2026 NPPES data Family Nurse Practitioner NPI 1669928644 FNP-C
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Julio Garibay, FNP-C

Family Nurse Practitioner in Fresno, California. This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 209,817 in Family Nurse Practitioner, 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
8K
Medicare Part D claims · 167 beneficiaries · Family Nurse Practitioner avg: 1K
Generic prescribing
83%
generic claims · 16% brand-name · higher generic rates reduce patient out-of-pocket costs
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Julio Garibay, FNP-C filed 7,866 Medicare Part D claims in 2023 as a Family Nurse Practitioner in Fresno, California, prescribing 83% generic.

8K
Part D claims, 2023
83%
generic prescribing

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.

Julio Garibay, FNP-C's Medicare Part D volume vs every U.S. prescriber

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

7,866 Top 3% higher than 97% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). Below this entry. 400–600: 90,619 prescribers (7%). Below this entry. 600–800: 56,224 prescribers (4%). Below this entry. 800–1,000: 40,919 prescribers (3%). Below this entry. 1,000–1,200: 31,827 prescribers (2%). Below this entry. 1,200–1,400: 26,224 prescribers (2%). Below this entry. 1,400–1,600: 21,710 prescribers (2%). Below this entry. 1,600–1,800: 19,072 prescribers (1%). Below this entry. 1,800–2,000: 16,451 prescribers (1%). Below this entry. 2K+: 213,991 prescribers (16%). This entry sits in this band. 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 Julio Garibay, FNP-C?

Quality data not reported

NPI registry status

Active

Issued 08/29/2016

NPI 1669928644

Primary specialty

Family Nurse Practitioner

High-volume

209,817 US NPIs in this specialty

Medicare Part D claims

7,866 vs specialty avg

2023 prescription claims

Specialty avg: 1,222

Specialty distribution in California

How Family Nurse Practitioner compares to other specialties among California providers

California providers

Largest specialties in California (% of in-state providers)

Behavior Technician - 17.3%Behavior Technician17.3%Marriage & Family Therapist - 5.5%Marriage & Family Therapist5.5%Student in an Organized Health Care Education/Training Program - 5%Student in an Organized Health Care Education/Training Program5%Mental Health Counselor - 3.9%Mental Health Counselor3.9%Pharmacist - 3.5%Pharmacist3.5%Clinical Social Worker - 3.1%Clinical Social Worker3.1%Family Nurse Practitioner - 1.6%Family Nurse Practitioner1.6%
Largest specialties in California (% of in-state providers)

Board certification

Not published by CMS

CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Family Nurse Practitioner. Verify directly:

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).

Julio Garibay, FNP-C appears in the CMS NPPES registry as a Family Nurse Practitioner provider holding FNP-C credentials at 1649 VAN NESS AVE, Fresno, CA, 93721, with a listed phone of (559) 777-6722. NPI 1669928644 was issued on 08/29/2016. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Garibay 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 7,866 prescription claims written by this provider, covering 167 Medicare beneficiaries and totaling roughly $1.2 million in drug spend, split 16% brand-name and 83% generic by claim count, with an opioid prescribing rate of 2.1%. 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.

Family Nurse Practitioner is a high-volume specialty nationwide, with 209,817 enrolled providers across 56 states and an average of 1,222 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

1649 VAN NESS AVE
Fresno, CA 93721

Provider Details

NPI 1669928644
Specialty Family Nurse Practitioner
Credentials FNP-C
Gender Male
NPI Issued 08/29/2016

License & disciplinary context - California MBC 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 ~150K California medical licensees in 2023 - they are NOT specific to Julio Garibay, FNP-C. To verify Julio Garibay, FNP-C's current license status, search the MBC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

576
Total board actions, California 2023
Across 556 cases
3.84
Actions per 1,000 licensees
California statewide rate
probation
Most common action type
186 cases

MBC 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 California disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

Julio Garibay, FNP-C - brand share 16.0%
Family Nurse Practitioner average

16% brand-name claims vs 83% generic, on 7,866 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.

7,866
Total Claims
$1.2M
Total Drug Cost
167
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
8,002
Total Day Supply
212,221
Brand vs Generic
16% brand / 83% generic
Brand Drug Cost
$888K
Generic Drug Cost
$271K
Opioid Claims
166 (2.1% rate)
Antibiotic Claims
146

Patient Demographics

Average Patient Age
72.6 years
Avg HCC Risk Score
2.07
Gender Split
47% female / 53% male
Age Distribution
<65: 19, 65-74: 90, 75-84: 47, 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 Julio Garibay, FNP-C 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
Atorvastatin Calcium
667
Lisinopril
395
Amlodipine Besylate
348
Tamsulosin Hcl
221
Furosemide
220
Gabapentin
206
Metoprolol Succinate
181
Metformin Hcl
171
Sertraline Hcl
167
Losartan Potassium
154

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

Family Nurse Practitioner Overview

How Julio Garibay, FNP-C fits within the Family Nurse Practitioner landscape nationally.

209,817
Family Nurse Practitioner Providers in US
56
States with Family Nurse Practitioner
1,222
Avg Claims per Provider

Julio Garibay, FNP-C's 7,866 claims are above the specialty average of 1,222.

Nearby Family Nurse Practitioner Providers in California

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

Compare Family Nurse Practitioner 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 California medical board, federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Family Nurse Practitioner 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.

Frequently Asked Questions

What is Julio Garibay, FNP-C's specialty?
Julio Garibay, FNP-C specializes in Family Nurse Practitioner and practices in Fresno, California. Credentials: FNP-C.
How much does Julio Garibay, FNP-C prescribe under Medicare Part D?
In 2023, Julio Garibay, FNP-C wrote 7,866 Medicare Part D claims totaling $1.2M in drug costs for 167 beneficiaries.
Where is Julio Garibay, FNP-C located?
Julio Garibay, FNP-C is located at 1649 VAN NESS AVE, Fresno, CA, 93721. Phone: (559) 777-6722.
What is Julio Garibay, FNP-C's NPI number?
Julio Garibay, FNP-C's National Provider Identifier (NPI) is 1669928644, issued on 08/29/2016.
Does Julio Garibay, FNP-C prescribe more brand-name or generic drugs?
Julio Garibay, FNP-C's prescribing is 16% brand-name and 83% generic drugs by claim count, with $888K in brand drug costs.
Does Julio Garibay, FNP-C prescribe opioids?
Yes, Julio Garibay, FNP-C had 166 opioid claims in 2023 with an opioid prescribing rate of 2.1%.
How many Family Nurse Practitioner providers are there in the US?
There are 209,817 Family Nurse Practitioner providers across 56 states in the US. The average Family Nurse Practitioner provider writes 1,222 Medicare Part D claims per year.
What drugs does Julio Garibay, FNP-C prescribe most often?
Based on 2023 Medicare Part D data, Julio Garibay, FNP-C's most frequently prescribed drugs include Atorvastatin Calcium, Lisinopril, Amlodipine Besylate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Julio Garibay, FNP-C accept Medicare?
Julio Garibay, FNP-C appears in CMS Medicare data with 7,866 Part D claims and 167 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Julio Garibay, FNP-C's credentials?
Julio Garibay, FNP-C's NPI is 1669928644 with credentials FNP-C. 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

Compiled from official public sources by the PlainDoctor editorial team.