2026 NPPES data Family Medicine Physician NPI 1740255728 MD
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EDWIN GAR-EL, MD

Family Medicine Physician in ELKTON, Maryland. 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
8K
Medicare Part D claims · 383 beneficiaries · Family Medicine Physician avg: 3K
Generic prescribing
86%
generic claims · 14% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
11.7994/100
▼ 71 pts below national avg 83.1 · [object Object]
Industry payments
$2.2K
125 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

EDWIN GAR-EL, MD reported a CMS MIPS final score of 11.7994/100 — below the 83.1 national average — and filed 7,668 Medicare Part D claims in 2023.

11.7994/100
MIPS score · -71 vs avg
8K
Part D claims, 2023
86%
generic prescribing
Likely
board-certified (heuristic)

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.

EDWIN GAR-EL, MD's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

12 2nd percentile higher than 2% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). This entry sits in this band. 20–30: 3,069 scored providers (1%). Above this entry. 30–40: 2,746 scored providers (1%). Above this entry. 40–50: 2,928 scored providers (1%). Above this entry. 50–60: 5,882 scored providers (1%). Above this entry. 60–70: 13,906 scored providers (3%). Above this entry. 70–80: 118,074 scored providers (25%). Above this entry. 80–90: 129,887 scored providers (27%). Above this entry. 90–100: 189,403 scored providers (40%). Above this entry. This provider 0 100 every MIPS-scored clinician, bucketed by value

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

Board certification likely (heuristic — not verified)

EDWIN GAR-EL, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about EDWIN GAR-EL, MD?

Below national average

NPI registry status

Active

Issued 02/22/2006

NPI 1740255728

Primary specialty

Family Medicine Physician

High-volume

147,640 US NPIs in this specialty

Medicare Part D claims

7,668 124% vs specialty avg

2023 prescription claims

Specialty avg: 3,418

MIPS final score

11.7994/100 71.30059999999999% pts

Penalty band band

vs 83.1 national avg

Specialty distribution in Maryland

How Family Medicine Physician compares to other specialties among Maryland providers

Maryland providers

Family Medicine Physician share within Maryland

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

Medicare quality performance — MIPS

EDWIN GAR-EL, MD's 2023 MIPS final score plotted against the Family Medicine Physician national average

Below national average
MIPS Final Score
11.7994/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Family Medicine Physician) — 11.7994/100 vs national avg 83.1

0%100%National avg83%11.8%
MIPS final score (Family Medicine Physician) — 11.7994/100 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).

EDWIN GAR-EL, MD appears in the CMS NPPES registry as a Family Medicine Physician provider holding MD credentials at 304 NORTH STREET, ELKTON, MD, 21921, with a listed phone of (410) 620-4747. NPI 1740255728 was issued on 02/22/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what GAR-EL 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 7,668 prescription claims written by this provider, covering 383 Medicare beneficiaries and totaling roughly $1.2 million in drug spend, split 14% brand-name and 86% generic by claim count, with an opioid prescribing rate of 2.0%. 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 11.7994/100 for the 2023 performance year (Quality 0, Cost 39.3313), compared with the national average of 83.1.

Family Medicine Physician is a high-volume specialty nationwide, with 147,640 enrolled providers across 56 states and an average of 3,418 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

304 NORTH STREET
ELKTON, MD 21921

Provider Details

NPI 1740255728
Specialty Family Medicine Physician
Credentials MD
Gender Male
NPI Issued 02/22/2006

CMS Quality Score (MIPS)

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

11.7994
Final Score
Avg: 83.1
0
Quality
39.3313
Cost

Reporting: Individual

Hospital and facility affiliations

Facilities where EDWIN GAR-EL, MD 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.

AGAPE PHYSICAL THERAPY AND SPORTS REHABILITATION LP
FOREST HILL, MD

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 EDWIN GAR-EL, MD. Source: openpaymentsdata.cms.gov.

