2026 NPPES data Otolaryngology Physician NPI 1760474092 MD
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GUILLERMO MARTINEZ RIOS, MD

Otolaryngology Physician in BAYAMON, 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
889
Medicare Part D claims · 498 beneficiaries · Otolaryngology Physician avg: 509
Generic prescribing
98%
generic claims · 2% brand-name · higher generic rates reduce patient out-of-pocket costs
What the federal data reveals: GUILLERMO MARTINEZ RIOS, MD is a Otolaryngology Physician ([object Object]) practicing in BAYAMON, Puerto Rico with a Medicare Part D prescribing footprint of 889 claims across 498 beneficiaries — 2% brand-name prescribing .

What stands out: GUILLERMO MARTINEZ RIOS, MD filed 889 Medicare Part D claims in 2023 across BAYAMON, Puerto Rico. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board-eligible specialty (heuristic — not verified)

GUILLERMO MARTINEZ RIOS, MD practices in an ABMS-board-eligible specialty but we don't have enough CMS-participation signals to confirm active board-certified status. Consult CertificationMatters.org (the official ABMS public lookup).

GUILLERMO MARTINEZ RIOS, MD at a glance

Quality data not reported

NPI registry status

Active

Issued 08/23/2005

NPI 1760474092

Primary specialty

Otolaryngology Physician

Mid-sized

10,895 US NPIs in this specialty

Medicare Part D claims

889 75% vs specialty avg

2023 prescription claims

Specialty avg: 509

Specialty distribution in Puerto Rico

How Otolaryngology Physician compares to other specialties among Puerto Rico providers

Puerto Rico providers

Otolaryngology Physician share within Puerto Rico

1. Otolaryngology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Otolaryngology Physician share within Puerto Rico

Specialty board-certification context

Estimated specialty board-certified rate — Otolaryngology Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Otolaryngology Physician ABMS/AOA estimate

Est. board-certified rate (Otolaryngology Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Otolaryngology 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).

GUILLERMO MARTINEZ RIOS, MD is a Otolaryngology Physician provider practicing in BAYAMON, Puerto Rico, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1760474092. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

GUILLERMO MARTINEZ RIOS, MD appears in the CMS NPPES registry as a Otolaryngology Physician provider holding MD credentials at EDIFICIO MEDICO HERMANAS DAVILA, BAYAMON, PR, 00959, with a listed phone of (787) 740-0120. NPI 1760474092 was issued on 08/23/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what MARTINEZ RIOS 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 889 prescription claims written by this provider, covering 498 Medicare beneficiaries and totaling roughly $26K in drug spend, split 2% brand-name and 98% 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.

Otolaryngology Physician is a mid-sized specialty nationwide, with 10,895 enrolled providers across 54 states and an average of 509 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

EDIFICIO MEDICO HERMANAS DAVILA
BAYAMON, PR 00959

Provider Details

NPI 1760474092
Specialty Otolaryngology Physician
Credentials MD
Gender Male
NPI Issued 08/23/2005

Brand vs generic prescribing mix · Generic-heavy

GUILLERMO MARTINEZ RIOS, MD — brand share 2.0%
Specialty average (est.)

2% brand-name claims vs 98% generic, on 889 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.

889
Total Claims
$26K
Total Drug Cost
498
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
992
Total Day Supply
20,977
Brand vs Generic
2% brand / 98% generic
Brand Drug Cost
$5K
Generic Drug Cost
$21K
Antibiotic Claims
182

Patient Demographics

Average Patient Age
73.4 years
Avg HCC Risk Score
1.64
Gender Split
62% female / 38% male
Age Distribution
<65: 65, 65-74: 210, 75-84: 158, 85+: 65

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Lansoprazole
194
Mometasone Furoate
145
Neomycin-Polymyxin-Hydrocort
Neomycin/Polymyxin B/Hydrocort
79
Amoxicillin-Clavulanate Potass
Amoxicillin/Potassium Clav
78
Montelukast Sodium
48
Moxifloxacin Hcl
47
Ciprofloxacin Hcl
34
Gentamicin Sulfate
34
Famotidine
32
Omeprazole
25

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

Otolaryngology Physician Overview

How GUILLERMO MARTINEZ RIOS, MD fits within the Otolaryngology Physician landscape nationally.

10,895
Otolaryngology Physician Providers in US
54
States with Otolaryngology Physician
509
Avg Claims per Provider

GUILLERMO MARTINEZ RIOS, MD's 889 claims are above the specialty average of 509.

Nearby Otolaryngology Physician Providers in Puerto Rico

Other clinicians with the same primary specialty enrolled in Puerto Rico, drawn from the same CMS NPPES roster as MARTINEZ RIOS.

Compare Otolaryngology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is GUILLERMO MARTINEZ RIOS, MD's specialty?
GUILLERMO MARTINEZ RIOS, MD specializes in Otolaryngology Physician and practices in BAYAMON, Puerto Rico. Credentials: MD.
How much does GUILLERMO MARTINEZ RIOS, MD prescribe under Medicare Part D?
In 2023, GUILLERMO MARTINEZ RIOS, MD wrote 889 Medicare Part D claims totaling $26K in drug costs for 498 beneficiaries.
Where is GUILLERMO MARTINEZ RIOS, MD located?
GUILLERMO MARTINEZ RIOS, MD is located at EDIFICIO MEDICO HERMANAS DAVILA, BAYAMON, PR, 00959. Phone: (787) 740-0120.
What is GUILLERMO MARTINEZ RIOS, MD's NPI number?
GUILLERMO MARTINEZ RIOS, MD's National Provider Identifier (NPI) is 1760474092, issued on 08/23/2005.
Does GUILLERMO MARTINEZ RIOS, MD prescribe more brand-name or generic drugs?
GUILLERMO MARTINEZ RIOS, MD's prescribing is 2% brand-name and 98% generic drugs by claim count, with $5K in brand drug costs.
How many Otolaryngology Physician providers are there in the US?
There are 10,895 Otolaryngology Physician providers across 54 states in the US. The average Otolaryngology Physician provider writes 509 Medicare Part D claims per year.
What drugs does GUILLERMO MARTINEZ RIOS, MD prescribe most often?
Based on 2023 Medicare Part D data, GUILLERMO MARTINEZ RIOS, MD's most frequently prescribed drugs include Lansoprazole, Mometasone Furoate, Neomycin-Polymyxin-Hydrocort. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does GUILLERMO MARTINEZ RIOS, MD accept Medicare?
GUILLERMO MARTINEZ RIOS, MD appears in CMS Medicare data with 889 Part D claims and 498 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify GUILLERMO MARTINEZ RIOS, MD's credentials?
GUILLERMO MARTINEZ RIOS, MD's NPI is 1760474092 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.
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