2026 NPPES data Sports Medicine (Physical Medicine & Rehabilitation) Physician NPI 1720396518 M.D.
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FERNANDO SEPULVEDA-IRIZARRY, M.D.

Sports Medicine (Physical Medicine & Rehabilitation) Physician in GUAYNABO, Puerto Rico. 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
1K
Medicare Part D claims · 402 beneficiaries · Sports Medicine (Physical Medicine & Rehabilitation) Physician avg: 579
Generic prescribing
99%
generic claims · 1% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$677.17
6 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

FERNANDO SEPULVEDA-IRIZARRY, M.D. filed 1,015 Medicare Part D claims in 2023 as a Sports Medicine (Physical Medicine & Rehabilitation) Physician in GUAYNABO, Puerto Rico, prescribing 99% generic.

1K
Part D claims, 2023
99%
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 SEPULVEDA-IRIZARRY, M.D.'s Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

1,015 Top 24% higher than 76% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). Below this entry. 400–600: 90,619 prescribers (7%). Below this entry. 600–800: 56,224 prescribers (4%). Below this entry. 800–1,000: 40,919 prescribers (3%). Below this entry. 1,000–1,200: 31,827 prescribers (2%). This entry sits in this band. 1,200–1,400: 26,224 prescribers (2%). Above this entry. 1,400–1,600: 21,710 prescribers (2%). Above this entry. 1,600–1,800: 19,072 prescribers (1%). Above this entry. 1,800–2,000: 16,451 prescribers (1%). Above this entry. 2,000–2,200: 213,991 prescribers (16%). Above this entry. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

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 certification likely (heuristic — not verified)

FERNANDO SEPULVEDA-IRIZARRY, M.D. 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).

What does the federal data show about FERNANDO SEPULVEDA-IRIZARRY, M.D.?

Quality data not reported

NPI registry status

Active

Issued 09/15/2010

NPI 1720396518

Primary specialty

Sports Medicine (Physical Medicine & Rehabilitation) Physician

Niche

1,267 US NPIs in this specialty

Medicare Part D claims

1,015 75% vs specialty avg

2023 prescription claims

Specialty avg: 579

Specialty distribution in Puerto Rico

How Sports Medicine (Physical Medicine & Rehabilitation) Physician compares to other specialties among Puerto Rico providers

Puerto Rico providers

Sports Medicine (Physical Medicine & Rehabilitation) Physician share within Puerto Rico

1. Sports Medicine (Physical Medicine & Rehabilitation) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Sports Medicine (Physical Medicine & Rehabilitation) Physician share within Puerto Rico

Specialty board-certification context

Estimated specialty board-certified rate — Sports Medicine (Physical Medicine & Rehabilitation) Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Sports Medicine (Physical Medicine & Rehabilitation) Physician ABMS/AOA estimate

Est. board-certified rate (Sports Medicine (Physical Medicine & Rehabilitation) Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Sports Medicine (Physical Medicine & Rehabilitation) 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).

FERNANDO SEPULVEDA-IRIZARRY, M.D. appears in the CMS NPPES registry as a Sports Medicine (Physical Medicine & Rehabilitation) Physician provider holding M.D. credentials at 100 CARR 165 TORRE 1 SUITE 303, GUAYNABO, PR, 00968, with a listed phone of (787) 277-0847. NPI 1720396518 was issued on 09/15/2010. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what SEPULVEDA-IRIZARRY 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 1,015 prescription claims written by this provider, covering 402 Medicare beneficiaries and totaling roughly $26K in drug spend, split 1% brand-name and 99% 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.

Sports Medicine (Physical Medicine & Rehabilitation) Physician is a narrow specialty nationwide, with 1,267 enrolled providers across 52 states and an average of 579 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

100 CARR 165 TORRE 1 SUITE 303
GUAYNABO, PR 00968

Provider Details

NPI 1720396518
Specialty Sports Medicine (Physical Medicine & Rehabilitation) Physician
Credentials M.D.
Gender Male
NPI Issued 09/15/2010

Hospital and facility affiliations

Facilities where FERNANDO SEPULVEDA-IRIZARRY, M.D. 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.

RECINTO DE CIENCIAS MEDICAS
RIO PIEDRAS, PR

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 FERNANDO SEPULVEDA-IRIZARRY, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$677

Largest payer

ABBVIE 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.

Brand vs generic prescribing mix · Generic-heavy

FERNANDO SEPULVEDA-IRIZARRY, M.D. — brand share 1.0%
Specialty average (est.)

