NPI registry status
Active
2026 NPPES data Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician NPI 1063863710 M.D.
Verify on CMS → Darlene Vargas Maldonado, M.D.
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician in San Juan, 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 621 in Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) 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
121
Medicare Part D claims · 39 beneficiaries · Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician avg: 661
Generic prescribing
75%
generic claims · 25% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$94.29
1 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2024
What the federal data shows
Darlene Vargas Maldonado, M.D. filed 121 Medicare Part D claims in 2024 as a Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician in San Juan, Puerto Rico, prescribing 75% generic.
- 121
- Part D claims, 2024
- 75%
- generic prescribing
- Likely
- board-certified (heuristic)
- ≥34th
- pct by Part D claim volume (lower-bound band)
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.
Federal trust snapshot
What official records show about Darlene Vargas Maldonado, M.D.
Federal records show an active NPI with Medicare Part D prescribing activity — verifiable registry data, not a proprietary rating.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1063863710), first enumerated 06/23/2016.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 121 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- Reported
Board certification signal
Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.
- Reported
Hospital affiliations
1 CMS Care Compare hospital affiliation on record — practice footprint from the Doctors and Clinicians file.
Source: CMS Care Compare
- Reported
Industry payment transparency
$94.29 in reported industry payments (1 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.
Source: CMS Open Payments
- Not in federal data
Individual sanction lookup
PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.
Source: State medical board / FSMB
This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.
CMS NPPES provider registry desk
NPI 1063863710 · Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
NPI-10 · ENUM-MID · TAX-NARROW · RX-LIGHT · BOOK-THIN · PHOTO-ENUM
- NPI-10 1063863710
- ENUM-MID 2016
- TAX-NARROW 621
- RX-LIGHT 121
- BOOK-THIN 1 in Puerto Rico
- PHOTO-ENUM Vini Konowitz · 2016
Darlene Vargas Maldonado, M.D.'s Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2024, across all CMS prescribers nationally
121 ≥ 34th percentile 34% of 1,416,883 prescribers are in lower value bands
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.
The percentile is a conservative 100-claim band: it counts only prescribers in lower claim-volume bands. Medicare Part D claim volume is activity context, not a quality measure or recommendation. See methodology § corpus placement.
Source CMS Medicare Part D Prescriber Public Use File · 2024
✓
Board certification likely (heuristic, not verified)
Darlene Vargas Maldonado, M.D. 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 Darlene Vargas Maldonado, M.D.?
Quality data not reportedPrimary specialty
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Medicare Part D claims
121 82% vs specialty avg
Specialty distribution in Puerto Rico
How Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) 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 Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) 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).
Practice Address
Provider Details
| NPI | 1063863710 |
|---|---|
| Specialty | Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician |
| Credentials | M.D. |
| Gender | Female |
| NPI Issued | 06/23/2016 |
Hospital and facility affiliations
Facilities where Darlene Vargas Maldonado, 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.
Recinto DE Ciencias Medicas
Rio Piedras, 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 Darlene Vargas Maldonado, M.D.. Source: openpaymentsdata.cms.gov.
Total received
$94
Largest payer
INTUITIVE SURGICAL, 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 · Above average
Darlene Vargas Maldonado, M.D. - brand share 25.0%
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician average
25% brand-name claims vs 75% generic, on 121 2024 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 2024.
121
Total Claims
$22K
Total Drug Cost
39
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 228.533
- Total Day Supply
- 6,296
- Brand vs Generic
- 25% brand / 75% generic
- Brand Drug Cost
- $17K
- Generic Drug Cost
- $4K
Patient Demographics
- Average Patient Age
- 66.3 years
- Avg HCC Risk Score
- 0.95
- Gender Split
- 100% female / 0% male
- Age Distribution
- <65: 12, 65-74: 17, 75-84: N/A, 85+: N/A
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
| Drug | Claims |
|---|---|
| Estradiol | 43 |
| Myrbetriq Mirabegron | 23 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
More Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician in PR →
All providers in Puerto Rico →
Compare specialties →
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician Overview
How Darlene Vargas Maldonado, M.D. fits within the Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician landscape nationally.
621
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician Providers in US
50
States with Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
661
Avg Claims per Provider
Darlene Vargas Maldonado, M.D.'s 121 claims are below the specialty average of 661.
Nationwide Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Vargas Maldonado, both outside Puerto Rico so the neighborhoods are not geographic containment.
Same NPPES enumeration year (2016)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Frequently Asked Questions
What is Darlene Vargas Maldonado, M.D.'s specialty? ▼
Darlene Vargas Maldonado, M.D. specializes in Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician and practices in San Juan, Puerto Rico. Credentials: M.D..
How much does Darlene Vargas Maldonado, M.D. prescribe under Medicare Part D? ▼
In 2024, Darlene Vargas Maldonado, M.D. wrote 121 Medicare Part D claims totaling $22K in drug costs for 39 beneficiaries.
Where is Darlene Vargas Maldonado, M.D. located? ▼
Darlene Vargas Maldonado, M.D. is located at 735 AVE PONCE DE LEON STE 812, San Juan, PR, 00917. Phone: (787) 945-2919.
What is Darlene Vargas Maldonado, M.D.'s NPI number? ▼
Darlene Vargas Maldonado, M.D.'s National Provider Identifier (NPI) is 1063863710, issued on 06/23/2016.
Does Darlene Vargas Maldonado, M.D. prescribe more brand-name or generic drugs? ▼
Darlene Vargas Maldonado, M.D.'s prescribing is 25% brand-name and 75% generic drugs by claim count, with $17K in brand drug costs.
How many Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician providers are there in the US? ▼
There are 621 Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician providers across 50 states in the US. The average Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician provider writes 661 Medicare Part D claims per year.
What drugs does Darlene Vargas Maldonado, M.D. prescribe most often? ▼
Based on 2024 Medicare Part D data, Darlene Vargas Maldonado, M.D.'s most frequently prescribed drugs include Estradiol, Myrbetriq. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Darlene Vargas Maldonado, M.D. accept Medicare? ▼
Darlene Vargas Maldonado, M.D. appears in CMS Medicare data with 121 Part D claims and 39 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Darlene Vargas Maldonado, M.D.'s credentials? ▼
Darlene Vargas Maldonado, M.D.'s NPI is 1063863710 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 (2024). 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 August 2026 (NPPES) / 2024 (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
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 August 2026.