2026 NPPES data Pulmonary Disease Physician NPI 1396772356 MD
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CARLOS ALVARADO-VALDES, MD

Pulmonary Disease Physician in SUN CITY WEST, Arizona. 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
305
Medicare Part D claims · 61 beneficiaries · Pulmonary Disease Physician avg: 1K
Generic prescribing
62%
generic claims · 38% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
87.818/100
▲ 5 pts above national avg 83.1 · [object Object]
Industry payments
$526.35
16 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: CARLOS ALVARADO-VALDES, MD is a Pulmonary Disease Physician ([object Object]) practicing in SUN CITY WEST, Arizona with a Medicare Part D prescribing footprint of 305 claims across 61 beneficiaries — 38% brand-name prescribing . Their CMS MIPS Final Score of 87.818/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $526.35 across 16 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: CARLOS ALVARADO-VALDES, MD reported a CMS MIPS final score of 87.818 out of 100, above the 83.1 national average, and filed 305 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)

CARLOS ALVARADO-VALDES, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 2 hospital affiliations — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

CARLOS ALVARADO-VALDES, MD at a glance

High performer (top quartile)

NPI registry status

Active

Issued 06/27/2006

NPI 1396772356

Primary specialty

Pulmonary Disease Physician

Mid-sized

9,271 US NPIs in this specialty

Medicare Part D claims

305 79% vs specialty avg

2023 prescription claims

Specialty avg: 1,457

MIPS final score

87.818/100 4.7180000000000035% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Arizona

How Pulmonary Disease Physician compares to other specialties among Arizona providers

Arizona providers

Pulmonary Disease Physician share within Arizona

1. Pulmonary Disease Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Pulmonary Disease Physician share within Arizona

Medicare quality performance — MIPS

CARLOS ALVARADO-VALDES, MD's 2023 MIPS final score plotted against the Pulmonary Disease Physician national average

High performer (top quartile)
MIPS Final Score
87.818/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Pulmonary Disease Physician) — 87.818/100 vs national avg 83.1

0%100%National avg83%87.8%
MIPS final score (Pulmonary Disease Physician) — 87.818/100 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).

CARLOS ALVARADO-VALDES, MD is a Pulmonary Disease Physician provider practicing in SUN CITY WEST, Arizona, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1396772356. 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.

CARLOS ALVARADO-VALDES, MD appears in the CMS NPPES registry as a Pulmonary Disease Physician provider holding MD credentials at 14502 W MEEKER BLVD, SUN CITY WEST, AZ, 85375, with a listed phone of (623) 524-8814. NPI 1396772356 was issued on 06/27/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what ALVARADO-VALDES 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 305 prescription claims written by this provider, covering 61 Medicare beneficiaries and totaling roughly $79K in drug spend, split 38% brand-name and 62% 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 87.818/100 for the 2023 performance year, compared with the national average of 83.1.

Pulmonary Disease Physician is a mid-sized specialty nationwide, with 9,271 enrolled providers across 53 states and an average of 1,457 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

14502 W MEEKER BLVD
SUN CITY WEST, AZ 85375

Provider Details

NPI 1396772356
Specialty Pulmonary Disease Physician
Credentials MD
Gender Male
NPI Issued 06/27/2006

CMS Quality Score (MIPS)

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

87.818
Final Score
Avg: 83.1
61.2268
Cost
99
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where CARLOS ALVARADO-VALDES, 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.

BANNER HOSPITAL BASED PHYSICIANS ARIZONA LLC
SUN CITY, AZ
BANNER PHYSICIAN SPECIALISTS ARIZONA LLC
SUN CITY, AZ

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 CARLOS ALVARADO-VALDES, MD. Source: openpaymentsdata.cms.gov.

Total received

$526

Largest payer

Inspire Medical Systems, Inc.

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.

Brand vs generic prescribing mix · Above average

CARLOS ALVARADO-VALDES, MD — brand share 38.0%
Specialty average (est.)

38% brand-name claims vs 62% generic, on 305 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.

305
Total Claims
$79K
Total Drug Cost
61
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
520
Total Day Supply
14,479
Brand vs Generic
38% brand / 62% generic
Brand Drug Cost
$72K
Generic Drug Cost
$8K
Antibiotic Claims
19

Patient Demographics

Average Patient Age
73.0 years
Avg HCC Risk Score
1.64
Gender Split
57% female / 43% male

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Albuterol Sulfate Hfa
Albuterol Sulfate
43
Fluticasone-Salmeterol
Fluticasone Propion/Salmeterol
40
Montelukast Sodium
40
Trelegy Ellipta
Fluticasone/Umeclidin/Vilanter
20
Azithromycin
15
Methylprednisolone
15
Advair Diskus
Fluticasone Propion/Salmeterol
13
Spiriva Respimat
Tiotropium Bromide
13
Modafinil
12

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

Pulmonary Disease Physician Overview

How CARLOS ALVARADO-VALDES, MD fits within the Pulmonary Disease Physician landscape nationally.

9,271
Pulmonary Disease Physician Providers in US
53
States with Pulmonary Disease Physician
1,457
Avg Claims per Provider

CARLOS ALVARADO-VALDES, MD's 305 claims are below the specialty average of 1,457.

Nearby Pulmonary Disease Physician Providers in Arizona

Other clinicians with the same primary specialty enrolled in Arizona, drawn from the same CMS NPPES roster as ALVARADO-VALDES.

Compare Pulmonary Disease Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is CARLOS ALVARADO-VALDES, MD's specialty?
CARLOS ALVARADO-VALDES, MD specializes in Pulmonary Disease Physician and practices in SUN CITY WEST, Arizona. Credentials: MD.
How much does CARLOS ALVARADO-VALDES, MD prescribe under Medicare Part D?
In 2023, CARLOS ALVARADO-VALDES, MD wrote 305 Medicare Part D claims totaling $79K in drug costs for 61 beneficiaries.
What is CARLOS ALVARADO-VALDES, MD's Medicare quality score?
CARLOS ALVARADO-VALDES, MD has a CMS MIPS Final Score of 87.818/100, Cost: 61.2268. The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is CARLOS ALVARADO-VALDES, MD located?
CARLOS ALVARADO-VALDES, MD is located at 14502 W MEEKER BLVD, SUN CITY WEST, AZ, 85375. Phone: (623) 524-8814.
What is CARLOS ALVARADO-VALDES, MD's NPI number?
CARLOS ALVARADO-VALDES, MD's National Provider Identifier (NPI) is 1396772356, issued on 06/27/2006.
Does CARLOS ALVARADO-VALDES, MD prescribe more brand-name or generic drugs?
CARLOS ALVARADO-VALDES, MD's prescribing is 38% brand-name and 62% generic drugs by claim count, with $72K in brand drug costs.
How many Pulmonary Disease Physician providers are there in the US?
There are 9,271 Pulmonary Disease Physician providers across 53 states in the US. The average Pulmonary Disease Physician provider writes 1,457 Medicare Part D claims per year.
What drugs does CARLOS ALVARADO-VALDES, MD prescribe most often?
Based on 2023 Medicare Part D data, CARLOS ALVARADO-VALDES, MD's most frequently prescribed drugs include Albuterol Sulfate Hfa, Fluticasone-Salmeterol, Montelukast Sodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does CARLOS ALVARADO-VALDES, MD accept Medicare?
CARLOS ALVARADO-VALDES, MD appears in CMS Medicare data with 305 Part D claims and 61 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify CARLOS ALVARADO-VALDES, MD's credentials?
CARLOS ALVARADO-VALDES, MD's NPI is 1396772356 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