2026 NPPES data Pediatrics Physician NPI 1578549424 M.D.
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JOSE LOPEZ, M.D.

Pediatrics Physician in ISABELA, Puerto Rico. 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
58
Medicare Part D claims · Pediatrics Physician avg: 762
Generic prescribing
76%
generic claims · 24% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$24.88
1 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: JOSE LOPEZ, M.D. is a Pediatrics Physician ([object Object]) practicing in ISABELA, Puerto Rico with a Medicare Part D prescribing footprint of 58 claims — 24% brand-name prescribing . Industry payments of $24.88 across 1 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: JOSE LOPEZ, M.D. filed 58 Medicare Part D claims in 2023 across ISABELA, Puerto Rico. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board-eligible specialty (heuristic — not verified)

JOSE LOPEZ, 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).

JOSE LOPEZ, M.D. at a glance

Quality data not reported

NPI registry status

Active

Issued 12/21/2005

NPI 1578549424

Primary specialty

Pediatrics Physician

High-volume

80,574 US NPIs in this specialty

Medicare Part D claims

58 92% vs specialty avg

2023 prescription claims

Specialty avg: 762

Specialty distribution in Puerto Rico

How Pediatrics Physician compares to other specialties among Puerto Rico providers

Puerto Rico providers

Pediatrics Physician share within Puerto Rico

1. Pediatrics Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Pediatrics Physician share within Puerto Rico

Specialty board-certification context

Estimated specialty board-certified rate — Pediatrics Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Pediatrics Physician ABMS/AOA estimate

Est. board-certified rate (Pediatrics Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Pediatrics 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 LOPEZ, M.D. is a Pediatrics Physician provider practicing in ISABELA, Puerto Rico, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1578549424. 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 LOPEZ, M.D. appears in the CMS NPPES registry as a Pediatrics Physician provider holding M.D. credentials at 65 CALLE OTERO, ISABELA, PR, 00662, with a listed phone of (787) 872-1004. NPI 1578549424 was issued on 12/21/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what LOPEZ 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 58 prescription claims written by this provider, covering N/A Medicare beneficiaries and totaling roughly $2K in drug spend, split 24% brand-name and 76% 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.

Pediatrics Physician is a high-volume specialty nationwide, with 80,574 enrolled providers across 56 states and an average of 762 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

65 CALLE OTERO
ISABELA, PR 00662

Provider Details

NPI 1578549424
Specialty Pediatrics Physician
Credentials M.D.
Gender Male
NPI Issued 12/21/2005

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 LOPEZ, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$25

Largest payer

Merck Sharp & Dohme LLC

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 · Typical

JOSE LOPEZ, M.D. — brand share 24.0%
Specialty average (est.)

24% brand-name claims vs 76% generic, on 58 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.

58
Total Claims
$2K
Total Drug Cost
N/A
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
78
Total Day Supply
2,173
Brand vs Generic
24% brand / 76% generic
Brand Drug Cost
$1K
Generic Drug Cost
$771

Patient Demographics

Average Patient Age
68.7 years
Avg HCC Risk Score
2.61

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Rosuvastatin Calcium
12
Synthroid
Levothyroxine Sodium
12

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

Pediatrics Physician Overview

How JOSE LOPEZ, M.D. fits within the Pediatrics Physician landscape nationally.

80,574
Pediatrics Physician Providers in US
56
States with Pediatrics Physician
762
Avg Claims per Provider

JOSE LOPEZ, M.D.'s 58 claims are below the specialty average of 762.

Nearby Pediatrics Physician Providers in Puerto Rico

Other clinicians with the same primary specialty enrolled in Puerto Rico, drawn from the same CMS NPPES roster as LOPEZ.

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

Frequently Asked Questions

What is JOSE LOPEZ, M.D.'s specialty?
JOSE LOPEZ, M.D. specializes in Pediatrics Physician and practices in ISABELA, Puerto Rico. Credentials: M.D..
How much does JOSE LOPEZ, M.D. prescribe under Medicare Part D?
In 2023, JOSE LOPEZ, M.D. wrote 58 Medicare Part D claims totaling $2K in drug costs for N/A beneficiaries.
Where is JOSE LOPEZ, M.D. located?
JOSE LOPEZ, M.D. is located at 65 CALLE OTERO, ISABELA, PR, 00662. Phone: (787) 872-1004.
What is JOSE LOPEZ, M.D.'s NPI number?
JOSE LOPEZ, M.D.'s National Provider Identifier (NPI) is 1578549424, issued on 12/21/2005.
Does JOSE LOPEZ, M.D. prescribe more brand-name or generic drugs?
JOSE LOPEZ, M.D.'s prescribing is 24% brand-name and 76% generic drugs by claim count, with $1K in brand drug costs.
How many Pediatrics Physician providers are there in the US?
There are 80,574 Pediatrics Physician providers across 56 states in the US. The average Pediatrics Physician provider writes 762 Medicare Part D claims per year.
What drugs does JOSE LOPEZ, M.D. prescribe most often?
Based on 2023 Medicare Part D data, JOSE LOPEZ, M.D.'s most frequently prescribed drugs include Rosuvastatin Calcium, Synthroid. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JOSE LOPEZ, M.D. accept Medicare?
JOSE LOPEZ, M.D. appears in CMS Medicare data with 58 Part D claims and N/A Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JOSE LOPEZ, M.D.'s credentials?
JOSE LOPEZ, M.D.'s NPI is 1578549424 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