2026 NPPES data Internal Medicine Physician NPI 1699883157 MD
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LEONEL APODACA, MD

Internal Medicine Physician in COALINGA, California. 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
11K
Medicare Part D claims · 608 beneficiaries · Internal Medicine Physician avg: 3K
Generic prescribing
88%
generic claims · 12% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$145.8
8 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: LEONEL APODACA, MD is a Internal Medicine Physician ([object Object]) practicing in COALINGA, California with a Medicare Part D prescribing footprint of 11K claims across 608 beneficiaries — 12% brand-name prescribing . Industry payments of $145.8 across 8 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: LEONEL APODACA, MD filed 10,965 Medicare Part D claims in 2023 across COALINGA, California. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board-eligible specialty (heuristic — not verified)

LEONEL APODACA, 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).

LEONEL APODACA, MD at a glance

Quality data not reported

NPI registry status

Active

Issued 08/26/2006

NPI 1699883157

Primary specialty

Internal Medicine Physician

High-volume

172,858 US NPIs in this specialty

Medicare Part D claims

10,965 304% vs specialty avg

2023 prescription claims

Specialty avg: 2,716

Specialty distribution in California

How Internal Medicine Physician compares to other specialties among California providers

California providers

Internal Medicine Physician share within California

1. Internal Medicine Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Internal Medicine Physician share within California

Specialty board-certification context

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

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

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

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

LEONEL APODACA, MD is a Internal Medicine Physician provider practicing in COALINGA, California, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1699883157. 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.

LEONEL APODACA, MD appears in the CMS NPPES registry as a Internal Medicine Physician provider holding MD credentials at 1145 PHELPS AVENUE, COALINGA, CA, 93210, with a listed phone of (559) 935-4374. NPI 1699883157 was issued on 08/26/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what APODACA 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 10,965 prescription claims written by this provider, covering 608 Medicare beneficiaries and totaling roughly $1.1 million in drug spend, split 12% brand-name and 88% generic by claim count, with an opioid prescribing rate of 2.6%. 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.

Internal Medicine Physician is a high-volume specialty nationwide, with 172,858 enrolled providers across 56 states and an average of 2,716 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

1145 PHELPS AVENUE
COALINGA, CA 93210

Provider Details

NPI 1699883157
Specialty Internal Medicine Physician
Credentials MD
Gender Male
NPI Issued 08/26/2006

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 LEONEL APODACA, MD. Source: openpaymentsdata.cms.gov.

Total received

$146

Largest payer

AstraZeneca Pharmaceuticals LP

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.

License & disciplinary context — California MBC 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~150K California medical licensees in 2023 — they are NOT specific to LEONEL APODACA, MD. To verify LEONEL APODACA, MD's current license status, search the MBC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

576
Total board actions, California 2023
Across 556 cases
3.84
Actions per 1,000 licensees
California statewide rate
probation
Most common action type
186 cases

MBC publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the California disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

LEONEL APODACA, MD — brand share 12.0%
Specialty average (est.)

12% brand-name claims vs 88% generic, on 10,965 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.

10,965
Total Claims
$1.1M
Total Drug Cost
608
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
23,154
Total Day Supply
672,697
Brand vs Generic
12% brand / 88% generic
Brand Drug Cost
$801K
Generic Drug Cost
$257K
Opioid Claims
284 (2.6% rate)
Antibiotic Claims
322

Patient Demographics

Average Patient Age
72.4 years
Avg HCC Risk Score
1.26
Gender Split
52% female / 48% male
Age Distribution
<65: 57, 65-74: 314, 75-84: 177, 85+: 60

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Atorvastatin Calcium
606
Metformin Hcl
503
Amlodipine Besylate
461
Lisinopril
404
Omeprazole
333
Glipizide
307
Hydrochlorothiazide
259
Levothyroxine Sodium
254
Gabapentin
253
Ibuprofen
232

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

Internal Medicine Physician Overview

How LEONEL APODACA, MD fits within the Internal Medicine Physician landscape nationally.

172,858
Internal Medicine Physician Providers in US
56
States with Internal Medicine Physician
2,716
Avg Claims per Provider

LEONEL APODACA, MD's 10,965 claims are above the specialty average of 2,716.

Nearby Internal Medicine Physician Providers in California

Other clinicians with the same primary specialty enrolled in California, drawn from the same CMS NPPES roster as APODACA.

Compare Internal Medicine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is LEONEL APODACA, MD's specialty?
LEONEL APODACA, MD specializes in Internal Medicine Physician and practices in COALINGA, California. Credentials: MD.
How much does LEONEL APODACA, MD prescribe under Medicare Part D?
In 2023, LEONEL APODACA, MD wrote 10,965 Medicare Part D claims totaling $1.1M in drug costs for 608 beneficiaries.
Where is LEONEL APODACA, MD located?
LEONEL APODACA, MD is located at 1145 PHELPS AVENUE, COALINGA, CA, 93210. Phone: (559) 935-4374.
What is LEONEL APODACA, MD's NPI number?
LEONEL APODACA, MD's National Provider Identifier (NPI) is 1699883157, issued on 08/26/2006.
Does LEONEL APODACA, MD prescribe more brand-name or generic drugs?
LEONEL APODACA, MD's prescribing is 12% brand-name and 88% generic drugs by claim count, with $801K in brand drug costs.
Does LEONEL APODACA, MD prescribe opioids?
Yes, LEONEL APODACA, MD had 284 opioid claims in 2023 with an opioid prescribing rate of 2.6%.
How many Internal Medicine Physician providers are there in the US?
There are 172,858 Internal Medicine Physician providers across 56 states in the US. The average Internal Medicine Physician provider writes 2,716 Medicare Part D claims per year.
What drugs does LEONEL APODACA, MD prescribe most often?
Based on 2023 Medicare Part D data, LEONEL APODACA, MD's most frequently prescribed drugs include Atorvastatin Calcium, Metformin Hcl, Amlodipine Besylate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does LEONEL APODACA, MD accept Medicare?
LEONEL APODACA, MD appears in CMS Medicare data with 10,965 Part D claims and 608 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify LEONEL APODACA, MD's credentials?
LEONEL APODACA, MD's NPI is 1699883157 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