Sheila Valentin Nogueras, M.D.
MOHS-Micrographic Surgery Physician in San Juan, 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 1,102 in MOHS-Micrographic Surgery 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.
Source: CMS Medicare Part D Prescriber Public Use File, 2023
What the federal data shows
Sheila Valentin Nogueras, M.D. filed 1,577 Medicare Part D claims in 2023 as a MOHS-Micrographic Surgery Physician in San Juan, Puerto Rico, prescribing 91% generic.
- 2K
- Part D claims, 2023
- 91%
- generic prescribing
- $108.19
- 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.
Sheila Valentin Nogueras, M.D.'s Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023 — across all CMS prescribers nationally
1,577 Top 19% higher than 81% 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
Sheila Valentin Nogueras, 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 Sheila Valentin Nogueras, M.D.?
Quality data not reportedPrimary specialty
Medicare Part D claims
Specialty distribution in Puerto Rico
How MOHS-Micrographic Surgery Physician compares to other specialties among Puerto Rico providers
Largest specialties in Puerto Rico (% of in-state providers)
MOHS-Micrographic Surgery Physician ranks #322 among Puerto Rico's specialties (0% of in-state providers)
Each bar is a specialty's share of the Puerto Rico provider total, by primary NUCC taxonomy. The highlighted bar is MOHS-Micrographic Surgery Physician; the long tail of smaller specialties is omitted for legibility.
Specialty board-certification context
Estimated specialty board-certified rate — MOHS-Micrographic Surgery Physician (ABMS / AOA reference)
- Est. board-certified rate
- 78%
- MOHS-Micrographic Surgery Physician ABMS/AOA estimate
Est. board-certified rate (MOHS-Micrographic Surgery Physician) — ABMS / AOA estimate
Verify credentials
- Verify via ABMS free public lookup
- Verify via AOA osteopathic boards
- Specialty volume MOHS-Micrographic Surgery Physician US NPIs
Specialty board-certified rate — MOHS-Micrographic Surgery Physician estimate
Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus Maintenance of Certification cycles. CMS does not publish a per-provider board-certification field; the figure shown is the specialty-level estimated rate from ABMS / AOA reference data.
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).
Sheila Valentin Nogueras, M.D. appears in the CMS NPPES registry as a MOHS-Micrographic Surgery Physician provider holding M.D. credentials at 150 AVE JOSE DE DIEGO SAN JUAN HEALTH CENTRE, San Juan, PR, 00907, with a listed phone of (787) 945-6546. NPI 1841490349 was issued on 07/23/2007. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Valentin Nogueras 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 1,577 prescription claims written by this provider, covering 503 Medicare beneficiaries and totaling roughly $244K in drug spend, split 9% brand-name and 91% 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.
MOHS-Micrographic Surgery Physician is a narrow specialty nationwide, with 1,102 enrolled providers across 52 states and an average of 607 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 | 1841490349 |
|---|---|
| Specialty | MOHS-Micrographic Surgery Physician |
| Credentials | M.D. |
| Gender | Female |
| NPI Issued | 07/23/2007 |
Verify this provider's license
PlainDoctor pulls this profile from the CMS NPPES public registry. Confirm Sheila Valentin Nogueras, M.D.'s current license status, disciplinary history, and board certifications directly with the licensing state's medical board before relying on this page for a clinical or care decision.
How we sourced this profile
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 Sheila Valentin Nogueras, M.D.. Source: openpaymentsdata.cms.gov.
Total received
$108
Largest payer
Janssen Biotech, Inc.
Most common payment type
Education
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 · Generic-heavy
9% brand-name claims vs 91% generic, on 1,577 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.
Prescribing Breakdown
- 30-Day Fills
- 1,640
- Total Day Supply
- 36,779
- Brand vs Generic
- 9% brand / 91% generic
- Brand Drug Cost
- $183K
- Generic Drug Cost
- $61K
- Antibiotic Claims
- 86
Patient Demographics
- Average Patient Age
- 72.3 years
- Avg HCC Risk Score
- 1.68
- Gender Split
- 60% female / 40% male
- Age Distribution
- <65: 72, 65-74: 226, 75-84: 159, 85+: 46
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Sheila Valentin Nogueras, M.D. prescribes most
Top Medicare Part D drugs by claim count, 2023
- Ketoconazole
Ketoconazole
170 claims
- Triamcinolone Acet…
Triamcinolone Acetonide
150 claims
- Fluorouracil
Fluorouracil
136 claims
- Betamethasone Vale…
Betamethasone Valerate
127 claims
- Terbinafine Hcl
Terbinafine Hcl
86 claims
- Betamethasone Dipr…
Betamethasone Diprop Augmented
76 claims
- Alclometasone Dipr…
Alclometasone Dipropionate
75 claims
- Ammonium Lactate
Ammonium Lactate
74 claims
| Drug | Claims |
|---|---|
| Ketoconazole | 170 |
| Triamcinolone Acetonide | 150 |
| Fluorouracil | 136 |
| Betamethasone Valerate | 127 |
| Terbinafine Hcl | 86 |
| Betamethasone Diprop Augmented Betamethasone/Propylene Glyc | 76 |
| Alclometasone Dipropionate | 75 |
| Ammonium Lactate | 74 |
| Doxycycline Hyclate | 63 |
| Ciclopirox Ciclopirox Olamine | 60 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
MOHS-Micrographic Surgery Physician Overview
How Sheila Valentin Nogueras, M.D. fits within the MOHS-Micrographic Surgery Physician landscape nationally.
Sheila Valentin Nogueras, M.D.'s 1,577 claims are above the specialty average of 607.
Nearby MOHS-Micrographic Surgery Physician Providers in Puerto Rico
Other clinicians with the same primary specialty enrolled in Puerto Rico, drawn from the same CMS NPPES roster as Valentin Nogueras.
Compare MOHS-Micrographic Surgery 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 MOHS-Micrographic Surgery 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
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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