Total received

$2.2K

Largest payer

Phathom Pharmaceuticals, 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.

Brand vs generic prescribing mix · Typical

EDWIN GAR-EL, MD — brand share 14.0%
Specialty average (est.)

14% brand-name claims vs 86% generic, on 7,668 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.

7,668
Total Claims
$1.2M
Total Drug Cost
383
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
17,401
Total Day Supply
500,511
Brand vs Generic
14% brand / 86% generic
Brand Drug Cost
$1.0M
Generic Drug Cost
$197K
Opioid Claims
155 (2.0% rate)
Antibiotic Claims
504

Patient Demographics

Average Patient Age
73.9 years
Avg HCC Risk Score
1.15
Gender Split
56% female / 44% male
Age Distribution
<65: 28, 65-74: 188, 75-84: 122, 85+: 45

Top Prescribed Drugs (Medicare Part D)

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

What EDWIN GAR-EL, MD prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Omeprazole
273
Levothyroxine Sodium
259
Amlodipine Besylate
235
Atorvastatin Calcium
199
Gabapentin
169
Montelukast Sodium
156
Prednisone
156
Sertraline Hcl
156
Rosuvastatin Calcium
149
Azithromycin
143

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

Family Medicine Physician Overview

How EDWIN GAR-EL, MD fits within the Family Medicine Physician landscape nationally.

147,640
Family Medicine Physician Providers in US
56
States with Family Medicine Physician
3,418
Avg Claims per Provider

EDWIN GAR-EL, MD's 7,668 claims are above the specialty average of 3,418.

Nearby Family Medicine Physician Providers in Maryland

Other clinicians with the same primary specialty enrolled in Maryland, drawn from the same CMS NPPES roster as GAR-EL.

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

Frequently Asked Questions

What is EDWIN GAR-EL, MD's specialty?
EDWIN GAR-EL, MD specializes in Family Medicine Physician and practices in ELKTON, Maryland. Credentials: MD.
How much does EDWIN GAR-EL, MD prescribe under Medicare Part D?
In 2023, EDWIN GAR-EL, MD wrote 7,668 Medicare Part D claims totaling $1.2M in drug costs for 383 beneficiaries.
What is EDWIN GAR-EL, MD's Medicare quality score?
EDWIN GAR-EL, MD has a CMS MIPS Final Score of 11.7994/100 (Quality: 0, Cost: 39.3313). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is EDWIN GAR-EL, MD located?
EDWIN GAR-EL, MD is located at 304 NORTH STREET, ELKTON, MD, 21921. Phone: (410) 620-4747.
What is EDWIN GAR-EL, MD's NPI number?
EDWIN GAR-EL, MD's National Provider Identifier (NPI) is 1740255728, issued on 02/22/2006.
Does EDWIN GAR-EL, MD prescribe more brand-name or generic drugs?
EDWIN GAR-EL, MD's prescribing is 14% brand-name and 86% generic drugs by claim count, with $1.0M in brand drug costs.
Does EDWIN GAR-EL, MD prescribe opioids?
Yes, EDWIN GAR-EL, MD had 155 opioid claims in 2023 with an opioid prescribing rate of 2.0%.
How many Family Medicine Physician providers are there in the US?
There are 147,640 Family Medicine Physician providers across 56 states in the US. The average Family Medicine Physician provider writes 3,418 Medicare Part D claims per year.
What drugs does EDWIN GAR-EL, MD prescribe most often?
Based on 2023 Medicare Part D data, EDWIN GAR-EL, MD's most frequently prescribed drugs include Omeprazole, Levothyroxine Sodium, Amlodipine Besylate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does EDWIN GAR-EL, MD accept Medicare?
EDWIN GAR-EL, MD appears in CMS Medicare data with 7,668 Part D claims and 383 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify EDWIN GAR-EL, MD's credentials?
EDWIN GAR-EL, MD's NPI is 1740255728 with credentials MD. 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