NPI registry status
Active
2026 NPPES data Pediatrics Physician NPI 1356540801 MD
Verify on CMS → Nilka Dejesus - Gonzalez, MD
Pediatrics Physician in Rio Piedras, 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 80,576 in Pediatrics 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
44
Medicare Part D claims · Pediatrics Physician avg: 762
MIPS score
67.1/100
▼ 16 pts below national avg 83.1 · Mid-tier
Industry payments
$15.1K
10 payments · CMS Open Payments (Sunshine Act)
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Nilka Dejesus - Gonzalez, MD reported a CMS MIPS final score of 67.1/100 - below the 83.1 national average - and filed 44 Medicare Part D claims in 2023.
- 67.1/100
- MIPS score · -16 vs avg
- 44
- Part D claims, 2023
- Likely
- board-certified (heuristic)
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.
Nilka Dejesus - Gonzalez, MD's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
67 7th percentile higher than 7% of 477,587 scored providers
Each bar is a band; taller bars hold more scored providers. 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 Merit-based Incentive Payment System (MIPS) · 2023
Where Nilka Dejesus - Gonzalez, MD sits
This provider among pediatrics physician peers
Across the 1,120 pediatrics physician providers who report both Medicare Part D prescribing and a MIPS quality score, Nilka Dejesus - Gonzalez, MD writes more Part D claims than 31% of them and scores higher on MIPS quality than 3% - placing this provider in the lower-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Part D claim volume vs MIPS quality, by specialty percentile
Each dot is one pediatrics physician peer from a representative sample of 60; the gold marker is Nilka Dejesus - Gonzalez, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
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).
What does the federal data show about Nilka Dejesus - Gonzalez, MD?
Below national averagePrimary specialty
Pediatrics Physician
Medicare Part D claims
44 94% vs specialty avg
MIPS final score
67.1/100 16 pts vs avg
Specialty distribution in Puerto Rico
How Pediatrics Physician compares to other specialties among Puerto Rico providers
Medicare quality performance, MIPS
Nilka Dejesus - Gonzalez, MD's 2023 MIPS final score plotted against the Pediatrics Physician national average
- MIPS Final Score
- 67.1/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Pediatrics Physician) - 67.1/100 vs national avg 83.1
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).
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.
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. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 67.1/100 for the 2023 performance year (Quality 88.7, Cost 68.2), compared with the national average of 83.1.
Pediatrics Physician is a high-volume specialty nationwide, with 80,576 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
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.
80,576
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.
Dr. Vivian Acebal Lopez
M.D.
San Juan, PR
Dr. Carlos Acevedo
MD
Vega Alta, PR
Dr. Edgar Acevedo
M.D.
San Juan, PR
Dr. Hector Acevedo
MD
Caguas, PR
Dr. Sandra Acevedo
M.D.
Bayamon, PR
Compare Pediatrics 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 Pediatrics 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.
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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 67.1/100 (Quality: 88.7, Cost: 68.2). 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 80,576 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
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.
- 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
Compiled from official public sources by the PlainDoctor editorial team.
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 May 2026.