2026 NPPES data Community Health Worker NPI 1538520325
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GIL NIEVES-LUCIANO

Community Health Worker in NARANJITO, 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
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)

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

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%). Below this entry. 1,200–1,400: 26,224 prescribers (2%). Below this entry. 1,400–1,600: 21,710 prescribers (2%). Below this entry. 1,600–1,800: 19,072 prescribers (1%). Below this entry. 1,800–2,000: 16,451 prescribers (1%). Below this entry. 2,000–2,200: 213,991 prescribers (16%). This entry sits in this band. 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

What does the federal data show about GIL NIEVES-LUCIANO?

Quality data not reported

NPI registry status

Active

Issued 03/08/2016

NPI 1538520325

Primary specialty

Community Health Worker

Mid-sized

46,177 US NPIs in this specialty

Medicare Part D claims

3,117 141% vs specialty avg

2023 prescription claims

Specialty avg: 1,291

Specialty distribution in Puerto Rico

How Community Health Worker compares to other specialties among Puerto Rico providers

Puerto Rico providers

Community Health Worker share within Puerto Rico

1. Community Health Worker42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Community Health Worker share within Puerto Rico

Specialty board-certification context

Estimated specialty board-certified rate — Community Health Worker (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Community Health Worker ABMS/AOA estimate

Est. board-certified rate (Community Health Worker) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Community Health Worker) — 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).

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. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what NIEVES-LUCIANO 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 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%. 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.

Community Health Worker is a mid-sized specialty nationwide, with 46,177 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

HC 73 BOX 4764
NARANJITO, PR 00719

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%
Specialty average (est.)

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

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
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.

46,177
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.

Compare Community Health Worker nationally: see state-by-state distribution →

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 46,177 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

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