2026 NPPES data Pediatrics Physician NPI 1205031275 MD
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ROBERTO ORTIZ-AGUAYO, MD

Pediatrics Physician in ABINGTON, Pennsylvania. 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
233
Medicare Part D claims · 41 beneficiaries · Pediatrics Physician avg: 762
Generic prescribing
92%
generic claims · 8% brand-name · higher generic rates reduce patient out-of-pocket costs

What the federal data shows

ROBERTO ORTIZ-AGUAYO, MD filed 233 Medicare Part D claims in 2023 as a Pediatrics Physician in ABINGTON, Pennsylvania, prescribing 92% generic.

233
Part D claims, 2023
92%
generic prescribing

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.

ROBERTO ORTIZ-AGUAYO, MD's Medicare Part D volume vs every U.S. prescriber

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

233 49th percentile higher than 49% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). This entry sits in this band. 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)

ROBERTO ORTIZ-AGUAYO, MD 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 ROBERTO ORTIZ-AGUAYO, MD?

Quality data not reported

NPI registry status

Active

Issued 06/19/2007

NPI 1205031275

Primary specialty

Pediatrics Physician

High-volume

80,574 US NPIs in this specialty

Medicare Part D claims

233 69% vs specialty avg

2023 prescription claims

Specialty avg: 762

Specialty distribution in Pennsylvania

How Pediatrics Physician compares to other specialties among Pennsylvania providers

Pennsylvania providers

Pediatrics Physician share within Pennsylvania

1. Pediatrics Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Pediatrics Physician share within Pennsylvania

Specialty board-certification context

Estimated specialty board-certified rate — Pediatrics Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Pediatrics Physician ABMS/AOA estimate

Est. board-certified rate (Pediatrics Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Pediatrics 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).

ROBERTO ORTIZ-AGUAYO, MD appears in the CMS NPPES registry as a Pediatrics Physician provider holding MD credentials at 1021 OLD YORK RD STE 301, ABINGTON, PA, 19001, with a listed phone of (215) 754-0989. NPI 1205031275 was issued on 06/19/2007. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what ORTIZ-AGUAYO 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 233 prescription claims written by this provider, covering 41 Medicare beneficiaries and totaling roughly $26K in drug spend, split 8% brand-name and 92% 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.

Pediatrics Physician is a high-volume specialty nationwide, with 80,574 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

1021 OLD YORK RD STE 301
ABINGTON, PA 19001

Provider Details

NPI 1205031275
Specialty Pediatrics Physician
Credentials MD
Gender Male
NPI Issued 06/19/2007

License & disciplinary context — Pennsylvania PA-BOM 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 ~45K Pennsylvania medical licensees in 2023 — they are NOT specific to ROBERTO ORTIZ-AGUAYO, MD. To verify ROBERTO ORTIZ-AGUAYO, MD's current license status, search the PA-BOM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

133
Total board actions, Pennsylvania 2023
Across 129 cases
2.96
Actions per 1,000 licensees
Pennsylvania statewide rate
probation
Most common action type
48 cases

PA-BOM 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 Pennsylvania disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Generic-heavy

ROBERTO ORTIZ-AGUAYO, MD — brand share 8.0%
Specialty average (est.)

8% brand-name claims vs 92% generic, on 233 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.

233
Total Claims
$26K
Total Drug Cost
41
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
280
Total Day Supply
8,042
Brand vs Generic
8% brand / 92% generic
Brand Drug Cost
$22K
Generic Drug Cost
$4K

Patient Demographics

Average Patient Age
64.8 years
Avg HCC Risk Score
1.30
Gender Split
66% female / 34% male
Age Distribution
<65: 16, 65-74: 15, 75-84: N/A, 85+: N/A

Top Prescribed Drugs (Medicare Part D)

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

What ROBERTO ORTIZ-AGUAYO, 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
Duloxetine Hcl
23
Clonazepam
21
Sertraline Hcl
21
Fluoxetine Hcl
20
Trazodone Hcl
11

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

Pediatrics Physician Overview

How ROBERTO ORTIZ-AGUAYO, MD fits within the Pediatrics Physician landscape nationally.

80,574
Pediatrics Physician Providers in US
56
States with Pediatrics Physician
762
Avg Claims per Provider

ROBERTO ORTIZ-AGUAYO, MD's 233 claims are below the specialty average of 762.

Nearby Pediatrics Physician Providers in Pennsylvania

Other clinicians with the same primary specialty enrolled in Pennsylvania, drawn from the same CMS NPPES roster as ORTIZ-AGUAYO.

Compare Pediatrics Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is ROBERTO ORTIZ-AGUAYO, MD's specialty?
ROBERTO ORTIZ-AGUAYO, MD specializes in Pediatrics Physician and practices in ABINGTON, Pennsylvania. Credentials: MD.
How much does ROBERTO ORTIZ-AGUAYO, MD prescribe under Medicare Part D?
In 2023, ROBERTO ORTIZ-AGUAYO, MD wrote 233 Medicare Part D claims totaling $26K in drug costs for 41 beneficiaries.
Where is ROBERTO ORTIZ-AGUAYO, MD located?
ROBERTO ORTIZ-AGUAYO, MD is located at 1021 OLD YORK RD STE 301, ABINGTON, PA, 19001. Phone: (215) 754-0989.
What is ROBERTO ORTIZ-AGUAYO, MD's NPI number?
ROBERTO ORTIZ-AGUAYO, MD's National Provider Identifier (NPI) is 1205031275, issued on 06/19/2007.
Does ROBERTO ORTIZ-AGUAYO, MD prescribe more brand-name or generic drugs?
ROBERTO ORTIZ-AGUAYO, MD's prescribing is 8% brand-name and 92% generic drugs by claim count, with $22K in brand drug costs.
How many Pediatrics Physician providers are there in the US?
There are 80,574 Pediatrics Physician providers across 56 states in the US. The average Pediatrics Physician provider writes 762 Medicare Part D claims per year.
What drugs does ROBERTO ORTIZ-AGUAYO, MD prescribe most often?
Based on 2023 Medicare Part D data, ROBERTO ORTIZ-AGUAYO, MD's most frequently prescribed drugs include Duloxetine Hcl, Clonazepam, Sertraline Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does ROBERTO ORTIZ-AGUAYO, MD accept Medicare?
ROBERTO ORTIZ-AGUAYO, MD appears in CMS Medicare data with 233 Part D claims and 41 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify ROBERTO ORTIZ-AGUAYO, MD's credentials?
ROBERTO ORTIZ-AGUAYO, MD's NPI is 1205031275 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.
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