NPI registry status
Active
2026 NPPES data Emergency Medicine Physician NPI 1114952512 MD
Verify on CMS → Juan Garcia, MD
Emergency Medicine Physician in New York, New York.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 64,463 in Emergency 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
411
Medicare Part D claims · 302 beneficiaries · Emergency Medicine Physician avg: 352
Generic prescribing
82%
generic claims · 10% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
76.5/100
▼ 7 pts below national avg 83.1 · Above neutral
Source: CMS Medicare Part D Prescriber Public Use File, 2023
What the federal data shows
Juan Garcia, MD reported a CMS MIPS final score of 76.5/100 - below the 83.1 national average - and filed 411 Medicare Part D claims in 2023.
- 76.5/100
- MIPS score · -7 vs avg
- 411
- Part D claims, 2023
- 82%
- 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.
Juan Garcia, MD's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
77 21st percentile higher than 21% 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 Juan Garcia, MD sits
This provider among emergency medicine physician peers
Across the 14,967 emergency medicine physician providers who report both Medicare Part D prescribing and a MIPS quality score, Juan Garcia, MD writes more Part D claims than 88% of them and scores higher on MIPS quality than 18% - placing this provider in the high-volume, lower-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 emergency medicine physician peer from a representative sample of 60; the gold marker is Juan Garcia, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Juan Garcia, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 2 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 Juan Garcia, MD?
Below national averagePrimary specialty
Emergency Medicine Physician
Medicare Part D claims
411 17% vs specialty avg
MIPS final score
76.5/100 6.6 pts vs avg
Specialty distribution in New York
How Emergency Medicine Physician compares to other specialties among New York providers
Medicare quality performance, MIPS
Juan Garcia, MD's 2023 MIPS final score plotted against the Emergency Medicine Physician national average
- MIPS Final Score
- 76.5/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Emergency Medicine Physician) - 76.5/100 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).
Juan Garcia, MD appears in the CMS NPPES registry as an Emergency Medicine Physician provider holding MD credentials at 622 W 168TH ST, New York, NY, 10032, with a listed phone of (212) 305-2995. NPI 1114952512 was issued on 07/12/2006.
Medicare Part D records for calendar year 2023 show 411 prescription claims written by this provider, covering 302 Medicare beneficiaries and totaling roughly $12K in drug spend, split 10% brand-name and 82% generic by claim count. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 76.5/100 for the 2023 performance year (Quality 64, Cost 57.7), compared with the national average of 83.1.
Emergency Medicine Physician is a high-volume specialty nationwide, with 64,463 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
Provider Details
| NPI | 1114952512 |
|---|---|
| Specialty | Emergency Medicine Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 07/12/2006 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
76.5288
Final Score
Avg: 83.1
64.0296
Quality
57.7329
Cost
100
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where Juan 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.
City Medical OF Upper East Side PLLC
New York, NY
Dobbs Ferry Emergency Medicine, PC
Dobbs Ferry, NY
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
License & disciplinary context - New York NYSBPMC 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 ~100K New York medical licensees in 2023 - they are NOT specific to Juan Garcia, MD. To verify Juan Garcia, MD's current license status, search the NYSBPMC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
312
Total board actions, New York 2023
Across 302 cases
3.12
Actions per 1,000 licensees
New York statewide rate
probation
Most common action type
89 cases
NYSBPMC 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 New York disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Brand vs generic prescribing mix · Typical
Juan Garcia, MD - brand share 10.0%
Emergency Medicine Physician average
10% brand-name claims vs 82% generic, on 411 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.
