2026 NPPES data Sports Medicine (Family Medicine) Physician NPI 1447646708 M.D.
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CARLOS LOYA VALENCIA, M.D.

Sports Medicine (Family Medicine) Physician in BULVERDE, 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
8K
Medicare Part D claims · 659 beneficiaries · Sports Medicine (Family Medicine) Physician avg: 1K
Generic prescribing
88%
generic claims · 12% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$229.04
2 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

CARLOS LOYA VALENCIA, M.D. filed 7,975 Medicare Part D claims in 2023 as a Sports Medicine (Family Medicine) Physician in BULVERDE, Texas, prescribing 88% generic.

8K
Part D claims, 2023
88%
generic prescribing
Likely
board-certified (heuristic)

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 LOYA VALENCIA, M.D.'s Medicare Part D volume vs every U.S. prescriber

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

7,975 Top 3% higher than 97% 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 certification likely (heuristic — not verified)

CARLOS LOYA VALENCIA, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about CARLOS LOYA VALENCIA, M.D.?

Quality data not reported

NPI registry status

Active

Issued 04/13/2015

NPI 1447646708

Primary specialty

Sports Medicine (Family Medicine) Physician

Niche

2,087 US NPIs in this specialty

Medicare Part D claims

7,975 542% vs specialty avg

2023 prescription claims

Specialty avg: 1,242

Specialty distribution in Texas

How Sports Medicine (Family Medicine) Physician compares to other specialties among Texas providers

Texas providers

Sports Medicine (Family Medicine) Physician share within Texas

1. Sports Medicine (Family Medicine) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Sports Medicine (Family Medicine) Physician share within Texas

Specialty board-certification context

Estimated specialty board-certified rate — Sports Medicine (Family Medicine) Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Sports Medicine (Family Medicine) Physician ABMS/AOA estimate

Est. board-certified rate (Sports Medicine (Family Medicine) Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Sports Medicine (Family Medicine) 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 LOYA VALENCIA, M.D. appears in the CMS NPPES registry as a Sports Medicine (Family Medicine) Physician provider holding M.D. credentials at 524 SINGING OAKS STE 311, BULVERDE, TX, 78070, with a listed phone of (830) 214-1688. NPI 1447646708 was issued on 04/13/2015. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what LOYA VALENCIA 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 7,975 prescription claims written by this provider, covering 659 Medicare beneficiaries and totaling roughly $965K in drug spend, split 12% brand-name and 88% generic by claim count, with an opioid prescribing rate of 1.0%. 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.

Sports Medicine (Family Medicine) Physician is a narrow specialty nationwide, with 2,087 enrolled providers across 52 states and an average of 1,242 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

524 SINGING OAKS STE 311
BULVERDE, TX 78070

Provider Details

NPI 1447646708
Specialty Sports Medicine (Family Medicine) Physician
Credentials M.D.
Gender Male
NPI Issued 04/13/2015

Hospital and facility affiliations

Facilities where CARLOS LOYA VALENCIA, M.D. 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.

BHS PHYSICIANS NETWORK, INC
SAN ANTONIO, TX

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 LOYA VALENCIA, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$229

Largest payer

Lilly USA, LLC

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.

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 LOYA VALENCIA, M.D.. To verify CARLOS LOYA VALENCIA, M.D.'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 · Typical

CARLOS LOYA VALENCIA, M.D. — brand share 12.0%
Specialty average (est.)

12% brand-name claims vs 88% generic, on 7,975 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.

7,975
Total Claims
$965K
Total Drug Cost
659
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
19,264
Total Day Supply
566,629
Brand vs Generic
12% brand / 88% generic
Brand Drug Cost
$813K
Generic Drug Cost
$146K
Opioid Claims
77 (1.0% rate)
Antibiotic Claims
147

Patient Demographics

Average Patient Age
72.1 years
Avg HCC Risk Score
0.99
Gender Split
49% female / 51% male
Age Distribution
<65: 48, 65-74: 378, 75-84: 192, 85+: 41

Top Prescribed Drugs (Medicare Part D)

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

What CARLOS LOYA VALENCIA, M.D. 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
Atorvastatin Calcium
471
Levothyroxine Sodium
345
Rosuvastatin Calcium
338
Losartan Potassium
320
Amlodipine Besylate
303
Lisinopril
253
Omeprazole
189
Montelukast Sodium
170
Trazodone Hcl
166
Gabapentin
152

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

Sports Medicine (Family Medicine) Physician Overview

How CARLOS LOYA VALENCIA, M.D. fits within the Sports Medicine (Family Medicine) Physician landscape nationally.

2,087
Sports Medicine (Family Medicine) Physician Providers in US
52
States with Sports Medicine (Family Medicine) Physician
1,242
Avg Claims per Provider

CARLOS LOYA VALENCIA, M.D.'s 7,975 claims are above the specialty average of 1,242.

Nearby Sports Medicine (Family Medicine) Physician Providers in Texas

Other clinicians with the same primary specialty enrolled in Texas, drawn from the same CMS NPPES roster as LOYA VALENCIA.

Compare Sports Medicine (Family Medicine) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is CARLOS LOYA VALENCIA, M.D.'s specialty?
CARLOS LOYA VALENCIA, M.D. specializes in Sports Medicine (Family Medicine) Physician and practices in BULVERDE, Texas. Credentials: M.D..
How much does CARLOS LOYA VALENCIA, M.D. prescribe under Medicare Part D?
In 2023, CARLOS LOYA VALENCIA, M.D. wrote 7,975 Medicare Part D claims totaling $965K in drug costs for 659 beneficiaries.
Where is CARLOS LOYA VALENCIA, M.D. located?
CARLOS LOYA VALENCIA, M.D. is located at 524 SINGING OAKS STE 311, BULVERDE, TX, 78070. Phone: (830) 214-1688.
What is CARLOS LOYA VALENCIA, M.D.'s NPI number?
CARLOS LOYA VALENCIA, M.D.'s National Provider Identifier (NPI) is 1447646708, issued on 04/13/2015.
Does CARLOS LOYA VALENCIA, M.D. prescribe more brand-name or generic drugs?
CARLOS LOYA VALENCIA, M.D.'s prescribing is 12% brand-name and 88% generic drugs by claim count, with $813K in brand drug costs.
Does CARLOS LOYA VALENCIA, M.D. prescribe opioids?
Yes, CARLOS LOYA VALENCIA, M.D. had 77 opioid claims in 2023 with an opioid prescribing rate of 1.0%.
How many Sports Medicine (Family Medicine) Physician providers are there in the US?
There are 2,087 Sports Medicine (Family Medicine) Physician providers across 52 states in the US. The average Sports Medicine (Family Medicine) Physician provider writes 1,242 Medicare Part D claims per year.
What drugs does CARLOS LOYA VALENCIA, M.D. prescribe most often?
Based on 2023 Medicare Part D data, CARLOS LOYA VALENCIA, M.D.'s most frequently prescribed drugs include Atorvastatin Calcium, Levothyroxine Sodium, Rosuvastatin Calcium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does CARLOS LOYA VALENCIA, M.D. accept Medicare?
CARLOS LOYA VALENCIA, M.D. appears in CMS Medicare data with 7,975 Part D claims and 659 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify CARLOS LOYA VALENCIA, M.D.'s credentials?
CARLOS LOYA VALENCIA, M.D.'s NPI is 1447646708 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

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