NPI registry status
Active
2026 NPPES data Sports Medicine (Physical Medicine & Rehabilitation) Physician NPI 1720396518 M.D.
Verify on CMS → Fernando Sepulveda-Irizarry, M.D.
Sports Medicine (Physical Medicine & Rehabilitation) Physician in Guaynabo, Puerto Rico.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 1,270 in Sports Medicine (Physical Medicine & Rehabilitation) 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
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)
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 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
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 reportedPrimary specialty
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Medicare Part D claims
1,015 75% vs specialty avg
Specialty distribution in Puerto Rico
How Sports Medicine (Physical Medicine & Rehabilitation) Physician compares to other specialties among Puerto Rico providers
Board certification
Not published by CMS
CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Sports Medicine (Physical Medicine & Rehabilitation) Physician. Verify directly:
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 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.
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.
Sports Medicine (Physical Medicine & Rehabilitation) Physician is a narrow specialty nationwide, with 1,270 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
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%
Sports Medicine (Physical Medicine & Rehabilitation) Physician average
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
- Meloxicam
Meloxicam
267 claims
- Tizanidine Hcl
Tizanidine Hcl
194 claims
- Diclofenac Sodium
Diclofenac Sodium
130 claims
- Gabapentin 91
Gabapentin
91 claims
- Pregabalin 38
Pregabalin
38 claims
- Diclofenac Sodium Er 36
Diclofenac Sodium Er
36 claims
- Baclofen 22
Baclofen
22 claims
- Methylprednisolone 22
Methylprednisolone
22 claims
| 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.
More Sports Medicine (Physical Medicine & Rehabilitation) Physician in PR →
All providers in Puerto Rico →
Compare specialties →
Sports Medicine (Physical Medicine & Rehabilitation) Physician Overview
How Fernando Sepulveda-Irizarry, M.D. fits within the Sports Medicine (Physical Medicine & Rehabilitation) Physician landscape nationally.
1,270
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.
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 Puerto Rico medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Sports Medicine (Physical Medicine & Rehabilitation) 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.
Healthcare Guides
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Medical Specialties Explained
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Understanding Medicare Claims Data
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How insurance networks affect your costs
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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 1,270 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
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.
- 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.
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of May 2026.