NPI registry status
Active
2026 NPPES data Internal Medicine Physician NPI 1275538779 MD
Verify on CMS → Carmen Cortes, MD
Internal Medicine Physician in Caguas, 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 172,737 in Internal Medicine 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
3K
Medicare Part D claims · 164 beneficiaries · Internal Medicine Physician avg: 3K
Generic prescribing
87%
generic claims · 12% 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
Carmen Cortes, MD filed 3,393 Medicare Part D claims in 2023 as a Internal Medicine Physician in Caguas, Puerto Rico, prescribing 87% generic.
- 3K
- Part D claims, 2023
- 87%
- 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.
Carmen Cortes, MD's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023, across all CMS prescribers nationally
3,393 Top 10% higher than 90% 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)
Carmen Cortes, 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 Carmen Cortes, MD?
Quality data not reportedPrimary specialty
Internal Medicine Physician
Medicare Part D claims
3,393 25% vs specialty avg
Specialty distribution in Puerto Rico
How Internal Medicine 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 Internal Medicine 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).
Carmen Cortes, MD appears in the CMS NPPES registry as an Internal Medicine Physician provider holding MD credentials at S2 AVE LUIS MUNOZ MARIN, Caguas, PR, 00725, with a listed phone of (787) 745-1702. NPI 1275538779 was issued on 06/20/2005.
Medicare Part D records for calendar year 2023 show 3,393 prescription claims written by this provider, covering 164 Medicare beneficiaries and totaling roughly $304K in drug spend, split 12% brand-name and 87% generic by claim count, with an opioid prescribing rate of 1.4%.
Internal Medicine Physician is a high-volume specialty nationwide, with 172,737 enrolled providers across 56 states and an average of 2,716 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 | 1275538779 |
|---|---|
| Specialty | Internal Medicine Physician |
| Credentials | MD |
| Gender | Female |
| NPI Issued | 06/20/2005 |
Brand vs generic prescribing mix · Typical
Carmen Cortes, MD - brand share 12.0%
Internal Medicine Physician average
12% brand-name claims vs 87% generic, on 3,393 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.
3,393
Total Claims
$304K
Total Drug Cost
164
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 8,102
- Total Day Supply
- 238,876
- Brand vs Generic
- 12% brand / 87% generic
- Brand Drug Cost
- $231K
- Generic Drug Cost
- $71K
- Opioid Claims
- 46 (1.4% rate)
- Antibiotic Claims
- 40
Patient Demographics
- Average Patient Age
- 74.3 years
- Avg HCC Risk Score
- 1.14
- Gender Split
- 61% female / 39% male
- Age Distribution
- <65: 15, 65-74: 77, 75-84: 45, 85+: 27
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Carmen Cortes, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Atorvastatin Calcium
Atorvastatin Calcium
194 claims
- Hydrochlorothiazide
Hydrochlorothiazide
133 claims
- Gabapentin
Gabapentin
124 claims
- Metoprolol Succinate
Metoprolol Succinate
113 claims
- Synthroid
Synthroid
107 claims
- Metformin Hcl
Metformin Hcl
103 claims
- Famotidine
Famotidine
99 claims
- Rosuvastatin Calcium
Rosuvastatin Calcium
97 claims
| Drug | Claims |
|---|---|
| Atorvastatin Calcium | 194 |
| Hydrochlorothiazide | 133 |
| Gabapentin | 124 |
| Metoprolol Succinate | 113 |
| Synthroid Levothyroxine Sodium | 107 |
| Metformin Hcl | 103 |
| Famotidine | 99 |
| Rosuvastatin Calcium | 97 |
| Losartan Potassium | 88 |
| Amlodipine Besylate | 82 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Internal Medicine Physician Overview
How Carmen Cortes, MD fits within the Internal Medicine Physician landscape nationally.
172,737
Internal Medicine Physician Providers in US
56
States with Internal Medicine Physician
2,716
Avg Claims per Provider
Carmen Cortes, MD's 3,393 claims are above the specialty average of 2,716.
Nearby Internal Medicine Physician Providers in Puerto Rico
Other clinicians with the same primary specialty enrolled in Puerto Rico, drawn from the same CMS NPPES roster as Cortes.
Dr. Jamil Abouelhossen
MD
Fajardo, PR
Dr. James Abrams
MD
San Juan, PR
Fernando Abreu Gonzalez
San Juan, PR
Dr. Jumana Abuomar
M.D.
Canovanas, PR
Dr. Lourdes Acevedo
M.D.
Aguada, PR
Compare Internal Medicine 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 Internal Medicine 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.
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Frequently Asked Questions
What is Carmen Cortes, MD's specialty? ▼
Carmen Cortes, MD specializes in Internal Medicine Physician and practices in Caguas, Puerto Rico. Credentials: MD.
How much does Carmen Cortes, MD prescribe under Medicare Part D? ▼
In 2023, Carmen Cortes, MD wrote 3,393 Medicare Part D claims totaling $304K in drug costs for 164 beneficiaries.
Where is Carmen Cortes, MD located? ▼
Carmen Cortes, MD is located at S2 AVE LUIS MUNOZ MARIN, Caguas, PR, 00725. Phone: (787) 745-1702.
What is Carmen Cortes, MD's NPI number? ▼
Carmen Cortes, MD's National Provider Identifier (NPI) is 1275538779, issued on 06/20/2005.
Does Carmen Cortes, MD prescribe more brand-name or generic drugs? ▼
Carmen Cortes, MD's prescribing is 12% brand-name and 87% generic drugs by claim count, with $231K in brand drug costs.
Does Carmen Cortes, MD prescribe opioids? ▼
Yes, Carmen Cortes, MD had 46 opioid claims in 2023 with an opioid prescribing rate of 1.4%.
How many Internal Medicine Physician providers are there in the US? ▼
There are 172,737 Internal Medicine Physician providers across 56 states in the US. The average Internal Medicine Physician provider writes 2,716 Medicare Part D claims per year.
What drugs does Carmen Cortes, MD prescribe most often? ▼
Based on 2023 Medicare Part D data, Carmen Cortes, MD's most frequently prescribed drugs include Atorvastatin Calcium, Hydrochlorothiazide, Gabapentin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Carmen Cortes, MD accept Medicare? ▼
Carmen Cortes, MD appears in CMS Medicare data with 3,393 Part D claims and 164 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Carmen Cortes, MD's credentials? ▼
Carmen Cortes, MD's NPI is 1275538779 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.