NPI registry status
Active
2026 NPPES data Surgery Physician NPI 1366472730 M.D.
Verify on CMS → Jose Pimentel Fernandez, M.D.
Surgery Physician in Guayama, Puerto Rico.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 36,191 in Surgery 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
141
Medicare Part D claims · 66 beneficiaries · Surgery Physician avg: 169
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 Pimentel Fernandez, M.D. filed 141 Medicare Part D claims in 2023 as a Surgery Physician in Guayama, Puerto Rico.
- 141
- Part D claims, 2023
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 Pimentel Fernandez, M.D.'s Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023, across all CMS prescribers nationally
141 35th percentile higher than 35% 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-eligible specialty (heuristic, not verified)
Jose Pimentel Fernandez, 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).
What does the federal data show about Jose Pimentel Fernandez, M.D.?
Quality data not reportedPrimary specialty
Surgery Physician
Medicare Part D claims
141 17% vs specialty avg
Specialty distribution in Puerto Rico
How Surgery Physician compares to other specialties among Puerto Rico 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 Surgery 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 Pimentel Fernandez, M.D. appears in the CMS NPPES registry as a Surgery Physician provider holding M.D. credentials at #62 BALDORIOTY STREET, Guayama, PR, 00784, with a listed phone of (787) 864-4860. NPI 1366472730 was issued on 07/03/2006.
Medicare Part D records for calendar year 2023 show 141 prescription claims written by this provider, covering 66 Medicare beneficiaries and totaling roughly $3K in drug spend.
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
Provider Details
| NPI | 1366472730 |
|---|---|
| Specialty | Surgery Physician |
| Credentials | M.D. |
| Gender | Male |
| NPI Issued | 07/03/2006 |
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
141
Total Claims
$3K
Total Drug Cost
66
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 141
- Total Day Supply
- 1,503
- Brand Drug Cost
- $0
- Generic Drug Cost
- $3K
- Antibiotic Claims
- 65
Patient Demographics
- Average Patient Age
- 73.2 years
- Avg HCC Risk Score
- 1.77
- Gender Split
- 50% female / 50% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
| Drug | Claims |
|---|---|
| Amoxicillin-Clavulanate Potass Amoxicillin/Potassium Clav | 49 |
| Gentamicin Sulfate | 48 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Surgery Physician Overview
How Jose Pimentel Fernandez, M.D. 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 Pimentel Fernandez, M.D.'s 141 claims are below the specialty average of 169.
Nearby Surgery Physician Providers in Puerto Rico
Other clinicians with the same primary specialty enrolled in Puerto Rico, drawn from the same CMS NPPES roster as Pimentel Fernandez.
Dr. Anwar Abdul-Hadi
M.D.
Manati, PR
Dr. Guillermo Acaron Souffront
M.D.
San Juan, PR
Dr. Marcia Alayon-Rosario
MD
Ponce, PR
Dr. Osvaldo Alcaraz Diaz
M.D.
Bayamon, PR
Dr. Kathia Alejandro Serrano
MD
Manati, PR
Compare Surgery 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 Puerto Rico medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Surgery 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.
Healthcare Guides
Learn more about finding, verifying, and understanding healthcare providers.
How to Find a Doctor
Step-by-step guide to choosing a provider
Verify Credentials
Check NPI, board certification & license status
Medical Specialties Explained
Who treats what and how specialties differ
Understanding Medicare Claims Data
What prescribing data reveals about a provider
In-Network vs Out-of-Network
How insurance networks affect your costs
Telehealth Guide
Virtual care options and coverage in 2026
Explore Puerto Rico
Frequently Asked Questions
What is Jose Pimentel Fernandez, M.D.'s specialty? ▼
Jose Pimentel Fernandez, M.D. specializes in Surgery Physician and practices in Guayama, Puerto Rico. Credentials: M.D..
How much does Jose Pimentel Fernandez, M.D. prescribe under Medicare Part D? ▼
In 2023, Jose Pimentel Fernandez, M.D. wrote 141 Medicare Part D claims totaling $3K in drug costs for 66 beneficiaries.
Where is Jose Pimentel Fernandez, M.D. located? ▼
Jose Pimentel Fernandez, M.D. is located at #62 BALDORIOTY STREET, Guayama, PR, 00784. Phone: (787) 864-4860.
What is Jose Pimentel Fernandez, M.D.'s NPI number? ▼
Jose Pimentel Fernandez, M.D.'s National Provider Identifier (NPI) is 1366472730, issued on 07/03/2006.
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.
What drugs does Jose Pimentel Fernandez, M.D. prescribe most often? ▼
Based on 2023 Medicare Part D data, Jose Pimentel Fernandez, M.D.'s most frequently prescribed drugs include Amoxicillin-Clavulanate Potass, Gentamicin Sulfate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Jose Pimentel Fernandez, M.D. accept Medicare? ▼
Jose Pimentel Fernandez, M.D. appears in CMS Medicare data with 141 Part D claims and 66 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Jose Pimentel Fernandez, M.D.'s credentials? ▼
Jose Pimentel Fernandez, M.D.'s NPI is 1366472730 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
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.