2026 NPPES data Family Medicine Physician NPI 1497778427 M.D.
Verify on CMS →

ERNESTO AGBAYANI, M.D.

Family Medicine Physician in MARTINSBURG, West Virginia. 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
5K
Medicare Part D claims · 360 beneficiaries · Family Medicine Physician avg: 3K
Generic prescribing
88%
generic claims · 12% brand-name · higher generic rates reduce patient out-of-pocket costs
What the federal data reveals: ERNESTO AGBAYANI, M.D. is a Family Medicine Physician ([object Object]) practicing in MARTINSBURG, West Virginia with a Medicare Part D prescribing footprint of 5K claims across 360 beneficiaries — 12% brand-name prescribing .

What stands out: ERNESTO AGBAYANI, M.D. filed 4,579 Medicare Part D claims in 2023 across MARTINSBURG, West Virginia. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board-eligible specialty (heuristic — not verified)

ERNESTO AGBAYANI, 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).

ERNESTO AGBAYANI, M.D. at a glance

Quality data not reported

NPI registry status

Active

Issued 07/25/2006

NPI 1497778427

Primary specialty

Family Medicine Physician

High-volume

147,640 US NPIs in this specialty

Medicare Part D claims

4,579 34% vs specialty avg

2023 prescription claims

Specialty avg: 3,418

Specialty distribution in West Virginia

How Family Medicine Physician compares to other specialties among West Virginia providers

West Virginia providers

Family Medicine Physician share within West Virginia

1. Family Medicine Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Family Medicine Physician share within West Virginia

Specialty board-certification context

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

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

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

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

ERNESTO AGBAYANI, M.D. is a Family Medicine Physician provider practicing in MARTINSBURG, West Virginia, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1497778427. 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.

ERNESTO AGBAYANI, M.D. appears in the CMS NPPES registry as a Family Medicine Physician provider holding M.D. credentials at 155 HEALTH CARE LN, MARTINSBURG, WV, 25401, with a listed phone of (304) 596-6911. NPI 1497778427 was issued on 07/25/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what AGBAYANI 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 4,579 prescription claims written by this provider, covering 360 Medicare beneficiaries and totaling roughly $401K in drug spend, split 12% brand-name and 88% generic by claim count, with an opioid prescribing rate of 0.5%. 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.

Family Medicine Physician is a high-volume specialty nationwide, with 147,640 enrolled providers across 56 states and an average of 3,418 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

155 HEALTH CARE LN
MARTINSBURG, WV 25401

Provider Details

NPI 1497778427
Specialty Family Medicine Physician
Credentials M.D.
Gender Male
NPI Issued 07/25/2006

Brand vs generic prescribing mix · Typical

ERNESTO AGBAYANI, M.D. — brand share 12.0%
Specialty average (est.)

12% brand-name claims vs 88% generic, on 4,579 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.

4,579
Total Claims
$401K
Total Drug Cost
360
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
10,738
Total Day Supply
316,074
Brand vs Generic
12% brand / 88% generic
Brand Drug Cost
$336K
Generic Drug Cost
$63K
Opioid Claims
25 (0.5% rate)
Antibiotic Claims
56

Patient Demographics

Average Patient Age
74.5 years
Avg HCC Risk Score
0.99
Gender Split
54% female / 46% male
Age Distribution
<65: 28, 65-74: 164, 75-84: 115, 85+: 53

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Levothyroxine Sodium
263
Amlodipine Besylate
252
Atorvastatin Calcium
223
Hydrochlorothiazide
219
Rosuvastatin Calcium
188
Losartan Potassium
172
Lisinopril
116
Albuterol Sulfate Hfa
Albuterol Sulfate
110
Metoprolol Succinate
94
Metformin Hcl Er
Metformin Hcl
92

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

Family Medicine Physician Overview

How ERNESTO AGBAYANI, M.D. fits within the Family Medicine Physician landscape nationally.

147,640
Family Medicine Physician Providers in US
56
States with Family Medicine Physician
3,418
Avg Claims per Provider

ERNESTO AGBAYANI, M.D.'s 4,579 claims are above the specialty average of 3,418.

Nearby Family Medicine Physician Providers in West Virginia

Other clinicians with the same primary specialty enrolled in West Virginia, drawn from the same CMS NPPES roster as AGBAYANI.

Compare Family Medicine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is ERNESTO AGBAYANI, M.D.'s specialty?
ERNESTO AGBAYANI, M.D. specializes in Family Medicine Physician and practices in MARTINSBURG, West Virginia. Credentials: M.D..
How much does ERNESTO AGBAYANI, M.D. prescribe under Medicare Part D?
In 2023, ERNESTO AGBAYANI, M.D. wrote 4,579 Medicare Part D claims totaling $401K in drug costs for 360 beneficiaries.
Where is ERNESTO AGBAYANI, M.D. located?
ERNESTO AGBAYANI, M.D. is located at 155 HEALTH CARE LN, MARTINSBURG, WV, 25401. Phone: (304) 596-6911.
What is ERNESTO AGBAYANI, M.D.'s NPI number?
ERNESTO AGBAYANI, M.D.'s National Provider Identifier (NPI) is 1497778427, issued on 07/25/2006.
Does ERNESTO AGBAYANI, M.D. prescribe more brand-name or generic drugs?
ERNESTO AGBAYANI, M.D.'s prescribing is 12% brand-name and 88% generic drugs by claim count, with $336K in brand drug costs.
Does ERNESTO AGBAYANI, M.D. prescribe opioids?
Yes, ERNESTO AGBAYANI, M.D. had 25 opioid claims in 2023 with an opioid prescribing rate of 0.5%.
How many Family Medicine Physician providers are there in the US?
There are 147,640 Family Medicine Physician providers across 56 states in the US. The average Family Medicine Physician provider writes 3,418 Medicare Part D claims per year.
What drugs does ERNESTO AGBAYANI, M.D. prescribe most often?
Based on 2023 Medicare Part D data, ERNESTO AGBAYANI, M.D.'s most frequently prescribed drugs include Levothyroxine Sodium, Amlodipine Besylate, Atorvastatin Calcium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does ERNESTO AGBAYANI, M.D. accept Medicare?
ERNESTO AGBAYANI, M.D. appears in CMS Medicare data with 4,579 Part D claims and 360 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify ERNESTO AGBAYANI, M.D.'s credentials?
ERNESTO AGBAYANI, M.D.'s NPI is 1497778427 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