2026 NPPES data Gynecologic Oncology Physician NPI 1548396054 MD
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LUIS ROJAS-ESPAILLAT, MD

Gynecologic Oncology Physician in SIOUX FALLS, South Dakota. 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
224
Medicare Part D claims · 77 beneficiaries · Gynecologic Oncology Physician avg: 188
Generic prescribing
81%
generic claims · 19% brand-name · higher generic rates reduce patient out-of-pocket costs
What the federal data reveals: LUIS ROJAS-ESPAILLAT, MD is a Gynecologic Oncology Physician ([object Object]) practicing in SIOUX FALLS, South Dakota with a Medicare Part D prescribing footprint of 224 claims across 77 beneficiaries — 19% brand-name prescribing .

What stands out: LUIS ROJAS-ESPAILLAT, MD filed 224 Medicare Part D claims in 2023 across SIOUX FALLS, South Dakota. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

LUIS ROJAS-ESPAILLAT, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

LUIS ROJAS-ESPAILLAT, MD at a glance

Quality data not reported

NPI registry status

Active

Issued 02/26/2007

NPI 1548396054

Primary specialty

Gynecologic Oncology Physician

Niche

1,360 US NPIs in this specialty

Medicare Part D claims

224 19% vs specialty avg

2023 prescription claims

Specialty avg: 188

Specialty distribution in South Dakota

How Gynecologic Oncology Physician compares to other specialties among South Dakota providers

South Dakota providers

Gynecologic Oncology Physician share within South Dakota

1. Gynecologic Oncology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Gynecologic Oncology Physician share within South Dakota

Specialty board-certification context

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

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

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

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

LUIS ROJAS-ESPAILLAT, MD is a Gynecologic Oncology Physician provider practicing in SIOUX FALLS, South Dakota, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1548396054. 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 ROJAS-ESPAILLAT, MD appears in the CMS NPPES registry as a Gynecologic Oncology Physician provider holding MD credentials at 1000 E 21ST ST, SIOUX FALLS, SD, 57105, with a listed phone of (605) 322-7535. NPI 1548396054 was issued on 02/26/2007. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what ROJAS-ESPAILLAT 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 224 prescription claims written by this provider, covering 77 Medicare beneficiaries and totaling roughly $450K in drug spend, split 19% brand-name and 81% generic by claim count, with an opioid prescribing rate of 14.7%. 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.

Gynecologic Oncology Physician is a narrow specialty nationwide, with 1,360 enrolled providers across 49 states and an average of 188 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

1000 E 21ST ST
SIOUX FALLS, SD 57105

Provider Details

NPI 1548396054
Specialty Gynecologic Oncology Physician
Credentials MD
Gender Male
NPI Issued 02/26/2007

Hospital and facility affiliations

Facilities where LUIS ROJAS-ESPAILLAT, MD 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.

AVERA MCKENNAN
SIOUX FALLS, SD

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Brand vs generic prescribing mix · Typical

LUIS ROJAS-ESPAILLAT, MD — brand share 19.0%
Specialty average (est.)

19% brand-name claims vs 81% generic, on 224 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.

224
Total Claims
$450K
Total Drug Cost
77
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
268
Total Day Supply
5,394
Brand vs Generic
19% brand / 81% generic
Brand Drug Cost
$447K
Generic Drug Cost
$3K
Opioid Claims
33 (14.7% rate)

Patient Demographics

Average Patient Age
72.3 years
Avg HCC Risk Score
1.78
Gender Split
100% female / 0% 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
Zejula
Niraparib Tosylate
21
Dexamethasone
18
Tramadol Hcl
18
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
15
Ibuprofen
14
Gabapentin
12

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

Gynecologic Oncology Physician Overview

How LUIS ROJAS-ESPAILLAT, MD fits within the Gynecologic Oncology Physician landscape nationally.

1,360
Gynecologic Oncology Physician Providers in US
49
States with Gynecologic Oncology Physician
188
Avg Claims per Provider

LUIS ROJAS-ESPAILLAT, MD's 224 claims are above the specialty average of 188.

Nearby Gynecologic Oncology Physician Providers in South Dakota

Other clinicians with the same primary specialty enrolled in South Dakota, drawn from the same CMS NPPES roster as ROJAS-ESPAILLAT.

Compare Gynecologic Oncology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is LUIS ROJAS-ESPAILLAT, MD's specialty?
LUIS ROJAS-ESPAILLAT, MD specializes in Gynecologic Oncology Physician and practices in SIOUX FALLS, South Dakota. Credentials: MD.
How much does LUIS ROJAS-ESPAILLAT, MD prescribe under Medicare Part D?
In 2023, LUIS ROJAS-ESPAILLAT, MD wrote 224 Medicare Part D claims totaling $450K in drug costs for 77 beneficiaries.
Where is LUIS ROJAS-ESPAILLAT, MD located?
LUIS ROJAS-ESPAILLAT, MD is located at 1000 E 21ST ST, SIOUX FALLS, SD, 57105. Phone: (605) 322-7535.
What is LUIS ROJAS-ESPAILLAT, MD's NPI number?
LUIS ROJAS-ESPAILLAT, MD's National Provider Identifier (NPI) is 1548396054, issued on 02/26/2007.
Does LUIS ROJAS-ESPAILLAT, MD prescribe more brand-name or generic drugs?
LUIS ROJAS-ESPAILLAT, MD's prescribing is 19% brand-name and 81% generic drugs by claim count, with $447K in brand drug costs.
Does LUIS ROJAS-ESPAILLAT, MD prescribe opioids?
Yes, LUIS ROJAS-ESPAILLAT, MD had 33 opioid claims in 2023 with an opioid prescribing rate of 14.7%.
How many Gynecologic Oncology Physician providers are there in the US?
There are 1,360 Gynecologic Oncology Physician providers across 49 states in the US. The average Gynecologic Oncology Physician provider writes 188 Medicare Part D claims per year.
What drugs does LUIS ROJAS-ESPAILLAT, MD prescribe most often?
Based on 2023 Medicare Part D data, LUIS ROJAS-ESPAILLAT, MD's most frequently prescribed drugs include Zejula, Dexamethasone, Tramadol Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does LUIS ROJAS-ESPAILLAT, MD accept Medicare?
LUIS ROJAS-ESPAILLAT, MD appears in CMS Medicare data with 224 Part D claims and 77 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify LUIS ROJAS-ESPAILLAT, MD's credentials?
LUIS ROJAS-ESPAILLAT, MD's NPI is 1548396054 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