NPI registry status
Active
2026 NPPES data Neurology Physician NPI 1467868927 MD
Verify on CMS → Jose Avila Ornelas, MD
Neurology Physician in Caguas, Puerto Rico.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 19,866 in Neurology Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
582
Medicare Part D claims · 67 beneficiaries · Neurology Physician avg: 1K
Generic prescribing
50%
generic claims · 50% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$118.0K
210 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Jose Avila Ornelas, MD filed 582 Medicare Part D claims in 2023 as a Neurology Physician in Caguas, Puerto Rico, prescribing 50% generic.
- 582
- Part D claims, 2023
- 50%
- 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 Avila Ornelas, MD's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023, across all CMS prescribers nationally
582 Top 34% higher than 66% of 1,370,886 prescribers
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 Avila Ornelas, 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 Avila Ornelas, MD?
Quality data not reportedPrimary specialty
Neurology Physician
Medicare Part D claims
582 56% vs specialty avg
Specialty distribution in Puerto Rico
How Neurology Physician compares to other specialties among Puerto Rico providers
Board certification
Not published by CMS
CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Neurology Physician. Verify directly:
How MIPS and board certification work
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 Avila Ornelas, MD appears in the CMS NPPES registry as a Neurology Physician provider holding MD credentials at HIMA PLAZA 1 AVE DEGETAU SUITE 308-311, Caguas, PR, 00725, with a listed phone of (787) 930-1705. NPI 1467868927 was issued on 07/06/2014.
Medicare Part D records for calendar year 2023 show 582 prescription claims written by this provider, covering 67 Medicare beneficiaries and totaling roughly $3.0 million in drug spend, split 50% brand-name and 50% generic by claim count.
Neurology Physician is a mid-sized specialty nationwide, with 19,866 enrolled providers across 54 states and an average of 1,309 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
Provider Details
| NPI | 1467868927 |
|---|---|
| Specialty | Neurology Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 07/06/2014 |
Hospital and facility affiliations
Facilities where Jose Avila Ornelas, 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.
Puerto Rico Multiple Sclerosis Center LLC
Caguas, PR
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 Avila Ornelas, MD. Source: openpaymentsdata.cms.gov.
Total received
$118.0K
Largest payer
Biogen, Inc.
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.
Brand vs generic prescribing mix · Brand-heavy
Jose Avila Ornelas, MD - brand share 50.0%
Neurology Physician average
50% brand-name claims vs 50% generic, on 582 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.
582
Total Claims
$3.0M
Total Drug Cost
67
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 622
- Total Day Supply
- 17,334
- Brand vs Generic
- 50% brand / 50% generic
- Brand Drug Cost
- $3.0M
- Generic Drug Cost
- $8K
Patient Demographics
- Average Patient Age
- 57.7 years
- Avg HCC Risk Score
- 1.95
- Gender Split
- 66% female / 34% male
- Age Distribution
- <65: 45, 65-74: 19, 75-84: N/A, 85+: N/A
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Jose Avila Ornelas, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Kesimpta Pen
Kesimpta Pen
72 claims
- Vumerity
Vumerity
58 claims
- Baclofen
Baclofen
44 claims
- Gabapentin
Gabapentin
38 claims
- Mayzent
Mayzent
33 claims
- Carbamazepine
Carbamazepine
31 claims
- Dalfampridine Er
Dalfampridine Er
29 claims
- Tizanidine Hcl 24
Tizanidine Hcl
24 claims
| Drug | Claims |
|---|---|
| Kesimpta Pen Ofatumumab | 72 |
| Vumerity Diroximel Fumarate | 58 |
| Baclofen | 44 |
| Gabapentin | 38 |
| Mayzent Siponimod | 33 |
| Carbamazepine | 31 |
| Dalfampridine Er Dalfampridine | 29 |
| Tizanidine Hcl | 24 |
| Aubagio Teriflunomide | 22 |
| Emgality Pen Galcanezumab-Gnlm | 21 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Neurology Physician Overview
How Jose Avila Ornelas, MD fits within the Neurology Physician landscape nationally.
19,866
Neurology Physician Providers in US
54
States with Neurology Physician
1,309
Avg Claims per Provider
Jose Avila Ornelas, MD's 582 claims are below the specialty average of 1,309.
Nearby Neurology Physician Providers in Puerto Rico
Other clinicians with the same primary specialty enrolled in Puerto Rico, drawn from the same CMS NPPES roster as Avila Ornelas.
Dr. Jose Acevedo
MD
Mayaguez, PR
Dr. Iris Acevedo-Marty
M.D.
Aguadilla, PR
Dr. Heriberto Acosta
M.D.
San Juan, PR
Dr. Marelisa Albelo Martinez
MD
San Juan, PR
Dr. Gishlaine Alfonso
MD
Hato Rey, PR
Compare Neurology Physician nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the Puerto Rico medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Neurology Physician peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
Healthcare Guides
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Medical Specialties Explained
Who treats what and how specialties differ
Understanding Medicare Claims Data
What prescribing data reveals about a provider
In-Network vs Out-of-Network
How insurance networks affect your costs
Telehealth Guide
Virtual care options and coverage in 2026
Explore Puerto Rico
Frequently Asked Questions
What is Jose Avila Ornelas, MD's specialty? ▼
Jose Avila Ornelas, MD specializes in Neurology Physician and practices in Caguas, Puerto Rico. Credentials: MD.
How much does Jose Avila Ornelas, MD prescribe under Medicare Part D? ▼
In 2023, Jose Avila Ornelas, MD wrote 582 Medicare Part D claims totaling $3.0M in drug costs for 67 beneficiaries.
Where is Jose Avila Ornelas, MD located? ▼
Jose Avila Ornelas, MD is located at HIMA PLAZA 1 AVE DEGETAU SUITE 308-311, Caguas, PR, 00725. Phone: (787) 930-1705.
What is Jose Avila Ornelas, MD's NPI number? ▼
Jose Avila Ornelas, MD's National Provider Identifier (NPI) is 1467868927, issued on 07/06/2014.
Does Jose Avila Ornelas, MD prescribe more brand-name or generic drugs? ▼
Jose Avila Ornelas, MD's prescribing is 50% brand-name and 50% generic drugs by claim count, with $3.0M in brand drug costs.
How many Neurology Physician providers are there in the US? ▼
There are 19,866 Neurology Physician providers across 54 states in the US. The average Neurology Physician provider writes 1,309 Medicare Part D claims per year.
What drugs does Jose Avila Ornelas, MD prescribe most often? ▼
Based on 2023 Medicare Part D data, Jose Avila Ornelas, MD's most frequently prescribed drugs include Kesimpta Pen, Vumerity, Baclofen. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Jose Avila Ornelas, MD accept Medicare? ▼
Jose Avila Ornelas, MD appears in CMS Medicare data with 582 Part D claims and 67 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Jose Avila Ornelas, MD's credentials? ▼
Jose Avila Ornelas, MD's NPI is 1467868927 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
View source datasets and methodology notes
- 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
Compiled from official public sources by the PlainDoctor editorial team.