NPI registry status
Active
2026 NPPES data Pulmonary Disease Physician NPI 1538127014
Verify on CMS → Modesto Gonzalez Del Rosario
Pulmonary Disease Physician in Hato Rey, 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 9,271 in Pulmonary Disease 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
888
Medicare Part D claims · 191 beneficiaries · Pulmonary Disease Physician avg: 1K
Generic prescribing
0%
generic claims · 57% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$1.3K
56 payments · CMS Open Payments (Sunshine Act)
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
Modesto Gonzalez Del Rosario filed 888 Medicare Part D claims in 2023 as a Pulmonary Disease Physician in Hato Rey, Puerto Rico, prescribing 0% generic.
- 888
- Part D claims, 2023
- 0%
- generic prescribing
- $1.3K
- 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.
Modesto Gonzalez Del Rosario's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023, across all CMS prescribers nationally
888 Top 27% higher than 73% 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-eligible specialty (heuristic, not verified)
Modesto Gonzalez Del Rosario 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 Modesto Gonzalez Del Rosario?
Quality data not reportedPrimary specialty
Pulmonary Disease Physician
Medicare Part D claims
888 39% vs specialty avg
Specialty distribution in Puerto Rico
How Pulmonary Disease Physician 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 Pulmonary Disease 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).
Modesto Gonzalez Del Rosario appears in the CMS NPPES registry as a Pulmonary Disease Physician provider at 735 PONCE DE LEON, Hato Rey, PR, 00917, with a listed phone of (787) 765-3079. NPI 1538127014 was issued on 05/03/2006.
Medicare Part D records for calendar year 2023 show 888 prescription claims written by this provider, covering 191 Medicare beneficiaries and totaling roughly $327K in drug spend, split 57% brand-name and 0% generic by claim count.
Pulmonary Disease Physician is a mid-sized specialty nationwide, with 9,271 enrolled providers across 53 states and an average of 1,457 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 | 1538127014 |
|---|---|
| Specialty | Pulmonary Disease Physician |
| Gender | Male |
| NPI Issued | 05/03/2006 |
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 Modesto Gonzalez Del Rosario. Source: openpaymentsdata.cms.gov.
Total received
$1.3K
Largest payer
GlaxoSmithKline, LLC.
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 · Brand-heavy
Modesto Gonzalez Del Rosario - brand share 57.0%
Pulmonary Disease Physician average
57% brand-name claims vs 0% generic, on 888 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.
888
Total Claims
$327K
Total Drug Cost
191
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 1,029
- Total Day Supply
- 28,394
- Brand vs Generic
- 57% brand / 0% generic
- Brand Drug Cost
- $305K
- Antibiotic Claims
- 83
Patient Demographics
- Average Patient Age
- 75.3 years
- Avg HCC Risk Score
- 2.19
- Gender Split
- 65% female / 35% male
- Age Distribution
- <65: 17, 65-74: 67, 75-84: 79, 85+: 28
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Modesto Gonzalez Del Rosario prescribes most
Top Medicare Part D drugs by claim count, 2023
- Symbicort
Symbicort
138 claims
- Breo Ellipta
Breo Ellipta
127 claims
- Wixela Inhub
Wixela Inhub
65 claims
- Azithromycin
Azithromycin
61 claims
- Montelukast Sodium
Montelukast Sodium
61 claims
- Trelegy Ellipta 54
Trelegy Ellipta
54 claims
- Breztri Aerosphere 32
Breztri Aerosphere
32 claims
- Budesonide-Formote… 30
Budesonide-Formoterol Fumarate
30 claims
| Drug | Claims |
|---|---|
| Symbicort Budesonide/Formoterol Fumarate | 138 |
| Breo Ellipta Fluticasone/Vilanterol | 127 |
| Wixela Inhub Fluticasone Propion/Salmeterol | 65 |
| Azithromycin | 61 |
| Montelukast Sodium | 61 |
| Trelegy Ellipta Fluticasone/Umeclidin/Vilanter | 54 |
| Breztri Aerosphere Budesonide/Glycopyr/Formoterol | 32 |
| Budesonide-Formoterol Fumarate Budesonide/Formoterol Fumarate | 30 |
| Fluticasone Propionate | 30 |
| Stiolto Respimat Tiotropium Br/Olodaterol Hcl | 25 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Pulmonary Disease Physician Overview
How Modesto Gonzalez Del Rosario fits within the Pulmonary Disease Physician landscape nationally.
9,271
Pulmonary Disease Physician Providers in US
53
States with Pulmonary Disease Physician
1,457
Avg Claims per Provider
Modesto Gonzalez Del Rosario's 888 claims are below the specialty average of 1,457.
Nearby Pulmonary Disease Physician Providers in Puerto Rico
Other clinicians with the same primary specialty enrolled in Puerto Rico, drawn from the same CMS NPPES roster as Gonzalez Del Rosario.
Dr. Edgardo Adorno-Fontanez
MD
Guaynabo, PR
Dr. Carlos Alcala Marquez
M.D.
San Juan, PR
Dr. Frankie Alvarado
M.D.
San Juan, PR
Dr. Samuel Amill-Acosta
M.D., FCCP
Manati, PR
Dr. Alvaro Aranda- Rodriguez
MD
Guaynabo, PR
Compare Pulmonary Disease 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 Puerto Rico medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Pulmonary Disease 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.
Healthcare Guides
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Medical Specialties Explained
Who treats what and how specialties differ
Understanding Medicare Claims Data
What prescribing data reveals about a provider
In-Network vs Out-of-Network
How insurance networks affect your costs
Telehealth Guide
Virtual care options and coverage in 2026
Explore Puerto Rico
Frequently Asked Questions
What is Modesto Gonzalez Del Rosario's specialty? ▼
Modesto Gonzalez Del Rosario specializes in Pulmonary Disease Physician and practices in Hato Rey, Puerto Rico.
How much does Modesto Gonzalez Del Rosario prescribe under Medicare Part D? ▼
In 2023, Modesto Gonzalez Del Rosario wrote 888 Medicare Part D claims totaling $327K in drug costs for 191 beneficiaries.
Where is Modesto Gonzalez Del Rosario located? ▼
Modesto Gonzalez Del Rosario is located at 735 PONCE DE LEON, Hato Rey, PR, 00917. Phone: (787) 765-3079.
What is Modesto Gonzalez Del Rosario's NPI number? ▼
Modesto Gonzalez Del Rosario's National Provider Identifier (NPI) is 1538127014, issued on 05/03/2006.
Does Modesto Gonzalez Del Rosario prescribe more brand-name or generic drugs? ▼
Modesto Gonzalez Del Rosario's prescribing is 57% brand-name and 0% generic drugs by claim count, with $305K in brand drug costs.
How many Pulmonary Disease Physician providers are there in the US? ▼
There are 9,271 Pulmonary Disease Physician providers across 53 states in the US. The average Pulmonary Disease Physician provider writes 1,457 Medicare Part D claims per year.
What drugs does Modesto Gonzalez Del Rosario prescribe most often? ▼
Based on 2023 Medicare Part D data, Modesto Gonzalez Del Rosario's most frequently prescribed drugs include Symbicort, Breo Ellipta, Wixela Inhub. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Modesto Gonzalez Del Rosario accept Medicare? ▼
Modesto Gonzalez Del Rosario appears in CMS Medicare data with 888 Part D claims and 191 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Modesto Gonzalez Del Rosario's credentials? ▼
Modesto Gonzalez Del Rosario's NPI is 1538127014. 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.