NPI registry status
Active
2026 NPPES data Surgery Physician NPI 1003873704 M.D.
Verify on CMS → Carlos Roque, M.D.
Surgery Physician in Vega Baja, 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 36,199 in Surgery 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
81
Medicare Part D claims · Surgery Physician avg: 169
Generic prescribing
70%
generic claims · 30% brand-name · higher generic rates reduce patient out-of-pocket costs
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 Roque, M.D. filed 81 Medicare Part D claims in 2023 as a Surgery Physician in Vega Baja, Puerto Rico, prescribing 70% generic.
- 81
- Part D claims, 2023
- 70%
- 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 Roque, M.D.'s Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023, across all CMS prescribers nationally
81 0th percentile higher than 0% 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 Roque, 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 Roque, M.D.?
Quality data not reportedPrimary specialty
Surgery Physician
Medicare Part D claims
81 52% vs specialty avg
Specialty distribution in Puerto Rico
How Surgery 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 Surgery 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 Roque, M.D. appears in the CMS NPPES registry as a Surgery Physician provider holding M.D. credentials at CARR NUM. 2 KM.39.5 HOSPITAL WILMA N VAZQUEZ, Vega Baja, PR, 00694, with a listed phone of (787) 858-1580. NPI 1003873704 was issued on 04/27/2006.
Medicare Part D records for calendar year 2023 show 81 prescription claims written by this provider, covering N/A Medicare beneficiaries and totaling roughly $11K in drug spend, split 30% brand-name and 70% generic by claim count.
Surgery Physician is a mid-sized specialty nationwide, with 36,199 enrolled providers across 56 states and an average of 169 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 | 1003873704 |
|---|---|
| Specialty | Surgery Physician |
| Credentials | M.D. |
| Gender | Male |
| NPI Issued | 04/27/2006 |
Brand vs generic prescribing mix · Above average
Carlos Roque, M.D. - brand share 30.0%
Surgery Physician average
30% brand-name claims vs 70% generic, on 81 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.
81
Total Claims
$11K
Total Drug Cost
N/A
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 120
- Total Day Supply
- 3,271
- Brand vs Generic
- 30% brand / 70% generic
- Brand Drug Cost
- $8K
- Generic Drug Cost
- $3K
Patient Demographics
- Average Patient Age
- 74.1 years
- Avg HCC Risk Score
- 0.97
Surgery Physician Overview
How Carlos Roque, M.D. fits within the Surgery Physician landscape nationally.
36,199
Surgery Physician Providers in US
56
States with Surgery Physician
169
Avg Claims per Provider
Carlos Roque, M.D.'s 81 claims are below the specialty average of 169.
Nearby Surgery Physician Providers in Puerto Rico
Other clinicians with the same primary specialty enrolled in Puerto Rico, drawn from the same CMS NPPES roster as Roque.
Dr. Anwar Abdul-Hadi
M.D.
Manati, PR
Dr. Guillermo Acaron Souffront
M.D.
San Juan, PR
Dr. Marcia Alayon-Rosario
MD
Ponce, PR
Dr. Osvaldo Alcaraz Diaz
M.D.
Bayamon, PR
Dr. Kathia Alejandro Serrano
MD
Manati, PR
Compare Surgery 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 Surgery 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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Medical Specialties Explained
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Understanding Medicare Claims Data
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In-Network vs Out-of-Network
How insurance networks affect your costs
Telehealth Guide
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Explore Puerto Rico
Frequently Asked Questions
What is Carlos Roque, M.D.'s specialty? ▼
Carlos Roque, M.D. specializes in Surgery Physician and practices in Vega Baja, Puerto Rico. Credentials: M.D..
How much does Carlos Roque, M.D. prescribe under Medicare Part D? ▼
In 2023, Carlos Roque, M.D. wrote 81 Medicare Part D claims totaling $11K in drug costs for N/A beneficiaries.
Where is Carlos Roque, M.D. located? ▼
Carlos Roque, M.D. is located at CARR NUM. 2 KM.39.5 HOSPITAL WILMA N VAZQUEZ, Vega Baja, PR, 00694. Phone: (787) 858-1580.
What is Carlos Roque, M.D.'s NPI number? ▼
Carlos Roque, M.D.'s National Provider Identifier (NPI) is 1003873704, issued on 04/27/2006.
Does Carlos Roque, M.D. prescribe more brand-name or generic drugs? ▼
Carlos Roque, M.D.'s prescribing is 30% brand-name and 70% generic drugs by claim count, with $8K in brand drug costs.
How many Surgery Physician providers are there in the US? ▼
There are 36,199 Surgery Physician providers across 56 states in the US. The average Surgery Physician provider writes 169 Medicare Part D claims per year.
Does Carlos Roque, M.D. accept Medicare? ▼
Carlos Roque, M.D. appears in CMS Medicare data with 81 Part D claims and N/A Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Carlos Roque, M.D.'s credentials? ▼
Carlos Roque, M.D.'s NPI is 1003873704 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.