2026 NPPES data Otolaryngology Physician NPI 1528106788 M.D.
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TONYA SANCHEZ ORTIZ, M.D.

Otolaryngology Physician in CAROLINA, Puerto Rico. 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
195
Medicare Part D claims · 93 beneficiaries · Otolaryngology Physician avg: 509
What the federal data reveals: TONYA SANCHEZ ORTIZ, M.D. is a Otolaryngology Physician ([object Object]) practicing in CAROLINA, Puerto Rico with a Medicare Part D prescribing footprint of 195 claims across 93 beneficiaries .

What stands out: TONYA SANCHEZ ORTIZ, M.D. filed 195 Medicare Part D claims in 2023 across CAROLINA, Puerto Rico. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

TONYA SANCHEZ ORTIZ, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

TONYA SANCHEZ ORTIZ, M.D. at a glance

Quality data not reported

NPI registry status

Active

Issued 02/01/2007

NPI 1528106788

Primary specialty

Otolaryngology Physician

Mid-sized

10,895 US NPIs in this specialty

Medicare Part D claims

195 62% vs specialty avg

2023 prescription claims

Specialty avg: 509

Specialty distribution in Puerto Rico

How Otolaryngology Physician compares to other specialties among Puerto Rico providers

Puerto Rico providers

Otolaryngology Physician share within Puerto Rico

1. Otolaryngology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Otolaryngology Physician share within Puerto Rico

Specialty board-certification context

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

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

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

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

TONYA SANCHEZ ORTIZ, M.D. is a Otolaryngology Physician provider practicing in CAROLINA, Puerto Rico, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1528106788. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

TONYA SANCHEZ ORTIZ, M.D. appears in the CMS NPPES registry as a Otolaryngology Physician provider holding M.D. credentials at CARR 3 KM 8.3 65 DE INFANTERIA AVE., CAROLINA, PR, 00984, with a listed phone of (787) 757-1800. NPI 1528106788 was issued on 02/01/2007. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what SANCHEZ ORTIZ 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 195 prescription claims written by this provider, covering 93 Medicare beneficiaries and totaling roughly $11K in drug spend. 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.

Otolaryngology Physician is a mid-sized specialty nationwide, with 10,895 enrolled providers across 54 states and an average of 509 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

CARR 3 KM 8.3 65 DE INFANTERIA AVE.
CAROLINA, PR 00984

Provider Details

NPI 1528106788
Specialty Otolaryngology Physician
Credentials M.D.
Gender Female
NPI Issued 02/01/2007

Hospital and facility affiliations

Facilities where TONYA SANCHEZ ORTIZ, M.D. 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.

RECINTO DE CIENCIAS MEDICAS
CAROLINA, PR

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

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

195
Total Claims
$11K
Total Drug Cost
93
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
288
Total Day Supply
7,848
Generic Drug Cost
$8K

Patient Demographics

Average Patient Age
73.4 years
Avg HCC Risk Score
1.68
Gender Split
66% female / 34% male
Age Distribution
<65: 12, 65-74: 36, 75-84: 34, 85+: 11

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Azelastine Hcl
61
Fluticasone Propionate
47
Fluocinolone Acetonide Oil
20
Ofloxacin
13

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

Otolaryngology Physician Overview

How TONYA SANCHEZ ORTIZ, M.D. fits within the Otolaryngology Physician landscape nationally.

10,895
Otolaryngology Physician Providers in US
54
States with Otolaryngology Physician
509
Avg Claims per Provider

TONYA SANCHEZ ORTIZ, M.D.'s 195 claims are below the specialty average of 509.

Nearby Otolaryngology Physician Providers in Puerto Rico

Other clinicians with the same primary specialty enrolled in Puerto Rico, drawn from the same CMS NPPES roster as SANCHEZ ORTIZ.

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

Frequently Asked Questions

What is TONYA SANCHEZ ORTIZ, M.D.'s specialty?
TONYA SANCHEZ ORTIZ, M.D. specializes in Otolaryngology Physician and practices in CAROLINA, Puerto Rico. Credentials: M.D..
How much does TONYA SANCHEZ ORTIZ, M.D. prescribe under Medicare Part D?
In 2023, TONYA SANCHEZ ORTIZ, M.D. wrote 195 Medicare Part D claims totaling $11K in drug costs for 93 beneficiaries.
Where is TONYA SANCHEZ ORTIZ, M.D. located?
TONYA SANCHEZ ORTIZ, M.D. is located at CARR 3 KM 8.3 65 DE INFANTERIA AVE., CAROLINA, PR, 00984. Phone: (787) 757-1800.
What is TONYA SANCHEZ ORTIZ, M.D.'s NPI number?
TONYA SANCHEZ ORTIZ, M.D.'s National Provider Identifier (NPI) is 1528106788, issued on 02/01/2007.
How many Otolaryngology Physician providers are there in the US?
There are 10,895 Otolaryngology Physician providers across 54 states in the US. The average Otolaryngology Physician provider writes 509 Medicare Part D claims per year.
What drugs does TONYA SANCHEZ ORTIZ, M.D. prescribe most often?
Based on 2023 Medicare Part D data, TONYA SANCHEZ ORTIZ, M.D.'s most frequently prescribed drugs include Azelastine Hcl, Fluticasone Propionate, Fluocinolone Acetonide Oil. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does TONYA SANCHEZ ORTIZ, M.D. accept Medicare?
TONYA SANCHEZ ORTIZ, M.D. appears in CMS Medicare data with 195 Part D claims and 93 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify TONYA SANCHEZ ORTIZ, M.D.'s credentials?
TONYA SANCHEZ ORTIZ, M.D.'s NPI is 1528106788 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

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