NPPES file of Aug 9, 2026

Elvin R. Garcia, M.D.

Rheumatology Physician · McAllen, TX

Elvin R. Garcia, M.D. is a rheumatology physician with a practice address in McAllen, Texas, and NPI 1871547596, issued on May 19, 2006. Check the license (Texas K9538, as entered in NPPES) on the Texas Medical Board; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1871547596
Name
Elvin R. Garcia
Credential
M.D.
Primary taxonomy
Rheumatology Physician 207RR0500X
License number
K9538 TX
Self-reported in NPPES; status is on the state search
Practice location
811 E Fern Ave Ste 1, McAllen, TX 78501
Phone
(956) 630-2114
Enumerated
May 19, 2006
Record last updated
Dec 21, 2020 (not updated in 6 years: call before relying on the address or phone)
Fax
(956) 630-2155
Medicaid ID
0966582/02 TX
Medicare enrollment
Enrolled (PECOS I20050419000401); accepts Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 811 E Fern Ave Ste 1

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Rosalva Ruiz, P.A.-CPhysician Assistant1366685877

Verify Elvin R. Garcia in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersTexas Medical Board
    Search for license K9538
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Texas license search

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21.2 times the Medicare Part D claims of the average rheumatology physician in 2024

42,032 Medicare Part D claims for 3,573 beneficiaries, against an average of 1,978 among the 6,301 providers of this specialty who prescribed in Part D. 2,126 claims were for opioids.

  1. Elvin Garcia42,032
  2. Specialty average1,978

Most prescribed

  1. Gabapentin4,207 claims
  2. Baclofen2,721 claims
  3. Sulfasalazine2,712 claims
  4. Diclofenac Sodium2,161 claims
  5. Hydroxychloroquine Sulfate2,138 claims
  6. Leflunomide1,834 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 MIPS final score for 2023 (Medicare payment program): 75.4 of 100

The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score45.3
  2. Costout of 100 · 30%40.0
  3. Promoting interoperabilityout of 100 · 25%100.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $12,825.16

20 payments; by number, the most common kind was food and beverage; the largest payer was Amgen Inc. The 4,486 providers of this specialty with any payment received $8,538.33 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Elvin Garcia$12,825
  2. Specialty average$8,538

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Rheumatology Physician providers in Texas

There are 545 rheumatology physician records in Texas.

Other rheumatology physician records in Texas

  1. Zohair Abbas, MDHouston, TX1598944027
  2. Michael Abel, MDFredericksburg, TX1841270204
  3. Tareq Abou-Khamis, M.D.Houston, TX1851587612
  4. Robert Abresch, M.D.El Paso, TX1285628677
  5. Sampada Acharya, MDFort Worth, TX1033422662
  6. Waffiyah Afridi, M.D.Farmers Branch, TX1346400686
  7. Zeeshan Afzal, M.D.El Paso, TX1649586256
  8. Sandeep AgarwalHouston, TX1467489757
  9. Martha Aguilar, M.D.Houston, TX1750488805
  10. Fayyaz Ahmed, MDHouston, TX1669435996

Common questions

What is Elvin R. Garcia, M.D.'s NPI number?

Elvin R. Garcia, M.D.'s National Provider Identifier (NPI) is 1871547596, issued on May 19, 2006. An NPI identifies a provider in billing; it is not a license.

Where is Elvin R. Garcia, M.D. located?

The NPPES record lists a practice address at 811 E Fern Ave Ste 1, McAllen, TX, 78501. Phone: (956) 630-2114. Providers update this record themselves, so call before visiting.

How can I verify Elvin R. Garcia, M.D.'s license?

NPPES lists Texas license number K9538, as entered by the provider. Search the Texas Medical Board at https://profile.tmb.state.tx.us/Search.aspx. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Elvin R. Garcia, M.D. prescribe under Medicare Part D?

In 2024, Elvin R. Garcia, M.D. had 42,032 Medicare Part D claims for 3,573 beneficiaries; the average among rheumatology physician prescribers was 1,978. Part D covers Medicare prescriptions only.

What is Elvin R. Garcia, M.D.'s MIPS final score?

The 2023 MIPS final score is 75.4 of 100. 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.