NPI registry status
Active
2026 NPPES data Critical Care Medicine (Internal Medicine) Physician NPI 1598931263 MD
Verify on CMS → Francisco Flores Guardado, MD
Critical Care Medicine (Internal Medicine) Physician in San Antonio, Texas.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 6,631 in Critical Care Medicine (Internal Medicine) Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
497
Medicare Part D claims · 104 beneficiaries · Critical Care Medicine (Internal Medicine) Physician avg: 1K
Generic prescribing
50%
generic claims · 50% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
92.2/100
▲ 9 pts above national avg 83.1 · Exceptional
Industry payments
$906.05
34 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Francisco Flores Guardado, MD reported a CMS MIPS final score of 92.2/100 - above the 83.1 national average - and filed 497 Medicare Part D claims in 2023.
- 92.2/100
- MIPS score · +9 vs avg
- 497
- Part D claims, 2023
- 50%
- 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.
Francisco Flores Guardado, MD's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
92 Top 32% higher than 68% of 477,587 scored providers
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
Where Francisco Flores Guardado, MD sits
This provider among critical care medicine (internal medicine) physician peers
Across the 1,643 critical care medicine (internal medicine) physician providers who report both Medicare Part D prescribing and a MIPS quality score, Francisco Flores Guardado, MD writes more Part D claims than 40% of them and scores higher on MIPS quality than 67% - placing this provider in the lower-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Part D claim volume vs MIPS quality, by specialty percentile
Each dot is one critical care medicine (internal medicine) physician peer from a representative sample of 60; the gold marker is Francisco Flores Guardado, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Francisco Flores Guardado, 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 Francisco Flores Guardado, MD?
High performer (top quartile)Primary specialty
Critical Care Medicine (Internal Medicine) Physician
Medicare Part D claims
497 54% vs specialty avg
MIPS final score
92.2/100 9.1 pts vs avg
Specialty distribution in Texas
How Critical Care Medicine (Internal Medicine) Physician compares to other specialties among Texas providers
Medicare quality performance, MIPS
Francisco Flores Guardado, MD's 2023 MIPS final score plotted against the Critical Care Medicine (Internal Medicine) Physician national average
- MIPS Final Score
- 92.2/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Critical Care Medicine (Internal Medicine) Physician) - 92.2/100 vs national avg 83.1
How MIPS and board certification work
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).
Francisco Flores Guardado, MD appears in the CMS NPPES registry as a Critical Care Medicine (Internal Medicine) Physician provider holding MD credentials at 10007 HUEBNER RD STE 402, San Antonio, TX, 78240, with a listed phone of (210) 692-0361. NPI 1598931263 was issued on 05/02/2008.
Medicare Part D records for calendar year 2023 show 497 prescription claims written by this provider, covering 104 Medicare beneficiaries and totaling roughly $619K in drug spend, split 50% brand-name and 50% generic by claim count. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 92.2/100 for the 2023 performance year (Quality 61.6, Cost 93), compared with the national average of 83.1.
Critical Care Medicine (Internal Medicine) Physician is a mid-sized specialty nationwide, with 6,631 enrolled providers across 53 states and an average of 1,069 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
Provider Details
| NPI | 1598931263 |
|---|---|
| Specialty | Critical Care Medicine (Internal Medicine) Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 05/02/2008 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
92.2053
Final Score
Avg: 83.1
61.5545
Quality
92.9583
Cost
93
Promoting Interoperability
Reporting: Individual
Hospital and facility affiliations
Facilities where Francisco Flores Guardado, 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.
Pulmonary Consultants OF San Antonio PA
San Antonio, 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 Francisco Flores Guardado, MD. Source: openpaymentsdata.cms.gov.
Total received
$906
Largest payer
Inari Medical, 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.
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 Francisco Flores Guardado, MD. To verify Francisco Flores Guardado, MD'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.
Brand vs generic prescribing mix · Brand-heavy
Francisco Flores Guardado, MD - brand share 50.0%
Critical Care Medicine (Internal Medicine) Physician average
50% brand-name claims vs 50% generic, on 497 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.
