2026 NPPES data Nephrology Physician NPI 1275067613 MD
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JOSE HENAO, MD

Nephrology Physician in LAS CRUCES, New Mexico. 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 · 189 beneficiaries · Nephrology Physician avg: 1K
Generic prescribing
74%
generic claims · 26% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
82.2803/100
▼ 1 pts below national avg 83.1 · [object Object]
Industry payments
$9.7K
46 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: JOSE HENAO, MD is a Nephrology Physician ([object Object]) practicing in LAS CRUCES, New Mexico with a Medicare Part D prescribing footprint of 1K claims across 189 beneficiaries — 26% brand-name prescribing . Their CMS MIPS Final Score of 82.2803/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $9.7K across 46 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: JOSE HENAO, MD reported a CMS MIPS final score of 82.2803 out of 100, below the 83.1 national average, and filed 1,159 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 HENAO, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 4 hospital affiliations — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

JOSE HENAO, MD at a glance

Near national average

NPI registry status

Active

Issued 04/12/2017

NPI 1275067613

Primary specialty

Nephrology Physician

Mid-sized

10,534 US NPIs in this specialty

Medicare Part D claims

1,159 20% vs specialty avg

2023 prescription claims

Specialty avg: 1,454

MIPS final score

82.2803/100 0.8196999999999974% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in New Mexico

How Nephrology Physician compares to other specialties among New Mexico providers

New Mexico providers

Nephrology Physician share within New Mexico

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

Medicare quality performance — MIPS

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

Near national average
MIPS Final Score
82.2803/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Nephrology Physician) — 82.2803/100 vs national avg 83.1

0%100%National avg83%82.3%
MIPS final score (Nephrology Physician) — 82.2803/100 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 HENAO, MD is a Nephrology Physician provider practicing in LAS CRUCES, New Mexico, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1275067613. 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 HENAO, MD appears in the CMS NPPES registry as a Nephrology Physician provider holding MD credentials at 3900 E LOHMAN AVE STE B, LAS CRUCES, NM, 88011, with a listed phone of (575) 522-5752. NPI 1275067613 was issued on 04/12/2017. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what HENAO 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 1,159 prescription claims written by this provider, covering 189 Medicare beneficiaries and totaling roughly $403K in drug spend, split 26% brand-name and 74% generic by claim count, with an opioid prescribing rate of 1.2%. 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 82.2803/100 for the 2023 performance year (Quality 88.8152, Cost 52.9524), 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

3900 E LOHMAN AVE STE B
LAS CRUCES, NM 88011

Provider Details

NPI 1275067613
Specialty Nephrology Physician
Credentials MD
Gender Male
NPI Issued 04/12/2017

CMS Quality Score (MIPS)

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

82.2803
Final Score
Avg: 83.1
88.8152
Quality
52.9524
Cost
99
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where JOSE HENAO, 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.

HIGH DESERT NEPHROLOGY ASSOCIATES PLLC
GALLUP, NM
REHOBOTH MCKINLEY CHRISTIAN HEALTH CARE SERVICES, INC.
GALLUP, NM
RENAL MEDICINE ASSOCIATES LTD.
LAS CRUCES, NM
SANFORD HEALTH NETWORK
VERMILLION, SD

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 HENAO, MD. Source: openpaymentsdata.cms.gov.

Total received

$9.7K

Largest payer

Amgen 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 · Above average

JOSE HENAO, MD — brand share 26.0%
Specialty average (est.)

26% brand-name claims vs 74% generic, on 1,159 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.

1,159
Total Claims
$403K
Total Drug Cost
189
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,934
Total Day Supply
56,293
Brand vs Generic
26% brand / 74% generic
Brand Drug Cost
$382K
Generic Drug Cost
$21K
Opioid Claims
14 (1.2% rate)
Antibiotic Claims
19

Patient Demographics

Average Patient Age
72.4 years
Avg HCC Risk Score
2.34
Gender Split
49% female / 51% male
Age Distribution
<65: 26, 65-74: 90, 75-84: 54, 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
Losartan Potassium
143
Jardiance
Empagliflozin
115
Kerendia
Finerenone
78
Torsemide
69
Farxiga
Dapagliflozin Propanediol
57
Amlodipine Besylate
48
Carvedilol
38
Chlorthalidone
37
Potassium Chloride
33
Spironolactone
27

* 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 HENAO, 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 HENAO, MD's 1,159 claims are below the specialty average of 1,454.

Nearby Nephrology Physician Providers in New Mexico

Other clinicians with the same primary specialty enrolled in New Mexico, drawn from the same CMS NPPES roster as HENAO.

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

Frequently Asked Questions

What is JOSE HENAO, MD's specialty?
JOSE HENAO, MD specializes in Nephrology Physician and practices in LAS CRUCES, New Mexico. Credentials: MD.
How much does JOSE HENAO, MD prescribe under Medicare Part D?
In 2023, JOSE HENAO, MD wrote 1,159 Medicare Part D claims totaling $403K in drug costs for 189 beneficiaries.
What is JOSE HENAO, MD's Medicare quality score?
JOSE HENAO, MD has a CMS MIPS Final Score of 82.2803/100 (Quality: 88.8152, Cost: 52.9524). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is JOSE HENAO, MD located?
JOSE HENAO, MD is located at 3900 E LOHMAN AVE STE B, LAS CRUCES, NM, 88011. Phone: (575) 522-5752.
What is JOSE HENAO, MD's NPI number?
JOSE HENAO, MD's National Provider Identifier (NPI) is 1275067613, issued on 04/12/2017.
Does JOSE HENAO, MD prescribe more brand-name or generic drugs?
JOSE HENAO, MD's prescribing is 26% brand-name and 74% generic drugs by claim count, with $382K in brand drug costs.
Does JOSE HENAO, MD prescribe opioids?
Yes, JOSE HENAO, MD had 14 opioid claims in 2023 with an opioid prescribing rate of 1.2%.
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 HENAO, MD prescribe most often?
Based on 2023 Medicare Part D data, JOSE HENAO, MD's most frequently prescribed drugs include Losartan Potassium, Jardiance, Kerendia. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JOSE HENAO, MD accept Medicare?
JOSE HENAO, MD appears in CMS Medicare data with 1,159 Part D claims and 189 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JOSE HENAO, MD's credentials?
JOSE HENAO, MD's NPI is 1275067613 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