NPI registry status
Active
2026 NPPES data Interventional Cardiology Physician NPI 1366754889 M.D.
Verify on CMS → Carolina Ponce Orellana, M.D.
Interventional Cardiology Physician in Albuquerque, New Mexico.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 3,400 in Interventional Cardiology 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
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
34.9/100
▼ 48 pts below national avg 83.1 · Below average
Industry payments
$450.31
13 payments · CMS Open Payments (Sunshine Act)
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
Carolina Ponce Orellana, M.D. reported a CMS MIPS final score of 34.9/100 - below the 83.1 national average - and filed 857 Medicare Part D claims in 2023.
- 34.9/100
- 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
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
Where Carolina Ponce Orellana, M.D. sits
This provider among interventional cardiology physician peers
Across the 1,386 interventional cardiology physician providers who report both Medicare Part D prescribing and a MIPS quality score, Carolina Ponce Orellana, M.D. writes more Part D claims than 21% of them and scores higher on MIPS quality than 4% - placing this provider in the lower-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Part D claim volume vs MIPS quality, by specialty percentile
Each dot is one interventional cardiology physician peer from a representative sample of 60; the gold marker is Carolina Ponce Orellana, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 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 averagePrimary specialty
Interventional Cardiology Physician
Medicare Part D claims
857 71% vs specialty avg
MIPS final score
34.9/100 48.2 pts vs avg
Specialty distribution in New Mexico
How Interventional Cardiology Physician compares to other specialties among New Mexico providers
Medicare quality performance, MIPS
Carolina Ponce Orellana, M.D.'s 2023 MIPS final score plotted against the Interventional Cardiology Physician national average
- MIPS Final Score
- 34.9/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Interventional Cardiology Physician) - 34.9/100 vs national avg 83.1
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).
Carolina Ponce Orellana, M.D. appears in the CMS NPPES registry as an 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.
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. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 34.9/100 for the 2023 performance year (Quality 17.8, Cost 58.7), compared with the national average of 83.1.
Interventional Cardiology Physician is a narrow specialty nationwide, with 3,400 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
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%
Interventional Cardiology Physician average
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
- Atorvastatin Calcium
Atorvastatin Calcium
78 claims
- Eliquis
Eliquis
73 claims
- Metoprolol Succinate
Metoprolol Succinate
71 claims
- Carvedilol
Carvedilol
50 claims
- Metoprolol Tartrate
Metoprolol Tartrate
48 claims
- Spironolactone
Spironolactone
46 claims
- Clopidogrel
Clopidogrel
43 claims
- Amlodipine Besylate
Amlodipine Besylate
36 claims
| 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.
More Interventional Cardiology Physician in NM →
All providers in New Mexico →
Compare specialties →
Interventional Cardiology Physician Overview
How Carolina Ponce Orellana, M.D. fits within the Interventional Cardiology Physician landscape nationally.
3,400
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.
Dr. Stephen Bernard
M.D.
Farmington, NM
Dr. Luis Carbajal Gonzalez
MD
Las Cruces, NM
Stacey Clegg
Albuquerque, NM
Dr. Kayvan Ellini
MD
Albuquerque, NM
Dr. Robert Federici
MD
Albuquerque, NM
Compare Interventional Cardiology 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 New Mexico medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Interventional Cardiology 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 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 34.9/100 (Quality: 17.8, Cost: 58.7). 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 3,400 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
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.
- 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
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.