2026 NPPES data Pulmonary Disease Physician NPI 1528360765 MD
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GERALDO HOLGUIN TERRERO, MD

Pulmonary Disease Physician in CONYERS, Georgia. 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
148
Medicare Part D claims · 17 beneficiaries · Pulmonary Disease Physician avg: 1K
Generic prescribing
63%
generic claims · 37% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
94.7056/100
▲ 12 pts above national avg 83.1 · [object Object]

What the federal data shows

GERALDO HOLGUIN TERRERO, MD reported a CMS MIPS final score of 94.7056/100 — above the 83.1 national average — and filed 148 Medicare Part D claims in 2023.

94.7056/100
MIPS score · +12 vs avg
148
Part D claims, 2023
63%
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.

GERALDO HOLGUIN TERRERO, MD's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

95 Top 25% higher than 75% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). Below this entry. 90–100: 189,403 scored providers (40%). This entry sits in this band. This provider 0 100 every MIPS-scored clinician, bucketed by value

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

Board certification likely (heuristic — not verified)

GERALDO HOLGUIN TERRERO, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 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 GERALDO HOLGUIN TERRERO, MD?

High performer (top quartile)

NPI registry status

Active

Issued 11/20/2010

NPI 1528360765

Primary specialty

Pulmonary Disease Physician

Mid-sized

9,271 US NPIs in this specialty

Medicare Part D claims

148 90% vs specialty avg

2023 prescription claims

Specialty avg: 1,457

MIPS final score

94.7056/100 11.60560000000001% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Georgia

How Pulmonary Disease Physician compares to other specialties among Georgia providers

Georgia providers

Pulmonary Disease Physician share within Georgia

1. Pulmonary Disease Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Pulmonary Disease Physician share within Georgia

Medicare quality performance — MIPS

GERALDO HOLGUIN TERRERO, MD's 2023 MIPS final score plotted against the Pulmonary Disease Physician national average

High performer (top quartile)
MIPS Final Score
94.7056/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Pulmonary Disease Physician) — 94.7056/100 vs national avg 83.1

0%100%National avg83%94.7%
MIPS final score (Pulmonary Disease Physician) — 94.7056/100 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).

GERALDO HOLGUIN TERRERO, MD appears in the CMS NPPES registry as a Pulmonary Disease Physician provider holding MD credentials at 1412 MILSTEAD AVE NE, CONYERS, GA, 30012, with a listed phone of (404) 350-0009. NPI 1528360765 was issued on 11/20/2010. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what HOLGUIN TERRERO 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 148 prescription claims written by this provider, covering 17 Medicare beneficiaries and totaling roughly $14K in drug spend, split 37% brand-name and 63% 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. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 94.7056/100 for the 2023 performance year (Quality 89.4112), compared with the national average of 83.1.

Pulmonary Disease Physician is a mid-sized specialty nationwide, with 9,271 enrolled providers across 53 states and an average of 1,457 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

1412 MILSTEAD AVE NE
CONYERS, GA 30012

Provider Details

NPI 1528360765
Specialty Pulmonary Disease Physician
Credentials MD
Gender Male
NPI Issued 11/20/2010

CMS Quality Score (MIPS)

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

94.7056
Final Score
Avg: 83.1
89.4112
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where GERALDO HOLGUIN TERRERO, MD 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.

MEMORIAL HEALTH PARTNERS FOUNDATION, INC
FORT OGLETHORPE, GA

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Brand vs generic prescribing mix · Above average

GERALDO HOLGUIN TERRERO, MD — brand share 37.0%
Specialty average (est.)

37% brand-name claims vs 63% generic, on 148 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.

148
Total Claims
$14K
Total Drug Cost
17
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
148
Total Day Supply
2,210
Brand vs Generic
37% brand / 63% generic
Brand Drug Cost
$9K
Generic Drug Cost
$5K

Patient Demographics

Average Patient Age
61.6 years
Avg HCC Risk Score
4.92

Top Prescribed Drugs (Medicare Part D)

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

What GERALDO HOLGUIN TERRERO, MD 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
Ipratropium-Albuterol
Ipratropium/Albuterol Sulfate
35
Albuterol Sulfate Hfa
Albuterol Sulfate
31
Albuterol Sulfate
22
Budesonide
16
Ipratropium Bromide
12

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

Pulmonary Disease Physician Overview

How GERALDO HOLGUIN TERRERO, MD fits within the Pulmonary Disease Physician landscape nationally.

9,271
Pulmonary Disease Physician Providers in US
53
States with Pulmonary Disease Physician
1,457
Avg Claims per Provider

GERALDO HOLGUIN TERRERO, MD's 148 claims are below the specialty average of 1,457.

Nearby Pulmonary Disease Physician Providers in Georgia

Other clinicians with the same primary specialty enrolled in Georgia, drawn from the same CMS NPPES roster as HOLGUIN TERRERO.

Compare Pulmonary Disease Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is GERALDO HOLGUIN TERRERO, MD's specialty?
GERALDO HOLGUIN TERRERO, MD specializes in Pulmonary Disease Physician and practices in CONYERS, Georgia. Credentials: MD.
How much does GERALDO HOLGUIN TERRERO, MD prescribe under Medicare Part D?
In 2023, GERALDO HOLGUIN TERRERO, MD wrote 148 Medicare Part D claims totaling $14K in drug costs for 17 beneficiaries.
What is GERALDO HOLGUIN TERRERO, MD's Medicare quality score?
GERALDO HOLGUIN TERRERO, MD has a CMS MIPS Final Score of 94.7056/100 (Quality: 89.4112). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is GERALDO HOLGUIN TERRERO, MD located?
GERALDO HOLGUIN TERRERO, MD is located at 1412 MILSTEAD AVE NE, CONYERS, GA, 30012. Phone: (404) 350-0009.
What is GERALDO HOLGUIN TERRERO, MD's NPI number?
GERALDO HOLGUIN TERRERO, MD's National Provider Identifier (NPI) is 1528360765, issued on 11/20/2010.
Does GERALDO HOLGUIN TERRERO, MD prescribe more brand-name or generic drugs?
GERALDO HOLGUIN TERRERO, MD's prescribing is 37% brand-name and 63% generic drugs by claim count, with $9K in brand drug costs.
How many Pulmonary Disease Physician providers are there in the US?
There are 9,271 Pulmonary Disease Physician providers across 53 states in the US. The average Pulmonary Disease Physician provider writes 1,457 Medicare Part D claims per year.
What drugs does GERALDO HOLGUIN TERRERO, MD prescribe most often?
Based on 2023 Medicare Part D data, GERALDO HOLGUIN TERRERO, MD's most frequently prescribed drugs include Ipratropium-Albuterol, Albuterol Sulfate Hfa, Albuterol Sulfate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does GERALDO HOLGUIN TERRERO, MD accept Medicare?
GERALDO HOLGUIN TERRERO, MD appears in CMS Medicare data with 148 Part D claims and 17 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify GERALDO HOLGUIN TERRERO, MD's credentials?
GERALDO HOLGUIN TERRERO, MD's NPI is 1528360765 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