2026 NPPES data Podiatrist NPI 1194169557
Verify on CMS →

CARMEN GARCIA

Podiatrist in MOUNT PROSPECT, Illinois. 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
4K
Medicare Part D claims · 508 beneficiaries · Podiatrist avg: 304
MIPS score
75/100
▼ 8 pts below national avg 83.1 · [object Object]
What the federal data reveals: CARMEN GARCIA is a Podiatrist ([object Object]) practicing in MOUNT PROSPECT, Illinois with a Medicare Part D prescribing footprint of 4K claims across 508 beneficiaries . Their CMS MIPS Final Score of 75/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities .

What stands out: CARMEN GARCIA reported a CMS MIPS final score of 75 out of 100, below the 83.1 national average, and filed 3,527 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

CARMEN GARCIA at a glance

Below national average

NPI registry status

Active

Issued 04/29/2013

NPI 1194169557

Primary specialty

Podiatrist

Mid-sized

10,498 US NPIs in this specialty

Medicare Part D claims

3,527 1060% vs specialty avg

2023 prescription claims

Specialty avg: 304

MIPS final score

75/100 8.099999999999994% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Illinois

How Podiatrist compares to other specialties among Illinois providers

Illinois providers

Podiatrist share within Illinois

1. Podiatrist42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Podiatrist share within Illinois

Medicare quality performance — MIPS

CARMEN GARCIA's 2023 MIPS final score plotted against the Podiatrist national average

Below national average
MIPS Final Score
75/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Podiatrist) — 75/100 vs national avg 83.1

0%100%National avg83%75%
MIPS final score (Podiatrist) — 75/100 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).

CARMEN GARCIA is a Podiatrist provider practicing in MOUNT PROSPECT, Illinois, according to the CMS National Plan and Provider Enumeration System (NPPES). NPI: 1194169557. 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.

CARMEN GARCIA appears in the CMS NPPES registry as a Podiatrist provider at 1406 S CHESTNUT DR, MOUNT PROSPECT, IL, 60056, with a listed phone of (708) 628-4520. NPI 1194169557 was issued on 04/29/2013. 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 3,527 prescription claims written by this provider, covering 508 Medicare beneficiaries and totaling roughly $121K in drug spend. 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 75/100 for the 2023 performance year, compared with the national average of 83.1.

Podiatrist is a mid-sized specialty nationwide, with 10,498 enrolled providers across 54 states and an average of 304 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

1406 S CHESTNUT DR
MOUNT PROSPECT, IL 60056

Provider Details

NPI 1194169557
Specialty Podiatrist
Gender Female
NPI Issued 04/29/2013

CMS Quality Score (MIPS)

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

75
Final Score
Avg: 83.1

Reporting: Group practice

License & disciplinary context — Illinois IDFPR 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 ~42K Illinois medical licensees in 2023 — they are NOT specific to CARMEN GARCIA. To verify CARMEN GARCIA's current license status, search the IDFPR public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

106
Total board actions, Illinois 2023
Across 103 cases
2.52
Actions per 1,000 licensees
Illinois statewide rate
probation
Most common action type
38 cases

IDFPR 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 Illinois 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.

3,527
Total Claims
$121K
Total Drug Cost
508
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
3,884
Total Day Supply
111,388
Brand Drug Cost
$0
Generic Drug Cost
$121K
Antibiotic Claims
28

Patient Demographics

Average Patient Age
77.6 years
Avg HCC Risk Score
2.31
Gender Split
71% female / 29% male
Age Distribution
<65: 40, 65-74: 141, 75-84: 198, 85+: 129

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Ketoconazole
1,395
Ammonium Lactate
1,287
Diclofenac Sodium
262
Nystatin
230
Mupirocin
124
Triamcinolone Acetonide
81
Nyamyc
Nystatin
41
Doxycycline Hyclate
26
Lidocaine
15
Methylprednisolone
14

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

Podiatrist Overview

How CARMEN GARCIA fits within the Podiatrist landscape nationally.

10,498
Podiatrist Providers in US
54
States with Podiatrist
304
Avg Claims per Provider

CARMEN GARCIA's 3,527 claims are above the specialty average of 304.

Nearby Podiatrist Providers in Illinois

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

Compare Podiatrist nationally: see state-by-state distribution →

Frequently Asked Questions

What is CARMEN GARCIA's specialty?
CARMEN GARCIA specializes in Podiatrist and practices in MOUNT PROSPECT, Illinois.
How much does CARMEN GARCIA prescribe under Medicare Part D?
In 2023, CARMEN GARCIA wrote 3,527 Medicare Part D claims totaling $121K in drug costs for 508 beneficiaries.
What is CARMEN GARCIA's Medicare quality score?
CARMEN GARCIA has a CMS MIPS Final Score of 75/100. The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is CARMEN GARCIA located?
CARMEN GARCIA is located at 1406 S CHESTNUT DR, MOUNT PROSPECT, IL, 60056. Phone: (708) 628-4520.
What is CARMEN GARCIA's NPI number?
CARMEN GARCIA's National Provider Identifier (NPI) is 1194169557, issued on 04/29/2013.
How many Podiatrist providers are there in the US?
There are 10,498 Podiatrist providers across 54 states in the US. The average Podiatrist provider writes 304 Medicare Part D claims per year.
What drugs does CARMEN GARCIA prescribe most often?
Based on 2023 Medicare Part D data, CARMEN GARCIA's most frequently prescribed drugs include Ketoconazole, Ammonium Lactate, Diclofenac Sodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does CARMEN GARCIA accept Medicare?
CARMEN GARCIA appears in CMS Medicare data with 3,527 Part D claims and 508 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify CARMEN GARCIA's credentials?
CARMEN GARCIA's NPI is 1194169557. 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