2026 NPPES data Family Medicine Physician NPI 1154328094 MD
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SANTIAGO MACIAS, MD

Family Medicine Physician in ALBUQUERQUE, New Mexico. 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
11K
Medicare Part D claims · 976 beneficiaries · Family Medicine Physician avg: 3K
Generic prescribing
91%
generic claims · 9% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
83.8451/100
▲ 1 pts above national avg 83.1 · [object Object]

What the federal data shows

SANTIAGO MACIAS, MD reported a CMS MIPS final score of 83.8451/100 — above the 83.1 national average — and filed 11,467 Medicare Part D claims in 2023.

83.8451/100
MIPS score · +1 vs avg
11K
Part D claims, 2023
91%
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.

SANTIAGO MACIAS, MD's MIPS score vs every scored U.S. clinician

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

84 42nd percentile higher than 42% 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%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). This entry sits in this band. 90–100: 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

Board certification likely (heuristic — not verified)

SANTIAGO MACIAS, 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 SANTIAGO MACIAS, MD?

Near national average

NPI registry status

Active

Issued 07/07/2005

NPI 1154328094

Primary specialty

Family Medicine Physician

High-volume

147,640 US NPIs in this specialty

Medicare Part D claims

11,467 235% vs specialty avg

2023 prescription claims

Specialty avg: 3,418

MIPS final score

83.8451/100 0.7451000000000079% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in New Mexico

How Family Medicine Physician compares to other specialties among New Mexico providers

New Mexico providers

Family Medicine Physician share within New Mexico

1. Family Medicine Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Family Medicine Physician share within New Mexico

Medicare quality performance — MIPS

SANTIAGO MACIAS, MD's 2023 MIPS final score plotted against the Family Medicine Physician national average

Near national average
MIPS Final Score
83.8451/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Family Medicine Physician) — 83.8451/100 vs national avg 83.1

0%100%National avg83%83.8%
MIPS final score (Family Medicine Physician) — 83.8451/100 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).

SANTIAGO MACIAS, MD appears in the CMS NPPES registry as a Family Medicine Physician provider holding MD credentials at 2001 EL CENTRO FAMILIAR BLVD SW, ALBUQUERQUE, NM, 87105, with a listed phone of (505) 873-7400. NPI 1154328094 was issued on 07/07/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what MACIAS 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 11,467 prescription claims written by this provider, covering 976 Medicare beneficiaries and totaling roughly $813K in drug spend, split 9% brand-name and 91% generic by claim count, with an opioid prescribing rate of 1.6%. 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 83.8451/100 for the 2023 performance year (Quality 84.5974, Cost 58.6394), compared with the national average of 83.1.

Family Medicine Physician is a high-volume specialty nationwide, with 147,640 enrolled providers across 56 states and an average of 3,418 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

2001 EL CENTRO FAMILIAR BLVD SW
ALBUQUERQUE, NM 87105

Provider Details

NPI 1154328094
Specialty Family Medicine Physician
Credentials MD
Gender Male
NPI Issued 07/07/2005

CMS Quality Score (MIPS)

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

83.8451
Final Score
Avg: 83.1
84.5974
Quality
58.6394
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where SANTIAGO MACIAS, 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.

PRESBYTERIAN HEALTHCARE SERVICES
ALBUQUERQUE, NM

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Brand vs generic prescribing mix · Generic-heavy

SANTIAGO MACIAS, MD — brand share 9.0%
Specialty average (est.)

9% brand-name claims vs 91% generic, on 11,467 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.

11,467
Total Claims
$813K
Total Drug Cost
976
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
25,841
Total Day Supply
754,576
Brand vs Generic
9% brand / 91% generic
Brand Drug Cost
$542K
Generic Drug Cost
$263K
Opioid Claims
179 (1.6% rate)
Antibiotic Claims
252

Patient Demographics

Average Patient Age
72.8 years
Avg HCC Risk Score
1.01
Gender Split
51% female / 49% male
Age Distribution
<65: 103, 65-74: 464, 75-84: 317, 85+: 92

Top Prescribed Drugs (Medicare Part D)

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

What SANTIAGO MACIAS, 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
Atorvastatin Calcium
788
Lisinopril
649
Amlodipine Besylate
537
Levothyroxine Sodium
534
Gabapentin
372
Losartan Potassium
321
Tamsulosin Hcl
311
Metformin Hcl Er
Metformin Hcl
284
Omeprazole
259
Hydrochlorothiazide
236

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

Family Medicine Physician Overview

How SANTIAGO MACIAS, MD fits within the Family Medicine Physician landscape nationally.

147,640
Family Medicine Physician Providers in US
56
States with Family Medicine Physician
3,418
Avg Claims per Provider

SANTIAGO MACIAS, MD's 11,467 claims are above the specialty average of 3,418.

Nearby Family Medicine Physician Providers in New Mexico

Other clinicians with the same primary specialty enrolled in New Mexico, drawn from the same CMS NPPES roster as MACIAS.

Compare Family Medicine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is SANTIAGO MACIAS, MD's specialty?
SANTIAGO MACIAS, MD specializes in Family Medicine Physician and practices in ALBUQUERQUE, New Mexico. Credentials: MD.
How much does SANTIAGO MACIAS, MD prescribe under Medicare Part D?
In 2023, SANTIAGO MACIAS, MD wrote 11,467 Medicare Part D claims totaling $813K in drug costs for 976 beneficiaries.
What is SANTIAGO MACIAS, MD's Medicare quality score?
SANTIAGO MACIAS, MD has a CMS MIPS Final Score of 83.8451/100 (Quality: 84.5974, Cost: 58.6394). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is SANTIAGO MACIAS, MD located?
SANTIAGO MACIAS, MD is located at 2001 EL CENTRO FAMILIAR BLVD SW, ALBUQUERQUE, NM, 87105. Phone: (505) 873-7400.
What is SANTIAGO MACIAS, MD's NPI number?
SANTIAGO MACIAS, MD's National Provider Identifier (NPI) is 1154328094, issued on 07/07/2005.
Does SANTIAGO MACIAS, MD prescribe more brand-name or generic drugs?
SANTIAGO MACIAS, MD's prescribing is 9% brand-name and 91% generic drugs by claim count, with $542K in brand drug costs.
Does SANTIAGO MACIAS, MD prescribe opioids?
Yes, SANTIAGO MACIAS, MD had 179 opioid claims in 2023 with an opioid prescribing rate of 1.6%.
How many Family Medicine Physician providers are there in the US?
There are 147,640 Family Medicine Physician providers across 56 states in the US. The average Family Medicine Physician provider writes 3,418 Medicare Part D claims per year.
What drugs does SANTIAGO MACIAS, MD prescribe most often?
Based on 2023 Medicare Part D data, SANTIAGO MACIAS, MD's most frequently prescribed drugs include Atorvastatin Calcium, Lisinopril, Amlodipine Besylate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does SANTIAGO MACIAS, MD accept Medicare?
SANTIAGO MACIAS, MD appears in CMS Medicare data with 11,467 Part D claims and 976 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify SANTIAGO MACIAS, MD's credentials?
SANTIAGO MACIAS, MD's NPI is 1154328094 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