2026 NPPES data Surgery Physician NPI 1376272286 MD
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JOSE ORTIZ DE ELGUEA LIZARRAGA, MD

Surgery Physician in GALVESTON, Texas. 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
91
Medicare Part D claims · 36 beneficiaries · Surgery Physician avg: 169
Generic prescribing
77%
generic claims · 23% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$1.0K
6 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

JOSE ORTIZ DE ELGUEA LIZARRAGA, MD filed 91 Medicare Part D claims in 2023 as a Surgery Physician in GALVESTON, Texas, prescribing 77% generic.

91
Part D claims, 2023
77%
generic prescribing
$1.0K
industry payments (Sunshine Act)

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 ORTIZ DE ELGUEA LIZARRAGA, MD's Medicare Part D volume vs every U.S. prescriber

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

91 0th percentile higher than 0% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). This entry sits in this band. 200–400: 182,923 prescribers (13%). Above this entry. 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-eligible specialty (heuristic — not verified)

JOSE ORTIZ DE ELGUEA LIZARRAGA, 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 ORTIZ DE ELGUEA LIZARRAGA, MD?

Quality data not reported

NPI registry status

Active

Issued 06/07/2022

NPI 1376272286

Primary specialty

Surgery Physician

Mid-sized

36,191 US NPIs in this specialty

Medicare Part D claims

91 46% vs specialty avg

2023 prescription claims

Specialty avg: 169

Specialty distribution in Texas

How Surgery Physician compares to other specialties among Texas providers

Texas providers

Surgery Physician share within Texas

1. Surgery Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Surgery Physician share within Texas

Specialty board-certification context

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

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

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

0%100%78%
Est. board-certified rate (Surgery 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 ORTIZ DE ELGUEA LIZARRAGA, MD appears in the CMS NPPES registry as a Surgery Physician provider holding MD credentials at 301 UNIVERSITY BLVD, GALVESTON, TX, 77555, with a listed phone of (409) 772-1369. NPI 1376272286 was issued on 06/07/2022. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what ORTIZ DE ELGUEA LIZARRAGA 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 91 prescription claims written by this provider, covering 36 Medicare beneficiaries and totaling roughly $10K in drug spend, split 23% brand-name and 77% 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.

Surgery Physician is a mid-sized specialty nationwide, with 36,191 enrolled providers across 56 states and an average of 169 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

301 UNIVERSITY BLVD
GALVESTON, TX 77555

Provider Details

NPI 1376272286
Specialty Surgery Physician
Credentials MD
Gender Male
NPI Issued 06/07/2022

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 ORTIZ DE ELGUEA LIZARRAGA, MD. Source: openpaymentsdata.cms.gov.

Total received

$1.0K

Largest payer

W. L. Gore & Associates, 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 — Texas TMB 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 ~77K Texas medical licensees in 2023 — they are NOT specific to JOSE ORTIZ DE ELGUEA LIZARRAGA, MD. To verify JOSE ORTIZ DE ELGUEA LIZARRAGA, MD's current license status, search the TMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

344
Total board actions, Texas 2023
Across 334 cases
4.47
Actions per 1,000 licensees
Texas statewide rate
probation
Most common action type
94 cases

TMB 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 Texas disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

JOSE ORTIZ DE ELGUEA LIZARRAGA, MD — brand share 23.0%
Specialty average (est.)

23% brand-name claims vs 77% generic, on 91 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.

91
Total Claims
$10K
Total Drug Cost
36
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
103
Total Day Supply
2,237
Brand vs Generic
23% brand / 77% generic
Brand Drug Cost
$9K
Generic Drug Cost
$533

Patient Demographics

Average Patient Age
70.3 years
Avg HCC Risk Score
3.01
Gender Split
53% female / 47% male

Surgery Physician Overview

How JOSE ORTIZ DE ELGUEA LIZARRAGA, MD fits within the Surgery Physician landscape nationally.

36,191
Surgery Physician Providers in US
56
States with Surgery Physician
169
Avg Claims per Provider

JOSE ORTIZ DE ELGUEA LIZARRAGA, MD's 91 claims are below the specialty average of 169.

Nearby Surgery Physician Providers in Texas

Other clinicians with the same primary specialty enrolled in Texas, drawn from the same CMS NPPES roster as ORTIZ DE ELGUEA LIZARRAGA.

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

Frequently Asked Questions

What is JOSE ORTIZ DE ELGUEA LIZARRAGA, MD's specialty?
JOSE ORTIZ DE ELGUEA LIZARRAGA, MD specializes in Surgery Physician and practices in GALVESTON, Texas. Credentials: MD.
How much does JOSE ORTIZ DE ELGUEA LIZARRAGA, MD prescribe under Medicare Part D?
In 2023, JOSE ORTIZ DE ELGUEA LIZARRAGA, MD wrote 91 Medicare Part D claims totaling $10K in drug costs for 36 beneficiaries.
Where is JOSE ORTIZ DE ELGUEA LIZARRAGA, MD located?
JOSE ORTIZ DE ELGUEA LIZARRAGA, MD is located at 301 UNIVERSITY BLVD, GALVESTON, TX, 77555. Phone: (409) 772-1369.
What is JOSE ORTIZ DE ELGUEA LIZARRAGA, MD's NPI number?
JOSE ORTIZ DE ELGUEA LIZARRAGA, MD's National Provider Identifier (NPI) is 1376272286, issued on 06/07/2022.
Does JOSE ORTIZ DE ELGUEA LIZARRAGA, MD prescribe more brand-name or generic drugs?
JOSE ORTIZ DE ELGUEA LIZARRAGA, MD's prescribing is 23% brand-name and 77% generic drugs by claim count, with $9K in brand drug costs.
How many Surgery Physician providers are there in the US?
There are 36,191 Surgery Physician providers across 56 states in the US. The average Surgery Physician provider writes 169 Medicare Part D claims per year.
Does JOSE ORTIZ DE ELGUEA LIZARRAGA, MD accept Medicare?
JOSE ORTIZ DE ELGUEA LIZARRAGA, MD appears in CMS Medicare data with 91 Part D claims and 36 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JOSE ORTIZ DE ELGUEA LIZARRAGA, MD's credentials?
JOSE ORTIZ DE ELGUEA LIZARRAGA, MD's NPI is 1376272286 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.
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