2026 NPPES data Emergency Medicine Physician NPI 1225491046 M.D.
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ERNESTO GARCIA FLORES, M.D.

Emergency Medicine Physician in MCALLEN, Texas. 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
197
Medicare Part D claims · 139 beneficiaries · Emergency Medicine Physician avg: 352
MIPS score
82.0408/100
▼ 1 pts below national avg 83.1 · [object Object]
Industry payments
$240.43
2 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

ERNESTO GARCIA FLORES, M.D. reported a CMS MIPS final score of 82.0408/100 — below the 83.1 national average — and filed 197 Medicare Part D claims in 2023.

82.0408/100
MIPS score · -1 vs avg
197
Part D claims, 2023
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.

ERNESTO GARCIA FLORES, M.D.'s MIPS score vs every scored U.S. clinician

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

82 39th percentile higher than 39% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). This entry sits in this band. 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)

ERNESTO GARCIA FLORES, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 7 hospital affiliations — 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 ERNESTO GARCIA FLORES, M.D.?

Near national average

NPI registry status

Active

Issued 03/30/2016

NPI 1225491046

Primary specialty

Emergency Medicine Physician

High-volume

64,398 US NPIs in this specialty

Medicare Part D claims

197 44% vs specialty avg

2023 prescription claims

Specialty avg: 352

MIPS final score

82.0408/100 1.05919999999999% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Texas

How Emergency Medicine Physician compares to other specialties among Texas providers

Texas providers

Emergency Medicine Physician share within Texas

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

Medicare quality performance — MIPS

ERNESTO GARCIA FLORES, M.D.'s 2023 MIPS final score plotted against the Emergency Medicine Physician national average

Near national average
MIPS Final Score
82.0408/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Emergency Medicine Physician) — 82.0408/100 vs national avg 83.1

0%100%National avg83%82%
MIPS final score (Emergency Medicine Physician) — 82.0408/100 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).

ERNESTO GARCIA FLORES, M.D. appears in the CMS NPPES registry as a Emergency Medicine Physician provider holding M.D. credentials at 205 E TORONTO AVE, MCALLEN, TX, 78503, with a listed phone of (956) 687-6155. NPI 1225491046 was issued on 03/30/2016. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what GARCIA FLORES 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 197 prescription claims written by this provider, covering 139 Medicare beneficiaries and totaling roughly $2K 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 82.0408/100 for the 2023 performance year (Quality 67.1068), compared with the national average of 83.1.

Emergency Medicine Physician is a high-volume specialty nationwide, with 64,398 enrolled providers across 56 states and an average of 352 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

205 E TORONTO AVE
MCALLEN, TX 78503

Provider Details

NPI 1225491046
Specialty Emergency Medicine Physician
Credentials M.D.
Gender Male
NPI Issued 03/30/2016

CMS Quality Score (MIPS)

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

82.0408
Final Score
Avg: 83.1
67.1068
Quality

Reporting: Group practice

Hospital and facility affiliations

Facilities where ERNESTO GARCIA FLORES, M.D. 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.

CANYON SPRINGS EMERGENCY MEDICINE ASSOCIATES PA
ALAMO, TX
EDINBURG EMERGENCY MEDICINE ASSOCIATES PA
EDINBURG, TX
EMERGENCY MEDICINE SERVICES OF TX, PLLC
MCALLEN, TX
MCALLEN EMERGENCY MEDICINE ASSOCIATES PA
MCALLEN, TX
MUNICIPAL EMERGENCY MEDICINE ASSOCIATES, PA
EDINBURG, TX
OAK CREEK EMERGENCY MEDICINE ASSOCIATES PA
MCALLEN, TX

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 ERNESTO GARCIA FLORES, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$240

Largest payer

AstraZeneca Pharmaceuticals LP

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.

License & disciplinary context — Texas TMB 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 ~77K Texas medical licensees in 2023 — they are NOT specific to ERNESTO GARCIA FLORES, M.D.. To verify ERNESTO GARCIA FLORES, M.D.'s current license status, search the TMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

344
Total board actions, Texas 2023
Across 334 cases
4.47
Actions per 1,000 licensees
Texas statewide rate
probation
Most common action type
94 cases

TMB 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 Texas 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.

197
Total Claims
$2K
Total Drug Cost
139
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
198
Total Day Supply
2,137
Generic Drug Cost
$2K
Antibiotic Claims
88

Patient Demographics

Average Patient Age
70.4 years
Avg HCC Risk Score
2.06
Gender Split
66% female / 34% male
Age Distribution
<65: 25, 65-74: 63, 75-84: 40, 85+: 11

Top Prescribed Drugs (Medicare Part D)

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

What ERNESTO GARCIA FLORES, M.D. 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
Azithromycin
29
Cephalexin
21
Ibuprofen
16
Ondansetron Odt
Ondansetron
16
Cefdinir
11

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

Emergency Medicine Physician Overview

How ERNESTO GARCIA FLORES, M.D. fits within the Emergency Medicine Physician landscape nationally.

64,398
Emergency Medicine Physician Providers in US
56
States with Emergency Medicine Physician
352
Avg Claims per Provider

ERNESTO GARCIA FLORES, M.D.'s 197 claims are below the specialty average of 352.

Nearby Emergency Medicine Physician Providers in Texas

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

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

Frequently Asked Questions

What is ERNESTO GARCIA FLORES, M.D.'s specialty?
ERNESTO GARCIA FLORES, M.D. specializes in Emergency Medicine Physician and practices in MCALLEN, Texas. Credentials: M.D..
How much does ERNESTO GARCIA FLORES, M.D. prescribe under Medicare Part D?
In 2023, ERNESTO GARCIA FLORES, M.D. wrote 197 Medicare Part D claims totaling $2K in drug costs for 139 beneficiaries.
What is ERNESTO GARCIA FLORES, M.D.'s Medicare quality score?
ERNESTO GARCIA FLORES, M.D. has a CMS MIPS Final Score of 82.0408/100 (Quality: 67.1068). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is ERNESTO GARCIA FLORES, M.D. located?
ERNESTO GARCIA FLORES, M.D. is located at 205 E TORONTO AVE, MCALLEN, TX, 78503. Phone: (956) 687-6155.
What is ERNESTO GARCIA FLORES, M.D.'s NPI number?
ERNESTO GARCIA FLORES, M.D.'s National Provider Identifier (NPI) is 1225491046, issued on 03/30/2016.
How many Emergency Medicine Physician providers are there in the US?
There are 64,398 Emergency Medicine Physician providers across 56 states in the US. The average Emergency Medicine Physician provider writes 352 Medicare Part D claims per year.
What drugs does ERNESTO GARCIA FLORES, M.D. prescribe most often?
Based on 2023 Medicare Part D data, ERNESTO GARCIA FLORES, M.D.'s most frequently prescribed drugs include Azithromycin, Cephalexin, Ibuprofen. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does ERNESTO GARCIA FLORES, M.D. accept Medicare?
ERNESTO GARCIA FLORES, M.D. appears in CMS Medicare data with 197 Part D claims and 139 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify ERNESTO GARCIA FLORES, M.D.'s credentials?
ERNESTO GARCIA FLORES, M.D.'s NPI is 1225491046 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