NPI registry status
Active
2026 NPPES data Family Medicine Physician NPI 1851820765 MD
Verify on CMS → Luke Albares, MD
Family Medicine Physician in Somerset, Wisconsin.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 147,760 in Family Medicine Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
4K
Medicare Part D claims · 354 beneficiaries · Family Medicine Physician avg: 3K
Generic prescribing
87%
generic claims · 12% brand-name · higher generic rates reduce patient out-of-pocket costs
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Luke Albares, MD filed 3,741 Medicare Part D claims in 2023 as a Family Medicine Physician in Somerset, Wisconsin, prescribing 87% generic.
- 4K
- Part D claims, 2023
- 87%
- generic prescribing
- 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.
Luke Albares, MD's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023, across all CMS prescribers nationally
3,741 Top 9% higher than 91% 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
✓
Board certification likely (heuristic, not verified)
Luke Albares, 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).
What does the federal data show about Luke Albares, MD?
Quality data not reportedPrimary specialty
Family Medicine Physician
Medicare Part D claims
3,741 9% vs specialty avg
Specialty distribution in Wisconsin
How Family Medicine Physician compares to other specialties among Wisconsin providers
Board certification
Not published by CMS
CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Family Medicine Physician. Verify directly:
How MIPS and board certification work
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).
Luke Albares, MD appears in the CMS NPPES registry as a Family Medicine Physician provider holding MD credentials at 700 RIVARD ST, Somerset, WI, 54025, with a listed phone of (715) 247-2060. NPI 1851820765 was issued on 06/06/2017.
Medicare Part D records for calendar year 2023 show 3,741 prescription claims written by this provider, covering 354 Medicare beneficiaries and totaling roughly $470K in drug spend, split 12% brand-name and 87% generic by claim count.
Family Medicine Physician is a high-volume specialty nationwide, with 147,760 enrolled providers across 56 states and an average of 3,418 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 | 1851820765 |
|---|---|
| Specialty | Family Medicine Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 06/06/2017 |
Hospital and facility affiliations
Facilities where Luke Albares, 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.
Group Health Plan Inc
Stillwater, MN
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
Luke Albares, MD - brand share 12.0%
Family Medicine Physician average
12% brand-name claims vs 87% generic, on 3,741 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.
3,741
Total Claims
$470K
Total Drug Cost
354
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 9,482
- Total Day Supply
- 279,592
- Brand vs Generic
- 12% brand / 87% generic
- Brand Drug Cost
- $402K
- Generic Drug Cost
- $57K
- Antibiotic Claims
- 62
Patient Demographics
- Average Patient Age
- 71.6 years
- Avg HCC Risk Score
- 0.90
- Gender Split
- 37% female / 63% male
- Age Distribution
- <65: 29, 65-74: 198, 75-84: 101, 85+: 26
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Luke Albares, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Atorvastatin Calcium
Atorvastatin Calcium
343 claims
- Amlodipine Besylate
Amlodipine Besylate
203 claims
- Lisinopril
Lisinopril
198 claims
- Omeprazole 133
Omeprazole
133 claims
- Losartan Potassium 129
Losartan Potassium
129 claims
- Hydrochlorothiazide 126
Hydrochlorothiazide
126 claims
- Metoprolol Succinate 104
Metoprolol Succinate
104 claims
- Tamsulosin Hcl 99
Tamsulosin Hcl
99 claims
| Drug | Claims |
|---|---|
| Atorvastatin Calcium | 343 |
| Amlodipine Besylate | 203 |
| Lisinopril | 198 |
| Omeprazole | 133 |
| Losartan Potassium | 129 |
| Hydrochlorothiazide | 126 |
| Metoprolol Succinate | 104 |
| Tamsulosin Hcl | 99 |
| Simvastatin | 94 |
| Metformin Hcl Er Metformin Hcl | 82 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Family Medicine Physician Overview
How Luke Albares, MD fits within the Family Medicine Physician landscape nationally.
147,760
Family Medicine Physician Providers in US
56
States with Family Medicine Physician
3,418
Avg Claims per Provider
Luke Albares, MD's 3,741 claims are above the specialty average of 3,418.
Nearby Family Medicine Physician Providers in Wisconsin
Other clinicians with the same primary specialty enrolled in Wisconsin, drawn from the same CMS NPPES roster as Albares.
Dr. Ghudran Abdulal
MD
New Berlin, WI
Dr. Vanessa Abejuela-Matt
D.O.
Mount Pleasant, WI
Dr. Benjamin Abeyta
M.D.
Wauwatosa, WI
Dr. Emily Abeyta
MD
Waukesha, WI
Dr. Islam Abo Al Nadie
MD
Milwaukee, WI
Compare Family Medicine Physician nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the Wisconsin medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Family Medicine Physician peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
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Frequently Asked Questions
What is Luke Albares, MD's specialty? ▼
Luke Albares, MD specializes in Family Medicine Physician and practices in Somerset, Wisconsin. Credentials: MD.
How much does Luke Albares, MD prescribe under Medicare Part D? ▼
In 2023, Luke Albares, MD wrote 3,741 Medicare Part D claims totaling $470K in drug costs for 354 beneficiaries.
Where is Luke Albares, MD located? ▼
Luke Albares, MD is located at 700 RIVARD ST, Somerset, WI, 54025. Phone: (715) 247-2060.
What is Luke Albares, MD's NPI number? ▼
Luke Albares, MD's National Provider Identifier (NPI) is 1851820765, issued on 06/06/2017.
Does Luke Albares, MD prescribe more brand-name or generic drugs? ▼
Luke Albares, MD's prescribing is 12% brand-name and 87% generic drugs by claim count, with $402K in brand drug costs.
How many Family Medicine Physician providers are there in the US? ▼
There are 147,760 Family Medicine Physician providers across 56 states in the US. The average Family Medicine Physician provider writes 3,418 Medicare Part D claims per year.
What drugs does Luke Albares, MD prescribe most often? ▼
Based on 2023 Medicare Part D data, Luke Albares, MD's most frequently prescribed drugs include Atorvastatin Calcium, Amlodipine Besylate, Lisinopril. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Luke Albares, MD accept Medicare? ▼
Luke Albares, MD appears in CMS Medicare data with 3,741 Part D claims and 354 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Luke Albares, MD's credentials? ▼
Luke Albares, MD's NPI is 1851820765 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
View source datasets and methodology notes
- 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
Compiled from official public sources by the PlainDoctor editorial team.
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of May 2026.