NPI registry status
Active
2026 NPPES data Specialist NPI 1053386490 M.D.
Verify on CMS → Lynnette Ortiz Toro, M.D.
Specialist in Cabo Rojo, Puerto Rico.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 69,567 in Specialist, 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
10K
Medicare Part D claims · 497 beneficiaries · Specialist avg: 2K
Generic prescribing
90%
generic claims · 9% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$120.21
4 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2024
What the federal data shows
Lynnette Ortiz Toro, M.D. filed 10,368 Medicare Part D claims in 2024 as a Specialist in Cabo Rojo, Puerto Rico, prescribing 90% generic.
- 10K
- Part D claims, 2024
- 90%
- generic prescribing
- $120.21
- industry payments (Sunshine Act)
- ≥98th
- pct by Part D claim volume (lower-bound band)
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.
Federal trust snapshot
What official records show about Lynnette Ortiz Toro, M.D.
Federal records show an active NPI with Medicare Part D prescribing activity — verifiable registry data, not a proprietary rating.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1053386490), first enumerated 02/21/2006.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 10,368 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- Reported
Industry payment transparency
$120.21 in reported industry payments (4 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.
Source: CMS Open Payments
- Not in federal data
Individual sanction lookup
PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.
Source: State medical board / FSMB
This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.
CMS NPPES provider registry desk
NPI 1053386490 · Specialist
NPI-10 · ENUM-LEGACY · TAX-MEGA · RX-HEAVY · BOOK-LIGHT · PHOTO-ENUM
- NPI-10 1053386490
- ENUM-LEGACY 2006
- TAX-MEGA 70K Specialist
- RX-HEAVY 10K claims
- BOOK-LIGHT 709 in Puerto Rico
- PHOTO-ENUM Carl Rest · 2006
Lynnette Ortiz Toro, M.D.'s Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2024, across all CMS prescribers nationally
10,368 ≥ 98th percentile 98% of 1,416,883 prescribers are in lower value bands
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.
The percentile is a conservative 100-claim band: it counts only prescribers in lower claim-volume bands. Medicare Part D claim volume is activity context, not a quality measure or recommendation. See methodology § corpus placement.
Source CMS Medicare Part D Prescriber Public Use File · 2024
What does the federal data show about Lynnette Ortiz Toro, M.D.?
Quality data not reportedPrimary specialty
Specialist
Medicare Part D claims
10,368 7× vs specialty avg
Specialty distribution in Puerto Rico
How Specialist compares to other specialties among Puerto Rico 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 Specialist. 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).
Practice Address
Provider Details
| NPI | 1053386490 |
|---|---|
| Specialty | Specialist |
| Credentials | M.D. |
| Gender | Female |
| NPI Issued | 02/21/2006 |
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 Lynnette Ortiz Toro, M.D.. Source: openpaymentsdata.cms.gov.
Total received
$120
Largest payer
Janssen Pharmaceuticals, 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 · Generic-heavy
Lynnette Ortiz Toro, M.D. - brand share 9.0%
Specialist average
9% brand-name claims vs 90% generic, on 10,368 2024 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 2024.
10,368
Total Claims
$326K
Total Drug Cost
497
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 21,392.933
- Total Day Supply
- 620,384
- Brand vs Generic
- 9% brand / 90% generic
- Brand Drug Cost
- $164K
- Generic Drug Cost
- $159K
- Antibiotic Claims
- 294
Patient Demographics
- Average Patient Age
- 76.7 years
- Avg HCC Risk Score
- 1.89
- Gender Split
- 62% female / 38% male
- Age Distribution
- <65: 24, 65-74: 184, 75-84: 194, 85+: 95
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
What Lynnette Ortiz Toro, M.D. prescribes most
Top Medicare Part D drugs by claim count, 2024
- Levothyroxine Sodium
Levothyroxine Sodium
718 claims
- Gabapentin
Gabapentin
401 claims
- Losartan Potassium
Losartan Potassium
388 claims
- Omeprazole
Omeprazole
377 claims
- Metoprolol Succinate
Metoprolol Succinate
347 claims
- Atorvastatin Calcium
Atorvastatin Calcium
341 claims
- Famotidine
Famotidine
323 claims
- Clonazepam
Clonazepam
303 claims
| Drug | Claims |
|---|---|
| Levothyroxine Sodium | 718 |
| Gabapentin | 401 |
| Losartan Potassium | 388 |
| Omeprazole | 377 |
| Metoprolol Succinate | 347 |
| Atorvastatin Calcium | 341 |
| Famotidine | 323 |
| Clonazepam | 303 |
| Metformin Hcl | 301 |
| Lisinopril | 283 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Specialist Overview
How Lynnette Ortiz Toro, M.D. fits within the Specialist landscape nationally.
