2026 NPPES data Hospice and Palliative Medicine (Obstetrics & Gynecology) Physician NPI 1437363983 M.D., M.P.H.
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MARIA TOSCA, M.D., M.P.H.

Hospice and Palliative Medicine (Obstetrics & Gynecology) Physician in MAYAGUEZ, Puerto Rico. 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
237
Medicare Part D claims · 91 beneficiaries · Hospice and Palliative Medicine (Obstetrics & Gynecology) Physician avg: 165
Generic prescribing
81%
generic claims · 19% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$256.14
2 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

MARIA TOSCA, M.D., M.P.H. filed 237 Medicare Part D claims in 2023 as a Hospice and Palliative Medicine (Obstetrics & Gynecology) Physician in MAYAGUEZ, Puerto Rico, prescribing 81% generic.

237
Part D claims, 2023
81%
generic prescribing
$256.14
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.

MARIA TOSCA, M.D., M.P.H.'s Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

237 49th percentile higher than 49% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). This entry sits in this band. 400–600: 90,619 prescribers (7%). Above this entry. 600–800: 56,224 prescribers (4%). Above this entry. 800–1,000: 40,919 prescribers (3%). Above this entry. 1,000–1,200: 31,827 prescribers (2%). Above this entry. 1,200–1,400: 26,224 prescribers (2%). Above this entry. 1,400–1,600: 21,710 prescribers (2%). Above this entry. 1,600–1,800: 19,072 prescribers (1%). Above this entry. 1,800–2,000: 16,451 prescribers (1%). Above this entry. 2,000–2,200: 213,991 prescribers (16%). Above this entry. 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)

MARIA TOSCA, M.D., M.P.H. 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 MARIA TOSCA, M.D., M.P.H.?

Quality data not reported

NPI registry status

Active

Issued 05/10/2007

NPI 1437363983

Primary specialty

Hospice and Palliative Medicine (Obstetrics & Gynecology) Physician

Rare

92 US NPIs in this specialty

Medicare Part D claims

237 44% vs specialty avg

2023 prescription claims

Specialty avg: 165

Specialty distribution in Puerto Rico

How Hospice and Palliative Medicine (Obstetrics & Gynecology) Physician compares to other specialties among Puerto Rico providers

Puerto Rico providers

Hospice and Palliative Medicine (Obstetrics & Gynecology) Physician share within Puerto Rico

1. Hospice and Palliative Medicine (Obstetrics & Gynecology) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Hospice and Palliative Medicine (Obstetrics & Gynecology) Physician share within Puerto Rico

Specialty board-certification context

Estimated specialty board-certified rate — Hospice and Palliative Medicine (Obstetrics & Gynecology) Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Hospice and Palliative Medicine (Obstetrics & Gynecology) Physician ABMS/AOA estimate

Est. board-certified rate (Hospice and Palliative Medicine (Obstetrics & Gynecology) Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Hospice and Palliative Medicine (Obstetrics & Gynecology) 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 TOSCA, M.D., M.P.H. appears in the CMS NPPES registry as a Hospice and Palliative Medicine (Obstetrics & Gynecology) Physician provider holding M.D., M.P.H. credentials at DR. BASORA 55N, MAYAGUEZ, PR, 00680, with a listed phone of (787) 832-9783. NPI 1437363983 was issued on 05/10/2007. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what TOSCA 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 237 prescription claims written by this provider, covering 91 Medicare beneficiaries and totaling roughly $19K in drug spend, split 19% brand-name and 81% 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.

Hospice and Palliative Medicine (Obstetrics & Gynecology) Physician is a narrow specialty nationwide, with 92 enrolled providers across 29 states and an average of 165 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

DR. BASORA 55N
MAYAGUEZ, PR 00680

Provider Details

NPI 1437363983
Specialty Hospice and Palliative Medicine (Obstetrics & Gynecology) Physician
Credentials M.D., M.P.H.
Gender Female
NPI Issued 05/10/2007

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 TOSCA, M.D., M.P.H.. Source: openpaymentsdata.cms.gov.

Total received

$256

Largest payer

Roche Diagnostics Corporation

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

MARIA TOSCA, M.D., M.P.H. — brand share 19.0%
Specialty average (est.)

