2026 NPPES data Nephrology Physician NPI 1609972728 MD
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JOSE AGUAYO, MD

Nephrology Physician in LAKELAND, 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
1K
Medicare Part D claims · 198 beneficiaries · Nephrology Physician avg: 1K
Generic prescribing
66%
generic claims · 34% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
100/100
▲ 17 pts above national avg 83.1 · [object Object]
Industry payments
$526.34
21 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: JOSE AGUAYO, MD is a Nephrology Physician ([object Object]) practicing in LAKELAND, Florida with a Medicare Part D prescribing footprint of 1K claims across 198 beneficiaries — 34% brand-name prescribing . Their CMS MIPS Final Score of 100/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $526.34 across 21 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: JOSE AGUAYO, MD reported a CMS MIPS final score of 100 out of 100, above the 83.1 national average, and filed 1,066 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)

JOSE AGUAYO, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

JOSE AGUAYO, MD at a glance

High performer (top quartile)

NPI registry status

Active

Issued 09/15/2006

NPI 1609972728

Primary specialty

Nephrology Physician

Mid-sized

10,534 US NPIs in this specialty

Medicare Part D claims

1,066 27% vs specialty avg

2023 prescription claims

Specialty avg: 1,454

MIPS final score

100/100 16.900000000000006% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Florida

How Nephrology Physician compares to other specialties among Florida providers

Florida providers

Nephrology Physician share within Florida

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

Medicare quality performance — MIPS

JOSE AGUAYO, MD's 2023 MIPS final score plotted against the Nephrology Physician national average

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

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

0%100%National avg83%99%
MIPS final score (Nephrology 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).

JOSE AGUAYO, MD is a Nephrology Physician provider practicing in LAKELAND, Florida, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1609972728. 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.

JOSE AGUAYO, MD appears in the CMS NPPES registry as a Nephrology Physician provider holding MD credentials at 1745 LAKELAND HILLS BLVD, LAKELAND, FL, 33805, with a listed phone of (863) 688-0576. NPI 1609972728 was issued on 09/15/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what AGUAYO 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 1,066 prescription claims written by this provider, covering 198 Medicare beneficiaries and totaling roughly $580K in drug spend, split 34% brand-name and 66% 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 100/100 for the 2023 performance year (Quality 93.1924), compared with the national average of 83.1.

Nephrology Physician is a mid-sized specialty nationwide, with 10,534 enrolled providers across 55 states and an average of 1,454 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

1745 LAKELAND HILLS BLVD
LAKELAND, FL 33805

Provider Details

NPI 1609972728
Specialty Nephrology Physician
Credentials MD
Gender Male
NPI Issued 09/15/2006

CMS Quality Score (MIPS)

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

100
Final Score
Avg: 83.1
93.1924
Quality

Reporting: Group practice

Hospital and facility affiliations

Facilities where JOSE AGUAYO, 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.

CENTRAL FLORIDA KIDNEY CARE PA
LAKELAND, 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 JOSE AGUAYO, MD. Source: openpaymentsdata.cms.gov.

Total received

$526

Largest payer

Novartis Pharmaceuticals Corporation

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 JOSE AGUAYO, MD. To verify JOSE AGUAYO, 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 · Above average

JOSE AGUAYO, MD — brand share 34.0%
Specialty average (est.)

34% brand-name claims vs 66% generic, on 1,066 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.

1,066
Total Claims
$580K
Total Drug Cost
198
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,613
Total Day Supply
46,677
Brand vs Generic
34% brand / 66% generic
Brand Drug Cost
$559K
Generic Drug Cost
$21K

Patient Demographics

Average Patient Age
69.4 years
Avg HCC Risk Score
4.25
Gender Split
47% female / 53% male
Age Distribution
<65: 50, 65-74: 79, 75-84: 50, 85+: 19

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Calcitriol
165
Farxiga
Dapagliflozin Propanediol
100
Prosol
Parenteral Amino Acid 20% No.1
54
Jardiance
Empagliflozin
51
Lisinopril
51
Prednisone
48
Furosemide
39
Hydralazine Hcl
39
Amlodipine Besylate
30
Sevelamer Carbonate
30

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

Nephrology Physician Overview

How JOSE AGUAYO, MD fits within the Nephrology Physician landscape nationally.

10,534
Nephrology Physician Providers in US
55
States with Nephrology Physician
1,454
Avg Claims per Provider

JOSE AGUAYO, MD's 1,066 claims are below the specialty average of 1,454.

Nearby Nephrology Physician Providers in Florida

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

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

Frequently Asked Questions

What is JOSE AGUAYO, MD's specialty?
JOSE AGUAYO, MD specializes in Nephrology Physician and practices in LAKELAND, Florida. Credentials: MD.
How much does JOSE AGUAYO, MD prescribe under Medicare Part D?
In 2023, JOSE AGUAYO, MD wrote 1,066 Medicare Part D claims totaling $580K in drug costs for 198 beneficiaries.
What is JOSE AGUAYO, MD's Medicare quality score?
JOSE AGUAYO, MD has a CMS MIPS Final Score of 100/100 (Quality: 93.1924). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is JOSE AGUAYO, MD located?
JOSE AGUAYO, MD is located at 1745 LAKELAND HILLS BLVD, LAKELAND, FL, 33805. Phone: (863) 688-0576.
What is JOSE AGUAYO, MD's NPI number?
JOSE AGUAYO, MD's National Provider Identifier (NPI) is 1609972728, issued on 09/15/2006.
Does JOSE AGUAYO, MD prescribe more brand-name or generic drugs?
JOSE AGUAYO, MD's prescribing is 34% brand-name and 66% generic drugs by claim count, with $559K in brand drug costs.
How many Nephrology Physician providers are there in the US?
There are 10,534 Nephrology Physician providers across 55 states in the US. The average Nephrology Physician provider writes 1,454 Medicare Part D claims per year.
What drugs does JOSE AGUAYO, MD prescribe most often?
Based on 2023 Medicare Part D data, JOSE AGUAYO, MD's most frequently prescribed drugs include Calcitriol, Farxiga, Prosol. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JOSE AGUAYO, MD accept Medicare?
JOSE AGUAYO, MD appears in CMS Medicare data with 1,066 Part D claims and 198 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JOSE AGUAYO, MD's credentials?
JOSE AGUAYO, MD's NPI is 1609972728 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