Alejandro Garcia, M.D.
Sports Medicine (Family Medicine) Physician · Appleton, WI
Alejandro Garcia, M.D. is a sports medicine (family medicine) physician with a practice address in Appleton, Wisconsin, and NPI 1073703153, issued on Jul 26, 2007. Check the license (Wisconsin 54203-020, as entered in NPPES) on the Wisconsin Medical Examining Board; the Medicare figures below come from public CMS files.
- Name
- Alejandro Garcia
- Credential
- M.D.
- Primary taxonomy
- Sports Medicine (Family Medicine) Physician 207QS0010X
- License numbers
- 54203-020 WI
51582 MN
Self-reported in NPPES; status is on the state search - Practice location
- 1531 S Madison St, Appleton, WI 54915
- Phone
- (920) 996-3700
- Enumerated
- Jul 26, 2007
- Record last updated
- May 14, 2021 (not updated in 5 years: call before relying on the address or phone)
- Medicaid ID
- ENROLLED MN
- Medicare enrollment
- Enrolled (PECOS I20110405000911); accepts Medicare assignment
- Medical or professional school
- University Of Puerto Rico School Of Medicine, 2007
- Telehealth
- Offers telehealth (CMS)
- Entity
- Type 1 · individual
Also registered at 1531 S Madison St
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Brandi Andrews, CSACAddiction (Substance Use Disorder) Counselor1225780414
- Kailie Beck, ANPN, FNP-CFamily Nurse Practitioner1003600149
- Sarah Brosman, PMHNPPsychiatric/Mental Health Nurse Practitioner1285368449
- Jennifer CarrollSurgical Technologist1528244795
- Jennifer Castro, SACAddiction (Substance Use Disorder) Counselor1043994353
- Cathleen Cunningham, LCSWClinical Social Worker1245317833
Verify Alejandro Garcia in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWisconsin Medical Examining Board
Search for license 54203-020Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
4% more Medicare Part D claims than the average sports medicine (family medicine) physician in 2024
889 Medicare Part D claims for 220 beneficiaries, against an average of 855 among the 2,237 providers of this specialty who prescribed in Part D. Brand-name drugs were 2% of claims. 613 claims were for opioids.
Most prescribed
- Oxycodone Hcl297 claims
- Hydrocodone-Acetaminophen207 claims
- Acetaminophen-Codeine58 claims
- Gabapentin57 claims
- Tramadol Hcl48 claims
- Prednisone44 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 practice group's MIPS final score for 2023 (Medicare payment program): 77.8 of 100
The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $100.03
3 payments; by number, the most common kind was food and beverage; the largest payer was Spr Therapeutics, Inc. The 1,218 providers of this specialty with any payment received $781.49 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through one group practice
- Orthopedic And Sports Medicine Specialists OF Green Bay SCNeenah, WI
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Sports Medicine (Family Medicine) Physician providers in Wisconsin
There are 51 sports medicine (family medicine) physician records in Wisconsin.
Other sports medicine (family medicine) physician records in Wisconsin
- Benjamin Abeyta, M.D.Wauwatosa, WI1447511597
- Rula Al-Baghdadi, MDBeaver Dam, WI1154819761
- Adam Atkins, MDEau Claire, WI1396057899
- Benjamin Bondow, M.D.Wauwatosa, WI1821478769
- Daniel Brannen, DOGreen Bay, WI1922687409
- Matthew Brown, MDMadison, WI1811203706
- Marjorie Delo, MDGreen Bay, WI1356424691
- Myriam Donovitch, M.DKenosha, WI1093332389
- Deanne Eccles Rotar, MDJanesville, WI1932163110
- Jon Englund, M.D.Pewaukee, WI1871552125
Common questions
What is Alejandro Garcia, M.D.'s NPI number?
Alejandro Garcia, M.D.'s National Provider Identifier (NPI) is 1073703153, issued on Jul 26, 2007. An NPI identifies a provider in billing; it is not a license.
Where is Alejandro Garcia, M.D. located?
The NPPES record lists a practice address at 1531 S Madison St, Appleton, WI, 54915. Phone: (920) 996-3700. Providers update this record themselves, so call before visiting.
How can I verify Alejandro Garcia, M.D.'s license?
NPPES lists Wisconsin license number 54203-020, as entered by the provider. Search the Wisconsin Medical Examining Board at https://dsps.wi.gov/Pages/BoardsCouncils/MEB/Default.aspx. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Alejandro Garcia, M.D. prescribe under Medicare Part D?
In 2024, Alejandro Garcia, M.D. had 889 Medicare Part D claims for 220 beneficiaries; the average among sports medicine (family medicine) physician prescribers was 855. Part D covers Medicare prescriptions only.
What is Alejandro Garcia, M.D.'s MIPS final score?
The 2023 MIPS final score is 77.8 of 100, reported for the practice group. 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.