2026 NPPES data Pediatric Emergency Medicine (Emergency Medicine) Physician NPI 1407815269 M.D.
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RAFAEL GONZALEZ RODRIGUEZ, M.D.

Pediatric Emergency Medicine (Emergency Medicine) Physician in SAN JUAN, 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
23
Medicare Part D claims · 12 beneficiaries · Pediatric Emergency Medicine (Emergency Medicine) Physician avg: 227
Generic prescribing
52%
generic claims · 48% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$295.36
5 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

RAFAEL GONZALEZ RODRIGUEZ, M.D. filed 23 Medicare Part D claims in 2023 as a Pediatric Emergency Medicine (Emergency Medicine) Physician in SAN JUAN, Puerto Rico, prescribing 52% generic.

23
Part D claims, 2023
52%
generic prescribing
$295.36
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.

RAFAEL GONZALEZ RODRIGUEZ, M.D.'s Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

23 0th percentile higher than 0% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). This entry sits in this band. 200–400: 182,923 prescribers (13%). Above this entry. 400–600: 90,619 prescribers (7%). Above this entry. 600–800: 56,224 prescribers (4%). Above this entry. 800–1,000: 40,919 prescribers (3%). Above this entry. 1,000–1,200: 31,827 prescribers (2%). Above this entry. 1,200–1,400: 26,224 prescribers (2%). Above this entry. 1,400–1,600: 21,710 prescribers (2%). Above this entry. 1,600–1,800: 19,072 prescribers (1%). Above this entry. 1,800–2,000: 16,451 prescribers (1%). Above this entry. 2,000–2,200: 213,991 prescribers (16%). Above this entry. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

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)

RAFAEL GONZALEZ RODRIGUEZ, M.D. 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 RAFAEL GONZALEZ RODRIGUEZ, M.D.?

Quality data not reported

NPI registry status

Active

Issued 03/21/2006

NPI 1407815269

Primary specialty

Pediatric Emergency Medicine (Emergency Medicine) Physician

Niche

837 US NPIs in this specialty

Medicare Part D claims

23 90% vs specialty avg

2023 prescription claims

Specialty avg: 227

Specialty distribution in Puerto Rico

How Pediatric Emergency Medicine (Emergency Medicine) Physician compares to other specialties among Puerto Rico providers

Puerto Rico providers

Pediatric Emergency Medicine (Emergency Medicine) Physician share within Puerto Rico

1. Pediatric Emergency Medicine (Emergency Medicine) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Pediatric Emergency Medicine (Emergency Medicine) Physician share within Puerto Rico

Specialty board-certification context

Estimated specialty board-certified rate — Pediatric Emergency Medicine (Emergency Medicine) Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Pediatric Emergency Medicine (Emergency Medicine) Physician ABMS/AOA estimate

Est. board-certified rate (Pediatric Emergency Medicine (Emergency Medicine) Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Pediatric Emergency Medicine (Emergency Medicine) Physician) — ABMS / AOA estimate

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).

RAFAEL GONZALEZ RODRIGUEZ, M.D. appears in the CMS NPPES registry as a Pediatric Emergency Medicine (Emergency Medicine) Physician provider holding M.D. credentials at 1451 AVE ASHFORD, SAN JUAN, PR, 00902, with a listed phone of (787) 721-2160. NPI 1407815269 was issued on 03/21/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what GONZALEZ RODRIGUEZ 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 23 prescription claims written by this provider, covering 12 Medicare beneficiaries and totaling roughly $721 in drug spend, split 48% brand-name and 52% 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.

Pediatric Emergency Medicine (Emergency Medicine) Physician is a narrow specialty nationwide, with 837 enrolled providers across 45 states and an average of 227 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

1451 AVE ASHFORD
SAN JUAN, PR 00902

Provider Details

NPI 1407815269
Specialty Pediatric Emergency Medicine (Emergency Medicine) Physician
Credentials M.D.
Gender Male
NPI Issued 03/21/2006

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 RAFAEL GONZALEZ RODRIGUEZ, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$295

Largest payer

Janssen Pharmaceuticals, 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.

Brand vs generic prescribing mix · Above average

RAFAEL GONZALEZ RODRIGUEZ, M.D. — brand share 48.0%
Specialty average (est.)

48% brand-name claims vs 52% generic, on 23 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.

23
Total Claims
$721
Total Drug Cost
12
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
27
Total Day Supply
634
Brand vs Generic
48% brand / 52% generic
Brand Drug Cost
$509
Generic Drug Cost
$212

Patient Demographics

Average Patient Age
76.8 years
Avg HCC Risk Score
1.58
Age Distribution
<65: 0, 65-74: N/A, 75-84: N/A, 85+: N/A

Pediatric Emergency Medicine (Emergency Medicine) Physician Overview

How RAFAEL GONZALEZ RODRIGUEZ, M.D. fits within the Pediatric Emergency Medicine (Emergency Medicine) Physician landscape nationally.

837
Pediatric Emergency Medicine (Emergency Medicine) Physician Providers in US
45
States with Pediatric Emergency Medicine (Emergency Medicine) Physician
227
Avg Claims per Provider

RAFAEL GONZALEZ RODRIGUEZ, M.D.'s 23 claims are below the specialty average of 227.

Nearby Pediatric Emergency Medicine (Emergency Medicine) 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 RODRIGUEZ.

Compare Pediatric Emergency Medicine (Emergency Medicine) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is RAFAEL GONZALEZ RODRIGUEZ, M.D.'s specialty?
RAFAEL GONZALEZ RODRIGUEZ, M.D. specializes in Pediatric Emergency Medicine (Emergency Medicine) Physician and practices in SAN JUAN, Puerto Rico. Credentials: M.D..
How much does RAFAEL GONZALEZ RODRIGUEZ, M.D. prescribe under Medicare Part D?
In 2023, RAFAEL GONZALEZ RODRIGUEZ, M.D. wrote 23 Medicare Part D claims totaling $721 in drug costs for 12 beneficiaries.
Where is RAFAEL GONZALEZ RODRIGUEZ, M.D. located?
RAFAEL GONZALEZ RODRIGUEZ, M.D. is located at 1451 AVE ASHFORD, SAN JUAN, PR, 00902. Phone: (787) 721-2160.
What is RAFAEL GONZALEZ RODRIGUEZ, M.D.'s NPI number?
RAFAEL GONZALEZ RODRIGUEZ, M.D.'s National Provider Identifier (NPI) is 1407815269, issued on 03/21/2006.
Does RAFAEL GONZALEZ RODRIGUEZ, M.D. prescribe more brand-name or generic drugs?
RAFAEL GONZALEZ RODRIGUEZ, M.D.'s prescribing is 48% brand-name and 52% generic drugs by claim count, with $509 in brand drug costs.
How many Pediatric Emergency Medicine (Emergency Medicine) Physician providers are there in the US?
There are 837 Pediatric Emergency Medicine (Emergency Medicine) Physician providers across 45 states in the US. The average Pediatric Emergency Medicine (Emergency Medicine) Physician provider writes 227 Medicare Part D claims per year.
Does RAFAEL GONZALEZ RODRIGUEZ, M.D. accept Medicare?
RAFAEL GONZALEZ RODRIGUEZ, M.D. appears in CMS Medicare data with 23 Part D claims and 12 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify RAFAEL GONZALEZ RODRIGUEZ, M.D.'s credentials?
RAFAEL GONZALEZ RODRIGUEZ, M.D.'s NPI is 1407815269 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

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