NPPES file of Aug 9, 2026

Adam Gregory De La Garza, MD

Ophthalmology Physician · Birmingham, AL

Adam Gregory De La Garza, MD is an ophthalmology physician with a practice address in Birmingham, Alabama, and NPI 1609805522, issued on Jul 2, 2006. Check the license (Alabama 54096, as entered in NPPES) on the Alabama Board of Medical Examiners; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1609805522
Name
Adam Gregory De La Garza
Credential
MD
Primary taxonomy
Ophthalmology Physician 207W00000X
License numbers
54096 AL
081784 GA
36592 IA
26270 OK
Self-reported in NPPES; status is on the state search
Practice location
1000 19TH St S, Birmingham, AL 35205
Phone
(205) 930-0700
Enumerated
Jul 2, 2006
Record last updated
Jul 10, 2026
Medicaid IDs
0727560 IA
200197860A OK
Medicare enrollment
Enrolled (PECOS I20190415000582); accepts Medicare assignment
Medical or professional school
Wake Forest University School Of Medicine, 2002
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 1000 19TH St S

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Kristin Bains, M.D.Ophthalmology Physician1386847374
  2. Jennifer Davidson, M.D.Pediatric Ophthalmology and Strabismus Specialist Physician1528379716
  3. Frederick Elsas, M.D.Ophthalmology Physician1225031743
  4. Roger Henry, MDOphthalmology Physician1801532536
  5. Colette Jackson, MDPediatric Ophthalmology and Strabismus Specialist Physician1174943138
  6. John Long, M.D.Ophthalmic Plastic and Reconstructive Surgery Physician1861495384

Verify Adam Gregory De La Garza in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersAlabama Board of Medical Examiners
    Search for license 54096
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Alabama license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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93% fewer Medicare Part D claims than the average ophthalmology physician in 2024

108 Medicare Part D claims for 52 beneficiaries, against an average of 1,518 among the 16,459 providers of this specialty who prescribed in Part D. 18 claims were for opioids.

  1. Adam De La Garza108
  2. Specialty average1,518

Most prescribed

  1. Erythromycin56 claims
  2. Tramadol Hcl11 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

The MIPS final score for 2023 (Medicare payment program): 92.3 of 100

The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score73.8
  2. Costnot scored (reweighted)
  3. Promoting interoperabilityout of 100 · 25%100.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $256.08

5 payments; by number, the most common kind was food and beverage; the largest payer was Amgen Inc. The 13,221 providers of this specialty with any payment received $4,535.02 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Adam De La Garza$256.08
  2. Specialty average$4,535.02

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through 2 group practices

  1. Emory Medical Care Foundation IncAtlanta, GA
  2. The Emory Clinic IncAtlanta, GA

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Adam Gregory De La Garza among 234 ophthalmology physician records in Alabama

Adam Gregory De La Garza, MD is one of 234 ophthalmology physician records with a practice address in Alabama. 77% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 25% of them.

  • NPI issued2006 · 25% of these records are older, 35% newer
  • In a Medicare fileYes · 77% of these records are
  • In the CMS Doctors and Clinicians fileYes · 64% of these records are
  • Graduated2002 · median 1999 among the 148 with a school on file
  • Record last updated2026 · 65% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207W00000X and a Alabama practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Ophthalmology Physician providers in Alabama

There are 234 ophthalmology physician records in Alabama.

The 8 ophthalmology physician records with the nearest ZIP codes

  1. Thomas Allison, M.D.Birmingham, AL 352051558365544
  2. Kristin Bains, M.D.Birmingham, AL 352051386847374
  3. Bry Coburn, MDBirmingham, AL 352051831171024
  4. Frederick Elsas, M.D.Birmingham, AL 352051225031743
  5. Harold Helms, MD, PHDBirmingham, AL 352051073605630
  6. Elizabeth Holley, MDBham, AL 352051982751509
  7. Stephen Kelly, MDBirmingham, AL 352051205059169
  8. James Kimble, M.D.Birmingham, AL 352051285663732

Common questions

What is Adam Gregory De La Garza, MD's NPI number?

Adam Gregory De La Garza, MD's National Provider Identifier (NPI) is 1609805522, issued on Jul 2, 2006. An NPI identifies a provider in billing; it is not a license.

Where is Adam Gregory De La Garza, MD located?

The NPPES record lists a practice address at 1000 19TH St S, Birmingham, AL, 35205. Phone: (205) 930-0700. Providers update this record themselves, so call before visiting.

How can I verify Adam Gregory De La Garza, MD's license?

NPPES lists Alabama license number 54096, as entered by the provider. Search the Alabama Board of Medical Examiners at https://www.albme.gov/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Adam Gregory De La Garza, MD prescribe under Medicare Part D?

In 2024, Adam Gregory De La Garza, MD had 108 Medicare Part D claims for 52 beneficiaries; the average among ophthalmology physician prescribers was 1,518. Part D covers Medicare prescriptions only.

What is Adam Gregory De La Garza, MD's MIPS final score?

The 2023 MIPS final score is 92.3 of 100. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.