2026 NPPES data Cardiovascular Disease Physician NPI 1518009331 MD
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GUSTAVO CARDENAS, MD

Cardiovascular Disease Physician in DELRAY BEACH, Florida. 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
5K
Medicare Part D claims · 891 beneficiaries · Cardiovascular Disease Physician avg: 3K
Generic prescribing
80%
generic claims · 20% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
99.9348/100
▲ 17 pts above national avg 83.1 · [object Object]
Industry payments
$3.0K
121 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

GUSTAVO CARDENAS, MD reported a CMS MIPS final score of 99.9348/100 — above the 83.1 national average — and filed 5,398 Medicare Part D claims in 2023.

99.9348/100
MIPS score · +17 vs avg
5K
Part D claims, 2023
80%
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.

GUSTAVO CARDENAS, MD's MIPS score vs every scored U.S. clinician

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

100 Top 9% higher than 91% 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)

GUSTAVO CARDENAS, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 3 hospital affiliations — 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 GUSTAVO CARDENAS, MD?

High performer (top quartile)

NPI registry status

Active

Issued 02/12/2007

NPI 1518009331

Primary specialty

Cardiovascular Disease Physician

Mid-sized

24,795 US NPIs in this specialty

Medicare Part D claims

5,398 78% vs specialty avg

2023 prescription claims

Specialty avg: 3,033

MIPS final score

99.9348/100 16.8348% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Florida

How Cardiovascular Disease Physician compares to other specialties among Florida providers

Florida providers

Cardiovascular Disease Physician share within Florida

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

Medicare quality performance — MIPS

GUSTAVO CARDENAS, MD's 2023 MIPS final score plotted against the Cardiovascular Disease Physician national average

High performer (top quartile)
MIPS Final Score
99.9348/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Cardiovascular Disease Physician) — 99.9348/100 vs national avg 83.1

0%100%National avg83%99%
MIPS final score (Cardiovascular Disease Physician) — 99.9348/100 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).

GUSTAVO CARDENAS, MD appears in the CMS NPPES registry as a Cardiovascular Disease Physician provider holding MD credentials at 13550 JOG RD, DELRAY BEACH, FL, 33446, with a listed phone of (561) 515-0080. NPI 1518009331 was issued on 02/12/2007. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what CARDENAS 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 5,398 prescription claims written by this provider, covering 891 Medicare beneficiaries and totaling roughly $1.6 million in drug spend, split 20% brand-name and 80% 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 99.9348/100 for the 2023 performance year (Quality 84.3003), compared with the national average of 83.1.

Cardiovascular Disease Physician is a mid-sized specialty nationwide, with 24,795 enrolled providers across 54 states and an average of 3,033 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

13550 JOG RD
DELRAY BEACH, FL 33446

Provider Details

NPI 1518009331
Specialty Cardiovascular Disease Physician
Credentials MD
Gender Male
NPI Issued 02/12/2007

CMS Quality Score (MIPS)

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

99.9348
Final Score
Avg: 83.1
84.3003
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where GUSTAVO CARDENAS, 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.

DELRAY EKG READERS LLC
DELRAY BEACH, FL
ECG CONSULTANTS OF BETHESDA LLC
BOYNTON BEACH, FL
SOUTH PALM CARDIOVASCULAR ASSOCIATES LLC
DELRAY BEACH, FL

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 GUSTAVO CARDENAS, MD. Source: openpaymentsdata.cms.gov.

Total received

$3.0K

Largest payer

Abbott Laboratories

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.

License & disciplinary context — Florida FLDOH 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~75K Florida medical licensees in 2023 — they are NOT specific to GUSTAVO CARDENAS, MD. To verify GUSTAVO CARDENAS, MD's current license status, search the FLDOH public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

480
Total board actions, Florida 2023
Across 467 cases
6.40
Actions per 1,000 licensees
Florida statewide rate
monetary fine
Most common action type
138 cases

FLDOH publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Florida disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

GUSTAVO CARDENAS, MD — brand share 20.0%
Specialty average (est.)

20% brand-name claims vs 80% generic, on 5,398 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.

5,398
Total Claims
$1.6M
Total Drug Cost
891
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
14,662
Total Day Supply
437,984
Brand vs Generic
20% brand / 80% generic
Brand Drug Cost
$1.5M
Generic Drug Cost
$95K

Patient Demographics

Average Patient Age
77.4 years
Avg HCC Risk Score
1.86
Gender Split
50% female / 50% male
Age Distribution
<65: 21, 65-74: 315, 75-84: 384, 85+: 171

Top Prescribed Drugs (Medicare Part D)

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

What GUSTAVO CARDENAS, 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
Metoprolol Succinate
537
Atorvastatin Calcium
460
Eliquis
Apixaban
432
Losartan Potassium
391
Carvedilol
292
Furosemide
233
Rosuvastatin Calcium
214
Lisinopril
211
Xarelto
Rivaroxaban
188
Amlodipine Besylate
184

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

Cardiovascular Disease Physician Overview

How GUSTAVO CARDENAS, MD fits within the Cardiovascular Disease Physician landscape nationally.

24,795
Cardiovascular Disease Physician Providers in US
54
States with Cardiovascular Disease Physician
3,033
Avg Claims per Provider

GUSTAVO CARDENAS, MD's 5,398 claims are above the specialty average of 3,033.

Nearby Cardiovascular Disease Physician Providers in Florida

Other clinicians with the same primary specialty enrolled in Florida, drawn from the same CMS NPPES roster as CARDENAS.

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

Frequently Asked Questions

What is GUSTAVO CARDENAS, MD's specialty?
GUSTAVO CARDENAS, MD specializes in Cardiovascular Disease Physician and practices in DELRAY BEACH, Florida. Credentials: MD.
How much does GUSTAVO CARDENAS, MD prescribe under Medicare Part D?
In 2023, GUSTAVO CARDENAS, MD wrote 5,398 Medicare Part D claims totaling $1.6M in drug costs for 891 beneficiaries.
What is GUSTAVO CARDENAS, MD's Medicare quality score?
GUSTAVO CARDENAS, MD has a CMS MIPS Final Score of 99.9348/100 (Quality: 84.3003). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is GUSTAVO CARDENAS, MD located?
GUSTAVO CARDENAS, MD is located at 13550 JOG RD, DELRAY BEACH, FL, 33446. Phone: (561) 515-0080.
What is GUSTAVO CARDENAS, MD's NPI number?
GUSTAVO CARDENAS, MD's National Provider Identifier (NPI) is 1518009331, issued on 02/12/2007.
Does GUSTAVO CARDENAS, MD prescribe more brand-name or generic drugs?
GUSTAVO CARDENAS, MD's prescribing is 20% brand-name and 80% generic drugs by claim count, with $1.5M in brand drug costs.
How many Cardiovascular Disease Physician providers are there in the US?
There are 24,795 Cardiovascular Disease Physician providers across 54 states in the US. The average Cardiovascular Disease Physician provider writes 3,033 Medicare Part D claims per year.
What drugs does GUSTAVO CARDENAS, MD prescribe most often?
Based on 2023 Medicare Part D data, GUSTAVO CARDENAS, MD's most frequently prescribed drugs include Metoprolol Succinate, Atorvastatin Calcium, Eliquis. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does GUSTAVO CARDENAS, MD accept Medicare?
GUSTAVO CARDENAS, MD appears in CMS Medicare data with 5,398 Part D claims and 891 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify GUSTAVO CARDENAS, MD's credentials?
GUSTAVO CARDENAS, MD's NPI is 1518009331 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