2026 NPPES data Plastic Surgery within the Head & Neck (Otolaryngology) Physician NPI 1386717247 MD
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Edgar Domenech Fagundo, MD

Plastic Surgery within the Head & Neck (Otolaryngology) Physician in Ponce, 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 608 in Plastic Surgery within the Head & Neck (Otolaryngology) 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
909
Medicare Part D claims · 430 beneficiaries · Plastic Surgery within the Head & Neck (Otolaryngology) Physician avg: 379
Generic prescribing
93%
generic claims · 7% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$155.59
4 payments · CMS Open Payments (Sunshine Act)
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Edgar Domenech Fagundo, MD filed 909 Medicare Part D claims in 2023 as a Plastic Surgery within the Head & Neck (Otolaryngology) Physician in Ponce, Puerto Rico, prescribing 93% generic.

909
Part D claims, 2023
93%
generic prescribing
$155.59
industry payments (Sunshine Act)

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.

Edgar Domenech Fagundo, MD's Medicare Part D volume vs every U.S. prescriber

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

909 Top 25% higher than 75% 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%). This entry sits in this band. 1,000–1,200: 31,827 prescribers (2%). Above this entry. 1,200–1,400: 26,224 prescribers (2%). Above this entry. 1,400–1,600: 21,710 prescribers (2%). Above this entry. 1,600–1,800: 19,072 prescribers (1%). Above this entry. 1,800–2,000: 16,451 prescribers (1%). Above this entry. 2K+: 213,991 prescribers (16%). Above this entry. 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-eligible specialty (heuristic, not verified)

Edgar Domenech Fagundo, MD practices in an ABMS-board-eligible specialty but we don't have enough CMS-participation signals to confirm active board-certified status. Consult CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about Edgar Domenech Fagundo, MD?

Quality data not reported

NPI registry status

Active

Issued 11/16/2006

NPI 1386717247

Primary specialty

Plastic Surgery within the Head & Neck (Otolaryngology) Physician

Niche

608 US NPIs in this specialty

Medicare Part D claims

909 140% vs specialty avg

2023 prescription claims

Specialty avg: 379

Specialty distribution in Puerto Rico

How Plastic Surgery within the Head & Neck (Otolaryngology) Physician compares to other specialties among Puerto Rico providers

Puerto Rico providers
General Practice Physician - 10%General Practice Physician10%Student in an Organized Health Care Education/Training Program - 8.9%Student in an Organized Health Care Education/Training Program8.9%Pharmacist - 8%Pharmacist8%Pharmacy Technician - 5.1%Pharmacy Technician5.1%Clinical Psychologist - 4.7%Clinical Psychologist4.7%Clinical Social Worker - 4.2%Clinical Social Worker4.2%Plastic Surgery within the Head & Neck (Otolaryngology) Physician - 0%Plastic Surgery within the Head & Neck (Otolaryngology) Physician0%
Largest specialties in Puerto Rico (% of in-state 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 Plastic Surgery within the Head & Neck (Otolaryngology) 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).

Edgar Domenech Fagundo, MD appears in the CMS NPPES registry as a Plastic Surgery within the Head & Neck (Otolaryngology) Physician provider holding MD credentials at TORRE MEDICA SAN LUCAS, AVE. TITO CASTRO 917, Ponce, PR, 00730, with a listed phone of (787) 290-3333. NPI 1386717247 was issued on 11/16/2006.

Medicare Part D records for calendar year 2023 show 909 prescription claims written by this provider, covering 430 Medicare beneficiaries and totaling roughly $38K in drug spend, split 7% brand-name and 93% generic by claim count.

Plastic Surgery within the Head & Neck (Otolaryngology) Physician is a narrow specialty nationwide, with 608 enrolled providers across 48 states and an average of 379 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

TORRE MEDICA SAN LUCAS, AVE. TITO CASTRO 917
Ponce, PR 00730

Provider Details

NPI 1386717247
Specialty Plastic Surgery within the Head & Neck (Otolaryngology) Physician
Credentials MD
Gender Male
NPI Issued 11/16/2006

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 Edgar Domenech Fagundo, MD. Source: openpaymentsdata.cms.gov.

