2026 NPPES data Internal Medicine Physician NPI 1396006680 MD
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Patricio De Hoyos Zambrano, MD

Internal Medicine Physician in San Antonio, Texas. This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 172,858 in Internal Medicine 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
1K
Medicare Part D claims · 174 beneficiaries · Internal Medicine Physician avg: 3K
Generic prescribing
0%
generic claims · 52% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
51.9/100
▼ 31 pts below national avg 83.1 · Mid-tier
Industry payments
$2.5K
55 payments · CMS Open Payments (Sunshine Act)
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Patricio De Hoyos Zambrano, MD reported a CMS MIPS final score of 51.9/100 - below the 83.1 national average - and filed 1,031 Medicare Part D claims in 2023.

51.9/100
MIPS score · -31 vs avg
1K
Part D claims, 2023
0%
generic prescribing
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.

Patricio De Hoyos Zambrano, MD's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure

52 4th percentile higher than 4% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). This entry sits in this band. 60–70: 13,906 scored providers (3%). Above this entry. 70–80: 118,074 scored providers (25%). Above this entry. 80–90: 129,887 scored providers (27%). Above this entry. 90+: 189,403 scored providers (40%). Above this entry. This provider 0 100 every MIPS-scored clinician, bucketed by value

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 Patricio De Hoyos Zambrano, MD sits

This provider among internal medicine physician peers

Across the 36,260 internal medicine physician providers who report both Medicare Part D prescribing and a MIPS quality score, Patricio De Hoyos Zambrano, MD writes more Part D claims than 56% of them and scores higher on MIPS quality than 5% - placing this provider in the high-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

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality02550751000255075100Part D claim volume, percentile in specialtyMIPS quality, percentilePart D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 67Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 20Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 48Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 43Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 45Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 85Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 40Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 53Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 93Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 97Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 60Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 27Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 15Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 20Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 92Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 13Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 20Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 28Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 32Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 77Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 97Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 3Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 52Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 55Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 12Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 18Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 35Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 77Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 2Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 50Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 73Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 83Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 33Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 17Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 42Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 37Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 62Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 70Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 5Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 20Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 58Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 30Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 75Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 87Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 10Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 72Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 68Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 47Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 7Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 63Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 95Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 38Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 57Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 82Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 63Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 97Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 80Patricio De Hoyos Zambrano, MD-Part D claim volume, percentile in specialty: 56 · MIPS quality, percentile: 5
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one internal medicine physician peer from a representative sample of 60; the gold marker is Patricio De Hoyos Zambrano, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

Board certification likely (heuristic, not verified)

Patricio De Hoyos Zambrano, 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 Patricio De Hoyos Zambrano, MD?

Below national average

NPI registry status

Active

Issued 06/03/2012

NPI 1396006680

Primary specialty

Internal Medicine Physician

High-volume

172,858 US NPIs in this specialty

Medicare Part D claims

1,031 62% vs specialty avg

2023 prescription claims

Specialty avg: 2,716

MIPS final score

51.9/100 31.2 pts vs avg

Mid-tier band

vs 83.1 national avg

Specialty distribution in Texas

How Internal Medicine Physician compares to other specialties among Texas providers

Texas providers
Behavior Technician - 5.6%Behavior Technician5.6%Student in an Organized Health Care Education/Training Program - 5.1%Student in an Organized Health Care Education/Training Program5.1%Family Nurse Practitioner - 4.5%Family Nurse Practitioner4.5%Professional Counselor - 4.4%Professional Counselor4.4%Pharmacist - 4.4%Pharmacist4.4%Speech-Language Pathologist - 3.9%Speech-Language Pathologist3.9%Internal Medicine Physician - 2.6%Internal Medicine Physician2.6%
Largest specialties in Texas (% of in-state providers)

Medicare quality performance, MIPS

Patricio De Hoyos Zambrano, MD's 2023 MIPS final score plotted against the Internal Medicine Physician national average

Below national average
MIPS Final Score
51.9/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Internal Medicine Physician) - 51.9/100 vs national avg 83.1

0%100%National avg83%51.9%
MIPS final score (Internal Medicine Physician) - 51.9/100 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).

Patricio De Hoyos Zambrano, MD appears in the CMS NPPES registry as a Internal Medicine Physician provider holding MD credentials at 4458 MEDICAL DR, San Antonio, TX, 78229, with a listed phone of (210) 690-7400. NPI 1396006680 was issued on 06/03/2012. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what De Hoyos Zambrano 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 1,031 prescription claims written by this provider, covering 174 Medicare beneficiaries and totaling roughly $628K in drug spend, split 52% brand-name and 0% 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. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 51.9/100 for the 2023 performance year (Quality 57, Cost 43.4), compared with the national average of 83.1.

Internal Medicine Physician is a high-volume specialty nationwide, with 172,858 enrolled providers across 56 states and an average of 2,716 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

4458 MEDICAL DR
San Antonio, TX 78229

Provider Details

NPI 1396006680
Specialty Internal Medicine Physician
Credentials MD
Gender Male
NPI Issued 06/03/2012

CMS Quality Score (MIPS)

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

51.8571
Final Score
Avg: 83.1
56.9542
Quality
43.403
Cost
37
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where Patricio De Hoyos Zambrano, 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.

