NPPES file of Aug 9, 2026

Enrique Garcia-Valenzuela, MD

Retina Specialist (Ophthalmology) Physician · Des Plaines, IL

Enrique Garcia-Valenzuela, MD is a retina specialist (ophthalmology) physician with a practice address in Des Plaines, Illinois, and NPI 1356316855, issued on Feb 20, 2006. Check the license (Illinois 036113179, as entered in NPPES) on the Illinois Department of Financial and Professional Regulation; 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
1356316855
Name
Enrique Garcia-Valenzuela
Credential
MD
Primary taxonomy
Retina Specialist (Ophthalmology) Physician 207WX0107X
License numbers
036113179 IL
036-113179 IL
Self-reported in NPPES; status is on the state search
Practice location
8901 W. Golf Road, Des Plaines, IL 60016
Phone
(847) 699-0006
Enumerated
Feb 20, 2006
Record last updated
Dec 20, 2021 (not updated in 5 years: call before relying on the address or phone)
Fax
(847) 699-1744
Medicaid ID
036113179 IL
Medicare enrollment
Enrolled (PECOS I20050505001151); 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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Verify Enrique Garcia-Valenzuela in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersIllinois Department of Financial and Professional Regulation
    Search for license 036113179
    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 Illinois license search

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10% more Medicare Part D claims than the average retina specialist (ophthalmology) physician in 2024

685 Medicare Part D claims for 194 beneficiaries, against an average of 620 among the 1,449 providers of this specialty who prescribed in Part D. Brand-name drugs were 54% of claims.

  1. Enrique Garcia-Valenzuela685
  2. Specialty average620

Most prescribed

  1. Prednisolone Acetate221 claims
  2. Latanoprost197 claims
  3. Brimonidine Tartrate101 claims
  4. Timolol Maleate49 claims
  5. Ketorolac Tromethamine34 claims
  6. Dorzolamide-Timolol25 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): 97.3 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 score100.0
  2. Costnot scored (reweighted)
  3. Promoting interoperabilityout of 100 · 25%91.0
  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: $441.12

18 payments; by number, the most common kind was food and beverage; the largest payer was Regeneron Healthcare Solutions, Inc. The 1,253 providers of this specialty with any payment received $7,667.49 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Enrique Garcia-Valenzuela$441.12
  2. Specialty average$7,667.49

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

Bills Medicare through one group practice

  1. Midwest Retina Consultants SCDes Plaines, IL

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Enrique Garcia-Valenzuela among 72 retina specialist (ophthalmology) physician records in Illinois

Enrique Garcia-Valenzuela, MD is one of 72 retina specialist (ophthalmology) physician records with a practice address in Illinois. 93% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 24% of them.

  • NPI issued2006 · 24% of these records are older, 57% newer
  • In a Medicare fileYes · 93% of these records are
  • In the CMS Doctors and Clinicians fileYes · 88% of these records are
  • Graduated1991 · median 2006 among the 63 with a school on file
  • Record last updated2021 · 35% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207WX0107X and a Illinois practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Retina Specialist (Ophthalmology) Physician providers in Illinois

There are 72 retina specialist (ophthalmology) physician records in Illinois.

The 8 retina specialist (ophthalmology) physician records with the nearest ZIP codes

  1. Daniel Alter, MDDes Plaines, IL 600161033184528
  2. Michael Blair, M.D.Des Plaines, IL 600161285645549
  3. Kyle Blair, DODes Plaines, IL 600161699121194
  4. John Galasso, M.D.Des Plaines, IL 600161588600647
  5. Robert Garoon, M.D.Des Plaines, IL 600161013275478
  6. Anand Gopal, MDDes Plaines, IL 600161720571722
  7. Saira Khanna, MDDes Plaines, IL 600161447744172
  8. Bryan Kim, MDDes Plaines, IL 600161326215039

Common questions

What is Enrique Garcia-Valenzuela, MD's NPI number?

Enrique Garcia-Valenzuela, MD's National Provider Identifier (NPI) is 1356316855, issued on Feb 20, 2006. An NPI identifies a provider in billing; it is not a license.

Where is Enrique Garcia-Valenzuela, MD located?

The NPPES record lists a practice address at 8901 W. Golf Road, Des Plaines, IL, 60016. Phone: (847) 699-0006. Providers update this record themselves, so call before visiting.

How can I verify Enrique Garcia-Valenzuela, MD's license?

NPPES lists Illinois license number 036113179, as entered by the provider. Search the Illinois Department of Financial and Professional Regulation at https://idfpr.illinois.gov/checklicense.html. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Enrique Garcia-Valenzuela, MD prescribe under Medicare Part D?

In 2024, Enrique Garcia-Valenzuela, MD had 685 Medicare Part D claims for 194 beneficiaries; the average among retina specialist (ophthalmology) physician prescribers was 620. Part D covers Medicare prescriptions only.

What is Enrique Garcia-Valenzuela, MD's MIPS final score?

The 2023 MIPS final score is 97.3 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.