Karen De La Garza, MD
Internal Medicine Physician · Austin, TX
Karen De La Garza, MD is an internal medicine physician with a practice address in Austin, Texas, and NPI 1518454032, issued on Apr 19, 2018. Check the license (Texas BP10063741, as entered in NPPES) on the Texas Medical Board; the Medicare figures below come from public CMS files.
- Name
- Karen De La Garza
- Credential
- MD
- Primary taxonomy
- Internal Medicine Physician 207R00000X
- License number
- BP10063741 TX
Self-reported in NPPES; status is on the state search - Practice location
- 1500 Red River St, Austin, TX 78701
- Phone
- (512) 324-8355
- Enumerated
- Apr 19, 2018
- Record last updated
- Apr 19, 2018 (not updated in 8 years: call before relying on the address or phone)
- Medicare enrollment
- Enrolled (PECOS I20210819000220); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest internal medicine physician records → All 9,175 in Texas → Look up another NPI →
Also registered at 1500 Red River St
A shared address usually means a shared clinic or building; it does not show who employs whom.
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Verify Karen De La Garza in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersTexas Medical Board
Search for license BP10063741Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
99% fewer Medicare Part D claims than the average internal medicine physician in 2024
32 Medicare Part D claims, against an average of 3,176 among the 108,855 providers of this specialty who prescribed in Part D.
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The practice group's MIPS final score for 2023 (Medicare payment program): 72.5 of 100
The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Bills Medicare through one group practice
- Seton Family OF DoctorsAustin, TX
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Karen De La Garza among 9,175 internal medicine physician records in Texas
Karen De La Garza, MD is one of 9,175 internal medicine physician records with a practice address in Texas. 82% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2018, is newer than 79% of them.
- NPI issued2018 · 79% of these records are older, 18% newer
- In a Medicare fileYes · 82% of these records are
- In the CMS Doctors and Clinicians fileYes · 66% of these records are
- Graduated2018 · median 2004 among the 6,088 with a school on file
- Record last updated2018 · 49% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207R00000X and a Texas practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
606 internal medicine physician records list a practice address in Austin
They are 606 of the 26,585 NPPES records with a practice address in Austin, and 9,175 internal medicine physician records in Texas.
All 9,175 in Texas → Every provider in Austin → Internal Medicine Physician nationwide →
The 8 internal medicine physician records with the nearest ZIP codes
- Swati Avashia, M.D.Austin, TX 787011740291319
- Teresa Coats, M.D.Austin, TX 787011992889844
- Jadranko Corak, M.D.Austin, TX 787011801960364
- Arshad Ghauri, M.D.Austin, TX 787011699849125
- Mark Hernandez, M.D.Austin, TX 787011093783490
- Celina Mankey, MDAustin, TX 787011427048149
- Tahir Mian, M.D.Austin, TX 787011679517015
- Lysbeth Miller, M.D.Austin, TX 787011285708305
Common questions
What is Karen De La Garza, MD's NPI number?
Karen De La Garza, MD's National Provider Identifier (NPI) is 1518454032, issued on Apr 19, 2018. An NPI identifies a provider in billing; it is not a license.
Where is Karen De La Garza, MD located?
The NPPES record lists a practice address at 1500 Red River St, Austin, TX, 78701. Phone: (512) 324-8355. Providers update this record themselves, so call before visiting.
How can I verify Karen De La Garza, MD's license?
NPPES lists Texas license number BP10063741, as entered by the provider. Search the Texas Medical Board at https://profile.tmb.state.tx.us/Search.aspx. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Karen De La Garza, MD prescribe under Medicare Part D?
In 2024, Karen De La Garza, MD had 32 Medicare Part D claims; the average among internal medicine physician prescribers was 3,176. Part D covers Medicare prescriptions only.
What is Karen De La Garza, MD's MIPS final score?
The 2023 MIPS final score is 72.5 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.