Texas Ips LLC
San Antonio, TX

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 Patricio De Hoyos Zambrano, MD. Source: openpaymentsdata.cms.gov.

Total received

$2.5K

Largest payer

Pulmonx 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.

License & disciplinary context - Texas TMB 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 ~77K Texas medical licensees in 2023 - they are NOT specific to Patricio De Hoyos Zambrano, MD. To verify Patricio De Hoyos Zambrano, MD's current license status, search the TMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

344
Total board actions, Texas 2023
Across 334 cases
4.47
Actions per 1,000 licensees
Texas statewide rate
probation
Most common action type
94 cases

TMB 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 Texas disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Brand-heavy

Patricio De Hoyos Zambrano, MD - brand share 52.0%
Internal Medicine Physician average

52% brand-name claims vs 0% generic, on 1,031 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.

1,031
Total Claims
$628K
Total Drug Cost
174
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,410
Total Day Supply
39,258
Brand vs Generic
52% brand / 0% generic
Brand Drug Cost
$616K
Antibiotic Claims
69

Patient Demographics

Average Patient Age
73.0 years
Avg HCC Risk Score
2.16
Gender Split
56% female / 44% male
Age Distribution
<65: 16, 65-74: 81, 75-84: 65, 85+: 12

Top Prescribed Drugs (Medicare Part D)

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

What Patricio De Hoyos Zambrano, MD 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
Albuterol Sulfate Hfa
Albuterol Sulfate
212
Symbicort
Budesonide/Formoterol Fumarate
116
Montelukast Sodium
89
Prednisone
67
Trelegy Ellipta
Fluticasone/Umeclidin/Vilanter
54
Breztri Aerosphere
Budesonide/Glycopyr/Formoterol
52
Spiriva Respimat
Tiotropium Bromide
52
Azithromycin
48
Stiolto Respimat
Tiotropium Br/Olodaterol Hcl
45
Fluticasone Propionate
27

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

Internal Medicine Physician Overview

How Patricio De Hoyos Zambrano, MD fits within the Internal Medicine Physician landscape nationally.

172,858
Internal Medicine Physician Providers in US
56
States with Internal Medicine Physician
2,716
Avg Claims per Provider

Patricio De Hoyos Zambrano, MD's 1,031 claims are below the specialty average of 2,716.

Nearby Internal Medicine Physician Providers in Texas

Other clinicians with the same primary specialty enrolled in Texas, drawn from the same CMS NPPES roster as De Hoyos Zambrano.

Compare Internal Medicine 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 Texas medical board, federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Internal Medicine 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.

Frequently Asked Questions

What is Patricio De Hoyos Zambrano, MD's specialty?
Patricio De Hoyos Zambrano, MD specializes in Internal Medicine Physician and practices in San Antonio, Texas. Credentials: MD.
How much does Patricio De Hoyos Zambrano, MD prescribe under Medicare Part D?
In 2023, Patricio De Hoyos Zambrano, MD wrote 1,031 Medicare Part D claims totaling $628K in drug costs for 174 beneficiaries.
What is Patricio De Hoyos Zambrano, MD's Medicare quality score?
Patricio De Hoyos Zambrano, MD has a CMS MIPS Final Score of 51.9/100 (Quality: 57, Cost: 43.4). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Patricio De Hoyos Zambrano, MD located?
Patricio De Hoyos Zambrano, MD is located at 4458 MEDICAL DR, San Antonio, TX, 78229. Phone: (210) 690-7400.
What is Patricio De Hoyos Zambrano, MD's NPI number?
Patricio De Hoyos Zambrano, MD's National Provider Identifier (NPI) is 1396006680, issued on 06/03/2012.
Does Patricio De Hoyos Zambrano, MD prescribe more brand-name or generic drugs?
Patricio De Hoyos Zambrano, MD's prescribing is 52% brand-name and 0% generic drugs by claim count, with $616K in brand drug costs.
How many Internal Medicine Physician providers are there in the US?
There are 172,858 Internal Medicine Physician providers across 56 states in the US. The average Internal Medicine Physician provider writes 2,716 Medicare Part D claims per year.
What drugs does Patricio De Hoyos Zambrano, MD prescribe most often?
Based on 2023 Medicare Part D data, Patricio De Hoyos Zambrano, MD's most frequently prescribed drugs include Albuterol Sulfate Hfa, Symbicort, Montelukast Sodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Patricio De Hoyos Zambrano, MD accept Medicare?
Patricio De Hoyos Zambrano, MD appears in CMS Medicare data with 1,031 Part D claims and 174 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Patricio De Hoyos Zambrano, MD's credentials?
Patricio De Hoyos Zambrano, MD's NPI is 1396006680 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

Compiled from official public sources by the PlainDoctor editorial team.