2026 NPPES data Interventional Cardiology Physician NPI 1366754889 M.D.
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CAROLINA PONCE ORELLANA, M.D.

Interventional Cardiology Physician in ALBUQUERQUE, New Mexico. 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
857
Medicare Part D claims · 298 beneficiaries · Interventional Cardiology Physician avg: 3K
Generic prescribing
81%
generic claims · 19% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
34.8655/100
▼ 48 pts below national avg 83.1 · [object Object]
Industry payments
$450.31
13 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

CAROLINA PONCE ORELLANA, M.D. reported a CMS MIPS final score of 34.8655/100 — below the 83.1 national average — and filed 857 Medicare Part D claims in 2023.

34.8655/100
MIPS score · -48 vs avg
857
Part D claims, 2023
81%
generic prescribing
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.

CAROLINA PONCE ORELLANA, M.D.'s MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

35 3rd percentile higher than 3% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). This entry sits in this band. 40–50: 2,928 scored providers (1%). Above this entry. 50–60: 5,882 scored providers (1%). Above this entry. 60–70: 13,906 scored providers (3%). Above this entry. 70–80: 118,074 scored providers (25%). Above this entry. 80–90: 129,887 scored providers (27%). Above this entry. 90–100: 189,403 scored providers (40%). Above this entry. This provider 0 100 every MIPS-scored clinician, bucketed by value

Each bar is a band; taller bars hold more scored providers. 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 Merit-based Incentive Payment System (MIPS) · 2023

Board certification likely (heuristic — not verified)

CAROLINA PONCE ORELLANA, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 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 CAROLINA PONCE ORELLANA, M.D.?

Below national average

NPI registry status

Active

Issued 07/13/2010

NPI 1366754889

Primary specialty

Interventional Cardiology Physician

Niche

3,382 US NPIs in this specialty

Medicare Part D claims

857 71% vs specialty avg

2023 prescription claims

Specialty avg: 2,984

MIPS final score

34.8655/100 48.2345% pts

Below average band

vs 83.1 national avg

Specialty distribution in New Mexico

How Interventional Cardiology Physician compares to other specialties among New Mexico providers

New Mexico providers

Interventional Cardiology Physician share within New Mexico

1. Interventional Cardiology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Interventional Cardiology Physician share within New Mexico

Medicare quality performance — MIPS

CAROLINA PONCE ORELLANA, M.D.'s 2023 MIPS final score plotted against the Interventional Cardiology Physician national average

Below national average
MIPS Final Score
34.8655/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Interventional Cardiology Physician) — 34.8655/100 vs national avg 83.1

0%100%National avg83%34.9%
MIPS final score (Interventional Cardiology Physician) — 34.8655/100 vs national avg 83.1

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 PONCE ORELLANA, M.D. appears in the CMS NPPES registry as a Interventional Cardiology Physician provider holding M.D. credentials at 2211 LOMAS BLVD NE, ALBUQUERQUE, NM, 87106, with a listed phone of (505) 272-6020. NPI 1366754889 was issued on 07/13/2010. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what PONCE ORELLANA 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 857 prescription claims written by this provider, covering 298 Medicare beneficiaries and totaling roughly $234K in drug spend, split 19% brand-name and 81% generic by claim count. 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. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 34.8655/100 for the 2023 performance year (Quality 17.7592, Cost 58.6598), compared with the national average of 83.1.

Interventional Cardiology Physician is a narrow specialty nationwide, with 3,382 enrolled providers across 53 states and an average of 2,984 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

2211 LOMAS BLVD NE
ALBUQUERQUE, NM 87106

Provider Details

NPI 1366754889
Specialty Interventional Cardiology Physician
Credentials M.D.
Gender Female
NPI Issued 07/13/2010

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

34.8655
Final Score
Avg: 83.1
17.7592
Quality
58.6598
Cost

Reporting: Group practice

Hospital and facility affiliations

Facilities where CAROLINA PONCE ORELLANA, M.D. 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.

