2026 NPPES data General Practice Physician NPI 1154438158 MD
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JULIO VERGNE MALDONADO, MD

General Practice Physician in CAROLINA, 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
9K
Medicare Part D claims · 527 beneficiaries · General Practice Physician avg: 3K
Generic prescribing
87%
generic claims · 13% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$59.82
1 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

JULIO VERGNE MALDONADO, MD filed 8,988 Medicare Part D claims in 2023 as a General Practice Physician in CAROLINA, Puerto Rico, prescribing 87% generic.

9K
Part D claims, 2023
87%
generic prescribing
$59.82
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.

JULIO VERGNE MALDONADO, MD's Medicare Part D volume vs every U.S. prescriber

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

8,988 Top 2% higher than 98% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). Below this entry. 400–600: 90,619 prescribers (7%). Below this entry. 600–800: 56,224 prescribers (4%). Below this entry. 800–1,000: 40,919 prescribers (3%). Below this entry. 1,000–1,200: 31,827 prescribers (2%). Below this entry. 1,200–1,400: 26,224 prescribers (2%). Below this entry. 1,400–1,600: 21,710 prescribers (2%). Below this entry. 1,600–1,800: 19,072 prescribers (1%). Below this entry. 1,800–2,000: 16,451 prescribers (1%). Below this entry. 2,000–2,200: 213,991 prescribers (16%). This entry sits in this band. 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)

JULIO VERGNE MALDONADO, 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 JULIO VERGNE MALDONADO, MD?

Quality data not reported

NPI registry status

Active

Issued 08/24/2006

NPI 1154438158

Primary specialty

General Practice Physician

Mid-sized

16,677 US NPIs in this specialty

Medicare Part D claims

8,988 213% vs specialty avg

2023 prescription claims

Specialty avg: 2,872

Specialty distribution in Puerto Rico

How General Practice Physician compares to other specialties among Puerto Rico providers

Puerto Rico providers

General Practice Physician share within Puerto Rico

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

Specialty board-certification context

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

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

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

0%100%78%
Est. board-certified rate (General Practice 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).

JULIO VERGNE MALDONADO, MD appears in the CMS NPPES registry as a General Practice Physician provider holding MD credentials at CAROLINA SHOPPING COURT, SUITE 201 A, CAROLINA, PR, 00985, with a listed phone of (787) 767-8758. NPI 1154438158 was issued on 08/24/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what VERGNE MALDONADO 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 8,988 prescription claims written by this provider, covering 527 Medicare beneficiaries and totaling roughly $549K in drug spend, split 13% brand-name and 87% generic by claim count, with an opioid prescribing rate of 0.2%. 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.

General Practice Physician is a mid-sized specialty nationwide, with 16,677 enrolled providers across 56 states and an average of 2,872 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

CAROLINA SHOPPING COURT, SUITE 201 A
CAROLINA, PR 00985

Provider Details

NPI 1154438158
Specialty General Practice Physician
Credentials MD
Gender Male
NPI Issued 08/24/2006

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 VERGNE MALDONADO, MD. Source: openpaymentsdata.cms.gov.

Total received

$60

Largest payer

E.R. Squibb & Sons, L.L.C.

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

JULIO VERGNE MALDONADO, MD — brand share 13.0%
Specialty average (est.)

13% brand-name claims vs 87% generic, on 8,988 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.

8,988
Total Claims
$549K
Total Drug Cost
527
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
12,928
Total Day Supply
375,802
Brand vs Generic
13% brand / 87% generic
Brand Drug Cost
$458K
Generic Drug Cost
$86K
Opioid Claims
19 (0.2% rate)
Antibiotic Claims
82

Patient Demographics

Average Patient Age
71.3 years
Avg HCC Risk Score
1.65
Gender Split
58% female / 42% male
Age Distribution
<65: 82, 65-74: 274, 75-84: 122, 85+: 49

Top Prescribed Drugs (Medicare Part D)

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

What JULIO VERGNE MALDONADO, MD prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Simvastatin
551
Gabapentin
470
Amlodipine Besylate
430
Atorvastatin Calcium
413
Lisinopril
391
Synthroid
Levothyroxine Sodium
369
Hydrochlorothiazide
339
Omeprazole
333
Losartan Potassium
332
Metformin Hcl
314

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

General Practice Physician Overview

How JULIO VERGNE MALDONADO, MD fits within the General Practice Physician landscape nationally.

16,677
General Practice Physician Providers in US
56
States with General Practice Physician
2,872
Avg Claims per Provider

JULIO VERGNE MALDONADO, MD's 8,988 claims are above the specialty average of 2,872.

Nearby General Practice Physician Providers in Puerto Rico

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

Compare General Practice Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is JULIO VERGNE MALDONADO, MD's specialty?
JULIO VERGNE MALDONADO, MD specializes in General Practice Physician and practices in CAROLINA, Puerto Rico. Credentials: MD.
How much does JULIO VERGNE MALDONADO, MD prescribe under Medicare Part D?
In 2023, JULIO VERGNE MALDONADO, MD wrote 8,988 Medicare Part D claims totaling $549K in drug costs for 527 beneficiaries.
Where is JULIO VERGNE MALDONADO, MD located?
JULIO VERGNE MALDONADO, MD is located at CAROLINA SHOPPING COURT, SUITE 201 A, CAROLINA, PR, 00985. Phone: (787) 767-8758.
What is JULIO VERGNE MALDONADO, MD's NPI number?
JULIO VERGNE MALDONADO, MD's National Provider Identifier (NPI) is 1154438158, issued on 08/24/2006.
Does JULIO VERGNE MALDONADO, MD prescribe more brand-name or generic drugs?
JULIO VERGNE MALDONADO, MD's prescribing is 13% brand-name and 87% generic drugs by claim count, with $458K in brand drug costs.
Does JULIO VERGNE MALDONADO, MD prescribe opioids?
Yes, JULIO VERGNE MALDONADO, MD had 19 opioid claims in 2023 with an opioid prescribing rate of 0.2%.
How many General Practice Physician providers are there in the US?
There are 16,677 General Practice Physician providers across 56 states in the US. The average General Practice Physician provider writes 2,872 Medicare Part D claims per year.
What drugs does JULIO VERGNE MALDONADO, MD prescribe most often?
Based on 2023 Medicare Part D data, JULIO VERGNE MALDONADO, MD's most frequently prescribed drugs include Simvastatin, Gabapentin, Amlodipine Besylate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JULIO VERGNE MALDONADO, MD accept Medicare?
JULIO VERGNE MALDONADO, MD appears in CMS Medicare data with 8,988 Part D claims and 527 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JULIO VERGNE MALDONADO, MD's credentials?
JULIO VERGNE MALDONADO, MD's NPI is 1154438158 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