Albert Folgueras, MD
NPI 1164611034 · Orthopaedic Surgery Physician · York, PA
Enrolled with Medicare as Practitioner - Orthopedic Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Albert Folgueras, MD is a Orthopaedic Surgery Physician provider in York, PA (NPI 1164611034).
Provider details
- NPI number
- 1164611034
- Entity type
- Individual
- Primary specialty
- Orthopaedic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- MD478377 (PA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
18 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
592 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 403 | $120 |
| Aspiration And/Or Injection of Fluid From Large Joint20610 | 59 | $67 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 | 49 | $106 |
| Replacement of Knee Joint, Both Sides of Knee27447 | 46 | $1,214 |
| Replacement of Thigh Bone and Hip Joint With Prosthesis27130 | 35 | $1,216 |
Typical Medicare-allowed amounts for these services range $67–$1,216 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 7 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Amoxicillin | 75 | 50 |
| Oxycodone Hcl | 73 | 36 |
| Meloxicam | 43 | 26 |
| Tramadol Hcl | 25 | 17 |
| Clindamycin Hcl | 21 | — |
| Prednisone | 19 | 18 |
| Doxycycline Hyclate | 12 | — |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they include cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means , never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$468 across 4 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-10-17
- Last updated
- 2022-12-13
- Certified
- 2022-12-13
Frequently asked questions
- What is Albert Folgueras's NPI number?
- Albert Folgueras's National Provider Identifier (NPI) is 1164611034, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Albert Folgueras's specialty?
- Albert Folgueras is listed in the NPPES registry with a primary specialty of Orthopaedic Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Albert Folgueras located?
- Albert Folgueras's practice location on file with NPPES is 25 Monument Rd Ste 290, York, PA 17403-5073.
- What is Albert Folgueras's phone number?
- The practice phone number listed in the NPPES registry for Albert Folgueras is (717) 812-4090.
- Does Albert Folgueras accept Medicare?
- Albert Folgueras is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Albert Folgueras's NPI active?
- Yes — Albert Folgueras's NPI (1164611034) is active in the NPPES registry as of the last update on 2022-12-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.