2026 NPPES data Internal Medicine Physician NPI 1831164557 MD
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JOSE APONTE, MD

Internal Medicine Physician in HIALEAH, 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
2K
Medicare Part D claims · 367 beneficiaries · Internal Medicine Physician avg: 3K
Generic prescribing
88%
generic claims · 12% brand-name · higher generic rates reduce patient out-of-pocket costs

What the federal data shows

JOSE APONTE, MD filed 1,743 Medicare Part D claims in 2023 as a Internal Medicine Physician in HIALEAH, Florida, prescribing 88% generic.

2K
Part D claims, 2023
88%
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.

JOSE APONTE, MD's Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

1,743 Top 17% higher than 83% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). Below this entry. 400–600: 90,619 prescribers (7%). Below this entry. 600–800: 56,224 prescribers (4%). Below this entry. 800–1,000: 40,919 prescribers (3%). Below this entry. 1,000–1,200: 31,827 prescribers (2%). Below this entry. 1,200–1,400: 26,224 prescribers (2%). Below this entry. 1,400–1,600: 21,710 prescribers (2%). Below this entry. 1,600–1,800: 19,072 prescribers (1%). This entry sits in this band. 1,800–2,000: 16,451 prescribers (1%). Above this entry. 2,000–2,200: 213,991 prescribers (16%). Above this entry. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

Each bar is a band; taller bars hold more prescribers. 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 Medicare Part D Prescriber Public Use File · 2023

Board certification likely (heuristic — not verified)

JOSE APONTE, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 1 hospital affiliation — 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 JOSE APONTE, MD?

Quality data not reported

NPI registry status

Active

Issued 02/17/2006

NPI 1831164557

Primary specialty

Internal Medicine Physician

High-volume

172,858 US NPIs in this specialty

Medicare Part D claims

1,743 36% vs specialty avg

2023 prescription claims

Specialty avg: 2,716

Specialty distribution in Florida

How Internal Medicine Physician compares to other specialties among Florida providers

Florida providers

Internal Medicine Physician share within Florida

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

Specialty board-certification context

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

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

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

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

JOSE APONTE, MD appears in the CMS NPPES registry as a Internal Medicine Physician provider holding MD credentials at 4410 W 16TH AVE STE 1, HIALEAH, FL, 33012, with a listed phone of (305) 685-5688. NPI 1831164557 was issued on 02/17/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what APONTE 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 1,743 prescription claims written by this provider, covering 367 Medicare beneficiaries and totaling roughly $156K in drug spend, split 12% brand-name and 88% 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.

Internal Medicine Physician is a high-volume specialty nationwide, with 172,858 enrolled providers across 56 states and an average of 2,716 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

4410 W 16TH AVE STE 1
HIALEAH, FL 33012

Provider Details

NPI 1831164557
Specialty Internal Medicine Physician
Credentials MD
Gender Male
NPI Issued 02/17/2006

Hospital and facility affiliations

Facilities where JOSE APONTE, 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.

CANO HEALTH, LLC
PEMBROKE PINES, 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).

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 APONTE, MD. To verify JOSE APONTE, 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

JOSE APONTE, MD — brand share 12.0%
Specialty average (est.)

12% brand-name claims vs 88% generic, on 1,743 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.

1,743
Total Claims
$156K
Total Drug Cost
367
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
4,250
Total Day Supply
126,829
Brand vs Generic
12% brand / 88% generic
Brand Drug Cost
$128K
Generic Drug Cost
$26K

Patient Demographics

Average Patient Age
73.1 years
Avg HCC Risk Score
1.65
Gender Split
55% female / 45% male
Age Distribution
<65: 43, 65-74: 183, 75-84: 96, 85+: 45

Top Prescribed Drugs (Medicare Part D)

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

What JOSE APONTE, 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
Losartan Potassium
103
Atorvastatin Calcium
89
Rosuvastatin Calcium
75
Metformin Hcl
72
Amlodipine Besylate
69
Levothyroxine Sodium
67
Omeprazole
58
Lisinopril
47
Gabapentin
37
Montelukast Sodium
32

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

Internal Medicine Physician Overview

How JOSE APONTE, MD fits within the Internal Medicine Physician landscape nationally.

172,858
Internal Medicine Physician Providers in US
56
States with Internal Medicine Physician
2,716
Avg Claims per Provider

JOSE APONTE, MD's 1,743 claims are below the specialty average of 2,716.

Nearby Internal Medicine Physician Providers in Florida

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

Compare Internal Medicine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is JOSE APONTE, MD's specialty?
JOSE APONTE, MD specializes in Internal Medicine Physician and practices in HIALEAH, Florida. Credentials: MD.
How much does JOSE APONTE, MD prescribe under Medicare Part D?
In 2023, JOSE APONTE, MD wrote 1,743 Medicare Part D claims totaling $156K in drug costs for 367 beneficiaries.
Where is JOSE APONTE, MD located?
JOSE APONTE, MD is located at 4410 W 16TH AVE STE 1, HIALEAH, FL, 33012. Phone: (305) 685-5688.
What is JOSE APONTE, MD's NPI number?
JOSE APONTE, MD's National Provider Identifier (NPI) is 1831164557, issued on 02/17/2006.
Does JOSE APONTE, MD prescribe more brand-name or generic drugs?
JOSE APONTE, MD's prescribing is 12% brand-name and 88% generic drugs by claim count, with $128K in brand drug costs.
How many Internal Medicine Physician providers are there in the US?
There are 172,858 Internal Medicine Physician providers across 56 states in the US. The average Internal Medicine Physician provider writes 2,716 Medicare Part D claims per year.
What drugs does JOSE APONTE, MD prescribe most often?
Based on 2023 Medicare Part D data, JOSE APONTE, MD's most frequently prescribed drugs include Losartan Potassium, Atorvastatin Calcium, Rosuvastatin Calcium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JOSE APONTE, MD accept Medicare?
JOSE APONTE, MD appears in CMS Medicare data with 1,743 Part D claims and 367 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JOSE APONTE, MD's credentials?
JOSE APONTE, MD's NPI is 1831164557 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