2026 NPPES data Ophthalmology Physician NPI 1609805522 MD
Verify on CMS →

ADAM DE LA GARZA, MD

Ophthalmology Physician in ATLANTA, Georgia. 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
140
Medicare Part D claims · 63 beneficiaries · Ophthalmology Physician avg: 1K
MIPS score
92.2614/100
▲ 9 pts above national avg 83.1 · [object Object]
Industry payments
$256.08
5 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: ADAM DE LA GARZA, MD is a Ophthalmology Physician ([object Object]) practicing in ATLANTA, Georgia with a Medicare Part D prescribing footprint of 140 claims across 63 beneficiaries . Their CMS MIPS Final Score of 92.2614/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $256.08 across 5 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: ADAM DE LA GARZA, MD reported a CMS MIPS final score of 92.2614 out of 100, above the 83.1 national average, and filed 140 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

ADAM DE LA GARZA, MD 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).

ADAM DE LA GARZA, MD at a glance

High performer (top quartile)

NPI registry status

Active

Issued 07/02/2006

NPI 1609805522

Primary specialty

Ophthalmology Physician

Mid-sized

22,090 US NPIs in this specialty

Medicare Part D claims

140 90% vs specialty avg

2023 prescription claims

Specialty avg: 1,420

MIPS final score

92.2614/100 9.1614% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Georgia

How Ophthalmology Physician compares to other specialties among Georgia providers

Georgia providers

Ophthalmology Physician share within Georgia

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

Medicare quality performance — MIPS

ADAM DE LA GARZA, MD's 2023 MIPS final score plotted against the Ophthalmology Physician national average

High performer (top quartile)
MIPS Final Score
92.2614/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Ophthalmology Physician) — 92.2614/100 vs national avg 83.1

0%100%National avg83%92.3%
MIPS final score (Ophthalmology Physician) — 92.2614/100 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).

ADAM DE LA GARZA, MD is a Ophthalmology Physician provider practicing in ATLANTA, Georgia, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1609805522. 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.

ADAM DE LA GARZA, MD appears in the CMS NPPES registry as a Ophthalmology Physician provider holding MD credentials at 1365B CLIFTON RD NE, ATLANTA, GA, 30322, with a listed phone of (404) 778-2020. NPI 1609805522 was issued on 07/02/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what DE LA GARZA 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 140 prescription claims written by this provider, covering 63 Medicare beneficiaries and totaling roughly $3K in drug spend, with an opioid prescribing rate of 26.4%. 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 92.2614/100 for the 2023 performance year (Quality 73.8353), compared with the national average of 83.1.

Ophthalmology Physician is a mid-sized specialty nationwide, with 22,090 enrolled providers across 56 states and an average of 1,420 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

1365B CLIFTON RD NE
ATLANTA, GA 30322

Provider Details

NPI 1609805522
Specialty Ophthalmology Physician
Credentials MD
Gender Male
NPI Issued 07/02/2006

CMS Quality Score (MIPS)

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

92.2614
Final Score
Avg: 83.1
73.8353
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where ADAM DE LA GARZA, 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.

EMORY MEDICAL CARE FOUNDATION INC
ATLANTA, GA
THE EMORY CLINIC INC
ATLANTA, GA

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 ADAM DE LA GARZA, MD. Source: openpaymentsdata.cms.gov.

Total received

$256

Largest payer

Amgen 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.

Medicare Part D Prescribing Data

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

140
Total Claims
$3K
Total Drug Cost
63
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
149
Total Day Supply
1,738
Generic Drug Cost
$2K
Opioid Claims
37 (26.4% rate)

Patient Demographics

Average Patient Age
74.0 years
Avg HCC Risk Score
1.95
Gender Split
60% female / 40% 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
Erythromycin
Erythromycin Base
66
Tramadol Hcl
30

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

Ophthalmology Physician Overview

How ADAM DE LA GARZA, MD fits within the Ophthalmology Physician landscape nationally.

22,090
Ophthalmology Physician Providers in US
56
States with Ophthalmology Physician
1,420
Avg Claims per Provider

ADAM DE LA GARZA, MD's 140 claims are below the specialty average of 1,420.

Nearby Ophthalmology Physician Providers in Georgia

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

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

Frequently Asked Questions

What is ADAM DE LA GARZA, MD's specialty?
ADAM DE LA GARZA, MD specializes in Ophthalmology Physician and practices in ATLANTA, Georgia. Credentials: MD.
How much does ADAM DE LA GARZA, MD prescribe under Medicare Part D?
In 2023, ADAM DE LA GARZA, MD wrote 140 Medicare Part D claims totaling $3K in drug costs for 63 beneficiaries.
What is ADAM DE LA GARZA, MD's Medicare quality score?
ADAM DE LA GARZA, MD has a CMS MIPS Final Score of 92.2614/100 (Quality: 73.8353). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is ADAM DE LA GARZA, MD located?
ADAM DE LA GARZA, MD is located at 1365B CLIFTON RD NE, ATLANTA, GA, 30322. Phone: (404) 778-2020.
What is ADAM DE LA GARZA, MD's NPI number?
ADAM DE LA GARZA, MD's National Provider Identifier (NPI) is 1609805522, issued on 07/02/2006.
Does ADAM DE LA GARZA, MD prescribe opioids?
Yes, ADAM DE LA GARZA, MD had 37 opioid claims in 2023 with an opioid prescribing rate of 26.4%.
How many Ophthalmology Physician providers are there in the US?
There are 22,090 Ophthalmology Physician providers across 56 states in the US. The average Ophthalmology Physician provider writes 1,420 Medicare Part D claims per year.
What drugs does ADAM DE LA GARZA, MD prescribe most often?
Based on 2023 Medicare Part D data, ADAM DE LA GARZA, MD's most frequently prescribed drugs include Erythromycin, Tramadol Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does ADAM DE LA GARZA, MD accept Medicare?
ADAM DE LA GARZA, MD appears in CMS Medicare data with 140 Part D claims and 63 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify ADAM DE LA GARZA, MD's credentials?
ADAM DE LA GARZA, MD's NPI is 1609805522 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