NPI registry status
Active
2026 NPPES data General Practice Physician NPI 1245395862 M.D.
Verify on CMS → Jose Garcia Lugo, M.D.
General Practice Physician in Toa Baja, 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 16,677 in General Practice 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
1K
Medicare Part D claims · 83 beneficiaries · General Practice Physician avg: 3K
Generic prescribing
79%
generic claims · 19% brand-name · higher generic rates reduce patient out-of-pocket costs
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 Garcia Lugo, M.D. filed 1,382 Medicare Part D claims in 2023 as a General Practice Physician in Toa Baja, Puerto Rico, prescribing 79% generic.
- 1K
- Part D claims, 2023
- 79%
- generic prescribing
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 Garcia Lugo, M.D.'s Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023, across all CMS prescribers nationally
1,382 Top 21% higher than 79% 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-eligible specialty (heuristic, not verified)
Jose Garcia Lugo, M.D. practices in an ABMS-board-eligible specialty but we don't have enough CMS-participation signals to confirm active board-certified status. Consult CertificationMatters.org (the official ABMS public lookup).
What does the federal data show about Jose Garcia Lugo, M.D.?
Quality data not reportedPrimary specialty
General Practice Physician
Medicare Part D claims
1,382 52% vs specialty avg
Specialty distribution in Puerto Rico
How General Practice 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 General Practice 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 Garcia Lugo, M.D. appears in the CMS NPPES registry as a General Practice Physician provider holding M.D. credentials at EA06 CALLE ROSA DE TEJAS, Toa Baja, PR, 00949, with a listed phone of (787) 795-5994. NPI 1245395862 was issued on 12/26/2006.
Medicare Part D records for calendar year 2023 show 1,382 prescription claims written by this provider, covering 83 Medicare beneficiaries and totaling roughly $105K in drug spend, split 19% brand-name and 79% generic by claim count.
General Practice Physician is a mid-sized specialty nationwide, with 16,677 enrolled providers across 56 states and an average of 2,872 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 | 1245395862 |
|---|---|
| Specialty | General Practice Physician |
| Credentials | M.D. |
| Gender | Male |
| NPI Issued | 12/26/2006 |
Brand vs generic prescribing mix · Typical
Jose Garcia Lugo, M.D. - brand share 19.0%
General Practice Physician average
19% brand-name claims vs 79% generic, on 1,382 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.
1,382
Total Claims
$105K
Total Drug Cost
83
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 2,861
- Total Day Supply
- 83,590
- Brand vs Generic
- 19% brand / 79% generic
- Brand Drug Cost
- $87K
- Generic Drug Cost
- $17K
- Antibiotic Claims
- 26
Patient Demographics
- Average Patient Age
- 71.1 years
- Avg HCC Risk Score
- 1.35
- Gender Split
- 57% female / 43% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Jose Garcia Lugo, M.D. prescribes most
Top Medicare Part D drugs by claim count, 2023
- Levothyroxine Sodium
Levothyroxine Sodium
119 claims
- Atorvastatin Calcium
Atorvastatin Calcium
100 claims
- Gabapentin
Gabapentin
80 claims
- Lisinopril
Lisinopril
78 claims
- Metformin Hcl
Metformin Hcl
72 claims
- Glipizide
Glipizide
52 claims
- Simvastatin 47
Simvastatin
47 claims
- Synthroid 43
Synthroid
43 claims
| Drug | Claims |
|---|---|
| Levothyroxine Sodium | 119 |
| Atorvastatin Calcium | 100 |
| Gabapentin | 80 |
| Lisinopril | 78 |
| Metformin Hcl | 72 |
| Glipizide | 52 |
| Simvastatin | 47 |
| Synthroid Levothyroxine Sodium | 43 |
| Furosemide | 38 |
| Losartan Potassium | 33 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
General Practice Physician Overview
How Jose Garcia Lugo, M.D. fits within the General Practice Physician landscape nationally.
16,677
General Practice Physician Providers in US
56
States with General Practice Physician
2,872
Avg Claims per Provider
Jose Garcia Lugo, M.D.'s 1,382 claims are below the specialty average of 2,872.
Nearby General Practice Physician Providers in Puerto Rico
Other clinicians with the same primary specialty enrolled in Puerto Rico, drawn from the same CMS NPPES roster as Garcia Lugo.
Dr. Veronica Abraham
MD
San Juan, PR
Dr. Manuel Abraham Gonzalez
M.D.
San Juan, PR
Dr. Jennifer Abraham Vega
MD
San Juan, PR
Dr. Jose M. Abreu Guzman
M.D.
Manati, PR
Dr. Steven Abreu Reyes
M.D.
Las Piedras, PR
Compare General Practice 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 General Practice 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.
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Frequently Asked Questions
What is Jose Garcia Lugo, M.D.'s specialty? ▼
Jose Garcia Lugo, M.D. specializes in General Practice Physician and practices in Toa Baja, Puerto Rico. Credentials: M.D..
How much does Jose Garcia Lugo, M.D. prescribe under Medicare Part D? ▼
In 2023, Jose Garcia Lugo, M.D. wrote 1,382 Medicare Part D claims totaling $105K in drug costs for 83 beneficiaries.
Where is Jose Garcia Lugo, M.D. located? ▼
Jose Garcia Lugo, M.D. is located at EA06 CALLE ROSA DE TEJAS, Toa Baja, PR, 00949. Phone: (787) 795-5994.
What is Jose Garcia Lugo, M.D.'s NPI number? ▼
Jose Garcia Lugo, M.D.'s National Provider Identifier (NPI) is 1245395862, issued on 12/26/2006.
Does Jose Garcia Lugo, M.D. prescribe more brand-name or generic drugs? ▼
Jose Garcia Lugo, M.D.'s prescribing is 19% brand-name and 79% generic drugs by claim count, with $87K in brand drug costs.
How many General Practice Physician providers are there in the US? ▼
There are 16,677 General Practice Physician providers across 56 states in the US. The average General Practice Physician provider writes 2,872 Medicare Part D claims per year.
What drugs does Jose Garcia Lugo, M.D. prescribe most often? ▼
Based on 2023 Medicare Part D data, Jose Garcia Lugo, M.D.'s most frequently prescribed drugs include Levothyroxine Sodium, Atorvastatin Calcium, Gabapentin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Jose Garcia Lugo, M.D. accept Medicare? ▼
Jose Garcia Lugo, M.D. appears in CMS Medicare data with 1,382 Part D claims and 83 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Jose Garcia Lugo, M.D.'s credentials? ▼
Jose Garcia Lugo, M.D.'s NPI is 1245395862 with credentials M.D.. 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.