2026 NPPES data General Practice Physician NPI 1841309176 MD
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DONALD ORTIZ, MD

General Practice Physician in ALBUQUERQUE, New Mexico. 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
5K
Medicare Part D claims · 423 beneficiaries · General Practice Physician avg: 3K
Generic prescribing
90%
generic claims · 10% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$175.22
8 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

DONALD ORTIZ, MD filed 4,973 Medicare Part D claims in 2023 as a General Practice Physician in ALBUQUERQUE, New Mexico, prescribing 90% generic.

5K
Part D claims, 2023
90%
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.

DONALD ORTIZ, MD's Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

4,973 Top 6% higher than 94% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). Below this entry. 400–600: 90,619 prescribers (7%). Below this entry. 600–800: 56,224 prescribers (4%). Below this entry. 800–1,000: 40,919 prescribers (3%). Below this entry. 1,000–1,200: 31,827 prescribers (2%). Below this entry. 1,200–1,400: 26,224 prescribers (2%). Below this entry. 1,400–1,600: 21,710 prescribers (2%). Below this entry. 1,600–1,800: 19,072 prescribers (1%). Below this entry. 1,800–2,000: 16,451 prescribers (1%). Below this entry. 2,000–2,200: 213,991 prescribers (16%). This entry sits in this band. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

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)

DONALD ORTIZ, MD 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 DONALD ORTIZ, MD?

Quality data not reported

NPI registry status

Active

Issued 08/30/2006

NPI 1841309176

Primary specialty

General Practice Physician

Mid-sized

16,677 US NPIs in this specialty

Medicare Part D claims

4,973 73% vs specialty avg

2023 prescription claims

Specialty avg: 2,872

Specialty distribution in New Mexico

How General Practice Physician compares to other specialties among New Mexico providers

New Mexico providers

General Practice Physician share within New Mexico

1. General Practice Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
General Practice Physician share within New Mexico

Specialty board-certification context

Estimated specialty board-certified rate — General Practice Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
General Practice Physician ABMS/AOA estimate

Est. board-certified rate (General Practice Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (General Practice Physician) — ABMS / AOA estimate

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).

DONALD ORTIZ, MD is a General Practice Physician provider practicing in ALBUQUERQUE, New Mexico, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1841309176. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

DONALD ORTIZ, MD appears in the CMS NPPES registry as a General Practice Physician provider holding MD credentials at 1821 CARLISLE BLVD NE, ALBUQUERQUE, NM, 87110, with a listed phone of (505) 255-1228. NPI 1841309176 was issued on 08/30/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what ORTIZ 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 4,973 prescription claims written by this provider, covering 423 Medicare beneficiaries and totaling roughly $574K in drug spend, split 10% brand-name and 90% generic by claim count, with an opioid prescribing rate of 13.4%. 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.

General Practice Physician is a mid-sized specialty nationwide, with 16,677 enrolled providers across 56 states and an average of 2,872 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

1821 CARLISLE BLVD NE
ALBUQUERQUE, NM 87110

Provider Details

NPI 1841309176
Specialty General Practice Physician
Credentials MD
Gender Male
NPI Issued 08/30/2006

Hospital and facility affiliations

Facilities where DONALD ORTIZ, MD 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.

OPTUMCARE NEW MEXICO LLC
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 DONALD ORTIZ, MD. Source: openpaymentsdata.cms.gov.

Total received

$175

Largest payer

Exact Sciences 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

DONALD ORTIZ, MD — brand share 10.0%
Specialty average (est.)

10% brand-name claims vs 90% generic, on 4,973 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.

4,973
Total Claims
$574K
Total Drug Cost
423
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
9,186
Total Day Supply
262,551
Brand vs Generic
10% brand / 90% generic
Brand Drug Cost
$388K
Generic Drug Cost
$184K
Opioid Claims
668 (13.4% rate)
Antibiotic Claims
160

Patient Demographics

Average Patient Age
68.2 years
Avg HCC Risk Score
0.95
Gender Split
48% female / 52% male
Age Distribution
<65: 90, 65-74: 233, 75-84: 89, 85+: 11

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Oxycodone Hcl
230
Amlodipine Besylate
194
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
190
Levothyroxine Sodium
165
Atorvastatin Calcium
160
Oxycodone-Acetaminophen
Oxycodone Hcl/Acetaminophen
156
Alprazolam
146
Gabapentin
137
Metformin Hcl
128
Albuterol Sulfate Hfa
Albuterol Sulfate
120

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

General Practice Physician Overview

How DONALD ORTIZ, MD fits within the General Practice Physician landscape nationally.

16,677
General Practice Physician Providers in US
56
States with General Practice Physician
2,872
Avg Claims per Provider

DONALD ORTIZ, MD's 4,973 claims are above the specialty average of 2,872.

Nearby General Practice Physician Providers in New Mexico

Other clinicians with the same primary specialty enrolled in New Mexico, drawn from the same CMS NPPES roster as ORTIZ.

Compare General Practice Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is DONALD ORTIZ, MD's specialty?
DONALD ORTIZ, MD specializes in General Practice Physician and practices in ALBUQUERQUE, New Mexico. Credentials: MD.
How much does DONALD ORTIZ, MD prescribe under Medicare Part D?
In 2023, DONALD ORTIZ, MD wrote 4,973 Medicare Part D claims totaling $574K in drug costs for 423 beneficiaries.
Where is DONALD ORTIZ, MD located?
DONALD ORTIZ, MD is located at 1821 CARLISLE BLVD NE, ALBUQUERQUE, NM, 87110. Phone: (505) 255-1228.
What is DONALD ORTIZ, MD's NPI number?
DONALD ORTIZ, MD's National Provider Identifier (NPI) is 1841309176, issued on 08/30/2006.
Does DONALD ORTIZ, MD prescribe more brand-name or generic drugs?
DONALD ORTIZ, MD's prescribing is 10% brand-name and 90% generic drugs by claim count, with $388K in brand drug costs.
Does DONALD ORTIZ, MD prescribe opioids?
Yes, DONALD ORTIZ, MD had 668 opioid claims in 2023 with an opioid prescribing rate of 13.4%.
How many General Practice Physician providers are there in the US?
There are 16,677 General Practice Physician providers across 56 states in the US. The average General Practice Physician provider writes 2,872 Medicare Part D claims per year.
What drugs does DONALD ORTIZ, MD prescribe most often?
Based on 2023 Medicare Part D data, DONALD ORTIZ, MD's most frequently prescribed drugs include Oxycodone Hcl, Amlodipine Besylate, Hydrocodone-Acetaminophen. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does DONALD ORTIZ, MD accept Medicare?
DONALD ORTIZ, MD appears in CMS Medicare data with 4,973 Part D claims and 423 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify DONALD ORTIZ, MD's credentials?
DONALD ORTIZ, MD's NPI is 1841309176 with credentials MD. 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.
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