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 36,778 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
99
Medicare Part D claims · Surgery Physician avg: 174
Generic prescribing
87%
generic claims · 13% brand-name · higher generic rates reduce patient out-of-pocket costs
Source: CMS Medicare Part D Prescriber Public Use File, 2024
What the federal data shows
Carlos Roque, M.D. filed 99 Medicare Part D claims in 2024 as a Surgery Physician in Vega Baja, Puerto Rico, prescribing 87% generic.
- 99
- Part D claims, 2024
- 87%
- generic prescribing
- ≥0th
- pct by Part D claim volume (lower-bound band)
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.
Federal trust snapshot
What official records show about Carlos Roque, M.D.
Federal records show an active NPI with Medicare Part D prescribing activity — verifiable registry data, not a proprietary rating.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1003873704), first enumerated 04/27/2006.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 99 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- Reported
Board certification signal
Practices in an ABMS-board-eligible specialty; board certification not confirmed in federal records.
- Not in federal data
Individual sanction lookup
PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.
Source: State medical board / FSMB
This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.
CMS NPPES provider registry desk
NPI 1003873704 · Surgery Physician
NPI-10 · ENUM-LEGACY · TAX-MID · RX-TRACE · BOOK-THIN · PHOTO-ENUM
- NPI-10 1003873704
- ENUM-LEGACY 2006
- TAX-MID 37K Surgery Physician
- RX-TRACE 99
- BOOK-THIN 239 in Puerto Rico
- PHOTO-ENUM John Gens, MD · 2006
Carlos Roque, M.D.'s Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2024, across all CMS prescribers nationally
99 ≥ 0th percentile 0% of 1,416,883 prescribers are in lower value bands
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.
The percentile is a conservative 100-claim band: it counts only prescribers in lower claim-volume bands. Medicare Part D claim volume is activity context, not a quality measure or recommendation. See methodology § corpus placement.
Source CMS Medicare Part D Prescriber Public Use File · 2024
◑
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
99 43% 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).
Practice Address
Provider Details
| NPI | 1003873704 |
|---|---|
| Specialty | Surgery Physician |
| Credentials | M.D. |
| Gender | Male |
| NPI Issued | 04/27/2006 |
Brand vs generic prescribing mix · Typical
Carlos Roque, M.D. - brand share 13.0%
Surgery Physician average
13% brand-name claims vs 87% generic, on 99 2024 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 2024.
99
Total Claims
$9K
Total Drug Cost
N/A
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 167
- Total Day Supply
- 4,800
- Brand vs Generic
- 13% brand / 87% generic
- Brand Drug Cost
- $4K
- Generic Drug Cost
- $5K
Patient Demographics
- Average Patient Age
- 76.1 years
- Avg HCC Risk Score
- 1.03
Surgery Physician Overview
How Carlos Roque, M.D. fits within the Surgery Physician landscape nationally.
36,778
Surgery Physician Providers in US
56
States with Surgery Physician
174
Avg Claims per Provider
Carlos Roque, M.D.'s 99 claims are below the specialty average of 174.
Nationwide Surgery Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Roque, both outside Puerto Rico so the neighborhoods are not geographic containment.
Same NPPES enumeration year (2006)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
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.
One of 239 Surgery Physician providers enrolled in Puerto Rico, 5 are shown here.
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 →
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 2024, Carlos Roque, M.D. wrote 99 Medicare Part D claims totaling $9K 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 13% brand-name and 87% generic drugs by claim count, with $4K in brand drug costs.
How many Surgery Physician providers are there in the US? ▼
There are 36,778 Surgery Physician providers across 56 states in the US. The average Surgery Physician provider writes 174 Medicare Part D claims per year.
Does Carlos Roque, M.D. accept Medicare? ▼
Carlos Roque, M.D. appears in CMS Medicare data with 99 Part D claims and N/A Medicare beneficiaries in 2024. 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 (2024). 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 August 2026 (NPPES) / 2024 (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
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 August 2026.