NPI registry status
Active
2026 NPPES data Community Health Worker NPI 1538520325
Verify on CMS → Gil Nieves-Luciano
Community Health Worker in Naranjito, 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 46,467 in Community Health Worker, 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
3K
Medicare Part D claims · 568 beneficiaries · Community Health Worker avg: 1K
Generic prescribing
90%
generic claims · 10% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$221.54
3 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
Gil Nieves-Luciano filed 3,117 Medicare Part D claims in 2023 as a Community Health Worker in Naranjito, Puerto Rico, prescribing 90% generic.
- 3K
- Part D claims, 2023
- 90%
- generic prescribing
- $221.54
- industry payments (Sunshine Act)
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.
Gil Nieves-Luciano's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023, across all CMS prescribers nationally
3,117 Top 11% higher than 89% 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
What does the federal data show about Gil Nieves-Luciano?
Quality data not reportedPrimary specialty
Community Health Worker
Medicare Part D claims
3,117 141% vs specialty avg
Specialty distribution in Puerto Rico
How Community Health Worker 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 Community Health Worker. 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).
Gil Nieves-Luciano appears in the CMS NPPES registry as a Community Health Worker provider at HC 73 BOX 4764, Naranjito, PR, 00719, with a listed phone of (787) 368-0637. NPI 1538520325 was issued on 03/08/2016.
Medicare Part D records for calendar year 2023 show 3,117 prescription claims written by this provider, covering 568 Medicare beneficiaries and totaling roughly $118K in drug spend, split 10% brand-name and 90% generic by claim count, with an opioid prescribing rate of 0.5%.
Community Health Worker is a mid-sized specialty nationwide, with 46,467 enrolled providers across 53 states and an average of 1,291 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 | 1538520325 |
|---|---|
| Specialty | Community Health Worker |
| Gender | Male |
| NPI Issued | 03/08/2016 |
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 Gil Nieves-Luciano. Source: openpaymentsdata.cms.gov.
Total received
$222
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.
Brand vs generic prescribing mix · Typical
Gil Nieves-Luciano - brand share 10.0%
Community Health Worker average
10% brand-name claims vs 90% generic, on 3,117 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.
3,117
Total Claims
$118K
Total Drug Cost
568
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 4,421
- Total Day Supply
- 117,590
- Brand vs Generic
- 10% brand / 90% generic
- Brand Drug Cost
- $81K
- Generic Drug Cost
- $36K
- Opioid Claims
- 16 (0.5% rate)
- Antibiotic Claims
- 239
Patient Demographics
- Average Patient Age
- 72.7 years
- Avg HCC Risk Score
- 1.85
- Gender Split
- 52% female / 48% male
- Age Distribution
- <65: 88, 65-74: 226, 75-84: 192, 85+: 62
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Gil Nieves-Luciano prescribes most
Top Medicare Part D drugs by claim count, 2023
- Atorvastatin Calcium
Atorvastatin Calcium
163 claims
- Gabapentin
Gabapentin
135 claims
- Synthroid
Synthroid
114 claims
- Famotidine
Famotidine
109 claims
- Pantoprazole Sodium
Pantoprazole Sodium
102 claims
- Losartan Potassium
Losartan Potassium
101 claims
- Amlodipine Besylate
Amlodipine Besylate
100 claims
- Metformin Hcl
Metformin Hcl
86 claims
| Drug | Claims |
|---|---|
| Atorvastatin Calcium | 163 |
| Gabapentin | 135 |
| Synthroid Levothyroxine Sodium | 114 |
| Famotidine | 109 |
| Pantoprazole Sodium | 102 |
| Losartan Potassium | 101 |
| Amlodipine Besylate | 100 |
| Metformin Hcl | 86 |
| Simvastatin | 74 |
| Metoprolol Succinate | 70 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Community Health Worker Overview
How Gil Nieves-Luciano fits within the Community Health Worker landscape nationally.
46,467
Community Health Worker Providers in US
53
States with Community Health Worker
1,291
Avg Claims per Provider
Gil Nieves-Luciano's 3,117 claims are above the specialty average of 1,291.
Nearby Community Health Worker Providers in Puerto Rico
Other clinicians with the same primary specialty enrolled in Puerto Rico, drawn from the same CMS NPPES roster as Nieves-Luciano.
Jimmy Acosta Ortiz
Ponce, PR
Dr. Carmelo Berrios
M.D.
Humacao, PR
Marangeli Borrero Montero
Utuado, PR
Dr. Ivelisse Colon Garcia
TRABAJADOR DE SALUD
Morovis, PR
Alicia Couret Orengo
Ponce, PR
Compare Community Health Worker 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 Puerto Rico medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Community Health Worker 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 Gil Nieves-Luciano's specialty? ▼
Gil Nieves-Luciano specializes in Community Health Worker and practices in Naranjito, Puerto Rico.
How much does Gil Nieves-Luciano prescribe under Medicare Part D? ▼
In 2023, Gil Nieves-Luciano wrote 3,117 Medicare Part D claims totaling $118K in drug costs for 568 beneficiaries.
Where is Gil Nieves-Luciano located? ▼
Gil Nieves-Luciano is located at HC 73 BOX 4764, Naranjito, PR, 00719. Phone: (787) 368-0637.
What is Gil Nieves-Luciano's NPI number? ▼
Gil Nieves-Luciano's National Provider Identifier (NPI) is 1538520325, issued on 03/08/2016.
Does Gil Nieves-Luciano prescribe more brand-name or generic drugs? ▼
Gil Nieves-Luciano's prescribing is 10% brand-name and 90% generic drugs by claim count, with $81K in brand drug costs.
Does Gil Nieves-Luciano prescribe opioids? ▼
Yes, Gil Nieves-Luciano had 16 opioid claims in 2023 with an opioid prescribing rate of 0.5%.
How many Community Health Worker providers are there in the US? ▼
There are 46,467 Community Health Worker providers across 53 states in the US. The average Community Health Worker provider writes 1,291 Medicare Part D claims per year.
What drugs does Gil Nieves-Luciano prescribe most often? ▼
Based on 2023 Medicare Part D data, Gil Nieves-Luciano's most frequently prescribed drugs include Atorvastatin Calcium, Gabapentin, Synthroid. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Gil Nieves-Luciano accept Medicare? ▼
Gil Nieves-Luciano appears in CMS Medicare data with 3,117 Part D claims and 568 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Gil Nieves-Luciano's credentials? ▼
Gil Nieves-Luciano's NPI is 1538520325. 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.