JOSE GOMEZ ALBA, MD
Psychiatry Physician in CAROLINA, Puerto Rico. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.
What the federal data shows
JOSE GOMEZ ALBA, MD filed 9,398 Medicare Part D claims in 2023 as a Psychiatry Physician in CAROLINA, Puerto Rico, prescribing 97% generic.
- 9K
- Part D claims, 2023
- 97%
- 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 GOMEZ ALBA, MD's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023 — across all CMS prescribers nationally
9,398 Top 2% higher than 98% 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
JOSE GOMEZ ALBA, MD 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 GOMEZ ALBA, MD?
Quality data not reportedPrimary specialty
Medicare Part D claims
Specialty distribution in Puerto Rico
How Psychiatry Physician compares to other specialties among Puerto Rico providers
Psychiatry Physician share within Puerto Rico
Psychiatry Physician is one of the more visible NUCC categories in Puerto Rico
Each bar reflects the share of in-state providers whose primary NUCC taxonomy matches the specialty. Long tail of ~690 NUCC codes folded into "Other" to keep the comparison legible.
Specialty board-certification context
Estimated specialty board-certified rate — Psychiatry Physician (ABMS / AOA reference)
- Est. board-certified rate
- 78%
- Psychiatry Physician ABMS/AOA estimate
Est. board-certified rate (Psychiatry Physician) — ABMS / AOA estimate
Verify credentials
- Verify via ABMS free public lookup
- Verify via AOA osteopathic boards
- Specialty volume Psychiatry Physician US NPIs
Specialty board-certified rate — Psychiatry Physician estimate
Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus Maintenance of Certification cycles. CMS does not publish a per-provider board-certification field; the figure shown is the specialty-level estimated rate from ABMS / AOA reference data.
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 GOMEZ ALBA, MD appears in the CMS NPPES registry as a Psychiatry Physician provider holding MD credentials at 236 AVE SAN MARCOS, CAROLINA, PR, 00982, with a listed phone of (787) 768-8544. NPI 1326099243 was issued on 05/15/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what GOMEZ ALBA 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 9,398 prescription claims written by this provider, covering 355 Medicare beneficiaries and totaling roughly $303K in drug spend, split 3% brand-name and 97% 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.
Psychiatry Physician is a high-volume specialty nationwide, with 53,104 enrolled providers across 56 states and an average of 1,038 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 | 1326099243 |
|---|---|
| Specialty | Psychiatry Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 05/15/2006 |
Verify this provider's license
PlainDoctor pulls this profile from the CMS NPPES public registry. Confirm JOSE GOMEZ ALBA, MD's current license status, disciplinary history, and board certifications directly with the licensing state's medical board before relying on this page for a clinical or care decision.
How we sourced this profile
Brand vs generic prescribing mix · Generic-heavy
3% brand-name claims vs 97% generic, on 9,398 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.
Prescribing Breakdown
- 30-Day Fills
- 9,597
- Total Day Supply
- 282,907
- Brand vs Generic
- 3% brand / 97% generic
- Brand Drug Cost
- $145K
- Generic Drug Cost
- $158K
Patient Demographics
- Average Patient Age
- 63.7 years
- Avg HCC Risk Score
- 1.68
- Gender Split
- 60% female / 40% male
- Age Distribution
- <65: 196, 65-74: 101, 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 GOMEZ ALBA, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Clonazepam
Clonazepam
1,332 claims
- Temazepam
Temazepam
938 claims
- Lorazepam
Lorazepam
655 claims
- Escitalopram Oxalate 444
Escitalopram Oxalate
444 claims
- Lamotrigine 404
Lamotrigine
404 claims
- Desvenlafaxine Suc… 392
Desvenlafaxine Succinate Er
392 claims
- Sertraline Hcl 340
Sertraline Hcl
340 claims
- Alprazolam 323
Alprazolam
323 claims
| Drug | Claims |
|---|---|
| Clonazepam | 1,332 |
| Temazepam | 938 |
| Lorazepam | 655 |
| Escitalopram Oxalate | 444 |
| Lamotrigine | 404 |
| Desvenlafaxine Succinate Er Desvenlafaxine Succinate | 392 |
| Sertraline Hcl | 340 |
| Alprazolam | 323 |
| Quetiapine Fumarate | 321 |
| Citalopram Hbr Citalopram Hydrobromide | 314 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Psychiatry Physician Overview
How JOSE GOMEZ ALBA, MD fits within the Psychiatry Physician landscape nationally.
JOSE GOMEZ ALBA, MD's 9,398 claims are above the specialty average of 1,038.
Nearby Psychiatry Physician Providers in Puerto Rico
Other clinicians with the same primary specialty enrolled in Puerto Rico, drawn from the same CMS NPPES roster as GOMEZ ALBA.
Compare Psychiatry Physician nationally: see state-by-state distribution →
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Frequently Asked Questions
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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