2026 NPPES data Nuclear Medicine Physician NPI 1912984667 M.D.
Verify on CMS →

CARLOS GARCIA, M.D.

Nuclear Medicine Physician in SAN JUAN, Puerto Rico. 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
66
Medicare Part D claims · 21 beneficiaries · Nuclear Medicine Physician avg: 881
Generic prescribing
55%
generic claims · 45% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
83.3333/100
▲ 0 pts above national avg 83.1 · [object Object]
Industry payments
$53.32
1 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: CARLOS GARCIA, M.D. is a Nuclear Medicine Physician ([object Object]) practicing in SAN JUAN, Puerto Rico with a Medicare Part D prescribing footprint of 66 claims across 21 beneficiaries — 45% brand-name prescribing . Their CMS MIPS Final Score of 83.3333/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $53.32 across 1 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: CARLOS GARCIA, M.D. reported a CMS MIPS final score of 83.3333 out of 100, above the 83.1 national average, and filed 66 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)

CARLOS GARCIA, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

CARLOS GARCIA, M.D. at a glance

Near national average

NPI registry status

Active

Issued 12/23/2005

NPI 1912984667

Primary specialty

Nuclear Medicine Physician

Niche

913 US NPIs in this specialty

Medicare Part D claims

66 93% vs specialty avg

2023 prescription claims

Specialty avg: 881

MIPS final score

83.3333/100 0.23329999999999984% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Puerto Rico

How Nuclear Medicine Physician compares to other specialties among Puerto Rico providers

Puerto Rico providers

Nuclear Medicine Physician share within Puerto Rico

1. Nuclear Medicine Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Nuclear Medicine Physician share within Puerto Rico

Medicare quality performance — MIPS

CARLOS GARCIA, M.D.'s 2023 MIPS final score plotted against the Nuclear Medicine Physician national average

Near national average
MIPS Final Score
83.3333/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Nuclear Medicine Physician) — 83.3333/100 vs national avg 83.1

0%100%National avg83%83.3%
MIPS final score (Nuclear Medicine Physician) — 83.3333/100 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).

CARLOS GARCIA, M.D. is a Nuclear Medicine Physician provider practicing in SAN JUAN, Puerto Rico, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1912984667. 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.

CARLOS GARCIA, M.D. appears in the CMS NPPES registry as a Nuclear Medicine Physician provider holding M.D. credentials at 525 AVE FD ROOSEVELT, SAN JUAN, PR, 00918, with a listed phone of (787) 237-0554. NPI 1912984667 was issued on 12/23/2005. 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 66 prescription claims written by this provider, covering 21 Medicare beneficiaries and totaling roughly $16K in drug spend, split 45% brand-name and 55% generic by claim count. 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 83.3333/100 for the 2023 performance year (Quality 66.6667), compared with the national average of 83.1.

Nuclear Medicine Physician is a narrow specialty nationwide, with 913 enrolled providers across 48 states and an average of 881 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

525 AVE FD ROOSEVELT
SAN JUAN, PR 00918

Provider Details

NPI 1912984667
Specialty Nuclear Medicine Physician
Credentials M.D.
Gender Male
NPI Issued 12/23/2005

CMS Quality Score (MIPS)

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

83.3333
Final Score
Avg: 83.1
66.6667
Quality

Reporting: Individual

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 CARLOS GARCIA, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$53

Largest payer

Johnson and Johnson International

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.

Brand vs generic prescribing mix · Above average

CARLOS GARCIA, M.D. — brand share 45.0%
Specialty average (est.)

45% brand-name claims vs 55% generic, on 66 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

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

66
Total Claims
$16K
Total Drug Cost
21
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
93
Total Day Supply
2,126
Brand vs Generic
45% brand / 55% generic
Brand Drug Cost
$15K
Generic Drug Cost
$614

Patient Demographics

Average Patient Age
75.0 years
Avg HCC Risk Score
1.68

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Methylprednisolone
17
Repatha Syringe
Evolocumab
14

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

Nuclear Medicine Physician Overview

How CARLOS GARCIA, M.D. fits within the Nuclear Medicine Physician landscape nationally.

913
Nuclear Medicine Physician Providers in US
48
States with Nuclear Medicine Physician
881
Avg Claims per Provider

CARLOS GARCIA, M.D.'s 66 claims are below the specialty average of 881.

Nearby Nuclear Medicine Physician Providers in Puerto Rico

Other clinicians with the same primary specialty enrolled in Puerto Rico, drawn from the same CMS NPPES roster as GARCIA.

Compare Nuclear Medicine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is CARLOS GARCIA, M.D.'s specialty?
CARLOS GARCIA, M.D. specializes in Nuclear Medicine Physician and practices in SAN JUAN, Puerto Rico. Credentials: M.D..
How much does CARLOS GARCIA, M.D. prescribe under Medicare Part D?
In 2023, CARLOS GARCIA, M.D. wrote 66 Medicare Part D claims totaling $16K in drug costs for 21 beneficiaries.
What is CARLOS GARCIA, M.D.'s Medicare quality score?
CARLOS GARCIA, M.D. has a CMS MIPS Final Score of 83.3333/100 (Quality: 66.6667). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is CARLOS GARCIA, M.D. located?
CARLOS GARCIA, M.D. is located at 525 AVE FD ROOSEVELT, SAN JUAN, PR, 00918. Phone: (787) 237-0554.
What is CARLOS GARCIA, M.D.'s NPI number?
CARLOS GARCIA, M.D.'s National Provider Identifier (NPI) is 1912984667, issued on 12/23/2005.
Does CARLOS GARCIA, M.D. prescribe more brand-name or generic drugs?
CARLOS GARCIA, M.D.'s prescribing is 45% brand-name and 55% generic drugs by claim count, with $15K in brand drug costs.
How many Nuclear Medicine Physician providers are there in the US?
There are 913 Nuclear Medicine Physician providers across 48 states in the US. The average Nuclear Medicine Physician provider writes 881 Medicare Part D claims per year.
What drugs does CARLOS GARCIA, M.D. prescribe most often?
Based on 2023 Medicare Part D data, CARLOS GARCIA, M.D.'s most frequently prescribed drugs include Methylprednisolone, Repatha Syringe. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does CARLOS GARCIA, M.D. accept Medicare?
CARLOS GARCIA, M.D. appears in CMS Medicare data with 66 Part D claims and 21 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify CARLOS GARCIA, M.D.'s credentials?
CARLOS GARCIA, M.D.'s NPI is 1912984667 with credentials M.D.. 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