69,567
Specialist Providers in US
55
States with Specialist
1,524
Avg Claims per Provider
Lynnette Ortiz Toro, M.D.'s 10,368 claims are above the specialty average of 1,524.
Nationwide Specialist peers with similar MIPS or enrollment year
Two federal-record peer sets for Ortiz Toro, both outside Puerto Rico so the neighborhoods are not geographic containment.
Same NPPES enumeration year (2006)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Specialist Providers in Puerto Rico
Other clinicians with the same primary specialty enrolled in Puerto Rico, drawn from the same CMS NPPES roster as Ortiz Toro.
One of 709 Specialist providers enrolled in Puerto Rico, 5 are shown here.
Dr. Alberto Abreu
M.D.
Ponce, PR
Dr. Arlene Abreu Rivera
MD
Caguas, PR
Alberto Abreu-Rivera
M.D. FAMILY PHYSICIA
Arecibo, PR
Dr. Carmen Acantilado
M.D.
Bayamon, PR
Dr. Frank Acevedo
M.D.
Cayey, PR
Compare Specialist nationally: see state-by-state distribution →
Frequently Asked Questions
What is Lynnette Ortiz Toro, M.D.'s specialty? ▼
Lynnette Ortiz Toro, M.D. specializes in Specialist and practices in Cabo Rojo, Puerto Rico. Credentials: M.D..
How much does Lynnette Ortiz Toro, M.D. prescribe under Medicare Part D? ▼
In 2024, Lynnette Ortiz Toro, M.D. wrote 10,368 Medicare Part D claims totaling $326K in drug costs for 497 beneficiaries.
Where is Lynnette Ortiz Toro, M.D. located? ▼
Lynnette Ortiz Toro, M.D. is located at CARR 308 KM 0.2 # 30, Cabo Rojo, PR, 00623. Phone: (787) 255-2567.
What is Lynnette Ortiz Toro, M.D.'s NPI number? ▼
Lynnette Ortiz Toro, M.D.'s National Provider Identifier (NPI) is 1053386490, issued on 02/21/2006.
Does Lynnette Ortiz Toro, M.D. prescribe more brand-name or generic drugs? ▼
Lynnette Ortiz Toro, M.D.'s prescribing is 9% brand-name and 90% generic drugs by claim count, with $164K in brand drug costs.
How many Specialist providers are there in the US? ▼
There are 69,567 Specialist providers across 55 states in the US. The average Specialist provider writes 1,524 Medicare Part D claims per year.
What drugs does Lynnette Ortiz Toro, M.D. prescribe most often? ▼
Based on 2024 Medicare Part D data, Lynnette Ortiz Toro, M.D.'s most frequently prescribed drugs include Levothyroxine Sodium, Gabapentin, Losartan Potassium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Lynnette Ortiz Toro, M.D. accept Medicare? ▼
Lynnette Ortiz Toro, M.D. appears in CMS Medicare data with 10,368 Part D claims and 497 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Lynnette Ortiz Toro, M.D.'s credentials? ▼
Lynnette Ortiz Toro, M.D.'s NPI is 1053386490 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
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 (2024). 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 August 2026 (NPPES) / 2024 (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
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 August 2026.