2026 NPPES data Anatomic Pathology & Clinical Pathology Physician NPI 1811379274 M.D
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LUIS SARDINA PENA, M.D

Anatomic Pathology & Clinical Pathology Physician in ALBUQUERQUE, New Mexico. 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
336
Medicare Part D claims · 142 beneficiaries · Anatomic Pathology & Clinical Pathology Physician avg: 284
Generic prescribing
95%
generic claims · 5% brand-name · higher generic rates reduce patient out-of-pocket costs
What the federal data reveals: LUIS SARDINA PENA, M.D is a Anatomic Pathology & Clinical Pathology Physician ([object Object]) practicing in ALBUQUERQUE, New Mexico with a Medicare Part D prescribing footprint of 336 claims across 142 beneficiaries — 5% brand-name prescribing .

What stands out: LUIS SARDINA PENA, M.D filed 336 Medicare Part D claims in 2023 across ALBUQUERQUE, New Mexico. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

LUIS SARDINA PENA, M.D 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 SARDINA PENA, M.D at a glance

Quality data not reported

NPI registry status

Active

Issued 06/22/2015

NPI 1811379274

Primary specialty

Anatomic Pathology & Clinical Pathology Physician

Mid-sized

13,692 US NPIs in this specialty

Medicare Part D claims

336 18% vs specialty avg

2023 prescription claims

Specialty avg: 284

Specialty distribution in New Mexico

How Anatomic Pathology & Clinical Pathology Physician compares to other specialties among New Mexico providers

New Mexico providers

Anatomic Pathology & Clinical Pathology Physician share within New Mexico

1. Anatomic Pathology & Clinical Pathology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Anatomic Pathology & Clinical Pathology Physician share within New Mexico

Specialty board-certification context

Estimated specialty board-certified rate — Anatomic Pathology & Clinical Pathology Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Anatomic Pathology & Clinical Pathology Physician ABMS/AOA estimate

Est. board-certified rate (Anatomic Pathology & Clinical Pathology Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Anatomic Pathology & Clinical Pathology 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 SARDINA PENA, M.D is a Anatomic Pathology & Clinical Pathology Physician provider practicing in ALBUQUERQUE, New Mexico, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D. NPI: 1811379274. 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 SARDINA PENA, M.D appears in the CMS NPPES registry as a Anatomic Pathology & Clinical Pathology Physician provider holding M.D credentials at 8316 KASEMAN CT NE, ALBUQUERQUE, NM, 87110, with a listed phone of (505) 292-5850. NPI 1811379274 was issued on 06/22/2015. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what SARDINA PENA 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 336 prescription claims written by this provider, covering 142 Medicare beneficiaries and totaling roughly $55K in drug spend, split 5% brand-name and 95% generic by claim count. 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.

Anatomic Pathology & Clinical Pathology Physician is a mid-sized specialty nationwide, with 13,692 enrolled providers across 55 states and an average of 284 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

8316 KASEMAN CT NE
ALBUQUERQUE, NM 87110

Provider Details

NPI 1811379274
Specialty Anatomic Pathology & Clinical Pathology Physician
Credentials M.D
Gender Male
NPI Issued 06/22/2015

Hospital and facility affiliations

Facilities where LUIS SARDINA PENA, 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.

EPIPHANY DERMATOLOGY OF NEW MEXICO, LLC
ALBUQUERQUE, NM

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 · Generic-heavy

LUIS SARDINA PENA, M.D — brand share 5.0%
Specialty average (est.)

5% brand-name claims vs 95% generic, on 336 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.

336
Total Claims
$55K
Total Drug Cost
142
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
481
Total Day Supply
13,320
Brand vs Generic
5% brand / 95% generic
Brand Drug Cost
$40K
Generic Drug Cost
$14K
Antibiotic Claims
20

Patient Demographics

Average Patient Age
70.5 years
Avg HCC Risk Score
1.48
Gender Split
65% female / 35% 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
Clobetasol Propionate
49
Triamcinolone Acetonide
42
Ketoconazole
32
Minoxidil
26
Spironolactone
26
Hydrocortisone
17
Clindamycin Phosphate
11
Doxycycline Monohydrate
11
Fluorouracil
11

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

Anatomic Pathology & Clinical Pathology Physician Overview

How LUIS SARDINA PENA, M.D fits within the Anatomic Pathology & Clinical Pathology Physician landscape nationally.

13,692
Anatomic Pathology & Clinical Pathology Physician Providers in US
55
States with Anatomic Pathology & Clinical Pathology Physician
284
Avg Claims per Provider

LUIS SARDINA PENA, M.D's 336 claims are above the specialty average of 284.

Nearby Anatomic Pathology & Clinical Pathology Physician Providers in New Mexico

Other clinicians with the same primary specialty enrolled in New Mexico, drawn from the same CMS NPPES roster as SARDINA PENA.

Compare Anatomic Pathology & Clinical Pathology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is LUIS SARDINA PENA, M.D's specialty?
LUIS SARDINA PENA, M.D specializes in Anatomic Pathology & Clinical Pathology Physician and practices in ALBUQUERQUE, New Mexico. Credentials: M.D.
How much does LUIS SARDINA PENA, M.D prescribe under Medicare Part D?
In 2023, LUIS SARDINA PENA, M.D wrote 336 Medicare Part D claims totaling $55K in drug costs for 142 beneficiaries.
Where is LUIS SARDINA PENA, M.D located?
LUIS SARDINA PENA, M.D is located at 8316 KASEMAN CT NE, ALBUQUERQUE, NM, 87110. Phone: (505) 292-5850.
What is LUIS SARDINA PENA, M.D's NPI number?
LUIS SARDINA PENA, M.D's National Provider Identifier (NPI) is 1811379274, issued on 06/22/2015.
Does LUIS SARDINA PENA, M.D prescribe more brand-name or generic drugs?
LUIS SARDINA PENA, M.D's prescribing is 5% brand-name and 95% generic drugs by claim count, with $40K in brand drug costs.
How many Anatomic Pathology & Clinical Pathology Physician providers are there in the US?
There are 13,692 Anatomic Pathology & Clinical Pathology Physician providers across 55 states in the US. The average Anatomic Pathology & Clinical Pathology Physician provider writes 284 Medicare Part D claims per year.
What drugs does LUIS SARDINA PENA, M.D prescribe most often?
Based on 2023 Medicare Part D data, LUIS SARDINA PENA, M.D's most frequently prescribed drugs include Clobetasol Propionate, Triamcinolone Acetonide, Ketoconazole. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does LUIS SARDINA PENA, M.D accept Medicare?
LUIS SARDINA PENA, M.D appears in CMS Medicare data with 336 Part D claims and 142 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify LUIS SARDINA PENA, M.D's credentials?
LUIS SARDINA PENA, M.D's NPI is 1811379274 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.
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