2026 NPPES data General Practice Registered Nurse NPI 1225467327 FNP
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CARLOS COSME-THILLET, FNP

General Practice Registered Nurse in SAN ANTONIO, Texas. 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
2K
Medicare Part D claims · 64 beneficiaries · General Practice Registered Nurse avg: 1K
Generic prescribing
93%
generic claims · 7% brand-name · higher generic rates reduce patient out-of-pocket costs

What the federal data shows

CARLOS COSME-THILLET, FNP filed 1,609 Medicare Part D claims in 2023 as a General Practice Registered Nurse in SAN ANTONIO, Texas, prescribing 93% generic.

2K
Part D claims, 2023
93%
generic prescribing

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 COSME-THILLET, FNP's Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

1,609 Top 18% higher than 82% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). Below this entry. 400–600: 90,619 prescribers (7%). Below this entry. 600–800: 56,224 prescribers (4%). Below this entry. 800–1,000: 40,919 prescribers (3%). Below this entry. 1,000–1,200: 31,827 prescribers (2%). Below this entry. 1,200–1,400: 26,224 prescribers (2%). Below this entry. 1,400–1,600: 21,710 prescribers (2%). Below this entry. 1,600–1,800: 19,072 prescribers (1%). This entry sits in this band. 1,800–2,000: 16,451 prescribers (1%). Above this entry. 2,000–2,200: 213,991 prescribers (16%). Above this entry. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

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

What does the federal data show about CARLOS COSME-THILLET, FNP?

Quality data not reported

NPI registry status

Active

Issued 11/08/2013

NPI 1225467327

Primary specialty

General Practice Registered Nurse

Mid-sized

5,478 US NPIs in this specialty

Medicare Part D claims

1,609 36% vs specialty avg

2023 prescription claims

Specialty avg: 1,187

Specialty distribution in Texas

How General Practice Registered Nurse compares to other specialties among Texas providers

Texas providers

General Practice Registered Nurse share within Texas

1. General Practice Registered Nurse42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
General Practice Registered Nurse share within Texas

Specialty board-certification context

Estimated specialty board-certified rate — General Practice Registered Nurse (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
General Practice Registered Nurse ABMS/AOA estimate

Est. board-certified rate (General Practice Registered Nurse) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (General Practice Registered Nurse) — ABMS / AOA estimate

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 COSME-THILLET, FNP appears in the CMS NPPES registry as a General Practice Registered Nurse provider holding FNP credentials at 7355 BARLITE BLVD, SAN ANTONIO, TX, 78224, with a listed phone of (210) 222-0333. NPI 1225467327 was issued on 11/08/2013. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what COSME-THILLET 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 1,609 prescription claims written by this provider, covering 64 Medicare beneficiaries and totaling roughly $75K in drug spend, split 7% brand-name and 93% 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.

General Practice Registered Nurse is a mid-sized specialty nationwide, with 5,478 enrolled providers across 55 states and an average of 1,187 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

7355 BARLITE BLVD
SAN ANTONIO, TX 78224

Provider Details

NPI 1225467327
Specialty General Practice Registered Nurse
Credentials FNP
Gender Male
NPI Issued 11/08/2013

License & disciplinary context — Texas TMB 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 ~77K Texas medical licensees in 2023 — they are NOT specific to CARLOS COSME-THILLET, FNP. To verify CARLOS COSME-THILLET, FNP's current license status, search the TMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

344
Total board actions, Texas 2023
Across 334 cases
4.47
Actions per 1,000 licensees
Texas statewide rate
probation
Most common action type
94 cases

TMB 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 Texas disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Generic-heavy

CARLOS COSME-THILLET, FNP — brand share 7.0%
Specialty average (est.)

7% brand-name claims vs 93% generic, on 1,609 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.

1,609
Total Claims
$75K
Total Drug Cost
64
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
3,878
Total Day Supply
113,455
Brand vs Generic
7% brand / 93% generic
Brand Drug Cost
$52K
Generic Drug Cost
$22K
Antibiotic Claims
34

Patient Demographics

Average Patient Age
67.7 years
Avg HCC Risk Score
2.07
Gender Split
67% female / 33% male

Top Prescribed Drugs (Medicare Part D)

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

What CARLOS COSME-THILLET, FNP 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
Rosuvastatin Calcium
94
Levocetirizine Dihydrochloride
66
Lisinopril
63
Gabapentin
55
Hydrochlorothiazide
52
Metformin Hcl
52
Baclofen
48
Trazodone Hcl
42
Diclofenac Sodium
40
Glimepiride
40

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

General Practice Registered Nurse Overview

How CARLOS COSME-THILLET, FNP fits within the General Practice Registered Nurse landscape nationally.

5,478
General Practice Registered Nurse Providers in US
55
States with General Practice Registered Nurse
1,187
Avg Claims per Provider

CARLOS COSME-THILLET, FNP's 1,609 claims are above the specialty average of 1,187.

Nearby General Practice Registered Nurse Providers in Texas

Other clinicians with the same primary specialty enrolled in Texas, drawn from the same CMS NPPES roster as COSME-THILLET.

Compare General Practice Registered Nurse nationally: see state-by-state distribution →

Frequently Asked Questions

What is CARLOS COSME-THILLET, FNP's specialty?
CARLOS COSME-THILLET, FNP specializes in General Practice Registered Nurse and practices in SAN ANTONIO, Texas. Credentials: FNP.
How much does CARLOS COSME-THILLET, FNP prescribe under Medicare Part D?
In 2023, CARLOS COSME-THILLET, FNP wrote 1,609 Medicare Part D claims totaling $75K in drug costs for 64 beneficiaries.
Where is CARLOS COSME-THILLET, FNP located?
CARLOS COSME-THILLET, FNP is located at 7355 BARLITE BLVD, SAN ANTONIO, TX, 78224. Phone: (210) 222-0333.
What is CARLOS COSME-THILLET, FNP's NPI number?
CARLOS COSME-THILLET, FNP's National Provider Identifier (NPI) is 1225467327, issued on 11/08/2013.
Does CARLOS COSME-THILLET, FNP prescribe more brand-name or generic drugs?
CARLOS COSME-THILLET, FNP's prescribing is 7% brand-name and 93% generic drugs by claim count, with $52K in brand drug costs.
How many General Practice Registered Nurse providers are there in the US?
There are 5,478 General Practice Registered Nurse providers across 55 states in the US. The average General Practice Registered Nurse provider writes 1,187 Medicare Part D claims per year.
What drugs does CARLOS COSME-THILLET, FNP prescribe most often?
Based on 2023 Medicare Part D data, CARLOS COSME-THILLET, FNP's most frequently prescribed drugs include Rosuvastatin Calcium, Levocetirizine Dihydrochloride, Lisinopril. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does CARLOS COSME-THILLET, FNP accept Medicare?
CARLOS COSME-THILLET, FNP appears in CMS Medicare data with 1,609 Part D claims and 64 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify CARLOS COSME-THILLET, FNP's credentials?
CARLOS COSME-THILLET, FNP's NPI is 1225467327 with credentials FNP. 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.
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