2026 NPPES data General Practice Physician NPI 1215578851
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CARLOS FIGUEROA

General Practice Physician in CAGUAS, Puerto Rico. 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
9K
Medicare Part D claims · 732 beneficiaries · General Practice Physician avg: 3K
Generic prescribing
89%
generic claims · 11% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$140.9
2 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

CARLOS FIGUEROA filed 8,792 Medicare Part D claims in 2023 as a General Practice Physician in CAGUAS, Puerto Rico, prescribing 89% generic.

9K
Part D claims, 2023
89%
generic prescribing
$140.9
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 FIGUEROA's Medicare Part D volume vs every U.S. prescriber

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

8,792 Top 2% higher than 98% 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%). Below this entry. 1,800–2,000: 16,451 prescribers (1%). Below this entry. 2,000–2,200: 213,991 prescribers (16%). This entry sits in this band. 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

Board-eligible specialty (heuristic — not verified)

CARLOS FIGUEROA 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 FIGUEROA?

Quality data not reported

NPI registry status

Active

Issued 10/04/2019

NPI 1215578851

Primary specialty

General Practice Physician

Mid-sized

16,677 US NPIs in this specialty

Medicare Part D claims

8,792 206% vs specialty avg

2023 prescription claims

Specialty avg: 2,872

Specialty distribution in Puerto Rico

How General Practice Physician compares to other specialties among Puerto Rico providers

Puerto Rico providers

General Practice Physician share within Puerto Rico

1. General Practice Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
General Practice Physician share within Puerto Rico

Specialty board-certification context

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

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

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

0%100%78%
Est. board-certified rate (General Practice Physician) — 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 FIGUEROA appears in the CMS NPPES registry as a General Practice Physician provider at C11 AVE JOSE VILLARES, CAGUAS, PR, 00725, with a listed phone of (787) 286-9691. NPI 1215578851 was issued on 10/04/2019. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what FIGUEROA 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 8,792 prescription claims written by this provider, covering 732 Medicare beneficiaries and totaling roughly $320K in drug spend, split 11% brand-name and 89% 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 Physician is a mid-sized specialty nationwide, with 16,677 enrolled providers across 56 states and an average of 2,872 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

C11 AVE JOSE VILLARES
CAGUAS, PR 00725

Provider Details

NPI 1215578851
Specialty General Practice Physician
Gender Male
NPI Issued 10/04/2019

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 FIGUEROA. Source: openpaymentsdata.cms.gov.

Total received

$141

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 FIGUEROA — brand share 11.0%
Specialty average (est.)

11% brand-name claims vs 89% generic, on 8,792 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.

8,792
Total Claims
$320K
Total Drug Cost
732
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
14,224
Total Day Supply
414,910
Brand vs Generic
11% brand / 89% generic
Brand Drug Cost
$206K
Generic Drug Cost
$112K
Antibiotic Claims
114

Patient Demographics

Average Patient Age
72.3 years
Avg HCC Risk Score
1.40
Gender Split
58% female / 42% male
Age Distribution
<65: 125, 65-74: 307, 75-84: 209, 85+: 91

Top Prescribed Drugs (Medicare Part D)

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

What CARLOS FIGUEROA 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
Gabapentin
543
Famotidine
462
Atorvastatin Calcium
434
Synthroid
Levothyroxine Sodium
335
Omeprazole
323
Losartan Potassium
257
Amlodipine Besylate
255
Metformin Hcl
228
Oxybutynin Chloride Er
Oxybutynin Chloride
197
Simvastatin
190

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

General Practice Physician Overview

How CARLOS FIGUEROA fits within the General Practice Physician landscape nationally.

16,677
General Practice Physician Providers in US
56
States with General Practice Physician
2,872
Avg Claims per Provider

CARLOS FIGUEROA's 8,792 claims are above the specialty average of 2,872.

Nearby General Practice Physician Providers in Puerto Rico

Other clinicians with the same primary specialty enrolled in Puerto Rico, drawn from the same CMS NPPES roster as FIGUEROA.

Compare General Practice Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is CARLOS FIGUEROA's specialty?
CARLOS FIGUEROA specializes in General Practice Physician and practices in CAGUAS, Puerto Rico.
How much does CARLOS FIGUEROA prescribe under Medicare Part D?
In 2023, CARLOS FIGUEROA wrote 8,792 Medicare Part D claims totaling $320K in drug costs for 732 beneficiaries.
Where is CARLOS FIGUEROA located?
CARLOS FIGUEROA is located at C11 AVE JOSE VILLARES, CAGUAS, PR, 00725. Phone: (787) 286-9691.
What is CARLOS FIGUEROA's NPI number?
CARLOS FIGUEROA's National Provider Identifier (NPI) is 1215578851, issued on 10/04/2019.
Does CARLOS FIGUEROA prescribe more brand-name or generic drugs?
CARLOS FIGUEROA's prescribing is 11% brand-name and 89% generic drugs by claim count, with $206K in brand drug costs.
How many General Practice Physician providers are there in the US?
There are 16,677 General Practice Physician providers across 56 states in the US. The average General Practice Physician provider writes 2,872 Medicare Part D claims per year.
What drugs does CARLOS FIGUEROA prescribe most often?
Based on 2023 Medicare Part D data, CARLOS FIGUEROA's most frequently prescribed drugs include Gabapentin, Famotidine, Atorvastatin Calcium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does CARLOS FIGUEROA accept Medicare?
CARLOS FIGUEROA appears in CMS Medicare data with 8,792 Part D claims and 732 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify CARLOS FIGUEROA's credentials?
CARLOS FIGUEROA's NPI is 1215578851. 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