2026 NPPES data Hospitalist Physician NPI 1902823867 M.D.
Verify on CMS →

EDGAR SANTILLAN, M.D.

Hospitalist Physician in CENTERVILLE, Ohio. 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
93
Medicare Part D claims · 66 beneficiaries · Hospitalist Physician avg: 888
Generic prescribing
86%
generic claims · 14% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
32.3731/100
▼ 51 pts below national avg 83.1 · [object Object]

What the federal data shows

EDGAR SANTILLAN, M.D. reported a CMS MIPS final score of 32.3731/100 — below the 83.1 national average — and filed 93 Medicare Part D claims in 2023.

32.3731/100
MIPS score · -51 vs avg
93
Part D claims, 2023
86%
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.

EDGAR SANTILLAN, M.D.'s MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

32 3rd percentile higher than 3% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). This entry sits in this band. 40–50: 2,928 scored providers (1%). Above this entry. 50–60: 5,882 scored providers (1%). Above this entry. 60–70: 13,906 scored providers (3%). Above this entry. 70–80: 118,074 scored providers (25%). Above this entry. 80–90: 129,887 scored providers (27%). Above this entry. 90–100: 189,403 scored providers (40%). Above this entry. This provider 0 100 every MIPS-scored clinician, bucketed by value

Each bar is a band; taller bars hold more scored providers. 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 Merit-based Incentive Payment System (MIPS) · 2023

Board certification likely (heuristic — not verified)

EDGAR SANTILLAN, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting — 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 EDGAR SANTILLAN, M.D.?

Below national average

NPI registry status

Active

Issued 07/16/2006

NPI 1902823867

Primary specialty

Hospitalist Physician

Mid-sized

16,825 US NPIs in this specialty

Medicare Part D claims

93 90% vs specialty avg

2023 prescription claims

Specialty avg: 888

MIPS final score

32.3731/100 50.72689999999999% pts

Below average band

vs 83.1 national avg

Specialty distribution in Ohio

How Hospitalist Physician compares to other specialties among Ohio providers

Ohio providers

Hospitalist Physician share within Ohio

1. Hospitalist Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Hospitalist Physician share within Ohio

Medicare quality performance — MIPS

EDGAR SANTILLAN, M.D.'s 2023 MIPS final score plotted against the Hospitalist Physician national average

Below national average
MIPS Final Score
32.3731/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Hospitalist Physician) — 32.3731/100 vs national avg 83.1

0%100%National avg83%32.4%
MIPS final score (Hospitalist Physician) — 32.3731/100 vs national avg 83.1

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 SANTILLAN, M.D. appears in the CMS NPPES registry as a Hospitalist Physician provider holding M.D. credentials at 2400 MIAMI VALLEY DR, CENTERVILLE, OH, 45459, with a listed phone of (937) 556-4324. NPI 1902823867 was issued on 07/16/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what SANTILLAN 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 93 prescription claims written by this provider, covering 66 Medicare beneficiaries and totaling roughly $7K in drug spend, split 14% brand-name and 86% generic by claim count. 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. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 32.3731/100 for the 2023 performance year (Quality 51.0512, Cost 39.842), compared with the national average of 83.1.

Hospitalist Physician is a mid-sized specialty nationwide, with 16,825 enrolled providers across 54 states and an average of 888 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

2400 MIAMI VALLEY DR
CENTERVILLE, OH 45459

Provider Details

NPI 1902823867
Specialty Hospitalist Physician
Credentials M.D.
Gender Male
NPI Issued 07/16/2006

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

32.3731
Final Score
Avg: 83.1
51.0512
Quality
39.842
Cost

Reporting: Individual

License & disciplinary context — Ohio OMB 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 ~48K Ohio medical licensees in 2023 — they are NOT specific to EDGAR SANTILLAN, M.D.. To verify EDGAR SANTILLAN, M.D.'s current license status, search the OMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

158
Total board actions, Ohio 2023
Across 154 cases
3.29
Actions per 1,000 licensees
Ohio statewide rate
probation
Most common action type
56 cases

OMB 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 Ohio disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

EDGAR SANTILLAN, M.D. — brand share 14.0%
Specialty average (est.)

14% brand-name claims vs 86% generic, on 93 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.

93
Total Claims
$7K
Total Drug Cost
66
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
105
Total Day Supply
2,245
Brand vs Generic
14% brand / 86% generic
Brand Drug Cost
$6K
Generic Drug Cost
$2K

Patient Demographics

Average Patient Age
73.2 years
Avg HCC Risk Score
1.36
Gender Split
52% female / 48% male

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Enoxaparin Sodium
17

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

Hospitalist Physician Overview

How EDGAR SANTILLAN, M.D. fits within the Hospitalist Physician landscape nationally.

16,825
Hospitalist Physician Providers in US
54
States with Hospitalist Physician
888
Avg Claims per Provider

EDGAR SANTILLAN, M.D.'s 93 claims are below the specialty average of 888.

Nearby Hospitalist Physician Providers in Ohio

Other clinicians with the same primary specialty enrolled in Ohio, drawn from the same CMS NPPES roster as SANTILLAN.

Compare Hospitalist Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is EDGAR SANTILLAN, M.D.'s specialty?
EDGAR SANTILLAN, M.D. specializes in Hospitalist Physician and practices in CENTERVILLE, Ohio. Credentials: M.D..
How much does EDGAR SANTILLAN, M.D. prescribe under Medicare Part D?
In 2023, EDGAR SANTILLAN, M.D. wrote 93 Medicare Part D claims totaling $7K in drug costs for 66 beneficiaries.
What is EDGAR SANTILLAN, M.D.'s Medicare quality score?
EDGAR SANTILLAN, M.D. has a CMS MIPS Final Score of 32.3731/100 (Quality: 51.0512, Cost: 39.842). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is EDGAR SANTILLAN, M.D. located?
EDGAR SANTILLAN, M.D. is located at 2400 MIAMI VALLEY DR, CENTERVILLE, OH, 45459. Phone: (937) 556-4324.
What is EDGAR SANTILLAN, M.D.'s NPI number?
EDGAR SANTILLAN, M.D.'s National Provider Identifier (NPI) is 1902823867, issued on 07/16/2006.
Does EDGAR SANTILLAN, M.D. prescribe more brand-name or generic drugs?
EDGAR SANTILLAN, M.D.'s prescribing is 14% brand-name and 86% generic drugs by claim count, with $6K in brand drug costs.
How many Hospitalist Physician providers are there in the US?
There are 16,825 Hospitalist Physician providers across 54 states in the US. The average Hospitalist Physician provider writes 888 Medicare Part D claims per year.
What drugs does EDGAR SANTILLAN, M.D. prescribe most often?
Based on 2023 Medicare Part D data, EDGAR SANTILLAN, M.D.'s most frequently prescribed drugs include Enoxaparin Sodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does EDGAR SANTILLAN, M.D. accept Medicare?
EDGAR SANTILLAN, M.D. appears in CMS Medicare data with 93 Part D claims and 66 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify EDGAR SANTILLAN, M.D.'s credentials?
EDGAR SANTILLAN, M.D.'s NPI is 1902823867 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

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.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) — 2023 performance year.
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