2026 NPPES data Ophthalmology Physician NPI 1629085006 M.D.
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EDGARDO NEGRON, M.D.

Ophthalmology Physician in MANATI, Puerto Rico. 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
6K
Medicare Part D claims · 1K beneficiaries · Ophthalmology Physician avg: 1K
Generic prescribing
63%
generic claims · 37% brand-name · higher generic rates reduce patient out-of-pocket costs
What the federal data reveals: EDGARDO NEGRON, M.D. is a Ophthalmology Physician ([object Object]) practicing in MANATI, Puerto Rico with a Medicare Part D prescribing footprint of 6K claims across 1K beneficiaries — 37% brand-name prescribing .

What stands out: EDGARDO NEGRON, M.D. filed 6,237 Medicare Part D claims in 2023 across MANATI, Puerto Rico. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board-eligible specialty (heuristic — not verified)

EDGARDO NEGRON, M.D. 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).

EDGARDO NEGRON, M.D. at a glance

Quality data not reported

NPI registry status

Active

Issued 08/01/2006

NPI 1629085006

Primary specialty

Ophthalmology Physician

Mid-sized

22,090 US NPIs in this specialty

Medicare Part D claims

6,237 339% vs specialty avg

2023 prescription claims

Specialty avg: 1,420

Specialty distribution in Puerto Rico

How Ophthalmology Physician compares to other specialties among Puerto Rico providers

Puerto Rico providers

Ophthalmology Physician share within Puerto Rico

1. Ophthalmology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Ophthalmology Physician share within Puerto Rico

Specialty board-certification context

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

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

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

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

EDGARDO NEGRON, M.D. is a Ophthalmology Physician provider practicing in MANATI, Puerto Rico, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1629085006. 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.

EDGARDO NEGRON, M.D. appears in the CMS NPPES registry as a Ophthalmology Physician provider holding M.D. credentials at CALLE MARGINAL E 1, CARRETERA #2, MANATI, PR, 00674, with a listed phone of (787) 884-3980. NPI 1629085006 was issued on 08/01/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what NEGRON 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 6,237 prescription claims written by this provider, covering 1,140 Medicare beneficiaries and totaling roughly $276K in drug spend, split 37% brand-name and 63% 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.

Ophthalmology Physician is a mid-sized specialty nationwide, with 22,090 enrolled providers across 56 states and an average of 1,420 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

CALLE MARGINAL E 1, CARRETERA #2
MANATI, PR 00674

Provider Details

NPI 1629085006
Specialty Ophthalmology Physician
Credentials M.D.
Gender Male
NPI Issued 08/01/2006

Brand vs generic prescribing mix · Above average

EDGARDO NEGRON, M.D. — brand share 37.0%
Specialty average (est.)

37% brand-name claims vs 63% generic, on 6,237 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.

6,237
Total Claims
$276K
Total Drug Cost
1,140
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
6,836
Total Day Supply
175,229
Brand vs Generic
37% brand / 63% generic
Brand Drug Cost
$206K
Generic Drug Cost
$70K

Patient Demographics

Average Patient Age
74.0 years
Avg HCC Risk Score
2.15
Gender Split
58% female / 42% male
Age Distribution
<65: 115, 65-74: 459, 75-84: 480, 85+: 86

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Latanoprost
2,506
Prednisolone Acetate
951
Ofloxacin
833
Ketorolac Tromethamine
591
Dorzolamide-Timolol
Dorzolamide Hcl/Timolol Maleat
330
Brimonidine Tartrate
286
Timolol Maleate
129
Tobramycin-Dexamethasone
Tobramycin/Dexamethasone
121
Restasis
Cyclosporine
90
Lumigan
Bimatoprost
78

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

Ophthalmology Physician Overview

How EDGARDO NEGRON, M.D. fits within the Ophthalmology Physician landscape nationally.

22,090
Ophthalmology Physician Providers in US
56
States with Ophthalmology Physician
1,420
Avg Claims per Provider

EDGARDO NEGRON, M.D.'s 6,237 claims are above the specialty average of 1,420.

Nearby Ophthalmology Physician Providers in Puerto Rico

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

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

Frequently Asked Questions

What is EDGARDO NEGRON, M.D.'s specialty?
EDGARDO NEGRON, M.D. specializes in Ophthalmology Physician and practices in MANATI, Puerto Rico. Credentials: M.D..
How much does EDGARDO NEGRON, M.D. prescribe under Medicare Part D?
In 2023, EDGARDO NEGRON, M.D. wrote 6,237 Medicare Part D claims totaling $276K in drug costs for 1,140 beneficiaries.
Where is EDGARDO NEGRON, M.D. located?
EDGARDO NEGRON, M.D. is located at CALLE MARGINAL E 1, CARRETERA #2, MANATI, PR, 00674. Phone: (787) 884-3980.
What is EDGARDO NEGRON, M.D.'s NPI number?
EDGARDO NEGRON, M.D.'s National Provider Identifier (NPI) is 1629085006, issued on 08/01/2006.
Does EDGARDO NEGRON, M.D. prescribe more brand-name or generic drugs?
EDGARDO NEGRON, M.D.'s prescribing is 37% brand-name and 63% generic drugs by claim count, with $206K in brand drug costs.
How many Ophthalmology Physician providers are there in the US?
There are 22,090 Ophthalmology Physician providers across 56 states in the US. The average Ophthalmology Physician provider writes 1,420 Medicare Part D claims per year.
What drugs does EDGARDO NEGRON, M.D. prescribe most often?
Based on 2023 Medicare Part D data, EDGARDO NEGRON, M.D.'s most frequently prescribed drugs include Latanoprost, Prednisolone Acetate, Ofloxacin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does EDGARDO NEGRON, M.D. accept Medicare?
EDGARDO NEGRON, M.D. appears in CMS Medicare data with 6,237 Part D claims and 1,140 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify EDGARDO NEGRON, M.D.'s credentials?
EDGARDO NEGRON, M.D.'s NPI is 1629085006 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.
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