2026 NPPES data Urology Physician NPI 1669497814 M.D.
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VINCENT ORTOLANO, M.D.

Urology 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
423
Medicare Part D claims · 137 beneficiaries · Urology Physician avg: 1K
Generic prescribing
86%
generic claims · 14% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
61.0547/100
▼ 22 pts below national avg 83.1 · [object Object]
Industry payments
$21.1
1 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

VINCENT ORTOLANO, M.D. reported a CMS MIPS final score of 61.0547/100 — below the 83.1 national average — and filed 423 Medicare Part D claims in 2023.

61.0547/100
MIPS score · -22 vs avg
423
Part D claims, 2023
86%
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.

VINCENT ORTOLANO, M.D.'s MIPS score vs every scored U.S. clinician

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

61 6th percentile higher than 6% 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%). This entry sits in this band. 70–80: 118,074 scored providers (25%). Above this entry. 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)

VINCENT ORTOLANO, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 2 hospital affiliations — 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 VINCENT ORTOLANO, M.D.?

Below national average

NPI registry status

Active

Issued 07/12/2006

NPI 1669497814

Primary specialty

Urology Physician

Mid-sized

13,350 US NPIs in this specialty

Medicare Part D claims

423 67% vs specialty avg

2023 prescription claims

Specialty avg: 1,280

MIPS final score

61.0547/100 22.045299999999997% pts

Mid-tier band

vs 83.1 national avg

Specialty distribution in New Mexico

How Urology Physician compares to other specialties among New Mexico providers

New Mexico providers

Urology Physician share within New Mexico

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

Medicare quality performance — MIPS

VINCENT ORTOLANO, M.D.'s 2023 MIPS final score plotted against the Urology Physician national average

Below national average
MIPS Final Score
61.0547/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Urology Physician) — 61.0547/100 vs national avg 83.1

0%100%National avg83%61.1%
MIPS final score (Urology Physician) — 61.0547/100 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).

VINCENT ORTOLANO, M.D. is a Urology Physician provider practicing in ALBUQUERQUE, New Mexico, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1669497814. 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.

VINCENT ORTOLANO, M.D. appears in the CMS NPPES registry as a Urology Physician provider holding M.D. credentials at 6701 JEFFERSON ST NE, ALBUQUERQUE, NM, 87109, with a listed phone of (505) 727-6200. NPI 1669497814 was issued on 07/12/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what ORTOLANO 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 423 prescription claims written by this provider, covering 137 Medicare beneficiaries and totaling roughly $145K in drug spend, split 14% brand-name and 86% 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 61.0547/100 for the 2023 performance year (Quality 29.1903), compared with the national average of 83.1.

Urology Physician is a mid-sized specialty nationwide, with 13,350 enrolled providers across 54 states and an average of 1,280 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

6701 JEFFERSON ST NE
ALBUQUERQUE, NM 87109

Provider Details

NPI 1669497814
Specialty Urology Physician
Credentials M.D.
Gender Male
NPI Issued 07/12/2006

CMS Quality Score (MIPS)

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

61.0547
Final Score
Avg: 83.1
29.1903
Quality
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where VINCENT ORTOLANO, 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.

KAUAI VETERANS MEMORIAL HOSPITAL
WAIMEA, HI
Critical Access Hospitals
CMS CCN: 121300
SAMUEL MAHELONA MEMORIAL HOSPITAL
KALAHEO, HI
Critical Access Hospitals
CMS CCN: 121306

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 VINCENT ORTOLANO, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$21

Largest payer

PFIZER 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.

Brand vs generic prescribing mix · Typical

VINCENT ORTOLANO, M.D. — brand share 14.0%
Specialty average (est.)

14% brand-name claims vs 86% generic, on 423 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.

423
Total Claims
$145K
Total Drug Cost
137
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,001
Total Day Supply
28,682
Brand vs Generic
14% brand / 86% generic
Brand Drug Cost
$133K
Generic Drug Cost
$12K
Antibiotic Claims
63

Patient Demographics

Average Patient Age
74.8 years
Avg HCC Risk Score
1.25
Gender Split
25% female / 75% male

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Tamsulosin Hcl
98
Finasteride
83
Myrbetriq
Mirabegron
44
Doxazosin Mesylate
37
Potassium Citrate Er
Potassium Citrate
20
Sulfamethoxazole-Trimethoprim
Sulfamethoxazole/Trimethoprim
19
Oxybutynin Chloride Er
Oxybutynin Chloride
16
Ciprofloxacin Hcl
14
Nitrofurantoin
Nitrofurantoin Macrocrystal
11

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

Urology Physician Overview

How VINCENT ORTOLANO, M.D. fits within the Urology Physician landscape nationally.

13,350
Urology Physician Providers in US
54
States with Urology Physician
1,280
Avg Claims per Provider

VINCENT ORTOLANO, M.D.'s 423 claims are below the specialty average of 1,280.

Nearby Urology Physician Providers in New Mexico

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

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

Frequently Asked Questions

What is VINCENT ORTOLANO, M.D.'s specialty?
VINCENT ORTOLANO, M.D. specializes in Urology Physician and practices in ALBUQUERQUE, New Mexico. Credentials: M.D..
How much does VINCENT ORTOLANO, M.D. prescribe under Medicare Part D?
In 2023, VINCENT ORTOLANO, M.D. wrote 423 Medicare Part D claims totaling $145K in drug costs for 137 beneficiaries.
What is VINCENT ORTOLANO, M.D.'s Medicare quality score?
VINCENT ORTOLANO, M.D. has a CMS MIPS Final Score of 61.0547/100 (Quality: 29.1903). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is VINCENT ORTOLANO, M.D. located?
VINCENT ORTOLANO, M.D. is located at 6701 JEFFERSON ST NE, ALBUQUERQUE, NM, 87109. Phone: (505) 727-6200.
What is VINCENT ORTOLANO, M.D.'s NPI number?
VINCENT ORTOLANO, M.D.'s National Provider Identifier (NPI) is 1669497814, issued on 07/12/2006.
Does VINCENT ORTOLANO, M.D. prescribe more brand-name or generic drugs?
VINCENT ORTOLANO, M.D.'s prescribing is 14% brand-name and 86% generic drugs by claim count, with $133K in brand drug costs.
How many Urology Physician providers are there in the US?
There are 13,350 Urology Physician providers across 54 states in the US. The average Urology Physician provider writes 1,280 Medicare Part D claims per year.
What drugs does VINCENT ORTOLANO, M.D. prescribe most often?
Based on 2023 Medicare Part D data, VINCENT ORTOLANO, M.D.'s most frequently prescribed drugs include Tamsulosin Hcl, Finasteride, Myrbetriq. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does VINCENT ORTOLANO, M.D. accept Medicare?
VINCENT ORTOLANO, M.D. appears in CMS Medicare data with 423 Part D claims and 137 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify VINCENT ORTOLANO, M.D.'s credentials?
VINCENT ORTOLANO, M.D.'s NPI is 1669497814 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.
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