NPI registry status
Active
2026 NPPES data Family Medicine Physician NPI 1083651178 MD
Verify on CMS → Fernando Esparza, MD
Family Medicine Physician in Miami, Florida.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 147,640 in Family Medicine 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
28K
Medicare Part D claims · 711 beneficiaries · Family Medicine Physician avg: 3K
Generic prescribing
83%
generic claims · 15% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
92/100
▲ 9 pts above national avg 83.1 · Exceptional
Industry payments
$20.64
1 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Fernando Esparza, MD reported a CMS MIPS final score of 92/100 - above the 83.1 national average - and filed 28,320 Medicare Part D claims in 2023.
- 92/100
- MIPS score · +9 vs avg
- 28K
- Part D claims, 2023
- 83%
- generic prescribing
- Likely
- board-certified (heuristic)
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.
Fernando Esparza, MD's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
92 Top 37% higher than 63% of 477,587 scored providers
Each bar is a band; taller bars hold more scored providers. 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 Merit-based Incentive Payment System (MIPS) · 2023
Where Fernando Esparza, MD sits
This provider among family medicine physician peers
Across the 22,040 family medicine physician providers who report both Medicare Part D prescribing and a MIPS quality score, Fernando Esparza, MD writes more Part D claims than 99% of them and scores higher on MIPS quality than 67% - placing this provider in the high-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Part D claim volume vs MIPS quality, by specialty percentile
Each dot is one family medicine physician peer from a representative sample of 60; the gold marker is Fernando Esparza, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Fernando Esparza, 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).
What does the federal data show about Fernando Esparza, MD?
High performer (top quartile)Primary specialty
Family Medicine Physician
Medicare Part D claims
28,320 8× vs specialty avg
MIPS final score
92/100 8.9 pts vs avg
Specialty distribution in Florida
How Family Medicine Physician compares to other specialties among Florida providers
Medicare quality performance, MIPS
Fernando Esparza, MD's 2023 MIPS final score plotted against the Family Medicine Physician national average
- MIPS Final Score
- 92/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Family Medicine Physician) - 92/100 vs national avg 83.1
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).
Fernando Esparza, MD appears in the CMS NPPES registry as a Family Medicine Physician provider holding MD credentials at 2698 SW 87TH AVE, Miami, FL, 33165, with a listed phone of (305) 461-4417. NPI 1083651178 was issued on 05/31/2006.
Medicare Part D records for calendar year 2023 show 28,320 prescription claims written by this provider, covering 711 Medicare beneficiaries and totaling roughly $1.6 million in drug spend, split 15% brand-name and 83% generic by claim count, with an opioid prescribing rate of 0.3%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 92/100 for the 2023 performance year (Quality 100, Cost 39.9), compared with the national average of 83.1.
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
Provider Details
| NPI | 1083651178 |
|---|---|
| Specialty | Family Medicine Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 05/31/2006 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
91.9734
Final Score
Avg: 83.1
100
Quality
39.9113
Cost
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 Esparza, MD. Source: openpaymentsdata.cms.gov.
Total received
$21
Largest payer
Paratek Pharmaceuticals, 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 Fernando Esparza, MD. To verify Fernando Esparza, 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 · Typical
Fernando Esparza, MD - brand share 15.0%
Family Medicine Physician average
15% brand-name claims vs 83% generic, on 28,320 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.
28,320
Total Claims
$1.6M
Total Drug Cost
711
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 33,731
- Total Day Supply
- 969,698
- Brand vs Generic
- 15% brand / 83% generic
- Brand Drug Cost
- $1.2M
- Generic Drug Cost
- $421K
- Opioid Claims
- 88 (0.3% rate)
- Antibiotic Claims
- 1,015
Patient Demographics
- Average Patient Age
- 80.1 years
- Avg HCC Risk Score
- 2.37
- Gender Split
- 69% female / 31% male
- Age Distribution
- <65: 63, 65-74: 152, 75-84: 202, 85+: 294
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Fernando Esparza, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Atorvastatin Calcium
Atorvastatin Calcium
1,542 claims
- Pantoprazole Sodium
Pantoprazole Sodium
1,161 claims
- Levothyroxine Sodium
Levothyroxine Sodium
982 claims
- Losartan Potassium
Losartan Potassium
914 claims
- Silver Sulfadiazine
Silver Sulfadiazine
773 claims
- Famotidine
Famotidine
770 claims
- Amlodipine Besylate
Amlodipine Besylate
766 claims
- Clopidogrel
Clopidogrel
699 claims
| Drug | Claims |
|---|---|
| Atorvastatin Calcium | 1,542 |
| Pantoprazole Sodium | 1,161 |
| Levothyroxine Sodium | 982 |
| Losartan Potassium | 914 |
| Silver Sulfadiazine | 773 |
| Famotidine | 770 |
| Amlodipine Besylate | 766 |
| Clopidogrel Clopidogrel Bisulfate | 699 |
| Metformin Hcl | 613 |
| Gabapentin | 574 |
* 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 Fernando Esparza, MD 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
Fernando Esparza, MD's 28,320 claims are above the specialty average of 3,418.
Nearby Family Medicine Physician Providers in Florida
Other clinicians with the same primary specialty enrolled in Florida, drawn from the same CMS NPPES roster as Esparza.
Dr. Kellie Aarons
MD
Tampa, FL
Dr. Zoilo Abad
MD
Miami, FL
Dr. Flor Abalos Escalona
APRN-FNP
Miami, FL
Dr. Aschanti Abarca Selva
M.D
Naples, FL
Dr. Syed Abbas
DO
Sebring, FL
Compare Family Medicine 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 Florida medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Family Medicine 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.
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Frequently Asked Questions
What is Fernando Esparza, MD's specialty? ▼
Fernando Esparza, MD specializes in Family Medicine Physician and practices in Miami, Florida. Credentials: MD.
How much does Fernando Esparza, MD prescribe under Medicare Part D? ▼
In 2023, Fernando Esparza, MD wrote 28,320 Medicare Part D claims totaling $1.6M in drug costs for 711 beneficiaries.
What is Fernando Esparza, MD's Medicare quality score? ▼
Fernando Esparza, MD has a CMS MIPS Final Score of 92/100 (Quality: 100, Cost: 39.9). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Fernando Esparza, MD located? ▼
Fernando Esparza, MD is located at 2698 SW 87TH AVE, Miami, FL, 33165. Phone: (305) 461-4417.
What is Fernando Esparza, MD's NPI number? ▼
Fernando Esparza, MD's National Provider Identifier (NPI) is 1083651178, issued on 05/31/2006.
Does Fernando Esparza, MD prescribe more brand-name or generic drugs? ▼
Fernando Esparza, MD's prescribing is 15% brand-name and 83% generic drugs by claim count, with $1.2M in brand drug costs.
Does Fernando Esparza, MD prescribe opioids? ▼
Yes, Fernando Esparza, MD had 88 opioid claims in 2023 with an opioid prescribing rate of 0.3%.
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 Fernando Esparza, MD prescribe most often? ▼
Based on 2023 Medicare Part D data, Fernando Esparza, MD's most frequently prescribed drugs include Atorvastatin Calcium, Pantoprazole Sodium, Levothyroxine Sodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Fernando Esparza, MD accept Medicare? ▼
Fernando Esparza, MD appears in CMS Medicare data with 28,320 Part D claims and 711 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Fernando Esparza, MD's credentials? ▼
Fernando Esparza, MD's NPI is 1083651178 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.
- 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
Compiled from official public sources by the PlainDoctor editorial team.