Total received

$156

Largest payer

Baxter Healthcare

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

Edgar Domenech Fagundo, MD - brand share 7.0%
Plastic Surgery within the Head & Neck (Otolaryngology) Physician average

7% brand-name claims vs 93% generic, on 909 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.

909
Total Claims
$38K
Total Drug Cost
430
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,046
Total Day Supply
25,964
Brand vs Generic
7% brand / 93% generic
Brand Drug Cost
$7K
Generic Drug Cost
$31K
Antibiotic Claims
88

Patient Demographics

Average Patient Age
71.7 years
Avg HCC Risk Score
1.75
Gender Split
60% female / 40% male
Age Distribution
<65: 77, 65-74: 175, 75-84: 152, 85+: 26

Top Prescribed Drugs (Medicare Part D)

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

What Edgar Domenech Fagundo, MD prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Lansoprazole
157
Fluocinolone Acetonide Oil
94
Fluticasone Propionate
88
Famotidine
68
Azelastine-Fluticasone
Azelastine/Fluticasone
51
Azelastine Hcl
48
Synthroid
Levothyroxine Sodium
46
Neomycin-Polymyxin-Hc
Neomycin/Polymyxin B/Hydrocort
40
Cefadroxil
39
Pantoprazole Sodium
31

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

Plastic Surgery within the Head & Neck (Otolaryngology) Physician Overview

How Edgar Domenech Fagundo, MD fits within the Plastic Surgery within the Head & Neck (Otolaryngology) Physician landscape nationally.

608
Plastic Surgery within the Head & Neck (Otolaryngology) Physician Providers in US
48
States with Plastic Surgery within the Head & Neck (Otolaryngology) Physician
379
Avg Claims per Provider

Edgar Domenech Fagundo, MD's 909 claims are above the specialty average of 379.

Nearby Plastic Surgery within the Head & Neck (Otolaryngology) Physician Providers in Puerto Rico

Other clinicians with the same primary specialty enrolled in Puerto Rico, drawn from the same CMS NPPES roster as Domenech Fagundo.

Compare Plastic Surgery within the Head & Neck (Otolaryngology) 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 Plastic Surgery within the Head & Neck (Otolaryngology) 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.

Frequently Asked Questions

What is Edgar Domenech Fagundo, MD's specialty?
Edgar Domenech Fagundo, MD specializes in Plastic Surgery within the Head & Neck (Otolaryngology) Physician and practices in Ponce, Puerto Rico. Credentials: MD.
How much does Edgar Domenech Fagundo, MD prescribe under Medicare Part D?
In 2023, Edgar Domenech Fagundo, MD wrote 909 Medicare Part D claims totaling $38K in drug costs for 430 beneficiaries.
Where is Edgar Domenech Fagundo, MD located?
Edgar Domenech Fagundo, MD is located at TORRE MEDICA SAN LUCAS, AVE. TITO CASTRO 917, Ponce, PR, 00730. Phone: (787) 290-3333.
What is Edgar Domenech Fagundo, MD's NPI number?
Edgar Domenech Fagundo, MD's National Provider Identifier (NPI) is 1386717247, issued on 11/16/2006.
Does Edgar Domenech Fagundo, MD prescribe more brand-name or generic drugs?
Edgar Domenech Fagundo, MD's prescribing is 7% brand-name and 93% generic drugs by claim count, with $7K in brand drug costs.
How many Plastic Surgery within the Head & Neck (Otolaryngology) Physician providers are there in the US?
There are 608 Plastic Surgery within the Head & Neck (Otolaryngology) Physician providers across 48 states in the US. The average Plastic Surgery within the Head & Neck (Otolaryngology) Physician provider writes 379 Medicare Part D claims per year.
What drugs does Edgar Domenech Fagundo, MD prescribe most often?
Based on 2023 Medicare Part D data, Edgar Domenech Fagundo, MD's most frequently prescribed drugs include Lansoprazole, Fluocinolone Acetonide Oil, Fluticasone Propionate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Edgar Domenech Fagundo, MD accept Medicare?
Edgar Domenech Fagundo, MD appears in CMS Medicare data with 909 Part D claims and 430 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Edgar Domenech Fagundo, MD's credentials?
Edgar Domenech Fagundo, MD's NPI is 1386717247 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

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.