2026 NPPES data Interventional Pain Medicine Physician NPI 1376572594 M.D.
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LUIS FANDOS, M.D.

Interventional Pain Medicine Physician in BABYLON, New York. 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
1K
Medicare Part D claims · 474 beneficiaries · Interventional Pain Medicine Physician avg: 2K
MIPS score
85.1992/100
▲ 2 pts above national avg 83.1 · [object Object]
Industry payments
$1.9K
88 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

LUIS FANDOS, M.D. reported a CMS MIPS final score of 85.1992/100 — above the 83.1 national average — and filed 1,473 Medicare Part D claims in 2023.

85.1992/100
MIPS score · +2 vs avg
1K
Part D claims, 2023
Likely
board-certified (heuristic)

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.

LUIS FANDOS, M.D.'s MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

85 49th percentile higher than 49% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). This entry sits in this band. 90–100: 189,403 scored providers (40%). Above this entry. This provider 0 100 every MIPS-scored clinician, bucketed by value

Each bar is a band; taller bars hold more scored providers. 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 Merit-based Incentive Payment System (MIPS) · 2023

Board certification likely (heuristic — not verified)

LUIS FANDOS, 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).

What does the federal data show about LUIS FANDOS, M.D.?

High performer (top quartile)

NPI registry status

Active

Issued 07/01/2006

NPI 1376572594

Primary specialty

Interventional Pain Medicine Physician

Niche

1,528 US NPIs in this specialty

Medicare Part D claims

1,473 33% vs specialty avg

2023 prescription claims

Specialty avg: 2,197

MIPS final score

85.1992/100 2.0992000000000104% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in New York

How Interventional Pain Medicine Physician compares to other specialties among New York providers

New York providers

Interventional Pain Medicine Physician share within New York

1. Interventional Pain Medicine Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Interventional Pain Medicine Physician share within New York

Medicare quality performance — MIPS

LUIS FANDOS, M.D.'s 2023 MIPS final score plotted against the Interventional Pain Medicine Physician national average

High performer (top quartile)
MIPS Final Score
85.1992/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Interventional Pain Medicine Physician) — 85.1992/100 vs national avg 83.1

0%100%National avg83%85.2%
MIPS final score (Interventional Pain Medicine Physician) — 85.1992/100 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).

LUIS FANDOS, M.D. is a Interventional Pain Medicine Physician provider practicing in BABYLON, New York, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1376572594. 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.

LUIS FANDOS, M.D. appears in the CMS NPPES registry as a Interventional Pain Medicine Physician provider holding M.D. credentials at 500 W MAIN ST, BABYLON, NY, 11702, with a listed phone of (631) 422-6166. NPI 1376572594 was issued on 07/01/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what FANDOS 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 1,473 prescription claims written by this provider, covering 474 Medicare beneficiaries and totaling roughly $121K in drug spend, with an opioid prescribing rate of 58.2%. 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. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 85.1992/100 for the 2023 performance year (Quality 72.8222), compared with the national average of 83.1.

Interventional Pain Medicine Physician is a narrow specialty nationwide, with 1,528 enrolled providers across 53 states and an average of 2,197 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

500 W MAIN ST
BABYLON, NY 11702

Provider Details

NPI 1376572594
Specialty Interventional Pain Medicine Physician
Credentials M.D.
Gender Male
NPI Issued 07/01/2006

CMS Quality Score (MIPS)

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

85.1992
Final Score
Avg: 83.1
72.8222
Quality
96
Promoting Interoperability

Reporting: Individual

Hospital and facility affiliations

Facilities where LUIS FANDOS, 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.

NEW YORK PAIN CONSULTANTS LLC
BABYLON, NY

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 LUIS FANDOS, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$1.9K

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.

License & disciplinary context — New York NYSBPMC 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 ~100K New York medical licensees in 2023 — they are NOT specific to LUIS FANDOS, M.D.. To verify LUIS FANDOS, M.D.'s current license status, search the NYSBPMC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

312
Total board actions, New York 2023
Across 302 cases
3.12
Actions per 1,000 licensees
New York statewide rate
probation
Most common action type
89 cases

NYSBPMC 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 New York disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Medicare Part D Prescribing Data

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

1,473
Total Claims
$121K
Total Drug Cost
474
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,499
Total Day Supply
35,126
Generic Drug Cost
$67K
Opioid Claims
858 (58.2% rate)
Antibiotic Claims
12

Patient Demographics

Average Patient Age
69.7 years
Avg HCC Risk Score
1.56
Gender Split
68% female / 32% male
Age Distribution
<65: 123, 65-74: 179, 75-84: 137, 85+: 35

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Oxycodone-Acetaminophen
Oxycodone Hcl/Acetaminophen
274
Tramadol Hcl
158
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
109
Oxycodone Hcl
102
Diazepam
97
Gabapentin
84
Hydromorphone Hcl
83
Meloxicam
83
Tizanidine Hcl
83
Diclofenac Sodium
50

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

Interventional Pain Medicine Physician Overview

How LUIS FANDOS, M.D. fits within the Interventional Pain Medicine Physician landscape nationally.

1,528
Interventional Pain Medicine Physician Providers in US
53
States with Interventional Pain Medicine Physician
2,197
Avg Claims per Provider

LUIS FANDOS, M.D.'s 1,473 claims are below the specialty average of 2,197.

Nearby Interventional Pain Medicine Physician Providers in New York

Other clinicians with the same primary specialty enrolled in New York, drawn from the same CMS NPPES roster as FANDOS.

Compare Interventional Pain Medicine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is LUIS FANDOS, M.D.'s specialty?
LUIS FANDOS, M.D. specializes in Interventional Pain Medicine Physician and practices in BABYLON, New York. Credentials: M.D..
How much does LUIS FANDOS, M.D. prescribe under Medicare Part D?
In 2023, LUIS FANDOS, M.D. wrote 1,473 Medicare Part D claims totaling $121K in drug costs for 474 beneficiaries.
What is LUIS FANDOS, M.D.'s Medicare quality score?
LUIS FANDOS, M.D. has a CMS MIPS Final Score of 85.1992/100 (Quality: 72.8222). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is LUIS FANDOS, M.D. located?
LUIS FANDOS, M.D. is located at 500 W MAIN ST, BABYLON, NY, 11702. Phone: (631) 422-6166.
What is LUIS FANDOS, M.D.'s NPI number?
LUIS FANDOS, M.D.'s National Provider Identifier (NPI) is 1376572594, issued on 07/01/2006.
Does LUIS FANDOS, M.D. prescribe opioids?
Yes, LUIS FANDOS, M.D. had 858 opioid claims in 2023 with an opioid prescribing rate of 58.2%.
How many Interventional Pain Medicine Physician providers are there in the US?
There are 1,528 Interventional Pain Medicine Physician providers across 53 states in the US. The average Interventional Pain Medicine Physician provider writes 2,197 Medicare Part D claims per year.
What drugs does LUIS FANDOS, M.D. prescribe most often?
Based on 2023 Medicare Part D data, LUIS FANDOS, M.D.'s most frequently prescribed drugs include Oxycodone-Acetaminophen, Tramadol Hcl, Hydrocodone-Acetaminophen. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does LUIS FANDOS, M.D. accept Medicare?
LUIS FANDOS, M.D. appears in CMS Medicare data with 1,473 Part D claims and 474 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify LUIS FANDOS, M.D.'s credentials?
LUIS FANDOS, M.D.'s NPI is 1376572594 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