2026 NPPES data Pulmonary Disease Physician NPI 1134164395 MD
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CARLOS SANCHEZ, MD

Pulmonary Disease Physician in ATLANTIS, Florida. 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
5K
Medicare Part D claims · 678 beneficiaries · Pulmonary Disease Physician avg: 1K
Industry payments
$2.5K
103 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

CARLOS SANCHEZ, MD filed 5,291 Medicare Part D claims in 2023 as a Pulmonary Disease Physician in ATLANTIS, Florida.

5K
Part D claims, 2023
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 SANCHEZ, MD's Medicare Part D volume vs every U.S. prescriber

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

5,291 Top 6% higher than 94% 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 SANCHEZ, MD 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 SANCHEZ, MD?

Quality data not reported

NPI registry status

Active

Issued 06/19/2006

NPI 1134164395

Primary specialty

Pulmonary Disease Physician

Mid-sized

9,271 US NPIs in this specialty

Medicare Part D claims

5,291 263% vs specialty avg

2023 prescription claims

Specialty avg: 1,457

Specialty distribution in Florida

How Pulmonary Disease Physician compares to other specialties among Florida providers

Florida providers

Pulmonary Disease Physician share within Florida

1. Pulmonary Disease Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Pulmonary Disease Physician share within Florida

Specialty board-certification context

Estimated specialty board-certified rate — Pulmonary Disease Physician (ABMS / AOA reference)

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

Est. board-certified rate (Pulmonary Disease Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Pulmonary Disease 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 SANCHEZ, MD appears in the CMS NPPES registry as a Pulmonary Disease Physician provider holding MD credentials at 5401 S CONGRESS AVE STE 204, ATLANTIS, FL, 33462, with a listed phone of (561) 967-4118. NPI 1134164395 was issued on 06/19/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what SANCHEZ 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 5,291 prescription claims written by this provider, covering 678 Medicare beneficiaries and totaling roughly $3.5 million in drug spend. 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.

Pulmonary Disease Physician is a mid-sized specialty nationwide, with 9,271 enrolled providers across 53 states and an average of 1,457 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

5401 S CONGRESS AVE STE 204
ATLANTIS, FL 33462

Provider Details

NPI 1134164395
Specialty Pulmonary Disease Physician
Credentials MD
Gender Male
NPI Issued 06/19/2006

Hospital and facility affiliations

Facilities where CARLOS SANCHEZ, MD 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.

PULMONARY CRITICAL CARE AND SLEEP
ATLANTIS, FL

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 SANCHEZ, MD. Source: openpaymentsdata.cms.gov.

Total received

$2.5K

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.

License & disciplinary context — Florida FLDOH 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 ~75K Florida medical licensees in 2023 — they are NOT specific to CARLOS SANCHEZ, MD. To verify CARLOS SANCHEZ, MD's current license status, search the FLDOH public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

480
Total board actions, Florida 2023
Across 467 cases
6.40
Actions per 1,000 licensees
Florida statewide rate
monetary fine
Most common action type
138 cases

FLDOH 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 Florida disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

5,291
Total Claims
$3.5M
Total Drug Cost
678
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
7,396
Total Day Supply
205,547
Generic Drug Cost
$278K
Antibiotic Claims
212

Patient Demographics

Average Patient Age
75.9 years
Avg HCC Risk Score
2.49
Gender Split
64% female / 36% male
Age Distribution
<65: 39, 65-74: 256, 75-84: 266, 85+: 117

Top Prescribed Drugs (Medicare Part D)

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

What CARLOS SANCHEZ, MD 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
Albuterol Sulfate Hfa
Albuterol Sulfate
738
Trelegy Ellipta
Fluticasone/Umeclidin/Vilanter
555
Prednisone
553
Fluticasone Propionate
420
Montelukast Sodium
349
Breo Ellipta
Fluticasone/Vilanterol
234
Ipratropium Bromide
175
Famotidine
170
Azithromycin
157
Symbicort
Budesonide/Formoterol Fumarate
149

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

Pulmonary Disease Physician Overview

How CARLOS SANCHEZ, MD fits within the Pulmonary Disease Physician landscape nationally.

9,271
Pulmonary Disease Physician Providers in US
53
States with Pulmonary Disease Physician
1,457
Avg Claims per Provider

CARLOS SANCHEZ, MD's 5,291 claims are above the specialty average of 1,457.

Nearby Pulmonary Disease Physician Providers in Florida

Other clinicians with the same primary specialty enrolled in Florida, drawn from the same CMS NPPES roster as SANCHEZ.

Compare Pulmonary Disease Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is CARLOS SANCHEZ, MD's specialty?
CARLOS SANCHEZ, MD specializes in Pulmonary Disease Physician and practices in ATLANTIS, Florida. Credentials: MD.
How much does CARLOS SANCHEZ, MD prescribe under Medicare Part D?
In 2023, CARLOS SANCHEZ, MD wrote 5,291 Medicare Part D claims totaling $3.5M in drug costs for 678 beneficiaries.
Where is CARLOS SANCHEZ, MD located?
CARLOS SANCHEZ, MD is located at 5401 S CONGRESS AVE STE 204, ATLANTIS, FL, 33462. Phone: (561) 967-4118.
What is CARLOS SANCHEZ, MD's NPI number?
CARLOS SANCHEZ, MD's National Provider Identifier (NPI) is 1134164395, issued on 06/19/2006.
How many Pulmonary Disease Physician providers are there in the US?
There are 9,271 Pulmonary Disease Physician providers across 53 states in the US. The average Pulmonary Disease Physician provider writes 1,457 Medicare Part D claims per year.
What drugs does CARLOS SANCHEZ, MD prescribe most often?
Based on 2023 Medicare Part D data, CARLOS SANCHEZ, MD's most frequently prescribed drugs include Albuterol Sulfate Hfa, Trelegy Ellipta, Prednisone. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does CARLOS SANCHEZ, MD accept Medicare?
CARLOS SANCHEZ, MD appears in CMS Medicare data with 5,291 Part D claims and 678 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify CARLOS SANCHEZ, MD's credentials?
CARLOS SANCHEZ, MD's NPI is 1134164395 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

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