UNM MEDICAL GROUP INC
ALBUQUERQUE, NM

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 CAROLINA PONCE ORELLANA, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$450

Largest payer

Novartis Pharmaceuticals 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 · Typical

CAROLINA PONCE ORELLANA, M.D. — brand share 19.0%
Specialty average (est.)

19% brand-name claims vs 81% generic, on 857 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.

857
Total Claims
$234K
Total Drug Cost
298
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
2,412
Total Day Supply
72,225
Brand vs Generic
19% brand / 81% generic
Brand Drug Cost
$215K
Generic Drug Cost
$19K

Patient Demographics

Average Patient Age
74.6 years
Avg HCC Risk Score
1.59
Gender Split
49% female / 51% male
Age Distribution
<65: 23, 65-74: 126, 75-84: 113, 85+: 36

Top Prescribed Drugs (Medicare Part D)

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

What CAROLINA PONCE ORELLANA, M.D. 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
Atorvastatin Calcium
78
Eliquis
Apixaban
73
Metoprolol Succinate
71
Carvedilol
50
Metoprolol Tartrate
48
Spironolactone
46
Clopidogrel
Clopidogrel Bisulfate
43
Amlodipine Besylate
36
Losartan Potassium
35
Lisinopril
34

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

Interventional Cardiology Physician Overview

How CAROLINA PONCE ORELLANA, M.D. fits within the Interventional Cardiology Physician landscape nationally.

3,382
Interventional Cardiology Physician Providers in US
53
States with Interventional Cardiology Physician
2,984
Avg Claims per Provider

CAROLINA PONCE ORELLANA, M.D.'s 857 claims are below the specialty average of 2,984.

Nearby Interventional Cardiology Physician Providers in New Mexico

Other clinicians with the same primary specialty enrolled in New Mexico, drawn from the same CMS NPPES roster as PONCE ORELLANA.

Compare Interventional Cardiology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is CAROLINA PONCE ORELLANA, M.D.'s specialty?
CAROLINA PONCE ORELLANA, M.D. specializes in Interventional Cardiology Physician and practices in ALBUQUERQUE, New Mexico. Credentials: M.D..
How much does CAROLINA PONCE ORELLANA, M.D. prescribe under Medicare Part D?
In 2023, CAROLINA PONCE ORELLANA, M.D. wrote 857 Medicare Part D claims totaling $234K in drug costs for 298 beneficiaries.
What is CAROLINA PONCE ORELLANA, M.D.'s Medicare quality score?
CAROLINA PONCE ORELLANA, M.D. has a CMS MIPS Final Score of 34.8655/100 (Quality: 17.7592, Cost: 58.6598). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is CAROLINA PONCE ORELLANA, M.D. located?
CAROLINA PONCE ORELLANA, M.D. is located at 2211 LOMAS BLVD NE, ALBUQUERQUE, NM, 87106. Phone: (505) 272-6020.
What is CAROLINA PONCE ORELLANA, M.D.'s NPI number?
CAROLINA PONCE ORELLANA, M.D.'s National Provider Identifier (NPI) is 1366754889, issued on 07/13/2010.
Does CAROLINA PONCE ORELLANA, M.D. prescribe more brand-name or generic drugs?
CAROLINA PONCE ORELLANA, M.D.'s prescribing is 19% brand-name and 81% generic drugs by claim count, with $215K in brand drug costs.
How many Interventional Cardiology Physician providers are there in the US?
There are 3,382 Interventional Cardiology Physician providers across 53 states in the US. The average Interventional Cardiology Physician provider writes 2,984 Medicare Part D claims per year.
What drugs does CAROLINA PONCE ORELLANA, M.D. prescribe most often?
Based on 2023 Medicare Part D data, CAROLINA PONCE ORELLANA, M.D.'s most frequently prescribed drugs include Atorvastatin Calcium, Eliquis, Metoprolol Succinate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does CAROLINA PONCE ORELLANA, M.D. accept Medicare?
CAROLINA PONCE ORELLANA, M.D. appears in CMS Medicare data with 857 Part D claims and 298 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify CAROLINA PONCE ORELLANA, M.D.'s credentials?
CAROLINA PONCE ORELLANA, M.D.'s NPI is 1366754889 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

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.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) — 2023 performance year.
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