NPI registry status
Active
2026 NPPES data Obstetrics Physician NPI 1194794255 MD
Verify on CMS → Edwin Baez Montalvo, MD
Obstetrics Physician in Bayamon, 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 1,402 in Obstetrics 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
392
Medicare Part D claims · 179 beneficiaries · Obstetrics Physician avg: 319
Industry payments
$82.27
3 payments · CMS Open Payments (Sunshine Act)
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Edwin Baez Montalvo, MD filed 392 Medicare Part D claims in 2023 as a Obstetrics Physician in Bayamon, Puerto Rico.
- 392
- Part D claims, 2023
- $82.27
- 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.
Edwin Baez Montalvo, MD's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023, across all CMS prescribers nationally
392 Top 43% higher than 57% 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)
Edwin Baez Montalvo, 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 Edwin Baez Montalvo, MD?
Quality data not reportedPrimary specialty
Obstetrics Physician
Medicare Part D claims
392 23% vs specialty avg
Specialty distribution in Puerto Rico
How Obstetrics 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 Obstetrics 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).
Edwin Baez Montalvo, MD appears in the CMS NPPES registry as a Obstetrics Physician provider holding MD credentials at AVE AGUAS BUENAS, Bayamon, PR, 00959, with a listed phone of (787) 798-0344. NPI 1194794255 was issued on 03/14/2006.
Medicare Part D records for calendar year 2023 show 392 prescription claims written by this provider, covering 179 Medicare beneficiaries and totaling roughly $16K in drug spend.
Obstetrics Physician is a narrow specialty nationwide, with 1,402 enrolled providers across 54 states and an average of 319 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 | 1194794255 |
|---|---|
| Specialty | Obstetrics Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 03/14/2006 |
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 Edwin Baez Montalvo, MD. Source: openpaymentsdata.cms.gov.
Total received
$82
Largest payer
Merck Sharp & Dohme 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.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
392
Total Claims
$16K
Total Drug Cost
179
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 461
- Total Day Supply
- 9,121
- Generic Drug Cost
- $7K
- Antibiotic Claims
- 105
Patient Demographics
- Average Patient Age
- 69.2 years
- Avg HCC Risk Score
- 1.47
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Edwin Baez Montalvo, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Clotrimazole-Betam…
Clotrimazole-Betamethasone
101 claims
- Nitrofurantoin
Nitrofurantoin
56 claims
- Fluconazole 28
Fluconazole
28 claims
- Metronidazole 14
Metronidazole
14 claims
| Drug | Claims |
|---|---|
| Clotrimazole-Betamethasone Clotrimazole/Betamethasone Dip | 101 |
| Nitrofurantoin Nitrofurantoin Macrocrystal | 56 |
| Fluconazole | 28 |
| Metronidazole | 14 |
| Progesterone "Progesterone | N/A |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Obstetrics Physician Overview
How Edwin Baez Montalvo, MD fits within the Obstetrics Physician landscape nationally.
1,402
Obstetrics Physician Providers in US
54
States with Obstetrics Physician
319
Avg Claims per Provider
Edwin Baez Montalvo, MD's 392 claims are above the specialty average of 319.
Nearby Obstetrics Physician Providers in Puerto Rico
Other clinicians with the same primary specialty enrolled in Puerto Rico, drawn from the same CMS NPPES roster as Baez Montalvo.
Jose Alvarez
San Juan, PR
Dr. Jesus Alvarez Ruiz
M.D.
Caguas, PR
Sigifredo Cardona
Arecibo, PR
Adrian Colon Laracuente
San Juan, PR
Dr. Lisandra Cordero Nieves
M.D.
Ponce, PR
Compare Obstetrics 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 Obstetrics 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
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Medical Specialties Explained
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Understanding Medicare Claims Data
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How insurance networks affect your costs
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Frequently Asked Questions
What is Edwin Baez Montalvo, MD's specialty? ▼
Edwin Baez Montalvo, MD specializes in Obstetrics Physician and practices in Bayamon, Puerto Rico. Credentials: MD.
How much does Edwin Baez Montalvo, MD prescribe under Medicare Part D? ▼
In 2023, Edwin Baez Montalvo, MD wrote 392 Medicare Part D claims totaling $16K in drug costs for 179 beneficiaries.
Where is Edwin Baez Montalvo, MD located? ▼
Edwin Baez Montalvo, MD is located at AVE AGUAS BUENAS, Bayamon, PR, 00959. Phone: (787) 798-0344.
What is Edwin Baez Montalvo, MD's NPI number? ▼
Edwin Baez Montalvo, MD's National Provider Identifier (NPI) is 1194794255, issued on 03/14/2006.
How many Obstetrics Physician providers are there in the US? ▼
There are 1,402 Obstetrics Physician providers across 54 states in the US. The average Obstetrics Physician provider writes 319 Medicare Part D claims per year.
What drugs does Edwin Baez Montalvo, MD prescribe most often? ▼
Based on 2023 Medicare Part D data, Edwin Baez Montalvo, MD's most frequently prescribed drugs include Clotrimazole-Betamethasone, Nitrofurantoin, Fluconazole. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Edwin Baez Montalvo, MD accept Medicare? ▼
Edwin Baez Montalvo, MD appears in CMS Medicare data with 392 Part D claims and 179 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Edwin Baez Montalvo, MD's credentials? ▼
Edwin Baez Montalvo, MD's NPI is 1194794255 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.