2026 NPPES data Emergency Medicine Physician NPI 1205923869 MD
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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.

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
5K
Medicare Part D claims · 362 beneficiaries · Emergency Medicine Physician avg: 352
Generic prescribing
82%
generic claims · 18% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$96.43
6 payments · CMS Open Payments (Sunshine Act)

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

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). Below this entry. 400–600: 90,619 prescribers (7%). Below this entry. 600–800: 56,224 prescribers (4%). Below this entry. 800–1,000: 40,919 prescribers (3%). Below this entry. 1,000–1,200: 31,827 prescribers (2%). Below this entry. 1,200–1,400: 26,224 prescribers (2%). Below this entry. 1,400–1,600: 21,710 prescribers (2%). Below this entry. 1,600–1,800: 19,072 prescribers (1%). Below this entry. 1,800–2,000: 16,451 prescribers (1%). Below this entry. 2,000–2,200: 213,991 prescribers (16%). This entry sits in this band. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

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

Board-eligible specialty (heuristic — not verified)

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 reported

NPI registry status

Active

Issued 10/06/2006

NPI 1205923869

Primary specialty

Emergency Medicine Physician

High-volume

64,398 US NPIs in this specialty

Medicare Part D claims

5,458 1451% vs specialty avg

2023 prescription claims

Specialty avg: 352

Specialty distribution in New Jersey

How Emergency Medicine Physician compares to other specialties among New Jersey providers

New Jersey providers

Emergency Medicine Physician share within New Jersey

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

Specialty board-certification context

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

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

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

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

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

1 CLARA MAASS DR
BELLEVILLE, NJ 07109

Provider Details

NPI 1205923869
Specialty Emergency Medicine Physician
Credentials MD
Gender Male
NPI Issued 10/06/2006

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 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

LUIS SANTOS, MD — brand share 18.0%
Specialty average (est.)

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.

5,458
Total Claims
$882K
Total Drug Cost
362
Medicare Beneficiaries

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

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
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.

64,398
Emergency Medicine Physician Providers in US
56
States with Emergency Medicine Physician
352
Avg Claims per Provider

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 →

Frequently Asked Questions

What is LUIS SANTOS, MD's specialty?
LUIS SANTOS, MD specializes in Emergency Medicine Physician and practices in BELLEVILLE, New Jersey. Credentials: MD.
How much does LUIS SANTOS, MD prescribe under Medicare Part D?
In 2023, LUIS SANTOS, MD wrote 5,458 Medicare Part D claims totaling $882K in drug costs for 362 beneficiaries.
Where is LUIS SANTOS, MD located?
LUIS SANTOS, MD is located at 1 CLARA MAASS DR, BELLEVILLE, NJ, 07109. Phone: (973) 450-2000.
What is LUIS SANTOS, MD's NPI number?
LUIS SANTOS, MD's National Provider Identifier (NPI) is 1205923869, issued on 10/06/2006.
Does LUIS SANTOS, MD prescribe more brand-name or generic drugs?
LUIS SANTOS, MD's prescribing is 18% brand-name and 82% generic drugs by claim count, with $714K in brand drug costs.
Does LUIS SANTOS, MD prescribe opioids?
Yes, LUIS SANTOS, MD had 1,371 opioid claims in 2023 with an opioid prescribing rate of 25.1%.
How many Emergency Medicine Physician providers are there in the US?
There are 64,398 Emergency Medicine Physician providers across 56 states in the US. The average Emergency Medicine Physician provider writes 352 Medicare Part D claims per year.
What drugs does LUIS SANTOS, MD prescribe most often?
Based on 2023 Medicare Part D data, LUIS SANTOS, MD's most frequently prescribed drugs include Oxycodone Hcl, Oxycontin, Gabapentin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does LUIS SANTOS, MD accept Medicare?
LUIS SANTOS, MD appears in CMS Medicare data with 5,458 Part D claims and 362 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify LUIS SANTOS, MD's credentials?
LUIS SANTOS, MD's NPI is 1205923869 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