2026 NPPES data Surgery Physician NPI 1669647921 MD
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SEBASTIAN DE LA FUENTE, MD

Surgery Physician in ORLANDO, Florida. 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
110
Medicare Part D claims · 23 beneficiaries · Surgery Physician avg: 169
Generic prescribing
75%
generic claims · 25% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
78.0121/100
▼ 5 pts below national avg 83.1 · [object Object]
Industry payments
$21.65
1 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

SEBASTIAN DE LA FUENTE, MD reported a CMS MIPS final score of 78.0121/100 — below the 83.1 national average — and filed 110 Medicare Part D claims in 2023.

78.0121/100
MIPS score · -5 vs avg
110
Part D claims, 2023
75%
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.

SEBASTIAN DE LA FUENTE, MD's MIPS score vs every scored U.S. clinician

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

78 27th percentile higher than 27% 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%). This entry sits in this band. 80–90: 129,887 scored providers (27%). Above this entry. 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)

SEBASTIAN DE LA FUENTE, 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 SEBASTIAN DE LA FUENTE, MD?

Below national average

NPI registry status

Active

Issued 04/28/2008

NPI 1669647921

Primary specialty

Surgery Physician

Mid-sized

36,191 US NPIs in this specialty

Medicare Part D claims

110 35% vs specialty avg

2023 prescription claims

Specialty avg: 169

MIPS final score

78.0121/100 5.0878999999999905% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Florida

How Surgery Physician compares to other specialties among Florida providers

Florida providers

Surgery Physician share within Florida

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

Medicare quality performance — MIPS

SEBASTIAN DE LA FUENTE, MD's 2023 MIPS final score plotted against the Surgery Physician national average

Below national average
MIPS Final Score
78.0121/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Surgery Physician) — 78.0121/100 vs national avg 83.1

0%100%National avg83%78%
MIPS final score (Surgery Physician) — 78.0121/100 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).

SEBASTIAN DE LA FUENTE, MD appears in the CMS NPPES registry as a Surgery Physician provider holding MD credentials at 2415 N. ORANGE AVE, ORLANDO, FL, 32804, with a listed phone of (407) 303-7399. NPI 1669647921 was issued on 04/28/2008. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what DE LA FUENTE 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 110 prescription claims written by this provider, covering 23 Medicare beneficiaries and totaling roughly $36K in drug spend, split 25% brand-name and 75% 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 78.0121/100 for the 2023 performance year (Quality 57.5188, Cost 69.1882), compared with the national average of 83.1.

Surgery Physician is a mid-sized specialty nationwide, with 36,191 enrolled providers across 56 states and an average of 169 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

2415 N. ORANGE AVE
ORLANDO, FL 32804

Provider Details

NPI 1669647921
Specialty Surgery Physician
Credentials MD
Gender Male
NPI Issued 04/28/2008

CMS Quality Score (MIPS)

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

78.0121
Final Score
Avg: 83.1
57.5188
Quality
69.1882
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where SEBASTIAN DE LA FUENTE, 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.

FLORIDA HOSPITAL MEDICAL GROUP INC
ORLANDO, FL

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 SEBASTIAN DE LA FUENTE, MD. Source: openpaymentsdata.cms.gov.

Total received

$22

Largest payer

Medtronic, 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.

License & disciplinary context — Florida FLDOH 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 ~75K Florida medical licensees in 2023 — they are NOT specific to SEBASTIAN DE LA FUENTE, MD. To verify SEBASTIAN DE LA FUENTE, MD's current license status, search the FLDOH public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

480
Total board actions, Florida 2023
Across 467 cases
6.40
Actions per 1,000 licensees
Florida statewide rate
monetary fine
Most common action type
138 cases

FLDOH 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 Florida disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Above average

SEBASTIAN DE LA FUENTE, MD — brand share 25.0%
Specialty average (est.)

25% brand-name claims vs 75% generic, on 110 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.

110
Total Claims
$36K
Total Drug Cost
23
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
115
Total Day Supply
2,194
Brand vs Generic
25% brand / 75% generic
Brand Drug Cost
$28K
Generic Drug Cost
$8K

Patient Demographics

Average Patient Age
70.3 years
Avg HCC Risk Score
1.71

Top Prescribed Drugs (Medicare Part D)

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

What SEBASTIAN DE LA FUENTE, 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
Ondansetron Hcl
28
Zenpep
Lipase/Protease/Amylase
18
Sucralfate
15
Pantoprazole Sodium
11

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

Surgery Physician Overview

How SEBASTIAN DE LA FUENTE, MD fits within the Surgery Physician landscape nationally.

36,191
Surgery Physician Providers in US
56
States with Surgery Physician
169
Avg Claims per Provider

SEBASTIAN DE LA FUENTE, MD's 110 claims are below the specialty average of 169.

Nearby Surgery Physician Providers in Florida

Other clinicians with the same primary specialty enrolled in Florida, drawn from the same CMS NPPES roster as DE LA FUENTE.

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

Frequently Asked Questions

What is SEBASTIAN DE LA FUENTE, MD's specialty?
SEBASTIAN DE LA FUENTE, MD specializes in Surgery Physician and practices in ORLANDO, Florida. Credentials: MD.
How much does SEBASTIAN DE LA FUENTE, MD prescribe under Medicare Part D?
In 2023, SEBASTIAN DE LA FUENTE, MD wrote 110 Medicare Part D claims totaling $36K in drug costs for 23 beneficiaries.
What is SEBASTIAN DE LA FUENTE, MD's Medicare quality score?
SEBASTIAN DE LA FUENTE, MD has a CMS MIPS Final Score of 78.0121/100 (Quality: 57.5188, Cost: 69.1882). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is SEBASTIAN DE LA FUENTE, MD located?
SEBASTIAN DE LA FUENTE, MD is located at 2415 N. ORANGE AVE, ORLANDO, FL, 32804. Phone: (407) 303-7399.
What is SEBASTIAN DE LA FUENTE, MD's NPI number?
SEBASTIAN DE LA FUENTE, MD's National Provider Identifier (NPI) is 1669647921, issued on 04/28/2008.
Does SEBASTIAN DE LA FUENTE, MD prescribe more brand-name or generic drugs?
SEBASTIAN DE LA FUENTE, MD's prescribing is 25% brand-name and 75% generic drugs by claim count, with $28K in brand drug costs.
How many Surgery Physician providers are there in the US?
There are 36,191 Surgery Physician providers across 56 states in the US. The average Surgery Physician provider writes 169 Medicare Part D claims per year.
What drugs does SEBASTIAN DE LA FUENTE, MD prescribe most often?
Based on 2023 Medicare Part D data, SEBASTIAN DE LA FUENTE, MD's most frequently prescribed drugs include Ondansetron Hcl, Zenpep, Sucralfate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does SEBASTIAN DE LA FUENTE, MD accept Medicare?
SEBASTIAN DE LA FUENTE, MD appears in CMS Medicare data with 110 Part D claims and 23 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify SEBASTIAN DE LA FUENTE, MD's credentials?
SEBASTIAN DE LA FUENTE, MD's NPI is 1669647921 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