2026 NPPES data Otolaryngology Physician NPI 1407851959 M.D.
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JOSE OTERO GARCIA, M.D.

Otolaryngology Physician in FAJARDO, 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
560
Medicare Part D claims · 299 beneficiaries · Otolaryngology Physician avg: 509
Generic prescribing
95%
generic claims · 5% brand-name · higher generic rates reduce patient out-of-pocket costs
What the federal data reveals: JOSE OTERO GARCIA, M.D. is a Otolaryngology Physician ([object Object]) practicing in FAJARDO, Puerto Rico with a Medicare Part D prescribing footprint of 560 claims across 299 beneficiaries — 5% brand-name prescribing .

What stands out: JOSE OTERO GARCIA, M.D. filed 560 Medicare Part D claims in 2023 across FAJARDO, 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 OTERO GARCIA, 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 OTERO GARCIA, M.D. at a glance

Quality data not reported

NPI registry status

Active

Issued 06/20/2005

NPI 1407851959

Primary specialty

Otolaryngology Physician

Mid-sized

10,895 US NPIs in this specialty

Medicare Part D claims

560 10% vs specialty avg

2023 prescription claims

Specialty avg: 509

Specialty distribution in Puerto Rico

How Otolaryngology Physician compares to other specialties among Puerto Rico providers

Puerto Rico providers

Otolaryngology Physician share within Puerto Rico

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

Specialty board-certification context

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

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

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

0%100%78%
Est. board-certified rate (Otolaryngology 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 OTERO GARCIA, M.D. is a Otolaryngology Physician provider practicing in FAJARDO, Puerto Rico, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1407851959. 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 OTERO GARCIA, M.D. appears in the CMS NPPES registry as a Otolaryngology Physician provider holding M.D. credentials at 410 AVE GENERAL VALERO, FAJARDO, PR, 00738, with a listed phone of (787) 655-5062. NPI 1407851959 was issued on 06/20/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what OTERO GARCIA 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 560 prescription claims written by this provider, covering 299 Medicare beneficiaries and totaling roughly $18K in drug spend, split 5% brand-name and 95% 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.

Otolaryngology Physician is a mid-sized specialty nationwide, with 10,895 enrolled providers across 54 states and an average of 509 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

410 AVE GENERAL VALERO
FAJARDO, PR 00738

Provider Details

NPI 1407851959
Specialty Otolaryngology Physician
Credentials M.D.
Gender Male
NPI Issued 06/20/2005

Brand vs generic prescribing mix · Generic-heavy

JOSE OTERO GARCIA, M.D. — brand share 5.0%
Specialty average (est.)

5% brand-name claims vs 95% generic, on 560 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.

560
Total Claims
$18K
Total Drug Cost
299
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
653
Total Day Supply
15,925
Brand vs Generic
5% brand / 95% generic
Brand Drug Cost
$3K
Generic Drug Cost
$16K
Antibiotic Claims
27

Patient Demographics

Average Patient Age
72.4 years
Avg HCC Risk Score
1.68
Gender Split
57% female / 43% male
Age Distribution
<65: 46, 65-74: 124, 75-84: 102, 85+: 27

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Fluticasone Propionate
244
Clotrimazole
109
Ofloxacin
63
Sucralfate
37
Azelastine Hcl
26
Levofloxacin
16
Losartan Potassium
12

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

Otolaryngology Physician Overview

How JOSE OTERO GARCIA, M.D. fits within the Otolaryngology Physician landscape nationally.

10,895
Otolaryngology Physician Providers in US
54
States with Otolaryngology Physician
509
Avg Claims per Provider

JOSE OTERO GARCIA, M.D.'s 560 claims are above the specialty average of 509.

Nearby Otolaryngology Physician Providers in Puerto Rico

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

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

Frequently Asked Questions

What is JOSE OTERO GARCIA, M.D.'s specialty?
JOSE OTERO GARCIA, M.D. specializes in Otolaryngology Physician and practices in FAJARDO, Puerto Rico. Credentials: M.D..
How much does JOSE OTERO GARCIA, M.D. prescribe under Medicare Part D?
In 2023, JOSE OTERO GARCIA, M.D. wrote 560 Medicare Part D claims totaling $18K in drug costs for 299 beneficiaries.
Where is JOSE OTERO GARCIA, M.D. located?
JOSE OTERO GARCIA, M.D. is located at 410 AVE GENERAL VALERO, FAJARDO, PR, 00738. Phone: (787) 655-5062.
What is JOSE OTERO GARCIA, M.D.'s NPI number?
JOSE OTERO GARCIA, M.D.'s National Provider Identifier (NPI) is 1407851959, issued on 06/20/2005.
Does JOSE OTERO GARCIA, M.D. prescribe more brand-name or generic drugs?
JOSE OTERO GARCIA, M.D.'s prescribing is 5% brand-name and 95% generic drugs by claim count, with $3K in brand drug costs.
How many Otolaryngology Physician providers are there in the US?
There are 10,895 Otolaryngology Physician providers across 54 states in the US. The average Otolaryngology Physician provider writes 509 Medicare Part D claims per year.
What drugs does JOSE OTERO GARCIA, M.D. prescribe most often?
Based on 2023 Medicare Part D data, JOSE OTERO GARCIA, M.D.'s most frequently prescribed drugs include Fluticasone Propionate, Clotrimazole, Ofloxacin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JOSE OTERO GARCIA, M.D. accept Medicare?
JOSE OTERO GARCIA, M.D. appears in CMS Medicare data with 560 Part D claims and 299 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JOSE OTERO GARCIA, M.D.'s credentials?
JOSE OTERO GARCIA, M.D.'s NPI is 1407851959 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