2026 NPPES data Epilepsy Physician NPI 1477570810
Verify on CMS →

JOHN DE TOLEDO

Epilepsy Physician in LUBBOCK, Texas. 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
201
Medicare Part D claims · 33 beneficiaries · Epilepsy Physician avg: 878
MIPS score
100/100
▲ 17 pts above national avg 83.1 · [object Object]
Industry payments
$75.81
2 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: JOHN DE TOLEDO is a Epilepsy Physician ([object Object]) practicing in LUBBOCK, Texas with a Medicare Part D prescribing footprint of 201 claims across 33 beneficiaries . Their CMS MIPS Final Score of 100/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $75.81 across 2 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: JOHN DE TOLEDO reported a CMS MIPS final score of 100 out of 100, above the 83.1 national average, and filed 201 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

JOHN DE TOLEDO practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

JOHN DE TOLEDO at a glance

High performer (top quartile)

NPI registry status

Active

Issued 07/15/2006

NPI 1477570810

Primary specialty

Epilepsy Physician

Rare

354 US NPIs in this specialty

Medicare Part D claims

201 77% vs specialty avg

2023 prescription claims

Specialty avg: 878

MIPS final score

100/100 16.900000000000006% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Texas

How Epilepsy Physician compares to other specialties among Texas providers

Texas providers

Epilepsy Physician share within Texas

1. Epilepsy Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Epilepsy Physician share within Texas

Medicare quality performance — MIPS

JOHN DE TOLEDO's 2023 MIPS final score plotted against the Epilepsy Physician national average

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

MIPS final score (Epilepsy Physician) — 100/100 vs national avg 83.1

0%100%National avg83%99%
MIPS final score (Epilepsy Physician) — 100/100 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).

JOHN DE TOLEDO is a Epilepsy Physician provider practicing in LUBBOCK, Texas, according to the CMS National Plan and Provider Enumeration System (NPPES). NPI: 1477570810. 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.

JOHN DE TOLEDO appears in the CMS NPPES registry as a Epilepsy Physician provider at 3601 4TH ST, LUBBOCK, TX, 79430, with a listed phone of (806) 743-2391. NPI 1477570810 was issued on 07/15/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what DE TOLEDO 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 201 prescription claims written by this provider, covering 33 Medicare beneficiaries and totaling roughly $29K in drug spend. 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 100/100 for the 2023 performance year (Quality 91.1945), compared with the national average of 83.1.

Epilepsy Physician is a narrow specialty nationwide, with 354 enrolled providers across 42 states and an average of 878 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

3601 4TH ST
LUBBOCK, TX 79430

Provider Details

NPI 1477570810
Specialty Epilepsy Physician
Gender Male
NPI Issued 07/15/2006

CMS Quality Score (MIPS)

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

100
Final Score
Avg: 83.1
91.1945
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

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 JOHN DE TOLEDO. Source: openpaymentsdata.cms.gov.

Total received

$76

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.

License & disciplinary context — Texas TMB 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 ~77K Texas medical licensees in 2023 — they are NOT specific to JOHN DE TOLEDO. To verify JOHN DE TOLEDO's current license status, search the TMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

344
Total board actions, Texas 2023
Across 334 cases
4.47
Actions per 1,000 licensees
Texas statewide rate
probation
Most common action type
94 cases

TMB 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 Texas disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

201
Total Claims
$29K
Total Drug Cost
33
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
254
Total Day Supply
7,632
Generic Drug Cost
$12K

Patient Demographics

Average Patient Age
65.9 years
Avg HCC Risk Score
1.04

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Lamotrigine
39
Levetiracetam
24
Donepezil Hcl
22
Phenytoin Sodium Extended
14
Oxcarbazepine
13
Briviact
Brivaracetam
11

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

Epilepsy Physician Overview

How JOHN DE TOLEDO fits within the Epilepsy Physician landscape nationally.

354
Epilepsy Physician Providers in US
42
States with Epilepsy Physician
878
Avg Claims per Provider

JOHN DE TOLEDO's 201 claims are below the specialty average of 878.

Nearby Epilepsy Physician Providers in Texas

Other clinicians with the same primary specialty enrolled in Texas, drawn from the same CMS NPPES roster as DE TOLEDO.

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

Frequently Asked Questions

What is JOHN DE TOLEDO's specialty?
JOHN DE TOLEDO specializes in Epilepsy Physician and practices in LUBBOCK, Texas.
How much does JOHN DE TOLEDO prescribe under Medicare Part D?
In 2023, JOHN DE TOLEDO wrote 201 Medicare Part D claims totaling $29K in drug costs for 33 beneficiaries.
What is JOHN DE TOLEDO's Medicare quality score?
JOHN DE TOLEDO has a CMS MIPS Final Score of 100/100 (Quality: 91.1945). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is JOHN DE TOLEDO located?
JOHN DE TOLEDO is located at 3601 4TH ST, LUBBOCK, TX, 79430. Phone: (806) 743-2391.
What is JOHN DE TOLEDO's NPI number?
JOHN DE TOLEDO's National Provider Identifier (NPI) is 1477570810, issued on 07/15/2006.
How many Epilepsy Physician providers are there in the US?
There are 354 Epilepsy Physician providers across 42 states in the US. The average Epilepsy Physician provider writes 878 Medicare Part D claims per year.
What drugs does JOHN DE TOLEDO prescribe most often?
Based on 2023 Medicare Part D data, JOHN DE TOLEDO's most frequently prescribed drugs include Lamotrigine, Levetiracetam, Donepezil Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JOHN DE TOLEDO accept Medicare?
JOHN DE TOLEDO appears in CMS Medicare data with 201 Part D claims and 33 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JOHN DE TOLEDO's credentials?
JOHN DE TOLEDO's NPI is 1477570810. 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