NPI registry status
Active
2026 NPPES data General Practice Physician NPI 1902030869 MD
Verify on CMS → Jose Lares-Guia, MD
General Practice Physician in New York, New York.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 16,725 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
6K
Medicare Part D claims · 93 beneficiaries · General Practice Physician avg: 3K
Generic prescribing
66%
generic claims · 34% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$48.13
2 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 Lares-Guia, MD filed 5,791 Medicare Part D claims in 2023 as a General Practice Physician in New York, New York, prescribing 66% generic.
- 6K
- Part D claims, 2023
- 66%
- 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 Lares-Guia, MD's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023, across all CMS prescribers nationally
5,791 Top 5% higher than 95% 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 Lares-Guia, 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 Lares-Guia, MD?
Quality data not reportedPrimary specialty
General Practice Physician
Medicare Part D claims
5,791 102% vs specialty avg
Specialty distribution in New York
How General Practice Physician compares to other specialties among New York 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 Lares-Guia, MD appears in the CMS NPPES registry as a General Practice Physician provider holding MD credentials at 111 WADSWORTH AVE, New York, NY, 10033, with a listed phone of (646) 682-7544. NPI 1902030869 was issued on 05/07/2009.
Medicare Part D records for calendar year 2023 show 5,791 prescription claims written by this provider, covering 93 Medicare beneficiaries and totaling roughly $4.7 million in drug spend, split 34% brand-name and 66% generic by claim count, with an opioid prescribing rate of 2.1%.
General Practice Physician is a mid-sized specialty nationwide, with 16,725 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 | 1902030869 |
|---|---|
| Specialty | General Practice Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 05/07/2009 |
Hospital and facility affiliations
Facilities where Jose Lares-Guia, 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.
Ace Medical Care PC
New York, NY
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 Lares-Guia, MD. Source: openpaymentsdata.cms.gov.
Total received
$48
Largest payer
Gilead Sciences, 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 - New York NYSBPMC 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 ~100K New York medical licensees in 2023 - they are NOT specific to Jose Lares-Guia, MD. To verify Jose Lares-Guia, MD's current license status, search the NYSBPMC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
312
Total board actions, New York 2023
Across 302 cases
3.12
Actions per 1,000 licensees
New York statewide rate
probation
Most common action type
89 cases
NYSBPMC 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 New York disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Brand vs generic prescribing mix · Above average
Jose Lares-Guia, MD - brand share 34.0%
General Practice Physician average
34% brand-name claims vs 66% generic, on 5,791 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.
5,791
Total Claims
$4.7M
Total Drug Cost
93
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 6,351
- Total Day Supply
- 181,283
- Brand vs Generic
- 34% brand / 66% generic
- Brand Drug Cost
- $4.3M
- Generic Drug Cost
- $411K
- Opioid Claims
- 120 (2.1% rate)
- Antibiotic Claims
- 196
Patient Demographics
- Average Patient Age
- 67.5 years
- Avg HCC Risk Score
- 1.47
- Gender Split
- 13% female / 87% male
- Age Distribution
- <65: 34, 65-74: 40, 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 Lares-Guia, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Descovy
Descovy
298 claims
- Tivicay
Tivicay
295 claims
- Isentress
Isentress
278 claims
- Atorvastatin Calcium
Atorvastatin Calcium
276 claims
- Prezista
Prezista
197 claims
- Valacyclovir
Valacyclovir
180 claims
- Ritonavir
Ritonavir
174 claims
- Olmesartan Medoxomil
Olmesartan Medoxomil
123 claims
| Drug | Claims |
|---|---|
| Descovy Emtricitabine/Tenofov Alafenam | 298 |
| Tivicay Dolutegravir Sodium | 295 |
| Isentress Raltegravir Potassium | 278 |
| Atorvastatin Calcium | 276 |
| Prezista Darunavir | 197 |
| Valacyclovir Valacyclovir Hcl | 180 |
| Ritonavir | 174 |
| Olmesartan Medoxomil | 123 |
| Biktarvy Bictegrav/Emtricit/Tenofov Ala | 113 |
| Tamsulosin Hcl | 110 |
* 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 Lares-Guia, MD fits within the General Practice Physician landscape nationally.
16,725
General Practice Physician Providers in US
56
States with General Practice Physician
2,872
Avg Claims per Provider
Jose Lares-Guia, MD's 5,791 claims are above the specialty average of 2,872.
Nearby General Practice Physician Providers in New York
Other clinicians with the same primary specialty enrolled in New York, drawn from the same CMS NPPES roster as Lares-Guia.
Dr. Brian Abrahams
M.D.
New York, NY
Dr. Sameh Abuelkhir
MD
Brooklyn, NY
Dr. Billy Abungu
MD
Bronx, NY
Dr. Elizabeth Acevedo-Danzi
D.O.
East Meadow, NY
Dr. Reagan Achinefu
MD
Bronx, NY
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 New York 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 Lares-Guia, MD's specialty? ▼
Jose Lares-Guia, MD specializes in General Practice Physician and practices in New York, New York. Credentials: MD.
How much does Jose Lares-Guia, MD prescribe under Medicare Part D? ▼
In 2023, Jose Lares-Guia, MD wrote 5,791 Medicare Part D claims totaling $4.7M in drug costs for 93 beneficiaries.
Where is Jose Lares-Guia, MD located? ▼
Jose Lares-Guia, MD is located at 111 WADSWORTH AVE, New York, NY, 10033. Phone: (646) 682-7544.
What is Jose Lares-Guia, MD's NPI number? ▼
Jose Lares-Guia, MD's National Provider Identifier (NPI) is 1902030869, issued on 05/07/2009.
Does Jose Lares-Guia, MD prescribe more brand-name or generic drugs? ▼
Jose Lares-Guia, MD's prescribing is 34% brand-name and 66% generic drugs by claim count, with $4.3M in brand drug costs.
Does Jose Lares-Guia, MD prescribe opioids? ▼
Yes, Jose Lares-Guia, MD had 120 opioid claims in 2023 with an opioid prescribing rate of 2.1%.
How many General Practice Physician providers are there in the US? ▼
There are 16,725 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 Lares-Guia, MD prescribe most often? ▼
Based on 2023 Medicare Part D data, Jose Lares-Guia, MD's most frequently prescribed drugs include Descovy, Tivicay, Isentress. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Jose Lares-Guia, MD accept Medicare? ▼
Jose Lares-Guia, MD appears in CMS Medicare data with 5,791 Part D claims and 93 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Jose Lares-Guia, MD's credentials? ▼
Jose Lares-Guia, MD's NPI is 1902030869 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.
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of May 2026.