2026 NPPES data Colon & Rectal Surgery Physician NPI 1346424264 MD
Verify on CMS →

MARIA MARTINEZ UGARTE, MD

Colon & Rectal Surgery Physician in SAN ANTONIO, Texas. 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
735
Medicare Part D claims · 381 beneficiaries · Colon & Rectal Surgery Physician avg: 196
Generic prescribing
93%
generic claims · 7% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$9.8K
19 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: MARIA MARTINEZ UGARTE, MD is a Colon & Rectal Surgery Physician ([object Object]) practicing in SAN ANTONIO, Texas with a Medicare Part D prescribing footprint of 735 claims across 381 beneficiaries — 7% brand-name prescribing . Industry payments of $9.8K across 19 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: MARIA MARTINEZ UGARTE, MD filed 735 Medicare Part D claims in 2023 across SAN ANTONIO, Texas. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

MARIA MARTINEZ UGARTE, 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).

MARIA MARTINEZ UGARTE, MD at a glance

Quality data not reported

NPI registry status

Active

Issued 12/27/2007

NPI 1346424264

Primary specialty

Colon & Rectal Surgery Physician

Niche

1,608 US NPIs in this specialty

Medicare Part D claims

735 275% vs specialty avg

2023 prescription claims

Specialty avg: 196

Specialty distribution in Texas

How Colon & Rectal Surgery Physician compares to other specialties among Texas providers

Texas providers

Colon & Rectal Surgery Physician share within Texas

1. Colon & Rectal Surgery Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Colon & Rectal Surgery Physician share within Texas

Specialty board-certification context

Estimated specialty board-certified rate — Colon & Rectal Surgery Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Colon & Rectal Surgery Physician ABMS/AOA estimate

Est. board-certified rate (Colon & Rectal Surgery Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Colon & Rectal Surgery 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).

MARIA MARTINEZ UGARTE, MD is a Colon & Rectal Surgery Physician provider practicing in SAN ANTONIO, Texas, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1346424264. 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.

MARIA MARTINEZ UGARTE, MD appears in the CMS NPPES registry as a Colon & Rectal Surgery Physician provider holding MD credentials at 730 PLEASANTON RD, SAN ANTONIO, TX, 78214, with a listed phone of (210) 921-3800. NPI 1346424264 was issued on 12/27/2007. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what MARTINEZ UGARTE 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 735 prescription claims written by this provider, covering 381 Medicare beneficiaries and totaling roughly $17K in drug spend, split 7% brand-name and 93% generic by claim count, with an opioid prescribing rate of 11.0%. 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.

Colon & Rectal Surgery Physician is a narrow specialty nationwide, with 1,608 enrolled providers across 50 states and an average of 196 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

730 PLEASANTON RD
SAN ANTONIO, TX 78214

Provider Details

NPI 1346424264
Specialty Colon & Rectal Surgery Physician
Credentials MD
Gender Female
NPI Issued 12/27/2007

Hospital and facility affiliations

Facilities where MARIA MARTINEZ UGARTE, 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.

GMG HEALTH SYSTEMS ASSOCIATES PA
SAN ANTONIO, TX

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

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 MARIA MARTINEZ UGARTE, MD. Source: openpaymentsdata.cms.gov.

Total received

$9.8K

Largest payer

INTUITIVE SURGICAL, 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.

License & disciplinary context — Texas TMB 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~77K Texas medical licensees in 2023 — they are NOT specific to MARIA MARTINEZ UGARTE, MD. To verify MARIA MARTINEZ UGARTE, MD's current license status, search the TMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

344
Total board actions, Texas 2023
Across 334 cases
4.47
Actions per 1,000 licensees
Texas statewide rate
probation
Most common action type
94 cases

TMB publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Texas disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Generic-heavy

MARIA MARTINEZ UGARTE, MD — brand share 7.0%
Specialty average (est.)

7% brand-name claims vs 93% generic, on 735 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.

735
Total Claims
$17K
Total Drug Cost
381
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
777
Total Day Supply
7,396
Brand vs Generic
7% brand / 93% generic
Brand Drug Cost
$6K
Generic Drug Cost
$11K
Opioid Claims
81 (11.0% rate)
Antibiotic Claims
101

Patient Demographics

Average Patient Age
70.1 years
Avg HCC Risk Score
2.00
Gender Split
59% female / 41% 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
Tramadol Hcl
80
Ibuprofen
45
Gabapentin
42
Metronidazole
37
Methocarbamol
36
Pantoprazole Sodium
31
Loperamide
Loperamide Hcl
21
Sutab
Sod Sulf/Pot Chloride/Mag Sulf
19
Tamsulosin Hcl
19
Amoxicillin-Clavulanate Potass
Amoxicillin/Potassium Clav
15

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

Colon & Rectal Surgery Physician Overview

How MARIA MARTINEZ UGARTE, MD fits within the Colon & Rectal Surgery Physician landscape nationally.

1,608
Colon & Rectal Surgery Physician Providers in US
50
States with Colon & Rectal Surgery Physician
196
Avg Claims per Provider

MARIA MARTINEZ UGARTE, MD's 735 claims are above the specialty average of 196.

Nearby Colon & Rectal Surgery Physician Providers in Texas

Other clinicians with the same primary specialty enrolled in Texas, drawn from the same CMS NPPES roster as MARTINEZ UGARTE.

Compare Colon & Rectal Surgery Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is MARIA MARTINEZ UGARTE, MD's specialty?
MARIA MARTINEZ UGARTE, MD specializes in Colon & Rectal Surgery Physician and practices in SAN ANTONIO, Texas. Credentials: MD.
How much does MARIA MARTINEZ UGARTE, MD prescribe under Medicare Part D?
In 2023, MARIA MARTINEZ UGARTE, MD wrote 735 Medicare Part D claims totaling $17K in drug costs for 381 beneficiaries.
Where is MARIA MARTINEZ UGARTE, MD located?
MARIA MARTINEZ UGARTE, MD is located at 730 PLEASANTON RD, SAN ANTONIO, TX, 78214. Phone: (210) 921-3800.
What is MARIA MARTINEZ UGARTE, MD's NPI number?
MARIA MARTINEZ UGARTE, MD's National Provider Identifier (NPI) is 1346424264, issued on 12/27/2007.
Does MARIA MARTINEZ UGARTE, MD prescribe more brand-name or generic drugs?
MARIA MARTINEZ UGARTE, MD's prescribing is 7% brand-name and 93% generic drugs by claim count, with $6K in brand drug costs.
Does MARIA MARTINEZ UGARTE, MD prescribe opioids?
Yes, MARIA MARTINEZ UGARTE, MD had 81 opioid claims in 2023 with an opioid prescribing rate of 11.0%.
How many Colon & Rectal Surgery Physician providers are there in the US?
There are 1,608 Colon & Rectal Surgery Physician providers across 50 states in the US. The average Colon & Rectal Surgery Physician provider writes 196 Medicare Part D claims per year.
What drugs does MARIA MARTINEZ UGARTE, MD prescribe most often?
Based on 2023 Medicare Part D data, MARIA MARTINEZ UGARTE, MD's most frequently prescribed drugs include Tramadol Hcl, Ibuprofen, Gabapentin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does MARIA MARTINEZ UGARTE, MD accept Medicare?
MARIA MARTINEZ UGARTE, MD appears in CMS Medicare data with 735 Part D claims and 381 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify MARIA MARTINEZ UGARTE, MD's credentials?
MARIA MARTINEZ UGARTE, MD's NPI is 1346424264 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