NPI registry status
Active
2026 NPPES data Pain Medicine (Psychiatry & Neurology) Physician NPI 1598840902 MD
Verify on CMS → Carlos Otero, MD
Pain Medicine (Psychiatry & Neurology) Physician in Ponce, 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 160 in Pain Medicine (Psychiatry & Neurology) 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
11K
Medicare Part D claims · 1K beneficiaries · Pain Medicine (Psychiatry & Neurology) Physician avg: 2K
Generic prescribing
96%
generic claims · 4% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$15.29
1 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 Otero, MD filed 11,009 Medicare Part D claims in 2023 as a Pain Medicine (Psychiatry & Neurology) Physician in Ponce, Puerto Rico, prescribing 96% generic.
- 11K
- Part D claims, 2023
- 96%
- generic prescribing
- $15.29
- 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 Otero, MD's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023, across all CMS prescribers nationally
11,009 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 Otero, 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 Otero, MD?
Quality data not reportedPrimary specialty
Pain Medicine (Psychiatry & Neurology) Physician
Medicare Part D claims
11,009 7× vs specialty avg
Specialty distribution in Puerto Rico
How Pain Medicine (Psychiatry & Neurology) 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 (Psychiatry & Neurology) 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 Otero, MD appears in the CMS NPPES registry as a Pain Medicine (Psychiatry & Neurology) Physician provider holding MD credentials at 2225 PONCE BY PASS EDIFICIO PARRA, Ponce, PR, 00717, with a listed phone of (787) 259-3574. NPI 1598840902 was issued on 10/25/2006.
Medicare Part D records for calendar year 2023 show 11,009 prescription claims written by this provider, covering 1,473 Medicare beneficiaries and totaling roughly $899K in drug spend, split 4% brand-name and 96% generic by claim count.
Pain Medicine (Psychiatry & Neurology) Physician is a narrow specialty nationwide, with 160 enrolled providers across 39 states and an average of 1,690 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 | 1598840902 |
|---|---|
| Specialty | Pain Medicine (Psychiatry & Neurology) Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 10/25/2006 |
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 Otero, MD. Source: openpaymentsdata.cms.gov.
Total received
$15
Largest payer
Biogen, 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.
Brand vs generic prescribing mix · Generic-heavy
Carlos Otero, MD - brand share 4.0%
Pain Medicine (Psychiatry & Neurology) Physician average
4% brand-name claims vs 96% generic, on 11,009 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.
11,009
Total Claims
$899K
Total Drug Cost
1,473
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 13,281
- Total Day Supply
- 393,730
- Brand vs Generic
- 4% brand / 96% generic
- Brand Drug Cost
- $562K
- Generic Drug Cost
- $337K
Patient Demographics
- Average Patient Age
- 76.0 years
- Avg HCC Risk Score
- 2.06
- Gender Split
- 62% female / 38% male
- Age Distribution
- <65: 117, 65-74: 438, 75-84: 692, 85+: 226
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Carlos Otero, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Donepezil Hcl
Donepezil Hcl
2,374 claims
- Escitalopram Oxalate
Escitalopram Oxalate
1,763 claims
- Memantine Hcl
Memantine Hcl
1,291 claims
- Galantamine Er 413
Galantamine Er
413 claims
- Carbidopa-Levodopa 363
Carbidopa-Levodopa
363 claims
- Risperidone 315
Risperidone
315 claims
- Levetiracetam 247
Levetiracetam
247 claims
- Citalopram Hbr 243
Citalopram Hbr
243 claims
| Drug | Claims |
|---|---|
| Donepezil Hcl | 2,374 |
| Escitalopram Oxalate | 1,763 |
| Memantine Hcl | 1,291 |
| Galantamine Er Galantamine Hbr | 413 |
| Carbidopa-Levodopa Carbidopa/Levodopa | 363 |
| Risperidone | 315 |
| Levetiracetam | 247 |
| Citalopram Hbr Citalopram Hydrobromide | 243 |
| Memantine Hcl Er Memantine Hcl | 203 |
| Buspirone Hcl | 199 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
More Pain Medicine (Psychiatry & Neurology) Physician in PR →
All providers in Puerto Rico →
Compare specialties →
Pain Medicine (Psychiatry & Neurology) Physician Overview
How Carlos Otero, MD fits within the Pain Medicine (Psychiatry & Neurology) Physician landscape nationally.
160
Pain Medicine (Psychiatry & Neurology) Physician Providers in US
39
States with Pain Medicine (Psychiatry & Neurology) Physician
1,690
Avg Claims per Provider
Carlos Otero, MD's 11,009 claims are above the specialty average of 1,690.
Nearby Pain Medicine (Psychiatry & Neurology) Physician Providers in Puerto Rico
Other clinicians with the same primary specialty enrolled in Puerto Rico, drawn from the same CMS NPPES roster as Otero.
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 (Psychiatry & Neurology) 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
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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 Otero, MD's specialty? ▼
Carlos Otero, MD specializes in Pain Medicine (Psychiatry & Neurology) Physician and practices in Ponce, Puerto Rico. Credentials: MD.
How much does Carlos Otero, MD prescribe under Medicare Part D? ▼
In 2023, Carlos Otero, MD wrote 11,009 Medicare Part D claims totaling $899K in drug costs for 1,473 beneficiaries.
Where is Carlos Otero, MD located? ▼
Carlos Otero, MD is located at 2225 PONCE BY PASS EDIFICIO PARRA, Ponce, PR, 00717. Phone: (787) 259-3574.
What is Carlos Otero, MD's NPI number? ▼
Carlos Otero, MD's National Provider Identifier (NPI) is 1598840902, issued on 10/25/2006.
Does Carlos Otero, MD prescribe more brand-name or generic drugs? ▼
Carlos Otero, MD's prescribing is 4% brand-name and 96% generic drugs by claim count, with $562K in brand drug costs.
How many Pain Medicine (Psychiatry & Neurology) Physician providers are there in the US? ▼
There are 160 Pain Medicine (Psychiatry & Neurology) Physician providers across 39 states in the US. The average Pain Medicine (Psychiatry & Neurology) Physician provider writes 1,690 Medicare Part D claims per year.
What drugs does Carlos Otero, MD prescribe most often? ▼
Based on 2023 Medicare Part D data, Carlos Otero, MD's most frequently prescribed drugs include Donepezil Hcl, Escitalopram Oxalate, Memantine Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Carlos Otero, MD accept Medicare? ▼
Carlos Otero, MD appears in CMS Medicare data with 11,009 Part D claims and 1,473 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Carlos Otero, MD's credentials? ▼
Carlos Otero, MD's NPI is 1598840902 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.
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.