NPI registry status
Active
2026 NPPES data Obstetrics & Gynecology Physician NPI 1962421545 M.D.
Verify on CMS → Raul Pena Valdivia, M.D.
Obstetrics & Gynecology Physician in Manati, 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 44,326 in Obstetrics & Gynecology 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
330
Medicare Part D claims · 109 beneficiaries · Obstetrics & Gynecology Physician avg: 179
Generic prescribing
88%
generic claims · 12% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$264.46
6 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Raul Pena Valdivia, M.D. filed 330 Medicare Part D claims in 2023 as a Obstetrics & Gynecology Physician in Manati, Puerto Rico, prescribing 88% generic.
- 330
- Part D claims, 2023
- 88%
- generic prescribing
- $264.46
- 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.
Raul Pena Valdivia, M.D.'s Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023, across all CMS prescribers nationally
330 Top 43% higher than 57% 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
◑
Board-eligible specialty (heuristic, not verified)
Raul Pena Valdivia, 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 Raul Pena Valdivia, M.D.?
Quality data not reportedPrimary specialty
Obstetrics & Gynecology Physician
Medicare Part D claims
330 84% vs specialty avg
Specialty distribution in Puerto Rico
How Obstetrics & Gynecology Physician compares to other specialties among Puerto Rico 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 Obstetrics & Gynecology Physician. 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).
Raul Pena Valdivia, M.D. appears in the CMS NPPES registry as an Obstetrics & Gynecology Physician provider holding M.D. credentials at A6 MARGINAL, Manati, PR, 00674, with a listed phone of (787) 621-6578. NPI 1962421545 was issued on 07/18/2006.
Medicare Part D records for calendar year 2023 show 330 prescription claims written by this provider, covering 109 Medicare beneficiaries and totaling roughly $19K in drug spend, split 12% brand-name and 88% generic by claim count.
Obstetrics & Gynecology Physician is a mid-sized specialty nationwide, with 44,326 enrolled providers across 56 states and an average of 179 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 | 1962421545 |
|---|---|
| Specialty | Obstetrics & Gynecology Physician |
| Credentials | M.D. |
| Gender | Male |
| NPI Issued | 07/18/2006 |
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 Raul Pena Valdivia, M.D.. Source: openpaymentsdata.cms.gov.
Total received
$264
Largest payer
Hologic Sales and Service, 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.
Brand vs generic prescribing mix · Typical
Raul Pena Valdivia, M.D. - brand share 12.0%
Obstetrics & Gynecology Physician average
12% brand-name claims vs 88% generic, on 330 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.
330
Total Claims
$19K
Total Drug Cost
109
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 605
- Total Day Supply
- 15,926
- Brand vs Generic
- 12% brand / 88% generic
- Brand Drug Cost
- $9K
- Generic Drug Cost
- $10K
- Antibiotic Claims
- 23
Patient Demographics
- Average Patient Age
- 65.9 years
- Avg HCC Risk Score
- 1.80
- Age Distribution
- <65: 32, 65-74: 49, 75-84: 28, 85+: 0
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Raul Pena Valdivia, M.D. prescribes most
Top Medicare Part D drugs by claim count, 2023
- Estradiol
Estradiol
67 claims
- Ibuprofen
Ibuprofen
31 claims
- Amlodipine Besylate 15
Amlodipine Besylate
15 claims
- Clotrimazole-Betam… 14
Clotrimazole-Betamethasone
14 claims
- Metronidazole 14
Metronidazole
14 claims
| Drug | Claims |
|---|---|
| Estradiol | 67 |
| Ibuprofen | 31 |
| Amlodipine Besylate | 15 |
| Clotrimazole-Betamethasone Clotrimazole/Betamethasone Dip | 14 |
| Metronidazole | 14 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Obstetrics & Gynecology Physician Overview
How Raul Pena Valdivia, M.D. fits within the Obstetrics & Gynecology Physician landscape nationally.
44,326
Obstetrics & Gynecology Physician Providers in US
56
States with Obstetrics & Gynecology Physician
179
Avg Claims per Provider
Raul Pena Valdivia, M.D.'s 330 claims are above the specialty average of 179.
Nearby Obstetrics & Gynecology Physician Providers in Puerto Rico
Other clinicians with the same primary specialty enrolled in Puerto Rico, drawn from the same CMS NPPES roster as Pena Valdivia.
Dr. Cristina Abreu Jimenez
M.D.
San Juan, PR
Dr. Luis Acosta Garcia
MD
Ponce, PR
Dr. Abby Agosto-Ventura
MD
Caguas, PR
Dr. David Aguirre
MD
Guaynabo, PR
Dr. William Alemany-Enriquez
M.D.
Bayamon, PR
Compare Obstetrics & Gynecology 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 Obstetrics & Gynecology 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 Raul Pena Valdivia, M.D.'s specialty? ▼
Raul Pena Valdivia, M.D. specializes in Obstetrics & Gynecology Physician and practices in Manati, Puerto Rico. Credentials: M.D..
How much does Raul Pena Valdivia, M.D. prescribe under Medicare Part D? ▼
In 2023, Raul Pena Valdivia, M.D. wrote 330 Medicare Part D claims totaling $19K in drug costs for 109 beneficiaries.
Where is Raul Pena Valdivia, M.D. located? ▼
Raul Pena Valdivia, M.D. is located at A6 MARGINAL, Manati, PR, 00674. Phone: (787) 621-6578.
What is Raul Pena Valdivia, M.D.'s NPI number? ▼
Raul Pena Valdivia, M.D.'s National Provider Identifier (NPI) is 1962421545, issued on 07/18/2006.
Does Raul Pena Valdivia, M.D. prescribe more brand-name or generic drugs? ▼
Raul Pena Valdivia, M.D.'s prescribing is 12% brand-name and 88% generic drugs by claim count, with $9K in brand drug costs.
How many Obstetrics & Gynecology Physician providers are there in the US? ▼
There are 44,326 Obstetrics & Gynecology Physician providers across 56 states in the US. The average Obstetrics & Gynecology Physician provider writes 179 Medicare Part D claims per year.
What drugs does Raul Pena Valdivia, M.D. prescribe most often? ▼
Based on 2023 Medicare Part D data, Raul Pena Valdivia, M.D.'s most frequently prescribed drugs include Estradiol, Ibuprofen, Amlodipine Besylate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Raul Pena Valdivia, M.D. accept Medicare? ▼
Raul Pena Valdivia, M.D. appears in CMS Medicare data with 330 Part D claims and 109 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Raul Pena Valdivia, M.D.'s credentials? ▼
Raul Pena Valdivia, M.D.'s NPI is 1962421545 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
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.