ASHLEIGH GARCIA, CRNP
Nurse Practitioner in PITTSBURGH, Pennsylvania. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.
What the federal data shows
ASHLEIGH GARCIA, CRNP reported a CMS MIPS final score of 77.5068/100 — below the 83.1 national average — and filed 570 Medicare Part D claims in 2023.
- 77.5068/100
- MIPS score · -6 vs avg
- 570
- Part D claims, 2023
- $24
- industry payments (Sunshine Act)
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.
ASHLEIGH GARCIA, CRNP's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure
78 24th percentile higher than 24% of 477,587 scored providers
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
What does the federal data show about ASHLEIGH GARCIA, CRNP?
Below national averagePrimary specialty
Medicare Part D claims
MIPS final score
Specialty distribution in Pennsylvania
How Nurse Practitioner compares to other specialties among Pennsylvania providers
Nurse Practitioner share within Pennsylvania
Nurse Practitioner is one of the more visible NUCC categories in Pennsylvania
Each bar reflects the share of in-state providers whose primary NUCC taxonomy matches the specialty. Long tail of ~690 NUCC codes folded into "Other" to keep the comparison legible.
Medicare quality performance — MIPS
ASHLEIGH GARCIA, CRNP's 2023 MIPS final score plotted against the Nurse Practitioner national average
- MIPS Final Score
- 77.5068/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Nurse Practitioner) — 77.5068/100 vs national avg 83.1
Quality benchmarks
- National MIPS avg 2023 reporting year
- Quality dim CMS Quality category
- Cost dim CMS Cost category
- Specialty volume Nurse Practitioner US NPIs
77.5068/100 MIPS final score — 5.6 pts below the 83.1 national average
Quality, Cost, Promoting Interoperability, and Improvement Activities composite score for the 2023 performance year. Specialty: Nurse Practitioner. Quality dim: 68.6144. Cost dim: 56.4081.
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).
ASHLEIGH GARCIA, CRNP appears in the CMS NPPES registry as a Nurse Practitioner provider holding CRNP credentials at 9104 BABCOCK BLVD STE 6000, PITTSBURGH, PA, 15237, with a listed phone of (412) 358-9613. NPI 1457685000 was issued on 09/30/2009. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what GARCIA 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 570 prescription claims written by this provider, covering 331 Medicare beneficiaries and totaling roughly $17K in drug spend, with an opioid prescribing rate of 16.3%. 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 77.5068/100 for the 2023 performance year (Quality 68.6144, Cost 56.4081), compared with the national average of 83.1.
Nurse Practitioner is a high-volume specialty nationwide, with 87,227 enrolled providers across 56 states and an average of 1,084 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
Provider Details
| NPI | 1457685000 |
|---|---|
| Specialty | Nurse Practitioner |
| Credentials | CRNP |
| Gender | Female |
| NPI Issued | 09/30/2009 |
Verify this provider's license
PlainDoctor pulls this profile from the CMS NPPES public registry. Confirm ASHLEIGH GARCIA, CRNP's current license status, disciplinary history, and board certifications with the Pennsylvania State Board of Medicine in Pennsylvania before relying on this page for a clinical or care decision.
How we sourced this profile
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
Reporting: Group practice
Hospital and facility affiliations
Facilities where ASHLEIGH GARCIA, CRNP 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.
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 ASHLEIGH GARCIA, CRNP. Source: openpaymentsdata.cms.gov.
Total received
$24
Largest payer
Takeda Pharmaceuticals U.S.A., 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.
License & disciplinary context — Pennsylvania PA-BOM 2023 annual report
Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~45K Pennsylvania medical licensees in 2023 — they are NOT specific to ASHLEIGH GARCIA, CRNP. To verify ASHLEIGH GARCIA, CRNP's current license status, search the PA-BOM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
PA-BOM publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Pennsylvania disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
Prescribing Breakdown
- 30-Day Fills
- 662
- Total Day Supply
- 13,861
- Generic Drug Cost
- $9K
- Opioid Claims
- 93 (16.3% rate)
- Antibiotic Claims
- 116
Patient Demographics
- Average Patient Age
- 74.1 years
- Avg HCC Risk Score
- 1.31
- Gender Split
- 64% female / 36% male
- Age Distribution
- <65: 24, 65-74: 149, 75-84: 118, 85+: 40
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What ASHLEIGH GARCIA, CRNP prescribes most
Top Medicare Part D drugs by claim count, 2023
- Hydrocodone-Acetam…
Hydrocodone-Acetaminophen
35 claims
- Fluticasone Propio…
Fluticasone Propionate
28 claims
- Amoxicillin-Clavul…
Amoxicillin-Clavulanate Potass
24 claims
- Tramadol Hcl
Tramadol Hcl
22 claims
- Alprazolam
Alprazolam
20 claims
- Azithromycin
Azithromycin
19 claims
- Clonazepam
Clonazepam
19 claims
- Lorazepam
Lorazepam
19 claims
| Drug | Claims |
|---|---|
| Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen | 35 |
| Fluticasone Propionate | 28 |
| Amoxicillin-Clavulanate Potass Amoxicillin/Potassium Clav | 24 |
| Tramadol Hcl | 22 |
| Alprazolam | 20 |
| Azithromycin | 19 |
| Clonazepam | 19 |
| Lorazepam | 19 |
| Zolpidem Tartrate | 19 |
| Doxycycline Monohydrate | 18 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Nurse Practitioner Overview
How ASHLEIGH GARCIA, CRNP fits within the Nurse Practitioner landscape nationally.
ASHLEIGH GARCIA, CRNP's 570 claims are below the specialty average of 1,084.
Nearby Nurse Practitioner Providers in Pennsylvania
Other clinicians with the same primary specialty enrolled in Pennsylvania, drawn from the same CMS NPPES roster as GARCIA.
Compare Nurse Practitioner nationally: see state-by-state distribution →
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Frequently Asked Questions
What is ASHLEIGH GARCIA, CRNP's specialty? ▼
How much does ASHLEIGH GARCIA, CRNP prescribe under Medicare Part D? ▼
What is ASHLEIGH GARCIA, CRNP's Medicare quality score? ▼
Where is ASHLEIGH GARCIA, CRNP located? ▼
What is ASHLEIGH GARCIA, CRNP's NPI number? ▼
Does ASHLEIGH GARCIA, CRNP prescribe opioids? ▼
How many Nurse Practitioner providers are there in the US? ▼
What drugs does ASHLEIGH GARCIA, CRNP prescribe most often? ▼
Does ASHLEIGH GARCIA, CRNP accept Medicare? ▼
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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