NPI registry status
Active
2026 NPPES data General Practice Physician NPI 1063449379
Verify on CMS → Eduardo Encarnacion Concepcion
General Practice Physician in San Sebastian, 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 16,677 in General Practice 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
1K
Medicare Part D claims · 717 beneficiaries · General Practice Physician avg: 3K
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Eduardo Encarnacion Concepcion filed 1,175 Medicare Part D claims in 2023 as a General Practice Physician in San Sebastian, Puerto Rico.
- 1K
- Part D claims, 2023
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.
Eduardo Encarnacion Concepcion's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023, across all CMS prescribers nationally
1,175 Top 23% higher than 77% of 1,370,886 prescribers
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)
Eduardo Encarnacion Concepcion 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 Eduardo Encarnacion Concepcion?
Quality data not reportedPrimary specialty
General Practice Physician
Medicare Part D claims
1,175 59% vs specialty avg
Specialty distribution in Puerto Rico
How General Practice Physician compares to other specialties among Puerto Rico 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 General Practice 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).
Eduardo Encarnacion Concepcion appears in the CMS NPPES registry as a General Practice Physician provider at 126 CALLE PAVIA FERNANDEZ, San Sebastian, PR, 00685, with a listed phone of (787) 280-1335. NPI 1063449379 was issued on 06/26/2006.
Medicare Part D records for calendar year 2023 show 1,175 prescription claims written by this provider, covering 717 Medicare beneficiaries and totaling roughly $17K in drug spend.
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
Provider Details
| NPI | 1063449379 |
|---|---|
| Specialty | General Practice Physician |
| Gender | Male |
| NPI Issued | 06/26/2006 |
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
1,175
Total Claims
$17K
Total Drug Cost
717
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 1,179
- Total Day Supply
- 10,475
- Generic Drug Cost
- $15K
- Antibiotic Claims
- 441
Patient Demographics
- Average Patient Age
- 70.7 years
- Avg HCC Risk Score
- 2.15
- Gender Split
- 59% female / 41% male
- Age Distribution
- <65: 173, 65-74: 261, 75-84: 220, 85+: 63
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Eduardo Encarnacion Concepcion prescribes most
Top Medicare Part D drugs by claim count, 2023
- Diclofenac Potassium
Diclofenac Potassium
193 claims
- Azithromycin
Azithromycin
176 claims
- Cefadroxil
Cefadroxil
103 claims
- Levofloxacin
Levofloxacin
92 claims
- Dicyclomine Hcl 72
Dicyclomine Hcl
72 claims
- Famotidine 72
Famotidine
72 claims
- Dexamethasone 36
Dexamethasone
36 claims
- Amoxicillin-Clavul… 32
Amoxicillin-Clavulanate Potass
32 claims
| Drug | Claims |
|---|---|
| Diclofenac Potassium | 193 |
| Azithromycin | 176 |
| Cefadroxil | 103 |
| Levofloxacin | 92 |
| Dicyclomine Hcl | 72 |
| Famotidine | 72 |
| Dexamethasone | 36 |
| Amoxicillin-Clavulanate Potass Amoxicillin/Potassium Clav | 32 |
| Nabumetone | 29 |
| Ciprofloxacin Hcl | 25 |
* 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 Eduardo Encarnacion Concepcion 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
Eduardo Encarnacion Concepcion's 1,175 claims are below the specialty average of 2,872.
Nearby General Practice Physician Providers in Puerto Rico
Other clinicians with the same primary specialty enrolled in Puerto Rico, drawn from the same CMS NPPES roster as Encarnacion Concepcion.
Dr. Veronica Abraham
MD
San Juan, PR
Dr. Manuel Abraham Gonzalez
M.D.
San Juan, PR
Dr. Jennifer Abraham Vega
MD
San Juan, PR
Dr. Jose M. Abreu Guzman
M.D.
Manati, PR
Dr. Steven Abreu Reyes
M.D.
Las Piedras, PR
Compare General Practice 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 General Practice 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.
Healthcare Guides
Learn more about finding, verifying, and understanding healthcare providers.
How to Find a Doctor
Step-by-step guide to choosing a provider
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Check NPI, board certification & license status
Medical Specialties Explained
Who treats what and how specialties differ
Understanding Medicare Claims Data
What prescribing data reveals about a provider
In-Network vs Out-of-Network
How insurance networks affect your costs
Telehealth Guide
Virtual care options and coverage in 2026
Explore Puerto Rico
Frequently Asked Questions
What is Eduardo Encarnacion Concepcion's specialty? ▼
Eduardo Encarnacion Concepcion specializes in General Practice Physician and practices in San Sebastian, Puerto Rico.
How much does Eduardo Encarnacion Concepcion prescribe under Medicare Part D? ▼
In 2023, Eduardo Encarnacion Concepcion wrote 1,175 Medicare Part D claims totaling $17K in drug costs for 717 beneficiaries.
Where is Eduardo Encarnacion Concepcion located? ▼
Eduardo Encarnacion Concepcion is located at 126 CALLE PAVIA FERNANDEZ, San Sebastian, PR, 00685. Phone: (787) 280-1335.
What is Eduardo Encarnacion Concepcion's NPI number? ▼
Eduardo Encarnacion Concepcion's National Provider Identifier (NPI) is 1063449379, issued on 06/26/2006.
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 Eduardo Encarnacion Concepcion prescribe most often? ▼
Based on 2023 Medicare Part D data, Eduardo Encarnacion Concepcion's most frequently prescribed drugs include Diclofenac Potassium, Azithromycin, Cefadroxil. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Eduardo Encarnacion Concepcion accept Medicare? ▼
Eduardo Encarnacion Concepcion appears in CMS Medicare data with 1,175 Part D claims and 717 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Eduardo Encarnacion Concepcion's credentials? ▼
Eduardo Encarnacion Concepcion's NPI is 1063449379. 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.