2026 NPPES data Nuclear Imaging & Therapy Physician NPI 1619192184 M.D.
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JULIO SEPULVEDA ACOSTA, M.D.

Nuclear Imaging & Therapy Physician in SAN JUAN, 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
53
Medicare Part D claims · 51 beneficiaries · Nuclear Imaging & Therapy Physician avg: 992
Generic prescribing
47%
generic claims · 53% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
39.0833/100
▼ 44 pts below national avg 83.1 · [object Object]
Industry payments
$47.1
1 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: JULIO SEPULVEDA ACOSTA, M.D. is a Nuclear Imaging & Therapy Physician ([object Object]) practicing in SAN JUAN, Puerto Rico with a Medicare Part D prescribing footprint of 53 claims across 51 beneficiaries — 53% brand-name prescribing . Their CMS MIPS Final Score of 39.0833/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $47.1 across 1 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: JULIO SEPULVEDA ACOSTA, M.D. reported a CMS MIPS final score of 39.0833 out of 100, below the 83.1 national average, and filed 53 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

JULIO SEPULVEDA ACOSTA, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

JULIO SEPULVEDA ACOSTA, M.D. at a glance

Below national average

NPI registry status

Active

Issued 04/17/2007

NPI 1619192184

Primary specialty

Nuclear Imaging & Therapy Physician

Rare

199 US NPIs in this specialty

Medicare Part D claims

53 95% vs specialty avg

2023 prescription claims

Specialty avg: 992

MIPS final score

39.0833/100 44.01669999999999% pts

Below average band

vs 83.1 national avg

Specialty distribution in Puerto Rico

How Nuclear Imaging & Therapy Physician compares to other specialties among Puerto Rico providers

Puerto Rico providers

Nuclear Imaging & Therapy Physician share within Puerto Rico

1. Nuclear Imaging & Therapy Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Nuclear Imaging & Therapy Physician share within Puerto Rico

Medicare quality performance — MIPS

JULIO SEPULVEDA ACOSTA, M.D.'s 2023 MIPS final score plotted against the Nuclear Imaging & Therapy Physician national average

Below national average
MIPS Final Score
39.0833/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Nuclear Imaging & Therapy Physician) — 39.0833/100 vs national avg 83.1

0%100%National avg83%39.1%
MIPS final score (Nuclear Imaging & Therapy Physician) — 39.0833/100 vs national avg 83.1

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).

JULIO SEPULVEDA ACOSTA, M.D. is a Nuclear Imaging & Therapy Physician provider practicing in SAN JUAN, Puerto Rico, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1619192184. 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.

JULIO SEPULVEDA ACOSTA, M.D. appears in the CMS NPPES registry as a Nuclear Imaging & Therapy Physician provider holding M.D. credentials at 650 CALLE LLOVERAS, SAN JUAN, PR, 00909, with a listed phone of (787) 625-1446. NPI 1619192184 was issued on 04/17/2007. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what SEPULVEDA ACOSTA 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 53 prescription claims written by this provider, covering 51 Medicare beneficiaries and totaling roughly $640 in drug spend, split 53% brand-name and 47% 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. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 39.0833/100 for the 2023 performance year (Quality 28.3333), compared with the national average of 83.1.

Nuclear Imaging & Therapy Physician is a narrow specialty nationwide, with 199 enrolled providers across 35 states and an average of 992 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

650 CALLE LLOVERAS
SAN JUAN, PR 00909

Provider Details

NPI 1619192184
Specialty Nuclear Imaging & Therapy Physician
Credentials M.D.
Gender Male
NPI Issued 04/17/2007

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

39.0833
Final Score
Avg: 83.1
28.3333
Quality

Reporting: Group practice

Hospital and facility affiliations

Facilities where JULIO SEPULVEDA ACOSTA, M.D. 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.

M AND P RADIOLOGOS, LLC
SAN JUAN, PR

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 JULIO SEPULVEDA ACOSTA, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$47

Largest payer

Boston Scientific Corporation

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 · Brand-heavy

JULIO SEPULVEDA ACOSTA, M.D. — brand share 53.0%
Specialty average (est.)

53% brand-name claims vs 47% generic, on 53 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.

53
Total Claims
$640
Total Drug Cost
51
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
53
Total Day Supply
124
Brand vs Generic
53% brand / 47% generic
Brand Drug Cost
$359
Generic Drug Cost
$281

Patient Demographics

Average Patient Age
72.8 years
Avg HCC Risk Score
1.63
Gender Split
61% female / 39% 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
Methylprednisolone
52

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

Nuclear Imaging & Therapy Physician Overview

How JULIO SEPULVEDA ACOSTA, M.D. fits within the Nuclear Imaging & Therapy Physician landscape nationally.

199
Nuclear Imaging & Therapy Physician Providers in US
35
States with Nuclear Imaging & Therapy Physician
992
Avg Claims per Provider

JULIO SEPULVEDA ACOSTA, M.D.'s 53 claims are below the specialty average of 992.

Nearby Nuclear Imaging & Therapy Physician Providers in Puerto Rico

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

Compare Nuclear Imaging & Therapy Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is JULIO SEPULVEDA ACOSTA, M.D.'s specialty?
JULIO SEPULVEDA ACOSTA, M.D. specializes in Nuclear Imaging & Therapy Physician and practices in SAN JUAN, Puerto Rico. Credentials: M.D..
How much does JULIO SEPULVEDA ACOSTA, M.D. prescribe under Medicare Part D?
In 2023, JULIO SEPULVEDA ACOSTA, M.D. wrote 53 Medicare Part D claims totaling $640 in drug costs for 51 beneficiaries.
What is JULIO SEPULVEDA ACOSTA, M.D.'s Medicare quality score?
JULIO SEPULVEDA ACOSTA, M.D. has a CMS MIPS Final Score of 39.0833/100 (Quality: 28.3333). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is JULIO SEPULVEDA ACOSTA, M.D. located?
JULIO SEPULVEDA ACOSTA, M.D. is located at 650 CALLE LLOVERAS, SAN JUAN, PR, 00909. Phone: (787) 625-1446.
What is JULIO SEPULVEDA ACOSTA, M.D.'s NPI number?
JULIO SEPULVEDA ACOSTA, M.D.'s National Provider Identifier (NPI) is 1619192184, issued on 04/17/2007.
Does JULIO SEPULVEDA ACOSTA, M.D. prescribe more brand-name or generic drugs?
JULIO SEPULVEDA ACOSTA, M.D.'s prescribing is 53% brand-name and 47% generic drugs by claim count, with $359 in brand drug costs.
How many Nuclear Imaging & Therapy Physician providers are there in the US?
There are 199 Nuclear Imaging & Therapy Physician providers across 35 states in the US. The average Nuclear Imaging & Therapy Physician provider writes 992 Medicare Part D claims per year.
What drugs does JULIO SEPULVEDA ACOSTA, M.D. prescribe most often?
Based on 2023 Medicare Part D data, JULIO SEPULVEDA ACOSTA, M.D.'s most frequently prescribed drugs include Methylprednisolone. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JULIO SEPULVEDA ACOSTA, M.D. accept Medicare?
JULIO SEPULVEDA ACOSTA, M.D. appears in CMS Medicare data with 53 Part D claims and 51 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JULIO SEPULVEDA ACOSTA, M.D.'s credentials?
JULIO SEPULVEDA ACOSTA, M.D.'s NPI is 1619192184 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.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) — 2023 performance year.
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