2026 NPPES data Internal Medicine Physician NPI 1073559969 MD
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CAROLINA HERNANDEZ, MD

Internal Medicine Physician in STAFFORD, Virginia. 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
3K
Medicare Part D claims · 219 beneficiaries · Internal Medicine Physician avg: 3K
Generic prescribing
93%
generic claims · 7% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$43.98
2 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

CAROLINA HERNANDEZ, MD filed 2,861 Medicare Part D claims in 2023 as a Internal Medicine Physician in STAFFORD, Virginia, prescribing 93% generic.

3K
Part D claims, 2023
93%
generic prescribing
$43.98
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.

CAROLINA HERNANDEZ, MD's Medicare Part D volume vs every U.S. prescriber

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

2,861 Top 12% higher than 88% 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-eligible specialty (heuristic — not verified)

CAROLINA HERNANDEZ, 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 CAROLINA HERNANDEZ, MD?

Quality data not reported

NPI registry status

Active

Issued 06/21/2006

NPI 1073559969

Primary specialty

Internal Medicine Physician

High-volume

172,858 US NPIs in this specialty

Medicare Part D claims

2,861 5% vs specialty avg

2023 prescription claims

Specialty avg: 2,716

Specialty distribution in Virginia

How Internal Medicine Physician compares to other specialties among Virginia providers

Virginia providers

Internal Medicine Physician share within Virginia

1. Internal Medicine Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Internal Medicine Physician share within Virginia

Specialty board-certification context

Estimated specialty board-certified rate — Internal Medicine Physician (ABMS / AOA reference)

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

Est. board-certified rate (Internal Medicine Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Internal Medicine 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).

CAROLINA HERNANDEZ, MD appears in the CMS NPPES registry as a Internal Medicine Physician provider holding MD credentials at 450 GARRISONVILLE RD, STAFFORD, VA, 22554, with a listed phone of (540) 318-8167. NPI 1073559969 was issued on 06/21/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what HERNANDEZ 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 2,861 prescription claims written by this provider, covering 219 Medicare beneficiaries and totaling roughly $275K in drug spend, split 7% brand-name and 93% generic by claim count, with an opioid prescribing rate of 1.9%. 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.

Internal Medicine Physician is a high-volume specialty nationwide, with 172,858 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

450 GARRISONVILLE RD
STAFFORD, VA 22554

Provider Details

NPI 1073559969
Specialty Internal Medicine Physician
Credentials MD
Gender Female
NPI Issued 06/21/2006

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 CAROLINA HERNANDEZ, MD. Source: openpaymentsdata.cms.gov.

Total received

$44

Largest payer

Exact Sciences Corporation

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

CAROLINA HERNANDEZ, MD — brand share 7.0%
Specialty average (est.)

7% brand-name claims vs 93% generic, on 2,861 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.

2,861
Total Claims
$275K
Total Drug Cost
219
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
7,017
Total Day Supply
207,452
Brand vs Generic
7% brand / 93% generic
Brand Drug Cost
$200K
Generic Drug Cost
$73K
Opioid Claims
53 (1.9% rate)
Antibiotic Claims
40

Patient Demographics

Average Patient Age
72.2 years
Avg HCC Risk Score
1.05
Gender Split
70% female / 30% male
Age Distribution
<65: 21, 65-74: 121, 75-84: 61, 85+: 16

Top Prescribed Drugs (Medicare Part D)

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

What CAROLINA HERNANDEZ, 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
Levothyroxine Sodium
169
Atorvastatin Calcium
149
Metformin Hcl
121
Rosuvastatin Calcium
102
Lisinopril
99
Amlodipine Besylate
98
Metoprolol Succinate
83
Losartan Potassium
82
Simvastatin
75
Omeprazole
57

* 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 CAROLINA HERNANDEZ, MD fits within the Internal Medicine Physician landscape nationally.

172,858
Internal Medicine Physician Providers in US
56
States with Internal Medicine Physician
2,716
Avg Claims per Provider

CAROLINA HERNANDEZ, MD's 2,861 claims are above the specialty average of 2,716.

Nearby Internal Medicine Physician Providers in Virginia

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

Compare Internal Medicine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is CAROLINA HERNANDEZ, MD's specialty?
CAROLINA HERNANDEZ, MD specializes in Internal Medicine Physician and practices in STAFFORD, Virginia. Credentials: MD.
How much does CAROLINA HERNANDEZ, MD prescribe under Medicare Part D?
In 2023, CAROLINA HERNANDEZ, MD wrote 2,861 Medicare Part D claims totaling $275K in drug costs for 219 beneficiaries.
Where is CAROLINA HERNANDEZ, MD located?
CAROLINA HERNANDEZ, MD is located at 450 GARRISONVILLE RD, STAFFORD, VA, 22554. Phone: (540) 318-8167.
What is CAROLINA HERNANDEZ, MD's NPI number?
CAROLINA HERNANDEZ, MD's National Provider Identifier (NPI) is 1073559969, issued on 06/21/2006.
Does CAROLINA HERNANDEZ, MD prescribe more brand-name or generic drugs?
CAROLINA HERNANDEZ, MD's prescribing is 7% brand-name and 93% generic drugs by claim count, with $200K in brand drug costs.
Does CAROLINA HERNANDEZ, MD prescribe opioids?
Yes, CAROLINA HERNANDEZ, MD had 53 opioid claims in 2023 with an opioid prescribing rate of 1.9%.
How many Internal Medicine Physician providers are there in the US?
There are 172,858 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 CAROLINA HERNANDEZ, MD prescribe most often?
Based on 2023 Medicare Part D data, CAROLINA HERNANDEZ, MD's most frequently prescribed drugs include Levothyroxine Sodium, Atorvastatin Calcium, Metformin Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does CAROLINA HERNANDEZ, MD accept Medicare?
CAROLINA HERNANDEZ, MD appears in CMS Medicare data with 2,861 Part D claims and 219 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify CAROLINA HERNANDEZ, MD's credentials?
CAROLINA HERNANDEZ, MD's NPI is 1073559969 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