2026 NPPES data Pediatrics Physician NPI 1962468488 M.D
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KARLA FIGUEROA, M.D

Pediatrics Physician in GUAYNABO, 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
34
Medicare Part D claims · Pediatrics Physician avg: 762
What the federal data reveals: KARLA FIGUEROA, M.D is a Pediatrics Physician ([object Object]) practicing in GUAYNABO, Puerto Rico with a Medicare Part D prescribing footprint of 34 claims .

What stands out: KARLA FIGUEROA, M.D filed 34 Medicare Part D claims in 2023 across GUAYNABO, Puerto Rico. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board-eligible specialty (heuristic — not verified)

KARLA FIGUEROA, 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).

KARLA FIGUEROA, M.D at a glance

Quality data not reported

NPI registry status

Active

Issued 04/24/2006

NPI 1962468488

Primary specialty

Pediatrics Physician

High-volume

80,574 US NPIs in this specialty

Medicare Part D claims

34 96% vs specialty avg

2023 prescription claims

Specialty avg: 762

Specialty distribution in Puerto Rico

How Pediatrics Physician compares to other specialties among Puerto Rico providers

Puerto Rico providers

Pediatrics Physician share within Puerto Rico

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

Specialty board-certification context

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

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

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

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

KARLA FIGUEROA, M.D is a Pediatrics Physician provider practicing in GUAYNABO, Puerto Rico, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D. NPI: 1962468488. 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.

KARLA FIGUEROA, M.D appears in the CMS NPPES registry as a Pediatrics Physician provider holding M.D credentials at 1 AVE ARBOLOTE, GUAYNABO, PR, 00969, with a listed phone of (787) 946-5437. NPI 1962468488 was issued on 04/24/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what FIGUEROA 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 34 prescription claims written by this provider, covering N/A Medicare beneficiaries and totaling roughly $2K in drug spend. 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.

Pediatrics Physician is a high-volume specialty nationwide, with 80,574 enrolled providers across 56 states and an average of 762 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

1 AVE ARBOLOTE
GUAYNABO, PR 00969

Provider Details

NPI 1962468488
Specialty Pediatrics Physician
Credentials M.D
Gender Female
NPI Issued 04/24/2006

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

34
Total Claims
$2K
Total Drug Cost
N/A
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
53
Total Day Supply
1,272
Generic Drug Cost
$392

Patient Demographics

Average Patient Age
76.3 years
Avg HCC Risk Score
0.95

Pediatrics Physician Overview

How KARLA FIGUEROA, M.D fits within the Pediatrics Physician landscape nationally.

80,574
Pediatrics Physician Providers in US
56
States with Pediatrics Physician
762
Avg Claims per Provider

KARLA FIGUEROA, M.D's 34 claims are below the specialty average of 762.

Nearby Pediatrics Physician Providers in Puerto Rico

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

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

Frequently Asked Questions

What is KARLA FIGUEROA, M.D's specialty?
KARLA FIGUEROA, M.D specializes in Pediatrics Physician and practices in GUAYNABO, Puerto Rico. Credentials: M.D.
How much does KARLA FIGUEROA, M.D prescribe under Medicare Part D?
In 2023, KARLA FIGUEROA, M.D wrote 34 Medicare Part D claims totaling $2K in drug costs for N/A beneficiaries.
Where is KARLA FIGUEROA, M.D located?
KARLA FIGUEROA, M.D is located at 1 AVE ARBOLOTE, GUAYNABO, PR, 00969. Phone: (787) 946-5437.
What is KARLA FIGUEROA, M.D's NPI number?
KARLA FIGUEROA, M.D's National Provider Identifier (NPI) is 1962468488, issued on 04/24/2006.
How many Pediatrics Physician providers are there in the US?
There are 80,574 Pediatrics Physician providers across 56 states in the US. The average Pediatrics Physician provider writes 762 Medicare Part D claims per year.
Does KARLA FIGUEROA, M.D accept Medicare?
KARLA FIGUEROA, M.D appears in CMS Medicare data with 34 Part D claims and N/A Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify KARLA FIGUEROA, M.D's credentials?
KARLA FIGUEROA, M.D's NPI is 1962468488 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