NPI registry status
Active
2026 NPPES data Pain Medicine (Anesthesiology) Physician NPI 1285660373 MD
Verify on CMS → Carlos Buxo Tirado, MD
Pain Medicine (Anesthesiology) Physician in Toa Baja, 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 4,020 in Pain Medicine (Anesthesiology) 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
2K
Medicare Part D claims · 368 beneficiaries · Pain Medicine (Anesthesiology) Physician avg: 2K
Industry payments
$21.5K
20 payments · CMS Open Payments (Sunshine Act)
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Carlos Buxo Tirado, MD filed 2,422 Medicare Part D claims in 2023 as a Pain Medicine (Anesthesiology) Physician in Toa Baja, Puerto Rico.
- 2K
- Part D claims, 2023
- $21.5K
- industry payments (Sunshine Act)
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.
Carlos Buxo Tirado, MD's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023, across all CMS prescribers nationally
2,422 Top 14% higher than 86% 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)
Carlos Buxo Tirado, MD 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 Carlos Buxo Tirado, MD?
Quality data not reportedPrimary specialty
Pain Medicine (Anesthesiology) Physician
Medicare Part D claims
2,422 46% vs specialty avg
Specialty distribution in Puerto Rico
How Pain Medicine (Anesthesiology) 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 Pain Medicine (Anesthesiology) 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).
Carlos Buxo Tirado, MD appears in the CMS NPPES registry as a Pain Medicine (Anesthesiology) Physician provider holding MD credentials at Y38 BOULEVARD MONROIG, Toa Baja, PR, 00949, with a listed phone of (787) 200-0324. NPI 1285660373 was issued on 06/23/2006.
Medicare Part D records for calendar year 2023 show 2,422 prescription claims written by this provider, covering 368 Medicare beneficiaries and totaling roughly $92K in drug spend, with an opioid prescribing rate of 61.2%.
Pain Medicine (Anesthesiology) Physician is a narrow specialty nationwide, with 4,020 enrolled providers across 53 states and an average of 1,657 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 | 1285660373 |
|---|---|
| Specialty | Pain Medicine (Anesthesiology) Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 06/23/2006 |
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 Buxo Tirado, MD. Source: openpaymentsdata.cms.gov.
Total received
$21.5K
Largest payer
Medtronic, 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.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
2,422
Total Claims
$92K
Total Drug Cost
368
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 2,463
- Total Day Supply
- 62,214
- Generic Drug Cost
- $59K
- Opioid Claims
- 1,483 (61.2% rate)
- Antibiotic Claims
- 44
Patient Demographics
- Average Patient Age
- 66.7 years
- Avg HCC Risk Score
- 2.06
- Gender Split
- 53% female / 47% male
- Age Distribution
- <65: 156, 65-74: 120, 75-84: 76, 85+: 16
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Carlos Buxo Tirado, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Oxycodone-Acetamin…
Oxycodone-Acetaminophen
834 claims
- Tramadol Hcl
Tramadol Hcl
431 claims
- Tizanidine Hcl 157
Tizanidine Hcl
157 claims
- Gabapentin 149
Gabapentin
149 claims
- Diclofenac Potassium 116
Diclofenac Potassium
116 claims
- Pregabalin 75
Pregabalin
75 claims
- Endocet 65
Endocet
65 claims
- Fentanyl 57
Fentanyl
57 claims
| Drug | Claims |
|---|---|
| Oxycodone-Acetaminophen Oxycodone Hcl/Acetaminophen | 834 |
| Tramadol Hcl | 431 |
| Tizanidine Hcl | 157 |
| Gabapentin | 149 |
| Diclofenac Potassium | 116 |
| Pregabalin | 75 |
| Endocet Oxycodone Hcl/Acetaminophen | 65 |
| Fentanyl | 57 |
| Diclofenac Sodium | 47 |
| Baclofen | 45 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
More Pain Medicine (Anesthesiology) Physician in PR →
All providers in Puerto Rico →
Compare specialties →
Pain Medicine (Anesthesiology) Physician Overview
How Carlos Buxo Tirado, MD fits within the Pain Medicine (Anesthesiology) Physician landscape nationally.
4,020
Pain Medicine (Anesthesiology) Physician Providers in US
53
States with Pain Medicine (Anesthesiology) Physician
1,657
Avg Claims per Provider
Carlos Buxo Tirado, MD's 2,422 claims are above the specialty average of 1,657.
Nearby Pain Medicine (Anesthesiology) Physician Providers in Puerto Rico
Other clinicians with the same primary specialty enrolled in Puerto Rico, drawn from the same CMS NPPES roster as Buxo Tirado.
Dr. Hector Casiano Pagan
M.D.
Arecibo, PR
Dr. Jose Cruz Cestero
M.D
Coto Laurel, PR
Dr. Roberto Cummings
MD
Mayaguez, PR
Dr. Fernando Gerena Nieves
M.D ,D.A.B.A ,F.ABPM
Catano, PR
Dr. Luis Gonzalez-Camacho
M.D.
Bayamon, PR
Compare Pain Medicine (Anesthesiology) 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 Pain Medicine (Anesthesiology) 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.
Healthcare Guides
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How to Find a Doctor
Step-by-step guide to choosing a provider
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Check NPI, board certification & license status
Medical Specialties Explained
Who treats what and how specialties differ
Understanding Medicare Claims Data
What prescribing data reveals about a provider
In-Network vs Out-of-Network
How insurance networks affect your costs
Telehealth Guide
Virtual care options and coverage in 2026
Explore Puerto Rico
Frequently Asked Questions
What is Carlos Buxo Tirado, MD's specialty? ▼
Carlos Buxo Tirado, MD specializes in Pain Medicine (Anesthesiology) Physician and practices in Toa Baja, Puerto Rico. Credentials: MD.
How much does Carlos Buxo Tirado, MD prescribe under Medicare Part D? ▼
In 2023, Carlos Buxo Tirado, MD wrote 2,422 Medicare Part D claims totaling $92K in drug costs for 368 beneficiaries.
Where is Carlos Buxo Tirado, MD located? ▼
Carlos Buxo Tirado, MD is located at Y38 BOULEVARD MONROIG, Toa Baja, PR, 00949. Phone: (787) 200-0324.
What is Carlos Buxo Tirado, MD's NPI number? ▼
Carlos Buxo Tirado, MD's National Provider Identifier (NPI) is 1285660373, issued on 06/23/2006.
Does Carlos Buxo Tirado, MD prescribe opioids? ▼
Yes, Carlos Buxo Tirado, MD had 1,483 opioid claims in 2023 with an opioid prescribing rate of 61.2%.
How many Pain Medicine (Anesthesiology) Physician providers are there in the US? ▼
There are 4,020 Pain Medicine (Anesthesiology) Physician providers across 53 states in the US. The average Pain Medicine (Anesthesiology) Physician provider writes 1,657 Medicare Part D claims per year.
What drugs does Carlos Buxo Tirado, MD prescribe most often? ▼
Based on 2023 Medicare Part D data, Carlos Buxo Tirado, MD's most frequently prescribed drugs include Oxycodone-Acetaminophen, Tramadol Hcl, Tizanidine Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Carlos Buxo Tirado, MD accept Medicare? ▼
Carlos Buxo Tirado, MD appears in CMS Medicare data with 2,422 Part D claims and 368 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Carlos Buxo Tirado, MD's credentials? ▼
Carlos Buxo Tirado, MD's NPI is 1285660373 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 (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.