LUIS SANTOS, MD
Emergency Medicine Physician in BELLEVILLE, New Jersey. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.
What the federal data shows
LUIS SANTOS, MD filed 5,458 Medicare Part D claims in 2023 as a Emergency Medicine Physician in BELLEVILLE, New Jersey, prescribing 82% generic.
- 5K
- Part D claims, 2023
- 82%
- generic prescribing
- $96.43
- 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.
LUIS SANTOS, MD's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023 — across all CMS prescribers nationally
5,458 Top 6% higher than 94% of 1,370,886 prescribers
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
LUIS SANTOS, 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 LUIS SANTOS, MD?
Quality data not reportedPrimary specialty
Medicare Part D claims
Specialty distribution in New Jersey
How Emergency Medicine Physician compares to other specialties among New Jersey providers
Emergency Medicine Physician share within New Jersey
Emergency Medicine Physician is one of the more visible NUCC categories in New Jersey
Each bar reflects the share of in-state providers whose primary NUCC taxonomy matches the specialty. Long tail of ~690 NUCC codes folded into "Other" to keep the comparison legible.
Specialty board-certification context
Estimated specialty board-certified rate — Emergency Medicine Physician (ABMS / AOA reference)
- Est. board-certified rate
- 78%
- Emergency Medicine Physician ABMS/AOA estimate
Est. board-certified rate (Emergency Medicine Physician) — ABMS / AOA estimate
Verify credentials
- Verify via ABMS free public lookup
- Verify via AOA osteopathic boards
- Specialty volume Emergency Medicine Physician US NPIs
Specialty board-certified rate — Emergency Medicine Physician estimate
Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus Maintenance of Certification cycles. CMS does not publish a per-provider board-certification field; the figure shown is the specialty-level estimated rate from ABMS / AOA reference data.
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 SANTOS, MD appears in the CMS NPPES registry as a Emergency Medicine Physician provider holding MD credentials at 1 CLARA MAASS DR, BELLEVILLE, NJ, 07109, with a listed phone of (973) 450-2000. NPI 1205923869 was issued on 10/06/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what SANTOS 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 5,458 prescription claims written by this provider, covering 362 Medicare beneficiaries and totaling roughly $882K in drug spend, split 18% brand-name and 82% generic by claim count, with an opioid prescribing rate of 25.1%. 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.
Emergency Medicine Physician is a high-volume specialty nationwide, with 64,398 enrolled providers across 56 states and an average of 352 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
Provider Details
| NPI | 1205923869 |
|---|---|
| Specialty | Emergency Medicine Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 10/06/2006 |
Verify this provider's license
PlainDoctor pulls this profile from the CMS NPPES public registry. Confirm LUIS SANTOS, MD's current license status, disciplinary history, and board certifications with the New Jersey State Board of Medical Examiners in New Jersey before relying on this page for a clinical or care decision.
How we sourced this profile
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 SANTOS, MD. Source: openpaymentsdata.cms.gov.
Total received
$96
Largest payer
Collegium Pharmaceutical, Inc.
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
18% brand-name claims vs 82% generic, on 5,458 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.
Prescribing Breakdown
- 30-Day Fills
- 7,054
- Total Day Supply
- 191,493
- Brand vs Generic
- 18% brand / 82% generic
- Brand Drug Cost
- $714K
- Generic Drug Cost
- $167K
- Opioid Claims
- 1,371 (25.1% rate)
- Antibiotic Claims
- 46
Patient Demographics
- Average Patient Age
- 64.9 years
- Avg HCC Risk Score
- 1.70
- Gender Split
- 53% female / 47% male
- Age Distribution
- <65: 163, 65-74: 112, 75-84: 62, 85+: 25
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What LUIS SANTOS, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Oxycodone Hcl
Oxycodone Hcl
686 claims
- Oxycontin
Oxycontin
347 claims
- Gabapentin 165
Gabapentin
165 claims
- Atorvastatin Calcium 156
Atorvastatin Calcium
156 claims
- Amlodipine Besylate 122
Amlodipine Besylate
122 claims
- Ibuprofen 118
Ibuprofen
118 claims
- Morphine Sulfate Er 116
Morphine Sulfate Er
116 claims
- Levothyroxine Sodium 103
Levothyroxine Sodium
103 claims
| Drug | Claims |
|---|---|
| Oxycodone Hcl | 686 |
| Oxycontin Oxycodone Hcl | 347 |
| Gabapentin | 165 |
| Atorvastatin Calcium | 156 |
| Amlodipine Besylate | 122 |
| Ibuprofen | 118 |
| Morphine Sulfate Er Morphine Sulfate | 116 |
| Levothyroxine Sodium | 103 |
| Famotidine | 94 |
| Metformin Hcl | 91 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Emergency Medicine Physician Overview
How LUIS SANTOS, MD fits within the Emergency Medicine Physician landscape nationally.
LUIS SANTOS, MD's 5,458 claims are above the specialty average of 352.
Nearby Emergency Medicine Physician Providers in New Jersey
Other clinicians with the same primary specialty enrolled in New Jersey, drawn from the same CMS NPPES roster as SANTOS.
Compare Emergency Medicine Physician nationally: see state-by-state distribution →
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Frequently Asked Questions
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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