2026 NPPES data Gastroenterology Physician NPI 1104843051 M D
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CAROLINE HONCULADA, M D

Gastroenterology Physician in LAKE WALES, 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
2K
Medicare Part D claims · 790 beneficiaries · Gastroenterology Physician avg: 833
Generic prescribing
91%
generic claims · 9% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
94.9334/100
▲ 12 pts above national avg 83.1 · [object Object]
Industry payments
$227.47
11 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

CAROLINE HONCULADA, M D reported a CMS MIPS final score of 94.9334/100 — above the 83.1 national average — and filed 2,275 Medicare Part D claims in 2023.

94.9334/100
MIPS score · +12 vs avg
2K
Part D claims, 2023
91%
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.

CAROLINE HONCULADA, 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

95 Top 25% higher than 75% 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%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). Below this entry. 90–100: 189,403 scored providers (40%). This entry sits in this band. 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)

CAROLINE HONCULADA, M D practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 2 hospital affiliations — 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 CAROLINE HONCULADA, M D?

High performer (top quartile)

NPI registry status

Active

Issued 07/16/2006

NPI 1104843051

Primary specialty

Gastroenterology Physician

Mid-sized

16,567 US NPIs in this specialty

Medicare Part D claims

2,275 173% vs specialty avg

2023 prescription claims

Specialty avg: 833

MIPS final score

94.9334/100 11.833400000000012% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Florida

How Gastroenterology Physician compares to other specialties among Florida providers

Florida providers

Gastroenterology Physician share within Florida

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

Medicare quality performance — MIPS

CAROLINE HONCULADA, M D's 2023 MIPS final score plotted against the Gastroenterology Physician national average

High performer (top quartile)
MIPS Final Score
94.9334/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Gastroenterology Physician) — 94.9334/100 vs national avg 83.1

0%100%National avg83%94.9%
MIPS final score (Gastroenterology Physician) — 94.9334/100 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).

CAROLINE HONCULADA, M D appears in the CMS NPPES registry as a Gastroenterology Physician provider holding M D credentials at 425 S 11TH ST STE 1, LAKE WALES, FL, 33853, with a listed phone of (863) 679-9494. NPI 1104843051 was issued on 07/16/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what HONCULADA 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 2,275 prescription claims written by this provider, covering 790 Medicare beneficiaries and totaling roughly $628K in drug spend, split 9% brand-name and 91% 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 94.9334/100 for the 2023 performance year (Quality 77.0335), compared with the national average of 83.1.

Gastroenterology Physician is a mid-sized specialty nationwide, with 16,567 enrolled providers across 54 states and an average of 833 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

425 S 11TH ST STE 1
LAKE WALES, FL 33853

Provider Details

NPI 1104843051
Specialty Gastroenterology Physician
Credentials M D
Gender Female
NPI Issued 07/16/2006

CMS Quality Score (MIPS)

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

94.9334
Final Score
Avg: 83.1
77.0335
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where CAROLINE HONCULADA, 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.

FLORIDA HOSPITAL MEDICAL GROUP INC
LAKE WALES, FL
FLORIDA HOSPITAL PHYSICIAN GROUP INC
TAMPA, 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 CAROLINE HONCULADA, M D. Source: openpaymentsdata.cms.gov.

Total received

$227

Largest payer

ABBVIE INC.

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 CAROLINE HONCULADA, M D. To verify CAROLINE HONCULADA, M D'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.

Brand vs generic prescribing mix · Generic-heavy

CAROLINE HONCULADA, M D — brand share 9.0%
Specialty average (est.)

9% brand-name claims vs 91% generic, on 2,275 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.

2,275
Total Claims
$628K
Total Drug Cost
790
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
4,113
Total Day Supply
116,611
Brand vs Generic
9% brand / 91% generic
Brand Drug Cost
$559K
Generic Drug Cost
$69K
Antibiotic Claims
14

Patient Demographics

Average Patient Age
70.4 years
Avg HCC Risk Score
1.74
Gender Split
68% female / 32% male
Age Distribution
<65: 146, 65-74: 378, 75-84: 225, 85+: 41

Top Prescribed Drugs (Medicare Part D)

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

What CAROLINE HONCULADA, 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
Dicyclomine Hcl
455
Famotidine
376
Pantoprazole Sodium
330
Sucralfate
193
Omeprazole
112
Amitriptyline Hcl
103
Cholestyramine
Cholestyramine (With Sugar)
59
Fluconazole
52
Linzess
Linaclotide
46
Metoclopramide Hcl
45

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

Gastroenterology Physician Overview

How CAROLINE HONCULADA, M D fits within the Gastroenterology Physician landscape nationally.

16,567
Gastroenterology Physician Providers in US
54
States with Gastroenterology Physician
833
Avg Claims per Provider

CAROLINE HONCULADA, M D's 2,275 claims are above the specialty average of 833.

Nearby Gastroenterology Physician Providers in Florida

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

Compare Gastroenterology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is CAROLINE HONCULADA, M D's specialty?
CAROLINE HONCULADA, M D specializes in Gastroenterology Physician and practices in LAKE WALES, Florida. Credentials: M D.
How much does CAROLINE HONCULADA, M D prescribe under Medicare Part D?
In 2023, CAROLINE HONCULADA, M D wrote 2,275 Medicare Part D claims totaling $628K in drug costs for 790 beneficiaries.
What is CAROLINE HONCULADA, M D's Medicare quality score?
CAROLINE HONCULADA, M D has a CMS MIPS Final Score of 94.9334/100 (Quality: 77.0335). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is CAROLINE HONCULADA, M D located?
CAROLINE HONCULADA, M D is located at 425 S 11TH ST STE 1, LAKE WALES, FL, 33853. Phone: (863) 679-9494.
What is CAROLINE HONCULADA, M D's NPI number?
CAROLINE HONCULADA, M D's National Provider Identifier (NPI) is 1104843051, issued on 07/16/2006.
Does CAROLINE HONCULADA, M D prescribe more brand-name or generic drugs?
CAROLINE HONCULADA, M D's prescribing is 9% brand-name and 91% generic drugs by claim count, with $559K in brand drug costs.
How many Gastroenterology Physician providers are there in the US?
There are 16,567 Gastroenterology Physician providers across 54 states in the US. The average Gastroenterology Physician provider writes 833 Medicare Part D claims per year.
What drugs does CAROLINE HONCULADA, M D prescribe most often?
Based on 2023 Medicare Part D data, CAROLINE HONCULADA, M D's most frequently prescribed drugs include Dicyclomine Hcl, Famotidine, Pantoprazole Sodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does CAROLINE HONCULADA, M D accept Medicare?
CAROLINE HONCULADA, M D appears in CMS Medicare data with 2,275 Part D claims and 790 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify CAROLINE HONCULADA, M D's credentials?
CAROLINE HONCULADA, M D's NPI is 1104843051 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