1% brand-name claims vs 99% generic, on 1,015 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.

1,015
Total Claims
$26K
Total Drug Cost
402
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,069
Total Day Supply
26,670
Brand vs Generic
1% brand / 99% generic
Brand Drug Cost
$14K
Generic Drug Cost
$13K

Patient Demographics

Average Patient Age
69.7 years
Avg HCC Risk Score
1.45
Gender Split
69% female / 31% male
Age Distribution
<65: 85, 65-74: 201, 75-84: 96, 85+: 20

Top Prescribed Drugs (Medicare Part D)

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

What FERNANDO SEPULVEDA-IRIZARRY, M.D. prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Meloxicam
267
Tizanidine Hcl
194
Diclofenac Sodium
130
Gabapentin
91
Pregabalin
38
Diclofenac Sodium Er
Diclofenac Sodium
36
Baclofen
22
Methylprednisolone
22
Triamcinolone Acetonide
21
Diclofenac Potassium
20

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

Sports Medicine (Physical Medicine & Rehabilitation) Physician Overview

How FERNANDO SEPULVEDA-IRIZARRY, M.D. fits within the Sports Medicine (Physical Medicine & Rehabilitation) Physician landscape nationally.

1,267
Sports Medicine (Physical Medicine & Rehabilitation) Physician Providers in US
52
States with Sports Medicine (Physical Medicine & Rehabilitation) Physician
579
Avg Claims per Provider

FERNANDO SEPULVEDA-IRIZARRY, M.D.'s 1,015 claims are above the specialty average of 579.

Nearby Sports Medicine (Physical Medicine & Rehabilitation) Physician Providers in Puerto Rico

Other clinicians with the same primary specialty enrolled in Puerto Rico, drawn from the same CMS NPPES roster as SEPULVEDA-IRIZARRY.

Compare Sports Medicine (Physical Medicine & Rehabilitation) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is FERNANDO SEPULVEDA-IRIZARRY, M.D.'s specialty?
FERNANDO SEPULVEDA-IRIZARRY, M.D. specializes in Sports Medicine (Physical Medicine & Rehabilitation) Physician and practices in GUAYNABO, Puerto Rico. Credentials: M.D..
How much does FERNANDO SEPULVEDA-IRIZARRY, M.D. prescribe under Medicare Part D?
In 2023, FERNANDO SEPULVEDA-IRIZARRY, M.D. wrote 1,015 Medicare Part D claims totaling $26K in drug costs for 402 beneficiaries.
Where is FERNANDO SEPULVEDA-IRIZARRY, M.D. located?
FERNANDO SEPULVEDA-IRIZARRY, M.D. is located at 100 CARR 165 TORRE 1 SUITE 303, GUAYNABO, PR, 00968. Phone: (787) 277-0847.
What is FERNANDO SEPULVEDA-IRIZARRY, M.D.'s NPI number?
FERNANDO SEPULVEDA-IRIZARRY, M.D.'s National Provider Identifier (NPI) is 1720396518, issued on 09/15/2010.
Does FERNANDO SEPULVEDA-IRIZARRY, M.D. prescribe more brand-name or generic drugs?
FERNANDO SEPULVEDA-IRIZARRY, M.D.'s prescribing is 1% brand-name and 99% generic drugs by claim count, with $14K in brand drug costs.
How many Sports Medicine (Physical Medicine & Rehabilitation) Physician providers are there in the US?
There are 1,267 Sports Medicine (Physical Medicine & Rehabilitation) Physician providers across 52 states in the US. The average Sports Medicine (Physical Medicine & Rehabilitation) Physician provider writes 579 Medicare Part D claims per year.
What drugs does FERNANDO SEPULVEDA-IRIZARRY, M.D. prescribe most often?
Based on 2023 Medicare Part D data, FERNANDO SEPULVEDA-IRIZARRY, M.D.'s most frequently prescribed drugs include Meloxicam, Tizanidine Hcl, Diclofenac Sodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does FERNANDO SEPULVEDA-IRIZARRY, M.D. accept Medicare?
FERNANDO SEPULVEDA-IRIZARRY, M.D. appears in CMS Medicare data with 1,015 Part D claims and 402 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify FERNANDO SEPULVEDA-IRIZARRY, M.D.'s credentials?
FERNANDO SEPULVEDA-IRIZARRY, M.D.'s NPI is 1720396518 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