497
Total Claims
$619K
Total Drug Cost
104
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 688
- Total Day Supply
- 18,392
- Brand vs Generic
- 50% brand / 50% generic
- Brand Drug Cost
- $561K
- Generic Drug Cost
- $58K
- Antibiotic Claims
- 23
Patient Demographics
- Average Patient Age
- 72.8 years
- Avg HCC Risk Score
- 1.89
- Gender Split
- 63% female / 37% male
- Age Distribution
- <65: 12, 65-74: 51, 75-84: 29, 85+: 12
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Francisco Flores Guardado, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Montelukast Sodium
Montelukast Sodium
81 claims
- Albuterol Sulfate …
Albuterol Sulfate Hfa
76 claims
- Trelegy Ellipta
Trelegy Ellipta
55 claims
- Breo Ellipta
Breo Ellipta
47 claims
- Breztri Aerosphere 25
Breztri Aerosphere
25 claims
- Methylprednisolone 21
Methylprednisolone
21 claims
- Symbicort 19
Symbicort
19 claims
- Pirfenidone 18
Pirfenidone
18 claims
| Drug | Claims |
|---|---|
| Montelukast Sodium | 81 |
| Albuterol Sulfate Hfa Albuterol Sulfate | 76 |
| Trelegy Ellipta Fluticasone/Umeclidin/Vilanter | 55 |
| Breo Ellipta Fluticasone/Vilanterol | 47 |
| Breztri Aerosphere Budesonide/Glycopyr/Formoterol | 25 |
| Methylprednisolone | 21 |
| Symbicort Budesonide/Formoterol Fumarate | 19 |
| Pirfenidone | 18 |
| Uptravi Selexipag | 14 |
| Azithromycin | 11 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
More Critical Care Medicine (Internal Medicine) Physician in TX →
All providers in Texas →
Compare specialties →
Critical Care Medicine (Internal Medicine) Physician Overview
How Francisco Flores Guardado, MD fits within the Critical Care Medicine (Internal Medicine) Physician landscape nationally.
6,631
Critical Care Medicine (Internal Medicine) Physician Providers in US
53
States with Critical Care Medicine (Internal Medicine) Physician
1,069
Avg Claims per Provider
Francisco Flores Guardado, MD's 497 claims are below the specialty average of 1,069.
Nearby Critical Care Medicine (Internal Medicine) Physician Providers in Texas
Other clinicians with the same primary specialty enrolled in Texas, drawn from the same CMS NPPES roster as Flores Guardado.
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the Texas medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Critical Care Medicine (Internal Medicine) Physician peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
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Frequently Asked Questions
What is Francisco Flores Guardado, MD's specialty? ▼
Francisco Flores Guardado, MD specializes in Critical Care Medicine (Internal Medicine) Physician and practices in San Antonio, Texas. Credentials: MD.
How much does Francisco Flores Guardado, MD prescribe under Medicare Part D? ▼
In 2023, Francisco Flores Guardado, MD wrote 497 Medicare Part D claims totaling $619K in drug costs for 104 beneficiaries.
What is Francisco Flores Guardado, MD's Medicare quality score? ▼
Francisco Flores Guardado, MD has a CMS MIPS Final Score of 92.2/100 (Quality: 61.6, Cost: 93). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Francisco Flores Guardado, MD located? ▼
Francisco Flores Guardado, MD is located at 10007 HUEBNER RD STE 402, San Antonio, TX, 78240. Phone: (210) 692-0361.
What is Francisco Flores Guardado, MD's NPI number? ▼
Francisco Flores Guardado, MD's National Provider Identifier (NPI) is 1598931263, issued on 05/02/2008.
Does Francisco Flores Guardado, MD prescribe more brand-name or generic drugs? ▼
Francisco Flores Guardado, MD's prescribing is 50% brand-name and 50% generic drugs by claim count, with $561K in brand drug costs.
How many Critical Care Medicine (Internal Medicine) Physician providers are there in the US? ▼
There are 6,631 Critical Care Medicine (Internal Medicine) Physician providers across 53 states in the US. The average Critical Care Medicine (Internal Medicine) Physician provider writes 1,069 Medicare Part D claims per year.
What drugs does Francisco Flores Guardado, MD prescribe most often? ▼
Based on 2023 Medicare Part D data, Francisco Flores Guardado, MD's most frequently prescribed drugs include Montelukast Sodium, Albuterol Sulfate Hfa, Trelegy Ellipta. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Francisco Flores Guardado, MD accept Medicare? ▼
Francisco Flores Guardado, MD appears in CMS Medicare data with 497 Part D claims and 104 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Francisco Flores Guardado, MD's credentials? ▼
Francisco Flores Guardado, MD's NPI is 1598931263 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
View source datasets and methodology notes
- 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
Compiled from official public sources by the PlainDoctor editorial team.