2026 NPPES data Pediatrics Physician NPI 1356540801 MD
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NILKA DEJESUS - GONZALEZ, MD

Pediatrics Physician in RIO PIEDRAS, 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
44
Medicare Part D claims · Pediatrics Physician avg: 762
MIPS score
67.0938/100
▼ 16 pts below national avg 83.1 · [object Object]
Industry payments
$15.1K
10 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: NILKA DEJESUS - GONZALEZ, MD is a Pediatrics Physician ([object Object]) practicing in RIO PIEDRAS, Puerto Rico with a Medicare Part D prescribing footprint of 44 claims . Their CMS MIPS Final Score of 67.0938/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $15.1K across 10 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: NILKA DEJESUS - GONZALEZ, MD reported a CMS MIPS final score of 67.0938 out of 100, below the 83.1 national average, and filed 44 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

NILKA DEJESUS - GONZALEZ, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

NILKA DEJESUS - GONZALEZ, MD at a glance

Below national average

NPI registry status

Active

Issued 07/15/2007

NPI 1356540801

Primary specialty

Pediatrics Physician

High-volume

80,574 US NPIs in this specialty

Medicare Part D claims

44 94% vs specialty avg

2023 prescription claims

Specialty avg: 762

MIPS final score

67.0938/100 16.006199999999993% pts

Mid-tier band

vs 83.1 national avg

Specialty distribution in Puerto Rico

How Pediatrics Physician compares to other specialties among Puerto Rico providers

Puerto Rico providers

Pediatrics Physician share within Puerto Rico

1. Pediatrics Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Pediatrics Physician share within Puerto Rico

Medicare quality performance — MIPS

NILKA DEJESUS - GONZALEZ, MD's 2023 MIPS final score plotted against the Pediatrics Physician national average

Below national average
MIPS Final Score
67.0938/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Pediatrics Physician) — 67.0938/100 vs national avg 83.1

0%100%National avg83%67.1%
MIPS final score (Pediatrics Physician) — 67.0938/100 vs national avg 83.1

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).

NILKA DEJESUS - GONZALEZ, MD is a Pediatrics Physician provider practicing in RIO PIEDRAS, Puerto Rico, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1356540801. 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.

NILKA DEJESUS - GONZALEZ, MD appears in the CMS NPPES registry as a Pediatrics Physician provider holding MD credentials at CLINICA DE LA ESCUELA DE MEDICINA, RIO PIEDRAS, PR, 00921, with a listed phone of (787) 758-7910. NPI 1356540801 was issued on 07/15/2007. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what DEJESUS - GONZALEZ 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 44 prescription claims written by this provider, covering N/A Medicare beneficiaries and totaling roughly $5K in drug spend. 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. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 67.0938/100 for the 2023 performance year (Quality 88.7302, Cost 68.249), compared with the national average of 83.1.

Pediatrics Physician is a high-volume specialty nationwide, with 80,574 enrolled providers across 56 states and an average of 762 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

CLINICA DE LA ESCUELA DE MEDICINA
RIO PIEDRAS, PR 00921

Provider Details

NPI 1356540801
Specialty Pediatrics Physician
Credentials MD
Gender Female
NPI Issued 07/15/2007

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

67.0938
Final Score
Avg: 83.1
88.7302
Quality
68.249
Cost
0
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where NILKA DEJESUS - GONZALEZ, 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.

HOSPITAL ESPANOL AUXILIO MUTUO DE PUERTO RICO, INC.
SAN JUAN, PR

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 NILKA DEJESUS - GONZALEZ, MD. Source: openpaymentsdata.cms.gov.

Total received

$15.1K

Largest payer

Mallinckrodt Hospital Products 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.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

44
Total Claims
$5K
Total Drug Cost
N/A
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
46
Total Day Supply
1,193
Generic Drug Cost
$545

Patient Demographics

Average Patient Age
49.5 years
Avg HCC Risk Score
3.68

Pediatrics Physician Overview

How NILKA DEJESUS - GONZALEZ, MD fits within the Pediatrics Physician landscape nationally.

80,574
Pediatrics Physician Providers in US
56
States with Pediatrics Physician
762
Avg Claims per Provider

NILKA DEJESUS - GONZALEZ, MD's 44 claims are below the specialty average of 762.

Nearby Pediatrics Physician Providers in Puerto Rico

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

Compare Pediatrics Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is NILKA DEJESUS - GONZALEZ, MD's specialty?
NILKA DEJESUS - GONZALEZ, MD specializes in Pediatrics Physician and practices in RIO PIEDRAS, Puerto Rico. Credentials: MD.
How much does NILKA DEJESUS - GONZALEZ, MD prescribe under Medicare Part D?
In 2023, NILKA DEJESUS - GONZALEZ, MD wrote 44 Medicare Part D claims totaling $5K in drug costs for N/A beneficiaries.
What is NILKA DEJESUS - GONZALEZ, MD's Medicare quality score?
NILKA DEJESUS - GONZALEZ, MD has a CMS MIPS Final Score of 67.0938/100 (Quality: 88.7302, Cost: 68.249). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is NILKA DEJESUS - GONZALEZ, MD located?
NILKA DEJESUS - GONZALEZ, MD is located at CLINICA DE LA ESCUELA DE MEDICINA, RIO PIEDRAS, PR, 00921. Phone: (787) 758-7910.
What is NILKA DEJESUS - GONZALEZ, MD's NPI number?
NILKA DEJESUS - GONZALEZ, MD's National Provider Identifier (NPI) is 1356540801, issued on 07/15/2007.
How many Pediatrics Physician providers are there in the US?
There are 80,574 Pediatrics Physician providers across 56 states in the US. The average Pediatrics Physician provider writes 762 Medicare Part D claims per year.
Does NILKA DEJESUS - GONZALEZ, MD accept Medicare?
NILKA DEJESUS - GONZALEZ, MD appears in CMS Medicare data with 44 Part D claims and N/A Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify NILKA DEJESUS - GONZALEZ, MD's credentials?
NILKA DEJESUS - GONZALEZ, MD's NPI is 1356540801 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.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) — 2023 performance year.
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