M.D.'s 2023 MIPS final score plotted against the Sports Medicine (Family Medicine) Physician national average

Below national average
MIPS Final Score
76.5288/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Sports Medicine (Family Medicine) Physician) — 76.5288/100 vs national avg 83.1

0%100%National avg83%76.5%
MIPS final score (Sports Medicine (Family Medicine) Physician) — 76.5288/100 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).

CAMILO VILLALOBOS, M.D. is a Sports Medicine (Family Medicine) Physician provider practicing in ELMHURST, New York, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1962889832. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

CAMILO VILLALOBOS, M.D. appears in the CMS NPPES registry as a Sports Medicine (Family Medicine) Physician provider holding M.D. credentials at 91-19 QUEENS BLVD, ELMHURST, NY, 11373, with a listed phone of (646) 647-1253. NPI 1962889832 was issued on 04/29/2015. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what VILLALOBOS 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 251 prescription claims written by this provider, covering 184 Medicare beneficiaries and totaling roughly $4K 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 76.5288/100 for the 2023 performance year (Quality 64.0296, Cost 57.7329), compared with the national average of 83.1.

Sports Medicine (Family Medicine) Physician is a narrow specialty nationwide, with 2,087 enrolled providers across 52 states and an average of 1,242 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

91-19 QUEENS BLVD
ELMHURST, NY 11373

Provider Details

NPI 1962889832
Specialty Sports Medicine (Family Medicine) Physician
Credentials M.D.
Gender Male
NPI Issued 04/29/2015

CMS Quality Score (MIPS)

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

76.5288
Final Score
Avg: 83.1
64.0296
Quality
57.7329
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where CAMILO VILLALOBOS, 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.

CITY MEDICAL OF UPPER EAST SIDE PLLC
ASTORIA, NY

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 — New York NYSBPMC 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 ~100K New York medical licensees in 2023 — they are NOT specific to CAMILO VILLALOBOS, M.D.. To verify CAMILO VILLALOBOS, M.D.'s current license status, search the NYSBPMC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

312
Total board actions, New York 2023
Across 302 cases
3.12
Actions per 1,000 licensees
New York statewide rate
probation
Most common action type
89 cases

NYSBPMC 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 New York disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Generic-heavy

CAMILO VILLALOBOS, M.D. — brand share 4.0%
Specialty average (est.)

4% brand-name claims vs 96% generic, on 251 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.

251
Total Claims
$4K
Total Drug Cost
184
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
252
Total Day Supply
3,036
Brand vs Generic
4% brand / 96% generic
Brand Drug Cost
$366
Generic Drug Cost
$2K
Antibiotic Claims
82

Patient Demographics

Average Patient Age
69.6 years
Avg HCC Risk Score
1.01
Gender Split
73% female / 27% male
Age Distribution
<65: 31, 65-74: 91, 75-84: 50, 85+: 12

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Fluticasone Propionate
32
Paxlovid (Eua)
Nirmatrelvir/Ritonavir
24
Nitrofurantoin Mono-Macro
Nitrofurantoin Monohyd/M-Cryst
14
Albuterol Sulfate Hfa
Albuterol Sulfate
13
Meloxicam
11

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

Sports Medicine (Family Medicine) Physician Overview

How CAMILO VILLALOBOS, M.D. fits within the Sports Medicine (Family Medicine) Physician landscape nationally.

2,087
Sports Medicine (Family Medicine) Physician Providers in US
52
States with Sports Medicine (Family Medicine) Physician
1,242
Avg Claims per Provider

CAMILO VILLALOBOS, M.D.'s 251 claims are below the specialty average of 1,242.

Nearby Sports Medicine (Family Medicine) Physician Providers in New York

Other clinicians with the same primary specialty enrolled in New York, drawn from the same CMS NPPES roster as VILLALOBOS.

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

Frequently Asked Questions

What is CAMILO VILLALOBOS, M.D.'s specialty?
CAMILO VILLALOBOS, M.D. specializes in Sports Medicine (Family Medicine) Physician and practices in ELMHURST, New York. Credentials: M.D..
How much does CAMILO VILLALOBOS, M.D. prescribe under Medicare Part D?
In 2023, CAMILO VILLALOBOS, M.D. wrote 251 Medicare Part D claims totaling $4K in drug costs for 184 beneficiaries.
What is CAMILO VILLALOBOS, M.D.'s Medicare quality score?
CAMILO VILLALOBOS, M.D. has a CMS MIPS Final Score of 76.5288/100 (Quality: 64.0296, Cost: 57.7329). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is CAMILO VILLALOBOS, M.D. located?
CAMILO VILLALOBOS, M.D. is located at 91-19 QUEENS BLVD, ELMHURST, NY, 11373. Phone: (646) 647-1253.
What is CAMILO VILLALOBOS, M.D.'s NPI number?
CAMILO VILLALOBOS, M.D.'s National Provider Identifier (NPI) is 1962889832, issued on 04/29/2015.
Does CAMILO VILLALOBOS, M.D. prescribe more brand-name or generic drugs?
CAMILO VILLALOBOS, M.D.'s prescribing is 4% brand-name and 96% generic drugs by claim count, with $366 in brand drug costs.
How many Sports Medicine (Family Medicine) Physician providers are there in the US?
There are 2,087 Sports Medicine (Family Medicine) Physician providers across 52 states in the US. The average Sports Medicine (Family Medicine) Physician provider writes 1,242 Medicare Part D claims per year.
What drugs does CAMILO VILLALOBOS, M.D. prescribe most often?
Based on 2023 Medicare Part D data, CAMILO VILLALOBOS, M.D.'s most frequently prescribed drugs include Fluticasone Propionate, Paxlovid (Eua), Nitrofurantoin Mono-Macro. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does CAMILO VILLALOBOS, M.D. accept Medicare?
CAMILO VILLALOBOS, M.D. appears in CMS Medicare data with 251 Part D claims and 184 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify CAMILO VILLALOBOS, M.D.'s credentials?
CAMILO VILLALOBOS, M.D.'s NPI is 1962889832 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