NPI registry status
Active
2026 NPPES data Internal Medicine Physician NPI 1831179795 M.D.
Verify on CMS → Carlos Cepero Ayende, M.D.
Internal Medicine Physician in Aibonito, 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 172,737 in Internal Medicine 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
27K
Medicare Part D claims · 1K beneficiaries · Internal Medicine Physician avg: 3K
Generic prescribing
84%
generic claims · 14% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$27
2 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Carlos Cepero Ayende, M.D. filed 26,713 Medicare Part D claims in 2023 as a Internal Medicine Physician in Aibonito, Puerto Rico, prescribing 84% generic.
- 27K
- Part D claims, 2023
- 84%
- generic prescribing
- $27
- 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 Cepero Ayende, M.D.'s Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023, across all CMS prescribers nationally
26,713 Top 2% higher than 98% 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 Cepero Ayende, M.D. 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 Cepero Ayende, M.D.?
Quality data not reportedPrimary specialty
Internal Medicine Physician
Medicare Part D claims
26,713 10× vs specialty avg
Specialty distribution in Puerto Rico
How Internal Medicine 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 Internal Medicine 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 Cepero Ayende, M.D. appears in the CMS NPPES registry as an Internal Medicine Physician provider holding M.D. credentials at URB. VILLA ROSALES, Aibonito, PR, 00705, with a listed phone of (787) 735-7575. NPI 1831179795 was issued on 01/18/2006.
Medicare Part D records for calendar year 2023 show 26,713 prescription claims written by this provider, covering 1,018 Medicare beneficiaries and totaling roughly $1.3 million in drug spend, split 14% brand-name and 84% generic by claim count, with an opioid prescribing rate of 0.3%.
Internal Medicine Physician is a high-volume specialty nationwide, with 172,737 enrolled providers across 56 states and an average of 2,716 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 | 1831179795 |
|---|---|
| Specialty | Internal Medicine Physician |
| Credentials | M.D. |
| Gender | Male |
| NPI Issued | 01/18/2006 |
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 Cepero Ayende, M.D.. Source: openpaymentsdata.cms.gov.
Total received
$27
Largest payer
AstraZeneca Pharmaceuticals LP
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 · Typical
Carlos Cepero Ayende, M.D. - brand share 14.0%
Internal Medicine Physician average
14% brand-name claims vs 84% generic, on 26,713 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.
26,713
Total Claims
$1.3M
Total Drug Cost
1,018
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 53,104
- Total Day Supply
- 1,550,378
- Brand vs Generic
- 14% brand / 84% generic
- Brand Drug Cost
- $868K
- Generic Drug Cost
- $439K
- Opioid Claims
- 88 (0.3% rate)
- Antibiotic Claims
- 646
Patient Demographics
- Average Patient Age
- 70.5 years
- Avg HCC Risk Score
- 1.76
- Gender Split
- 54% female / 46% male
- Age Distribution
- <65: 222, 65-74: 432, 75-84: 286, 85+: 78
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Carlos Cepero Ayende, M.D. prescribes most
Top Medicare Part D drugs by claim count, 2023
- Atorvastatin Calcium
Atorvastatin Calcium
1,366 claims
- Metformin Hcl
Metformin Hcl
888 claims
- Rosuvastatin Calcium
Rosuvastatin Calcium
756 claims
- Losartan Potassium
Losartan Potassium
715 claims
- Omeprazole
Omeprazole
702 claims
- Gabapentin
Gabapentin
684 claims
- Synthroid
Synthroid
653 claims
- Fenofibrate
Fenofibrate
650 claims
| Drug | Claims |
|---|---|
| Atorvastatin Calcium | 1,366 |
| Metformin Hcl | 888 |
| Rosuvastatin Calcium | 756 |
| Losartan Potassium | 715 |
| Omeprazole | 702 |
| Gabapentin | 684 |
| Synthroid Levothyroxine Sodium | 653 |
| Fenofibrate | 650 |
| Temazepam | 602 |
| Clonazepam | 591 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Internal Medicine Physician Overview
How Carlos Cepero Ayende, M.D. fits within the Internal Medicine Physician landscape nationally.
172,737
Internal Medicine Physician Providers in US
56
States with Internal Medicine Physician
2,716
Avg Claims per Provider
Carlos Cepero Ayende, M.D.'s 26,713 claims are above the specialty average of 2,716.
Nearby Internal Medicine Physician Providers in Puerto Rico
Other clinicians with the same primary specialty enrolled in Puerto Rico, drawn from the same CMS NPPES roster as Cepero Ayende.
Dr. Jamil Abouelhossen
MD
Fajardo, PR
Dr. James Abrams
MD
San Juan, PR
Fernando Abreu Gonzalez
San Juan, PR
Dr. Jumana Abuomar
M.D.
Canovanas, PR
Dr. Lourdes Acevedo
M.D.
Aguada, PR
Compare Internal Medicine 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 Internal Medicine 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.
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Medical Specialties Explained
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Understanding Medicare Claims Data
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How insurance networks affect your costs
Telehealth Guide
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Explore Puerto Rico
Frequently Asked Questions
What is Carlos Cepero Ayende, M.D.'s specialty? ▼
Carlos Cepero Ayende, M.D. specializes in Internal Medicine Physician and practices in Aibonito, Puerto Rico. Credentials: M.D..
How much does Carlos Cepero Ayende, M.D. prescribe under Medicare Part D? ▼
In 2023, Carlos Cepero Ayende, M.D. wrote 26,713 Medicare Part D claims totaling $1.3M in drug costs for 1,018 beneficiaries.
Where is Carlos Cepero Ayende, M.D. located? ▼
Carlos Cepero Ayende, M.D. is located at URB. VILLA ROSALES, Aibonito, PR, 00705. Phone: (787) 735-7575.
What is Carlos Cepero Ayende, M.D.'s NPI number? ▼
Carlos Cepero Ayende, M.D.'s National Provider Identifier (NPI) is 1831179795, issued on 01/18/2006.
Does Carlos Cepero Ayende, M.D. prescribe more brand-name or generic drugs? ▼
Carlos Cepero Ayende, M.D.'s prescribing is 14% brand-name and 84% generic drugs by claim count, with $868K in brand drug costs.
Does Carlos Cepero Ayende, M.D. prescribe opioids? ▼
Yes, Carlos Cepero Ayende, M.D. had 88 opioid claims in 2023 with an opioid prescribing rate of 0.3%.
How many Internal Medicine Physician providers are there in the US? ▼
There are 172,737 Internal Medicine Physician providers across 56 states in the US. The average Internal Medicine Physician provider writes 2,716 Medicare Part D claims per year.
What drugs does Carlos Cepero Ayende, M.D. prescribe most often? ▼
Based on 2023 Medicare Part D data, Carlos Cepero Ayende, M.D.'s most frequently prescribed drugs include Atorvastatin Calcium, Metformin Hcl, Rosuvastatin Calcium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Carlos Cepero Ayende, M.D. accept Medicare? ▼
Carlos Cepero Ayende, M.D. appears in CMS Medicare data with 26,713 Part D claims and 1,018 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Carlos Cepero Ayende, M.D.'s credentials? ▼
Carlos Cepero Ayende, M.D.'s NPI is 1831179795 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
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.
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 May 2026.