411
Total Claims
$12K
Total Drug Cost
302
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 415
- Total Day Supply
- 5,129
- Brand vs Generic
- 10% brand / 82% generic
- Brand Drug Cost
- $9K
- Generic Drug Cost
- $3K
- Antibiotic Claims
- 138
Patient Demographics
- Average Patient Age
- 70.2 years
- Avg HCC Risk Score
- 1.10
- Gender Split
- 74% female / 26% male
- Age Distribution
- <65: 50, 65-74: 162, 75-84: 69, 85+: 21
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Juan Garcia, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Ibuprofen
Ibuprofen
46 claims
- Paxlovid (Eua)
Paxlovid (Eua)
33 claims
- Nitrofurantoin Mon…
Nitrofurantoin Mono-Macro
27 claims
- Prednisone
Prednisone
24 claims
- Amoxicillin-Clavul…
Amoxicillin-Clavulanate Potass
21 claims
- Amoxicillin 17
Amoxicillin
17 claims
- Azithromycin 15
Azithromycin
15 claims
- Triamcinolone Acet… 15
Triamcinolone Acetonide
15 claims
| Drug | Claims |
|---|---|
| Ibuprofen | 46 |
| Paxlovid (Eua) Nirmatrelvir/Ritonavir | 33 |
| Nitrofurantoin Mono-Macro Nitrofurantoin Monohyd/M-Cryst | 27 |
| Prednisone | 24 |
| Amoxicillin-Clavulanate Potass Amoxicillin/Potassium Clav | 21 |
| Amoxicillin | 17 |
| Azithromycin | 15 |
| Triamcinolone Acetonide | 15 |
| Ciprofloxacin Hcl | 14 |
| Naproxen | 13 |
* 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 Juan Garcia, MD fits within the Emergency Medicine Physician landscape nationally.
64,463
Emergency Medicine Physician Providers in US
56
States with Emergency Medicine Physician
352
Avg Claims per Provider
Juan Garcia, MD's 411 claims are above the specialty average of 352.
Nearby Emergency Medicine Physician Providers in New York
Other clinicians with the same primary specialty enrolled in New York, drawn from the same CMS NPPES roster as Garcia.
Dr. Matthew Abad
D.O.
Bronx, NY
Nabil Abazaid
New York, NY
Dr. Ethan Abbott
DO
Bronx, NY
Dr. Frederick Abbuhl
MD
Albany, NY
Dr. Minako Abe
MD
New York, NY
Compare Emergency Medicine Physician nationally: see state-by-state distribution →
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 New York medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Emergency 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 Juan Garcia, MD's specialty? ▼
Juan Garcia, MD specializes in Emergency Medicine Physician and practices in New York, New York. Credentials: MD.
How much does Juan Garcia, MD prescribe under Medicare Part D? ▼
In 2023, Juan Garcia, MD wrote 411 Medicare Part D claims totaling $12K in drug costs for 302 beneficiaries.
What is Juan Garcia, MD's Medicare quality score? ▼
Juan Garcia, MD has a CMS MIPS Final Score of 76.5/100 (Quality: 64, Cost: 57.7). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Juan Garcia, MD located? ▼
Juan Garcia, MD is located at 622 W 168TH ST, New York, NY, 10032. Phone: (212) 305-2995.
What is Juan Garcia, MD's NPI number? ▼
Juan Garcia, MD's National Provider Identifier (NPI) is 1114952512, issued on 07/12/2006.
Does Juan Garcia, MD prescribe more brand-name or generic drugs? ▼
Juan Garcia, MD's prescribing is 10% brand-name and 82% generic drugs by claim count, with $9K in brand drug costs.
How many Emergency Medicine Physician providers are there in the US? ▼
There are 64,463 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 Juan Garcia, MD prescribe most often? ▼
Based on 2023 Medicare Part D data, Juan Garcia, MD's most frequently prescribed drugs include Ibuprofen, Paxlovid (Eua), Nitrofurantoin Mono-Macro. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Juan Garcia, MD accept Medicare? ▼
Juan Garcia, MD appears in CMS Medicare data with 411 Part D claims and 302 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Juan Garcia, MD's credentials? ▼
Juan Garcia, MD's NPI is 1114952512 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
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of May 2026.