2026 NPPES data Nephrology Physician NPI 1558469338 MD
Verify on CMS →

FERNANDO ABANILLA, MD

Nephrology Physician in AVON PARK, 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
3K
Medicare Part D claims · 351 beneficiaries · Nephrology Physician avg: 1K
MIPS score
75/100
▼ 8 pts below national avg 83.1 · [object Object]
Industry payments
$215.33
4 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: FERNANDO ABANILLA, MD is a Nephrology Physician ([object Object]) practicing in AVON PARK, Florida with a Medicare Part D prescribing footprint of 3K claims across 351 beneficiaries . Their CMS MIPS Final Score of 75/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $215.33 across 4 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: FERNANDO ABANILLA, MD reported a CMS MIPS final score of 75 out of 100, below the 83.1 national average, and filed 3,046 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

FERNANDO ABANILLA, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

FERNANDO ABANILLA, MD at a glance

Below national average

NPI registry status

Active

Issued 09/20/2006

NPI 1558469338

Primary specialty

Nephrology Physician

Mid-sized

10,534 US NPIs in this specialty

Medicare Part D claims

3,046 109% vs specialty avg

2023 prescription claims

Specialty avg: 1,454

MIPS final score

75/100 8.099999999999994% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Florida

How Nephrology Physician compares to other specialties among Florida providers

Florida providers

Nephrology Physician share within Florida

1. Nephrology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Nephrology Physician share within Florida

Medicare quality performance — MIPS

FERNANDO ABANILLA, MD's 2023 MIPS final score plotted against the Nephrology Physician national average

Below national average
MIPS Final Score
75/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Nephrology Physician) — 75/100 vs national avg 83.1

0%100%National avg83%75%
MIPS final score (Nephrology Physician) — 75/100 vs national avg 83.1

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).

FERNANDO ABANILLA, MD is a Nephrology Physician provider practicing in AVON PARK, Florida, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1558469338. 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.

FERNANDO ABANILLA, MD appears in the CMS NPPES registry as a Nephrology Physician provider holding MD credentials at 3030 US 27 S, AVON PARK, FL, 33825, with a listed phone of (863) 314-0555. NPI 1558469338 was issued on 09/20/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what ABANILLA 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 3,046 prescription claims written by this provider, covering 351 Medicare beneficiaries and totaling roughly $882K in drug spend. 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. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 75/100 for the 2023 performance year, compared with the national average of 83.1.

Nephrology Physician is a mid-sized specialty nationwide, with 10,534 enrolled providers across 55 states and an average of 1,454 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

3030 US 27 S
AVON PARK, FL 33825

Provider Details

NPI 1558469338
Specialty Nephrology Physician
Credentials MD
Gender Male
NPI Issued 09/20/2006

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

75
Final Score
Avg: 83.1

Reporting: Individual

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 FERNANDO ABANILLA, MD. Source: openpaymentsdata.cms.gov.

Total received

$215

Largest payer

AstraZeneca Pharmaceuticals LP

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 FERNANDO ABANILLA, MD. To verify FERNANDO ABANILLA, 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.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

3,046
Total Claims
$882K
Total Drug Cost
351
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
6,648
Total Day Supply
198,346
Generic Drug Cost
$67K
Antibiotic Claims
14

Patient Demographics

Average Patient Age
76.5 years
Avg HCC Risk Score
3.24
Gender Split
46% female / 54% male
Age Distribution
<65: 28, 65-74: 113, 75-84: 142, 85+: 68

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Jardiance
Empagliflozin
306
Farxiga
Dapagliflozin Propanediol
219
Carvedilol
191
Metoprolol Succinate
170
Furosemide
162
Losartan Potassium
148
Atorvastatin Calcium
129
Levothyroxine Sodium
103
Amlodipine Besylate
94
Spironolactone
88

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

Nephrology Physician Overview

How FERNANDO ABANILLA, MD fits within the Nephrology Physician landscape nationally.

10,534
Nephrology Physician Providers in US
55
States with Nephrology Physician
1,454
Avg Claims per Provider

FERNANDO ABANILLA, MD's 3,046 claims are above the specialty average of 1,454.

Nearby Nephrology Physician Providers in Florida

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

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

Frequently Asked Questions

What is FERNANDO ABANILLA, MD's specialty?
FERNANDO ABANILLA, MD specializes in Nephrology Physician and practices in AVON PARK, Florida. Credentials: MD.
How much does FERNANDO ABANILLA, MD prescribe under Medicare Part D?
In 2023, FERNANDO ABANILLA, MD wrote 3,046 Medicare Part D claims totaling $882K in drug costs for 351 beneficiaries.
What is FERNANDO ABANILLA, MD's Medicare quality score?
FERNANDO ABANILLA, MD has a CMS MIPS Final Score of 75/100. The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is FERNANDO ABANILLA, MD located?
FERNANDO ABANILLA, MD is located at 3030 US 27 S, AVON PARK, FL, 33825. Phone: (863) 314-0555.
What is FERNANDO ABANILLA, MD's NPI number?
FERNANDO ABANILLA, MD's National Provider Identifier (NPI) is 1558469338, issued on 09/20/2006.
How many Nephrology Physician providers are there in the US?
There are 10,534 Nephrology Physician providers across 55 states in the US. The average Nephrology Physician provider writes 1,454 Medicare Part D claims per year.
What drugs does FERNANDO ABANILLA, MD prescribe most often?
Based on 2023 Medicare Part D data, FERNANDO ABANILLA, MD's most frequently prescribed drugs include Jardiance, Farxiga, Carvedilol. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does FERNANDO ABANILLA, MD accept Medicare?
FERNANDO ABANILLA, MD appears in CMS Medicare data with 3,046 Part D claims and 351 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify FERNANDO ABANILLA, MD's credentials?
FERNANDO ABANILLA, MD's NPI is 1558469338 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.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) — 2023 performance year.
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