2026 NPPES data Critical Care Medicine (Internal Medicine) Physician NPI 1164684353 M.D
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Jose Herazo-Maya, M.D

Critical Care Medicine (Internal Medicine) Physician in Naples, 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
382
Medicare Part D claims · 92 beneficiaries · Critical Care Medicine (Internal Medicine) Physician avg: 1K
Generic prescribing
54%
generic claims · 46% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$507.54
7 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

Jose Herazo-Maya, M.D filed 382 Medicare Part D claims in 2023 as a Critical Care Medicine (Internal Medicine) Physician in Naples, Florida, prescribing 54% generic.

382
Part D claims, 2023
54%
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 Herazo-Maya, M.D's Medicare Part D volume vs every U.S. prescriber

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

382 Top 43% higher than 57% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). This entry sits in this band. 400–600: 90,619 prescribers (7%). Above this entry. 600–800: 56,224 prescribers (4%). Above this entry. 800–1,000: 40,919 prescribers (3%). Above this entry. 1,000–1,200: 31,827 prescribers (2%). Above this entry. 1,200–1,400: 26,224 prescribers (2%). Above this entry. 1,400–1,600: 21,710 prescribers (2%). Above this entry. 1,600–1,800: 19,072 prescribers (1%). Above this entry. 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 Herazo-Maya, M.D 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 Herazo-Maya, M.D?

Quality data not reported

NPI registry status

Active

Issued 06/28/2008

NPI 1164684353

Primary specialty

Critical Care Medicine (Internal Medicine) Physician

Mid-sized

6,631 US NPIs in this specialty

Medicare Part D claims

382 64% vs specialty avg

2023 prescription claims

Specialty avg: 1,069

Specialty distribution in Florida

How Critical Care Medicine (Internal Medicine) Physician compares to other specialties among Florida providers

Florida providers

Critical Care Medicine (Internal Medicine) Physician share within Florida

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

Specialty board-certification context

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

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

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

0%100%78%
Est. board-certified rate (Critical Care Medicine (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 Herazo-Maya, M.D appears in the CMS NPPES registry as a Critical Care Medicine (Internal Medicine) Physician provider holding M.D credentials at 311 9TH ST N STE 310, Naples, FL, 34102, with a listed phone of (239) 624-8250. NPI 1164684353 was issued on 06/28/2008. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Herazo-Maya 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 382 prescription claims written by this provider, covering 92 Medicare beneficiaries and totaling roughly $1.9 million in drug spend, split 46% brand-name and 54% 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.

Critical Care Medicine (Internal Medicine) Physician is a mid-sized specialty nationwide, with 6,631 enrolled providers across 53 states and an average of 1,069 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

311 9TH ST N STE 310
Naples, FL 34102

Provider Details

NPI 1164684353
Specialty Critical Care Medicine (Internal Medicine) Physician
Credentials M.D
Gender Male
NPI Issued 06/28/2008

Hospital and facility affiliations

Facilities where Jose Herazo-Maya, M.D 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.

University Medical Service Association Inc
Tampa, 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).

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 Herazo-Maya, M.D. Source: openpaymentsdata.cms.gov.

Total received

$508

Largest payer

Boehringer Ingelheim Pharmaceuticals, 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.

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 Herazo-Maya, M.D. To verify Jose Herazo-Maya, M.D'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 · Above average

Jose Herazo-Maya, M.D — brand share 46.0%
Specialty average (est.)

46% brand-name claims vs 54% generic, on 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.

382
Total Claims
$1.9M
Total Drug Cost
92
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
562
Total Day Supply
16,538
Brand vs Generic
46% brand / 54% generic
Brand Drug Cost
$1.8M
Generic Drug Cost
$147K
Antibiotic Claims
30

Patient Demographics

Average Patient Age
69.3 years
Avg HCC Risk Score
2.21
Gender Split
52% female / 48% 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 Herazo-Maya, M.D 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
Ofev
Nintedanib Esylate
130
Mycophenolate Mofetil
44
Prednisone
37
Pirfenidone
28
Pantoprazole Sodium
22
Sulfamethoxazole-Trimethoprim
Sulfamethoxazole/Trimethoprim
19
Esbriet
Pirfenidone
17
Breo Ellipta
Fluticasone/Vilanterol
11
Furosemide
11

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

Critical Care Medicine (Internal Medicine) Physician Overview

How Jose Herazo-Maya, M.D fits within the Critical Care Medicine (Internal Medicine) Physician landscape nationally.

6,631
Critical Care Medicine (Internal Medicine) Physician Providers in US
53
States with Critical Care Medicine (Internal Medicine) Physician
1,069
Avg Claims per Provider

Jose Herazo-Maya, M.D's 382 claims are below the specialty average of 1,069.

Nearby Critical Care Medicine (Internal Medicine) Physician Providers in Florida

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

Compare Critical Care Medicine (Internal Medicine) 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 Florida medical board — federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Critical Care Medicine (Internal Medicine) 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.

Frequently Asked Questions

What is Jose Herazo-Maya, M.D's specialty?
Jose Herazo-Maya, M.D specializes in Critical Care Medicine (Internal Medicine) Physician and practices in Naples, Florida. Credentials: M.D.
How much does Jose Herazo-Maya, M.D prescribe under Medicare Part D?
In 2023, Jose Herazo-Maya, M.D wrote 382 Medicare Part D claims totaling $1.9M in drug costs for 92 beneficiaries.
Where is Jose Herazo-Maya, M.D located?
Jose Herazo-Maya, M.D is located at 311 9TH ST N STE 310, Naples, FL, 34102. Phone: (239) 624-8250.
What is Jose Herazo-Maya, M.D's NPI number?
Jose Herazo-Maya, M.D's National Provider Identifier (NPI) is 1164684353, issued on 06/28/2008.
Does Jose Herazo-Maya, M.D prescribe more brand-name or generic drugs?
Jose Herazo-Maya, M.D's prescribing is 46% brand-name and 54% generic drugs by claim count, with $1.8M in brand drug costs.
How many Critical Care Medicine (Internal Medicine) Physician providers are there in the US?
There are 6,631 Critical Care Medicine (Internal Medicine) Physician providers across 53 states in the US. The average Critical Care Medicine (Internal Medicine) Physician provider writes 1,069 Medicare Part D claims per year.
What drugs does Jose Herazo-Maya, M.D prescribe most often?
Based on 2023 Medicare Part D data, Jose Herazo-Maya, M.D's most frequently prescribed drugs include Ofev, Mycophenolate Mofetil, Prednisone. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Jose Herazo-Maya, M.D accept Medicare?
Jose Herazo-Maya, M.D appears in CMS Medicare data with 382 Part D claims and 92 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Jose Herazo-Maya, M.D's credentials?
Jose Herazo-Maya, M.D's NPI is 1164684353 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

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