NPI registry status
Active
2026 NPPES data Specialist NPI 1174500169 M.D.
Verify on CMS → Nilsa Sanchez, M.D.
Specialist in St Petersburg, Florida.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 69,608 in Specialist, 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
12K
Medicare Part D claims · 631 beneficiaries · Specialist avg: 1K
Generic prescribing
88%
generic claims · 11% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$113.64
5 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2023
What the federal data shows
Nilsa Sanchez, M.D. filed 11,581 Medicare Part D claims in 2023 as a Specialist in St Petersburg, Florida, prescribing 88% generic.
- 12K
- Part D claims, 2023
- 88%
- generic prescribing
- $113.64
- 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.
Nilsa Sanchez, M.D.'s Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023, across all CMS prescribers nationally
11,581 Top 2% higher than 98% 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
What does the federal data show about Nilsa Sanchez, M.D.?
Quality data not reportedPrimary specialty
Specialist
Medicare Part D claims
11,581 8× vs specialty avg
Specialty distribution in Florida
How Specialist compares to other specialties among Florida 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 Specialist. 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).
Nilsa Sanchez, M.D. appears in the CMS NPPES registry as a Specialist provider holding M.D. credentials at 6703 38TH AVE N, St Petersburg, FL, 33710, with a listed phone of (727) 213-5377. NPI 1174500169 was issued on 12/29/2005.
Medicare Part D records for calendar year 2023 show 11,581 prescription claims written by this provider, covering 631 Medicare beneficiaries and totaling roughly $882K in drug spend, split 11% brand-name and 88% generic by claim count, with an opioid prescribing rate of 1.5%.
Specialist is a high-volume specialty nationwide, with 69,608 enrolled providers across 55 states and an average of 1,474 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 | 1174500169 |
|---|---|
| Specialty | Specialist |
| Credentials | M.D. |
| Gender | Female |
| NPI Issued | 12/29/2005 |
Hospital and facility affiliations
Facilities where Nilsa Sanchez, M.D. 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.
Best Value Healthcare LLC
Tampa, FL
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 Nilsa Sanchez, M.D.. Source: openpaymentsdata.cms.gov.
Total received
$114
Largest payer
Lilly USA, 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.
License & disciplinary context - Florida FLDOH 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 ~75K Florida medical licensees in 2023 - they are NOT specific to Nilsa Sanchez, M.D.. To verify Nilsa Sanchez, M.D.'s current license status, search the FLDOH public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
480
Total board actions, Florida 2023
Across 467 cases
6.40
Actions per 1,000 licensees
Florida statewide rate
monetary fine
Most common action type
138 cases
FLDOH 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 Florida disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Brand vs generic prescribing mix · Typical
Nilsa Sanchez, M.D. - brand share 11.0%
Specialist average
11% brand-name claims vs 88% generic, on 11,581 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.
11,581
Total Claims
$882K
Total Drug Cost
631
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 25,606
- Total Day Supply
- 740,476
- Brand vs Generic
- 11% brand / 88% generic
- Brand Drug Cost
- $647K
- Generic Drug Cost
- $227K
- Opioid Claims
- 175 (1.5% rate)
- Antibiotic Claims
- 294
Patient Demographics
- Average Patient Age
- 72.1 years
- Avg HCC Risk Score
- 2.10
- Gender Split
- 58% female / 42% male
- Age Distribution
- <65: 103, 65-74: 268, 75-84: 187, 85+: 73
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Nilsa Sanchez, M.D. prescribes most
Top Medicare Part D drugs by claim count, 2023
- Atorvastatin Calcium
Atorvastatin Calcium
927 claims
- Amlodipine Besylate
Amlodipine Besylate
493 claims
- Lisinopril
Lisinopril
443 claims
- Losartan Potassium
Losartan Potassium
405 claims
- Albuterol Sulfate … 356
Albuterol Sulfate Hfa
356 claims
- Metformin Hcl 282
Metformin Hcl
282 claims
- Levothyroxine Sodium 278
Levothyroxine Sodium
278 claims
- Gabapentin 264
Gabapentin
264 claims
| Drug | Claims |
|---|---|
| Atorvastatin Calcium | 927 |
| Amlodipine Besylate | 493 |
| Lisinopril | 443 |
| Losartan Potassium | 405 |
| Albuterol Sulfate Hfa Albuterol Sulfate | 356 |
| Metformin Hcl | 282 |
| Levothyroxine Sodium | 278 |
| Gabapentin | 264 |
| Famotidine | 260 |
| Pantoprazole Sodium | 200 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Specialist Overview
How Nilsa Sanchez, M.D. fits within the Specialist landscape nationally.
69,608
Specialist Providers in US
55
States with Specialist
1,474
Avg Claims per Provider
Nilsa Sanchez, M.D.'s 11,581 claims are above the specialty average of 1,474.
Nearby Specialist Providers in Florida
Other clinicians with the same primary specialty enrolled in Florida, drawn from the same CMS NPPES roster as Sanchez.
Dr. Cory Abbate
DPT
North Miami, FL
David Abbott
Clearwater, FL
Dr. Michael Abdoney
DDS
Tampa, FL
Dr. Syed Abid
MD
St Petersburg, FL
Dr. Shagen Abovyan
MD
Fort Lauderdale, FL
Compare Specialist 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 Florida medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Specialist 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
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How insurance networks affect your costs
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Frequently Asked Questions
What is Nilsa Sanchez, M.D.'s specialty? ▼
Nilsa Sanchez, M.D. specializes in Specialist and practices in St Petersburg, Florida. Credentials: M.D..
How much does Nilsa Sanchez, M.D. prescribe under Medicare Part D? ▼
In 2023, Nilsa Sanchez, M.D. wrote 11,581 Medicare Part D claims totaling $882K in drug costs for 631 beneficiaries.
Where is Nilsa Sanchez, M.D. located? ▼
Nilsa Sanchez, M.D. is located at 6703 38TH AVE N, St Petersburg, FL, 33710. Phone: (727) 213-5377.
What is Nilsa Sanchez, M.D.'s NPI number? ▼
Nilsa Sanchez, M.D.'s National Provider Identifier (NPI) is 1174500169, issued on 12/29/2005.
Does Nilsa Sanchez, M.D. prescribe more brand-name or generic drugs? ▼
Nilsa Sanchez, M.D.'s prescribing is 11% brand-name and 88% generic drugs by claim count, with $647K in brand drug costs.
Does Nilsa Sanchez, M.D. prescribe opioids? ▼
Yes, Nilsa Sanchez, M.D. had 175 opioid claims in 2023 with an opioid prescribing rate of 1.5%.
How many Specialist providers are there in the US? ▼
There are 69,608 Specialist providers across 55 states in the US. The average Specialist provider writes 1,474 Medicare Part D claims per year.
What drugs does Nilsa Sanchez, M.D. prescribe most often? ▼
Based on 2023 Medicare Part D data, Nilsa Sanchez, M.D.'s most frequently prescribed drugs include Atorvastatin Calcium, Amlodipine Besylate, Lisinopril. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Nilsa Sanchez, M.D. accept Medicare? ▼
Nilsa Sanchez, M.D. appears in CMS Medicare data with 11,581 Part D claims and 631 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Nilsa Sanchez, M.D.'s credentials? ▼
Nilsa Sanchez, M.D.'s NPI is 1174500169 with credentials M.D.. 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
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.