2026 NPPES data Specialist NPI 1275585861 MD
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JOHN GARCIA, MD

Specialist in SAINT PAUL, Minnesota. 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
56
Medicare Part D claims · Specialist avg: 1K

What the federal data shows

JOHN GARCIA, MD filed 56 Medicare Part D claims in 2023 as a Specialist in SAINT PAUL, Minnesota.

56
Part D claims, 2023

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.

JOHN GARCIA, MD's Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

56 0th percentile higher than 0% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). This entry sits in this band. 200–400: 182,923 prescribers (13%). Above this entry. 400–600: 90,619 prescribers (7%). Above this entry. 600–800: 56,224 prescribers (4%). Above this entry. 800–1,000: 40,919 prescribers (3%). Above this entry. 1,000–1,200: 31,827 prescribers (2%). Above this entry. 1,200–1,400: 26,224 prescribers (2%). Above this entry. 1,400–1,600: 21,710 prescribers (2%). Above this entry. 1,600–1,800: 19,072 prescribers (1%). Above this entry. 1,800–2,000: 16,451 prescribers (1%). Above this entry. 2,000–2,200: 213,991 prescribers (16%). Above this entry. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

Each bar is a band; taller bars hold more prescribers. 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 Medicare Part D Prescriber Public Use File · 2023

What does the federal data show about JOHN GARCIA, MD?

Quality data not reported

NPI registry status

Active

Issued 05/16/2006

NPI 1275585861

Primary specialty

Specialist

High-volume

69,658 US NPIs in this specialty

Medicare Part D claims

56 96% vs specialty avg

2023 prescription claims

Specialty avg: 1,474

Specialty distribution in Minnesota

How Specialist compares to other specialties among Minnesota providers

Minnesota providers

Specialist share within Minnesota

1. Specialist42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Specialist share within Minnesota

Specialty board-certification context

Estimated specialty board-certified rate — Specialist (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Specialist ABMS/AOA estimate

Est. board-certified rate (Specialist) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Specialist) — ABMS / AOA estimate

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).

JOHN GARCIA, MD is a Specialist provider practicing in SAINT PAUL, Minnesota, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1275585861. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

JOHN GARCIA, MD appears in the CMS NPPES registry as a Specialist provider holding MD credentials at 200 UNIVERSITY AVE E, SAINT PAUL, MN, 55101, with a listed phone of (651) 291-2848. NPI 1275585861 was issued on 05/16/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what GARCIA 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 56 prescription claims written by this provider, covering N/A Medicare beneficiaries and totaling roughly $4K 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.

Specialist is a high-volume specialty nationwide, with 69,658 enrolled providers across 55 states and an average of 1,474 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

200 UNIVERSITY AVE E
SAINT PAUL, MN 55101

Provider Details

NPI 1275585861
Specialty Specialist
Credentials MD
Gender Male
NPI Issued 05/16/2006

Hospital and facility affiliations

Facilities where JOHN GARCIA, 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.

GILLETTE CHILDRENS SPECIALTY HEALTHCARE
SAINT PAUL, MN

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

56
Total Claims
$4K
Total Drug Cost
N/A
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
64
Total Day Supply
1,935
Generic Drug Cost
$3K

Patient Demographics

Average Patient Age
29.8 years
Avg HCC Risk Score
1.62

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Temazepam
21
Trazodone Hcl
16
Mirtazapine
11

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

Specialist Overview

How JOHN GARCIA, MD fits within the Specialist landscape nationally.

69,658
Specialist Providers in US
55
States with Specialist
1,474
Avg Claims per Provider

JOHN GARCIA, MD's 56 claims are below the specialty average of 1,474.

Nearby Specialist Providers in Minnesota

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

Compare Specialist nationally: see state-by-state distribution →

Frequently Asked Questions

What is JOHN GARCIA, MD's specialty?
JOHN GARCIA, MD specializes in Specialist and practices in SAINT PAUL, Minnesota. Credentials: MD.
How much does JOHN GARCIA, MD prescribe under Medicare Part D?
In 2023, JOHN GARCIA, MD wrote 56 Medicare Part D claims totaling $4K in drug costs for N/A beneficiaries.
Where is JOHN GARCIA, MD located?
JOHN GARCIA, MD is located at 200 UNIVERSITY AVE E, SAINT PAUL, MN, 55101. Phone: (651) 291-2848.
What is JOHN GARCIA, MD's NPI number?
JOHN GARCIA, MD's National Provider Identifier (NPI) is 1275585861, issued on 05/16/2006.
How many Specialist providers are there in the US?
There are 69,658 Specialist providers across 55 states in the US. The average Specialist provider writes 1,474 Medicare Part D claims per year.
What drugs does JOHN GARCIA, MD prescribe most often?
Based on 2023 Medicare Part D data, JOHN GARCIA, MD's most frequently prescribed drugs include Temazepam, Trazodone Hcl, Mirtazapine. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JOHN GARCIA, MD accept Medicare?
JOHN GARCIA, MD appears in CMS Medicare data with 56 Part D claims and N/A Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JOHN GARCIA, MD's credentials?
JOHN GARCIA, MD's NPI is 1275585861 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.
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