2026 NPPES data Adult Medicine Physician NPI 1720704026 FNP-C
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DONNA CANDELARIA, FNP-C

Adult Medicine 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
532
Medicare Part D claims · 249 beneficiaries · Adult Medicine Physician avg: 3K
Generic prescribing
91%
generic claims · 9% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$426.67
24 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: DONNA CANDELARIA, FNP-C is a Adult Medicine Physician ([object Object]) practicing in ALBUQUERQUE, New Mexico with a Medicare Part D prescribing footprint of 532 claims across 249 beneficiaries — 9% brand-name prescribing . Industry payments of $426.67 across 24 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: DONNA CANDELARIA, FNP-C filed 532 Medicare Part D claims in 2023 across ALBUQUERQUE, New Mexico. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

DONNA CANDELARIA, FNP-C 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).

DONNA CANDELARIA, FNP-C at a glance

Quality data not reported

NPI registry status

Active

Issued 10/18/2022

NPI 1720704026

Primary specialty

Adult Medicine Physician

Niche

2,481 US NPIs in this specialty

Medicare Part D claims

532 81% vs specialty avg

2023 prescription claims

Specialty avg: 2,807

Specialty distribution in New Mexico

How Adult Medicine Physician compares to other specialties among New Mexico providers

New Mexico providers

Adult Medicine Physician share within New Mexico

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

Specialty board-certification context

Estimated specialty board-certified rate — Adult Medicine Physician (ABMS / AOA reference)

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

Est. board-certified rate (Adult Medicine Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Adult Medicine 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).

DONNA CANDELARIA, FNP-C is a Adult Medicine Physician provider practicing in ALBUQUERQUE, New Mexico, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: FNP-C. NPI: 1720704026. 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.

DONNA CANDELARIA, FNP-C appears in the CMS NPPES registry as a Adult Medicine Physician provider holding FNP-C credentials at 1721 RIO RANCHO BLVD SE, ALBUQUERQUE, NM, 87124, with a listed phone of (505) 896-8610. NPI 1720704026 was issued on 10/18/2022. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what CANDELARIA 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 532 prescription claims written by this provider, covering 249 Medicare beneficiaries and totaling roughly $29K in drug spend, split 9% brand-name and 91% generic by claim count, with an opioid prescribing rate of 3.2%. 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.

Adult Medicine Physician is a narrow specialty nationwide, with 2,481 enrolled providers across 52 states and an average of 2,807 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

1721 RIO RANCHO BLVD SE
ALBUQUERQUE, NM 87124

Provider Details

NPI 1720704026
Specialty Adult Medicine Physician
Credentials FNP-C
Gender Female
NPI Issued 10/18/2022

Hospital and facility affiliations

Facilities where DONNA CANDELARIA, FNP-C 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.

DUKE CITY URGENT CARE
ALBUQUERQUE, NM
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 DONNA CANDELARIA, FNP-C. Source: openpaymentsdata.cms.gov.

Total received

$427

Largest payer

Lilly USA, LLC

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

DONNA CANDELARIA, FNP-C — brand share 9.0%
Specialty average (est.)

9% brand-name claims vs 91% generic, on 532 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.

532
Total Claims
$29K
Total Drug Cost
249
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
892
Total Day Supply
22,151
Brand vs Generic
9% brand / 91% generic
Brand Drug Cost
$20K
Generic Drug Cost
$9K
Opioid Claims
17 (3.2% rate)
Antibiotic Claims
81

Patient Demographics

Average Patient Age
71.6 years
Avg HCC Risk Score
1.42
Gender Split
73% female / 27% male
Age Distribution
<65: 44, 65-74: 107, 75-84: 72, 85+: 26

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Levothyroxine Sodium
21
Lisinopril
17
Rosuvastatin Calcium
16
Triamcinolone Acetonide
16
Gabapentin
14
Amoxicillin-Clavulanate Potass
Amoxicillin/Potassium Clav
13
Nitrofurantoin
Nitrofurantoin Macrocrystal
13
Prednisone
13
Cyclobenzaprine Hcl
12
Doxycycline Hyclate
12

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

Adult Medicine Physician Overview

How DONNA CANDELARIA, FNP-C fits within the Adult Medicine Physician landscape nationally.

2,481
Adult Medicine Physician Providers in US
52
States with Adult Medicine Physician
2,807
Avg Claims per Provider

DONNA CANDELARIA, FNP-C's 532 claims are below the specialty average of 2,807.

Nearby Adult Medicine Physician Providers in New Mexico

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

Compare Adult Medicine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is DONNA CANDELARIA, FNP-C's specialty?
DONNA CANDELARIA, FNP-C specializes in Adult Medicine Physician and practices in ALBUQUERQUE, New Mexico. Credentials: FNP-C.
How much does DONNA CANDELARIA, FNP-C prescribe under Medicare Part D?
In 2023, DONNA CANDELARIA, FNP-C wrote 532 Medicare Part D claims totaling $29K in drug costs for 249 beneficiaries.
Where is DONNA CANDELARIA, FNP-C located?
DONNA CANDELARIA, FNP-C is located at 1721 RIO RANCHO BLVD SE, ALBUQUERQUE, NM, 87124. Phone: (505) 896-8610.
What is DONNA CANDELARIA, FNP-C's NPI number?
DONNA CANDELARIA, FNP-C's National Provider Identifier (NPI) is 1720704026, issued on 10/18/2022.
Does DONNA CANDELARIA, FNP-C prescribe more brand-name or generic drugs?
DONNA CANDELARIA, FNP-C's prescribing is 9% brand-name and 91% generic drugs by claim count, with $20K in brand drug costs.
Does DONNA CANDELARIA, FNP-C prescribe opioids?
Yes, DONNA CANDELARIA, FNP-C had 17 opioid claims in 2023 with an opioid prescribing rate of 3.2%.
How many Adult Medicine Physician providers are there in the US?
There are 2,481 Adult Medicine Physician providers across 52 states in the US. The average Adult Medicine Physician provider writes 2,807 Medicare Part D claims per year.
What drugs does DONNA CANDELARIA, FNP-C prescribe most often?
Based on 2023 Medicare Part D data, DONNA CANDELARIA, FNP-C's most frequently prescribed drugs include Levothyroxine Sodium, Lisinopril, Rosuvastatin Calcium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does DONNA CANDELARIA, FNP-C accept Medicare?
DONNA CANDELARIA, FNP-C appears in CMS Medicare data with 532 Part D claims and 249 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify DONNA CANDELARIA, FNP-C's credentials?
DONNA CANDELARIA, FNP-C's NPI is 1720704026 with credentials FNP-C. 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