NPI registry status
Active
2026 NPPES data Adult Congenital Heart Disease Physician NPI 1336414309 MD, PHD
Verify on CMS → Daniel Cortez, MD, PHD
Adult Congenital Heart Disease Physician in Sacramento, California.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 106 in Adult Congenital Heart Disease 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
27
Medicare Part D claims · Adult Congenital Heart Disease Physician avg: 2K
Industry payments
$16.2K
43 payments · CMS Open Payments (Sunshine Act)
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Daniel Cortez, MD, PHD filed 27 Medicare Part D claims in 2023 as a Adult Congenital Heart Disease Physician in Sacramento, California.
- 27
- Part D claims, 2023
- 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.
Daniel Cortez, MD, PHD's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023, across all CMS prescribers nationally
27 0th percentile higher than 0% 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)
Daniel Cortez, MD, PHD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 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 Daniel Cortez, MD, PHD?
Quality data not reportedPrimary specialty
Adult Congenital Heart Disease Physician
Medicare Part D claims
27 99% vs specialty avg
Specialty distribution in California
How Adult Congenital Heart Disease Physician compares to other specialties among California 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 Adult Congenital Heart Disease 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).
Daniel Cortez, MD, PHD appears in the CMS NPPES registry as an Adult Congenital Heart Disease Physician provider holding MD, PHD credentials at 2516 STOCKTON BLVD, Sacramento, CA, 95817, with a listed phone of (916) 734-4572. NPI 1336414309 was issued on 03/09/2012.
Medicare Part D records for calendar year 2023 show 27 prescription claims written by this provider, covering N/A Medicare beneficiaries and totaling roughly $5K in drug spend.
Adult Congenital Heart Disease Physician is a narrow specialty nationwide, with 106 enrolled providers across 32 states and an average of 1,930 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 | 1336414309 |
|---|---|
| Specialty | Adult Congenital Heart Disease Physician |
| Credentials | MD, PHD |
| Gender | Male |
| NPI Issued | 03/09/2012 |
Hospital and facility affiliations
Facilities where Daniel Cortez, MD, PHD 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.
Regents OF The Univ OF CA
Sacramento, CA
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 Daniel Cortez, MD, PHD. Source: openpaymentsdata.cms.gov.
Total received
$16.2K
Largest payer
Abbott Laboratories
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 - California MBC 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 ~150K California medical licensees in 2023 - they are NOT specific to Daniel Cortez, MD, PHD. To verify Daniel Cortez, MD, PHD's current license status, search the MBC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
576
Total board actions, California 2023
Across 556 cases
3.84
Actions per 1,000 licensees
California statewide rate
probation
Most common action type
186 cases
MBC 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 California disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
27
Total Claims
$5K
Total Drug Cost
N/A
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 50
- Total Day Supply
- 1,474
- Generic Drug Cost
- $626
Patient Demographics
- Average Patient Age
- 40.6 years
- Avg HCC Risk Score
- 1.78
More Adult Congenital Heart Disease Physician in CA →
All providers in California →
Compare specialties →
Adult Congenital Heart Disease Physician Overview
How Daniel Cortez, MD, PHD fits within the Adult Congenital Heart Disease Physician landscape nationally.
106
Adult Congenital Heart Disease Physician Providers in US
32
States with Adult Congenital Heart Disease Physician
1,930
Avg Claims per Provider
Daniel Cortez, MD, PHD's 27 claims are below the specialty average of 1,930.
Nearby Adult Congenital Heart Disease Physician Providers in California
Other clinicians with the same primary specialty enrolled in California, drawn from the same CMS NPPES roster as Cortez.
Dr. Joseph Bayne
M.D.
San Francisco, CA
Dr. Scott Ceresnak
MD
Palo Alto, CA
Dr. Daniel Clark
MD
Stanford, CA
Dr. Anne Dubin
MD
Palo Alto, CA
Tripti Gupta
San Diego, CA
Compare Adult Congenital Heart Disease 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 California medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Adult Congenital Heart Disease 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 Daniel Cortez, MD, PHD's specialty? ▼
Daniel Cortez, MD, PHD specializes in Adult Congenital Heart Disease Physician and practices in Sacramento, California. Credentials: MD, PHD.
How much does Daniel Cortez, MD, PHD prescribe under Medicare Part D? ▼
In 2023, Daniel Cortez, MD, PHD wrote 27 Medicare Part D claims totaling $5K in drug costs for N/A beneficiaries.
Where is Daniel Cortez, MD, PHD located? ▼
Daniel Cortez, MD, PHD is located at 2516 STOCKTON BLVD, Sacramento, CA, 95817. Phone: (916) 734-4572.
What is Daniel Cortez, MD, PHD's NPI number? ▼
Daniel Cortez, MD, PHD's National Provider Identifier (NPI) is 1336414309, issued on 03/09/2012.
How many Adult Congenital Heart Disease Physician providers are there in the US? ▼
There are 106 Adult Congenital Heart Disease Physician providers across 32 states in the US. The average Adult Congenital Heart Disease Physician provider writes 1,930 Medicare Part D claims per year.
Does Daniel Cortez, MD, PHD accept Medicare? ▼
Daniel Cortez, MD, PHD appears in CMS Medicare data with 27 Part D claims and N/A Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Daniel Cortez, MD, PHD's credentials? ▼
Daniel Cortez, MD, PHD's NPI is 1336414309 with credentials MD, PHD. 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.