19% brand-name claims vs 81% generic, on 237 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.

237
Total Claims
$19K
Total Drug Cost
91
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
313
Total Day Supply
7,339
Brand vs Generic
19% brand / 81% generic
Brand Drug Cost
$12K
Generic Drug Cost
$6K
Antibiotic Claims
13

Patient Demographics

Average Patient Age
67.1 years
Avg HCC Risk Score
1.83
Gender Split
100% female / 0% male
Age Distribution
<65: 31, 65-74: 30, 75-84: N/A, 85+: N/A

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

What MARIA TOSCA, M.D., M.P.H. 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
Estradiol
44
Clotrimazole-Betamethasone
Clotrimazole/Betamethasone Dip
37
Terconazole
19
Clobetasol Propionate
13
Metronidazole
13
Valacyclovir
Valacyclovir Hcl
12
Estradiol (Once Weekly)
Estradiol
11
Fluconazole
11
Premarin
"Estrogens
N/A
Progesterone
"Progesterone
N/A

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

Hospice and Palliative Medicine (Obstetrics & Gynecology) Physician Overview

How MARIA TOSCA, M.D., M.P.H. fits within the Hospice and Palliative Medicine (Obstetrics & Gynecology) Physician landscape nationally.

92
Hospice and Palliative Medicine (Obstetrics & Gynecology) Physician Providers in US
29
States with Hospice and Palliative Medicine (Obstetrics & Gynecology) Physician
165
Avg Claims per Provider

MARIA TOSCA, M.D., M.P.H.'s 237 claims are above the specialty average of 165.

Nearby Hospice and Palliative Medicine (Obstetrics & Gynecology) Physician Providers in Puerto Rico

Other clinicians with the same primary specialty enrolled in Puerto Rico, drawn from the same CMS NPPES roster as TOSCA.

Compare Hospice and Palliative Medicine (Obstetrics & Gynecology) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is MARIA TOSCA, M.D., M.P.H.'s specialty?
MARIA TOSCA, M.D., M.P.H. specializes in Hospice and Palliative Medicine (Obstetrics & Gynecology) Physician and practices in MAYAGUEZ, Puerto Rico. Credentials: M.D., M.P.H..
How much does MARIA TOSCA, M.D., M.P.H. prescribe under Medicare Part D?
In 2023, MARIA TOSCA, M.D., M.P.H. wrote 237 Medicare Part D claims totaling $19K in drug costs for 91 beneficiaries.
Where is MARIA TOSCA, M.D., M.P.H. located?
MARIA TOSCA, M.D., M.P.H. is located at DR. BASORA 55N, MAYAGUEZ, PR, 00680. Phone: (787) 832-9783.
What is MARIA TOSCA, M.D., M.P.H.'s NPI number?
MARIA TOSCA, M.D., M.P.H.'s National Provider Identifier (NPI) is 1437363983, issued on 05/10/2007.
Does MARIA TOSCA, M.D., M.P.H. prescribe more brand-name or generic drugs?
MARIA TOSCA, M.D., M.P.H.'s prescribing is 19% brand-name and 81% generic drugs by claim count, with $12K in brand drug costs.
How many Hospice and Palliative Medicine (Obstetrics & Gynecology) Physician providers are there in the US?
There are 92 Hospice and Palliative Medicine (Obstetrics & Gynecology) Physician providers across 29 states in the US. The average Hospice and Palliative Medicine (Obstetrics & Gynecology) Physician provider writes 165 Medicare Part D claims per year.
What drugs does MARIA TOSCA, M.D., M.P.H. prescribe most often?
Based on 2023 Medicare Part D data, MARIA TOSCA, M.D., M.P.H.'s most frequently prescribed drugs include Estradiol, Clotrimazole-Betamethasone, Terconazole. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does MARIA TOSCA, M.D., M.P.H. accept Medicare?
MARIA TOSCA, M.D., M.P.H. appears in CMS Medicare data with 237 Part D claims and 91 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify MARIA TOSCA, M.D., M.P.H.'s credentials?
MARIA TOSCA, M.D., M.P.H.'s NPI is 1437363983 with credentials M.D., M.P.H.. 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