NPI registry status
Active
2026 NPPES data Psychiatry Physician NPI 1225326481 M.D.
Verify on CMS → Caroline Toro, M.D.
Psychiatry Physician in Bayamon, 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 53,171 in Psychiatry 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
15K
Medicare Part D claims · 862 beneficiaries · Psychiatry Physician avg: 1K
Generic prescribing
>99%
generic claims · <1% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$300.46
8 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
Caroline Toro, M.D. filed 14,694 Medicare Part D claims in 2023 as a Psychiatry Physician in Bayamon, Puerto Rico, prescribing >99% generic.
- 15K
- Part D claims, 2023
- >99%
- 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 Toro, M.D.'s Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023, across all CMS prescribers nationally
14,694 Top 2% higher than 98% 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 certification likely (heuristic, not verified)
Caroline Toro, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 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 Toro, M.D.?
Quality data not reportedPrimary specialty
Psychiatry Physician
Medicare Part D claims
14,694 14× vs specialty avg
Specialty distribution in Puerto Rico
How Psychiatry 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 Psychiatry 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).
Caroline Toro, M.D. appears in the CMS NPPES registry as a Psychiatry Physician provider holding M.D. credentials at 73 CALLE SANTA CRUZ EDIF. MEDICO SANTA CRUZ OFIC. 212, Bayamon, PR, 00961, with a listed phone of (787) 798-4592. NPI 1225326481 was issued on 07/20/2011.
Medicare Part D records for calendar year 2023 show 14,694 prescription claims written by this provider, covering 862 Medicare beneficiaries and totaling roughly $193K in drug spend, split <1% brand-name and >99% generic by claim count.
Psychiatry Physician is a high-volume specialty nationwide, with 53,171 enrolled providers across 56 states and an average of 1,038 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 | 1225326481 |
|---|---|
| Specialty | Psychiatry Physician |
| Credentials | M.D. |
| Gender | Female |
| NPI Issued | 07/20/2011 |
Hospital and facility affiliations
Facilities where Caroline Toro, 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.
Hospital Espanol Auxilio Mutuo DE Puerto Rico, Inc.
San Juan, PR
Inspira Behavioral Care Corp
Rio Grande, PR
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 Toro, M.D.. Source: openpaymentsdata.cms.gov.
Total received
$300
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.
Brand vs generic prescribing mix · Generic-heavy
Caroline Toro, M.D. - brand share 1.0%
Psychiatry Physician average
<1% brand-name claims vs >99% generic, on 14,694 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.
14,694
Total Claims
$193K
Total Drug Cost
862
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 15,259
- Total Day Supply
- 454,539
- Brand vs Generic
- <1% brand / >99% generic
- Brand Drug Cost
- $23K
- Generic Drug Cost
- $170K
Patient Demographics
- Average Patient Age
- 63.9 years
- Avg HCC Risk Score
- 1.79
- Gender Split
- 61% female / 39% male
- Age Distribution
- <65: 399, 65-74: 301, 75-84: 123, 85+: 39
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Caroline Toro, M.D. prescribes most
Top Medicare Part D drugs by claim count, 2023
- Clonazepam
Clonazepam
2,449 claims
- Temazepam
Temazepam
1,267 claims
- Quetiapine Fumarate 964
Quetiapine Fumarate
964 claims
- Sertraline Hcl 951
Sertraline Hcl
951 claims
- Lorazepam 762
Lorazepam
762 claims
- Trazodone Hcl 727
Trazodone Hcl
727 claims
- Escitalopram Oxalate 593
Escitalopram Oxalate
593 claims
- Risperidone 586
Risperidone
586 claims
| Drug | Claims |
|---|---|
| Clonazepam | 2,449 |
| Temazepam | 1,267 |
| Quetiapine Fumarate | 964 |
| Sertraline Hcl | 951 |
| Lorazepam | 762 |
| Trazodone Hcl | 727 |
| Escitalopram Oxalate | 593 |
| Risperidone | 586 |
| Fluoxetine Hcl | 579 |
| Venlafaxine Hcl Er Venlafaxine Hcl | 527 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Psychiatry Physician Overview
How Caroline Toro, M.D. fits within the Psychiatry Physician landscape nationally.
53,171
Psychiatry Physician Providers in US
56
States with Psychiatry Physician
1,038
Avg Claims per Provider
Caroline Toro, M.D.'s 14,694 claims are above the specialty average of 1,038.
Nearby Psychiatry Physician Providers in Puerto Rico
Other clinicians with the same primary specialty enrolled in Puerto Rico, drawn from the same CMS NPPES roster as Toro.
Dr. Vivian Acevedo
MD
Toa Baja, PR
Dr. Alejandro Acevedo Hernandez
M.D.
Guaynabo, PR
Dr. Hilson Acosta
MD
Cidra, PR
Dr. Deborah Acosta Ramirez
MD
San Juan, PR
Dr. Diogenes Adames
MD
Carolina, PR
Compare Psychiatry 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 Psychiatry 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 Caroline Toro, M.D.'s specialty? ▼
Caroline Toro, M.D. specializes in Psychiatry Physician and practices in Bayamon, Puerto Rico. Credentials: M.D..
How much does Caroline Toro, M.D. prescribe under Medicare Part D? ▼
In 2023, Caroline Toro, M.D. wrote 14,694 Medicare Part D claims totaling $193K in drug costs for 862 beneficiaries.
Where is Caroline Toro, M.D. located? ▼
Caroline Toro, M.D. is located at 73 CALLE SANTA CRUZ EDIF. MEDICO SANTA CRUZ OFIC. 212, Bayamon, PR, 00961. Phone: (787) 798-4592.
What is Caroline Toro, M.D.'s NPI number? ▼
Caroline Toro, M.D.'s National Provider Identifier (NPI) is 1225326481, issued on 07/20/2011.
Does Caroline Toro, M.D. prescribe more brand-name or generic drugs? ▼
Caroline Toro, M.D.'s prescribing is <1% brand-name and >99% generic drugs by claim count, with $23K in brand drug costs.
How many Psychiatry Physician providers are there in the US? ▼
There are 53,171 Psychiatry Physician providers across 56 states in the US. The average Psychiatry Physician provider writes 1,038 Medicare Part D claims per year.
What drugs does Caroline Toro, M.D. prescribe most often? ▼
Based on 2023 Medicare Part D data, Caroline Toro, M.D.'s most frequently prescribed drugs include Clonazepam, Temazepam, Quetiapine Fumarate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Caroline Toro, M.D. accept Medicare? ▼
Caroline Toro, M.D. appears in CMS Medicare data with 14,694 Part D claims and 862 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Caroline Toro, M.D.'s credentials? ▼
Caroline Toro, M.D.'s NPI is 1225326481 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.
- 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.