NPPES file of Aug 9, 2026

Hector Francisco Casiano Pagan, M.D.

Anesthesiology Physician · Arecibo, PR

Hector Francisco Casiano Pagan, M.D. is an anesthesiology physician with a practice address in Arecibo, Puerto Rico, and NPI 1841630472, issued on Jun 27, 2013. Check the license (Puerto Rico 22200, as entered in NPPES) with the Puerto Rico board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1841630472
Name
Hector Francisco Casiano Pagan
Credential
M.D.
Primary taxonomy
Anesthesiology Physician 207L00000X
License numbers
22200 PR
25MA10553900 NJ
MD460343 PA
Self-reported in NPPES; status is on the state search
Practice location
Urb Carr 129 KM 1.1, Arecibo, PR 00612
Phone
(787) 650-7272
Enumerated
Jun 27, 2013
Record last updated
Jan 6, 2022
Fax
(787) 650-7255
Medicare enrollment
Enrolled (PECOS I20210819002210); accepts Medicare assignment
Medical or professional school
Ponce School Of Medicine, 2012
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Verify Hector Francisco Casiano Pagan in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Puerto Rico board licenses this profession
    Search for license 22200
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Puerto Rico license search

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14% more Medicare Part D claims than the average anesthesiology physician in 2024

459 Medicare Part D claims for 187 beneficiaries, against an average of 402 among the 4,319 providers of this specialty who prescribed in Part D. 177 claims were for opioids.

  1. Hector Casiano Pagan459
  2. Specialty average402

Most prescribed

  1. Oxycodone-Acetaminophen94 claims
  2. Tramadol Hcl67 claims
  3. Gabapentin61 claims
  4. Baclofen33 claims
  5. Pregabalin33 claims
  6. Naproxen27 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

Industry payments in 2024: $134.27

3 payments; by number, the most common kind was food and beverage; the largest payer was Boston Scientific Corporation. The 17,774 providers of this specialty with any payment received $669.59 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Hector Casiano Pagan$134.27
  2. Specialty average$669.59

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through one group practice

  1. Centro DE Cancer DE LA UniversidadSan Juan, PR

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Hector Francisco Casiano Pagan among 191 anesthesiology physician records in Puerto Rico

Hector Francisco Casiano Pagan, M.D. is one of 191 anesthesiology physician records with a practice address in Puerto Rico. 69% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2013, is newer than 85% of them.

  • NPI issued2013 · 85% of these records are older, 15% newer
  • In a Medicare fileYes · 69% of these records are
  • In the CMS Doctors and Clinicians fileYes · 47% of these records are
  • Graduated2012 · median 1994 among the 89 with a school on file
  • Record last updated2022 · 71% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207L00000X and a Puerto Rico practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Anesthesiology Physician providers in Puerto Rico

There are 191 anesthesiology physician records in Puerto Rico.

The 8 anesthesiology physician records with the nearest ZIP codes

  1. Marcial Bosch-Ramirez, MD ANESTHESIOLOGISTArrecibo, PR 006121770652463
  2. Victor Rivero, M.D.Arecibo, PR 006121760680383
  3. Juan Jimenez, M.D.Aguadilla, PR 006031144414665
  4. Basiliso Lugo, M.D.Aguadilla, PR 006031649256439
  5. Jose Vargas, M.D.Aguadilla, PR 006031255473484
  6. Ricardo Galan Vazquez, M.D.Dorado, PR 006461437251733
  7. Carlos Montalvo, M.D.Dorado, PR 006461780941468
  8. Wilfredo Borroto BecharaManati, PR 006741053959700

Common questions

What is Hector Francisco Casiano Pagan, M.D.'s NPI number?

Hector Francisco Casiano Pagan, M.D.'s National Provider Identifier (NPI) is 1841630472, issued on Jun 27, 2013. An NPI identifies a provider in billing; it is not a license.

Where is Hector Francisco Casiano Pagan, M.D. located?

The NPPES record lists a practice address at Urb Carr 129 KM 1.1, Arecibo, PR, 00612. Phone: (787) 650-7272. Providers update this record themselves, so call before visiting.

How can I verify Hector Francisco Casiano Pagan, M.D.'s license?

NPPES lists Puerto Rico license number 22200, as entered by the provider. Search the Puerto Rico board that licenses this profession; the NPPES record confirms identity only.

How much does Hector Francisco Casiano Pagan, M.D. prescribe under Medicare Part D?

In 2024, Hector Francisco Casiano Pagan, M.D. had 459 Medicare Part D claims for 187 beneficiaries; the average among anesthesiology physician prescribers was 402. Part D covers Medicare prescriptions only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.