2026 NPPES data Child & Adolescent Psychiatry Physician NPI 1134559123 MD
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EFRAIN ACOSTA-LEON, MD

Child & Adolescent Psychiatry Physician in STUART, Florida. 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
450
Medicare Part D claims · 39 beneficiaries · Child & Adolescent Psychiatry Physician avg: 600
Generic prescribing
92%
generic claims · 8% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$568.86
28 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: EFRAIN ACOSTA-LEON, MD is a Child & Adolescent Psychiatry Physician ([object Object]) practicing in STUART, Florida with a Medicare Part D prescribing footprint of 450 claims across 39 beneficiaries — 8% brand-name prescribing . Industry payments of $568.86 across 28 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: EFRAIN ACOSTA-LEON, MD filed 450 Medicare Part D claims in 2023 across STUART, Florida. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

EFRAIN ACOSTA-LEON, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

EFRAIN ACOSTA-LEON, MD at a glance

Quality data not reported

NPI registry status

Active

Issued 11/12/2013

NPI 1134559123

Primary specialty

Child & Adolescent Psychiatry Physician

Mid-sized

6,160 US NPIs in this specialty

Medicare Part D claims

450 25% vs specialty avg

2023 prescription claims

Specialty avg: 600

Specialty distribution in Florida

How Child & Adolescent Psychiatry Physician compares to other specialties among Florida providers

Florida providers

Child & Adolescent Psychiatry Physician share within Florida

1. Child & Adolescent Psychiatry Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Child & Adolescent Psychiatry Physician share within Florida

Specialty board-certification context

Estimated specialty board-certified rate — Child & Adolescent Psychiatry Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Child & Adolescent Psychiatry Physician ABMS/AOA estimate

Est. board-certified rate (Child & Adolescent Psychiatry Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Child & Adolescent Psychiatry 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).

EFRAIN ACOSTA-LEON, MD is a Child & Adolescent Psychiatry Physician provider practicing in STUART, Florida, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1134559123. 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.

EFRAIN ACOSTA-LEON, MD appears in the CMS NPPES registry as a Child & Adolescent Psychiatry Physician provider holding MD credentials at 555 S COLORADO AVE STE 111A, STUART, FL, 34994, with a listed phone of (917) 513-6588. NPI 1134559123 was issued on 11/12/2013. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what ACOSTA-LEON 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 450 prescription claims written by this provider, covering 39 Medicare beneficiaries and totaling roughly $124K in drug spend, split 8% brand-name and 92% 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.

Child & Adolescent Psychiatry Physician is a mid-sized specialty nationwide, with 6,160 enrolled providers across 54 states and an average of 600 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

555 S COLORADO AVE STE 111A
STUART, FL 34994

Provider Details

NPI 1134559123
Specialty Child & Adolescent Psychiatry Physician
Credentials MD
Gender Male
NPI Issued 11/12/2013

Hospital and facility affiliations

Facilities where EFRAIN ACOSTA-LEON, MD bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

NEW HORIZONS OF THE TREASURE COAST INC
FORT PIERCE, FL

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

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 EFRAIN ACOSTA-LEON, MD. Source: openpaymentsdata.cms.gov.

Total received

$569

Largest payer

Neurocrine Biosciences, Inc.

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.

License & disciplinary context — Florida FLDOH 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 ~75K Florida medical licensees in 2023 — they are NOT specific to EFRAIN ACOSTA-LEON, MD. To verify EFRAIN ACOSTA-LEON, MD's current license status, search the FLDOH public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

480
Total board actions, Florida 2023
Across 467 cases
6.40
Actions per 1,000 licensees
Florida statewide rate
monetary fine
Most common action type
138 cases

FLDOH 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 Florida disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Generic-heavy

EFRAIN ACOSTA-LEON, MD — brand share 8.0%
Specialty average (est.)

8% brand-name claims vs 92% generic, on 450 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.

450
Total Claims
$124K
Total Drug Cost
39
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
456
Total Day Supply
13,028
Brand vs Generic
8% brand / 92% generic
Brand Drug Cost
$109K
Generic Drug Cost
$15K

Patient Demographics

Average Patient Age
52.9 years
Avg HCC Risk Score
1.19
Gender Split
44% female / 56% 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
Olanzapine
33
Trazodone Hcl
33
Benztropine Mesylate
25
Haloperidol Decanoate
25
Clozapine
23
Invega Sustenna
Paliperidone Palmitate
22
Sertraline Hcl
22
Divalproex Sodium
21
Quetiapine Fumarate
20
Bupropion Xl
Bupropion Hcl
17

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

Child & Adolescent Psychiatry Physician Overview

How EFRAIN ACOSTA-LEON, MD fits within the Child & Adolescent Psychiatry Physician landscape nationally.

6,160
Child & Adolescent Psychiatry Physician Providers in US
54
States with Child & Adolescent Psychiatry Physician
600
Avg Claims per Provider

EFRAIN ACOSTA-LEON, MD's 450 claims are below the specialty average of 600.

Nearby Child & Adolescent Psychiatry Physician Providers in Florida

Other clinicians with the same primary specialty enrolled in Florida, drawn from the same CMS NPPES roster as ACOSTA-LEON.

Compare Child & Adolescent Psychiatry Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is EFRAIN ACOSTA-LEON, MD's specialty?
EFRAIN ACOSTA-LEON, MD specializes in Child & Adolescent Psychiatry Physician and practices in STUART, Florida. Credentials: MD.
How much does EFRAIN ACOSTA-LEON, MD prescribe under Medicare Part D?
In 2023, EFRAIN ACOSTA-LEON, MD wrote 450 Medicare Part D claims totaling $124K in drug costs for 39 beneficiaries.
Where is EFRAIN ACOSTA-LEON, MD located?
EFRAIN ACOSTA-LEON, MD is located at 555 S COLORADO AVE STE 111A, STUART, FL, 34994. Phone: (917) 513-6588.
What is EFRAIN ACOSTA-LEON, MD's NPI number?
EFRAIN ACOSTA-LEON, MD's National Provider Identifier (NPI) is 1134559123, issued on 11/12/2013.
Does EFRAIN ACOSTA-LEON, MD prescribe more brand-name or generic drugs?
EFRAIN ACOSTA-LEON, MD's prescribing is 8% brand-name and 92% generic drugs by claim count, with $109K in brand drug costs.
How many Child & Adolescent Psychiatry Physician providers are there in the US?
There are 6,160 Child & Adolescent Psychiatry Physician providers across 54 states in the US. The average Child & Adolescent Psychiatry Physician provider writes 600 Medicare Part D claims per year.
What drugs does EFRAIN ACOSTA-LEON, MD prescribe most often?
Based on 2023 Medicare Part D data, EFRAIN ACOSTA-LEON, MD's most frequently prescribed drugs include Olanzapine, Trazodone Hcl, Benztropine Mesylate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does EFRAIN ACOSTA-LEON, MD accept Medicare?
EFRAIN ACOSTA-LEON, MD appears in CMS Medicare data with 450 Part D claims and 39 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify EFRAIN ACOSTA-LEON, MD's credentials?
EFRAIN ACOSTA-LEON, MD's NPI is 1134559123 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

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