NPI registry status
Active
2026 NPPES data Family Medicine Physician NPI 1154647410 M.D., M.P.H.
Verify on CMS → Karla Garcia, M.D., M.P.H.
Family Medicine Physician in San Ysidro, 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 147,760 in Family 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
2K
Medicare Part D claims · 129 beneficiaries · Family Medicine Physician avg: 3K
Generic prescribing
84%
generic claims · 14% brand-name · higher generic rates reduce patient out-of-pocket costs
Source: CMS Medicare Part D Prescriber Public Use File, 2023
What the federal data shows
Karla Garcia, M.D., M.P.H. filed 1,785 Medicare Part D claims in 2023 as a Family Medicine Physician in San Ysidro, California, prescribing 84% generic.
- 2K
- Part D claims, 2023
- 84%
- generic prescribing
- Likely
- board-certified (heuristic)
- ≥83rd
- pct by Part D claim volume (lower-bound band)
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.
CMS NPPES provider registry desk
NPI 1154647410 · Family Medicine Physician
NPI-10 · ENUM-MID · TAX-MEGA · RX-MID · BOOK-MID · PHOTO-ENUM
- NPI-10 1154647410
- ENUM-MID 2010
- TAX-MEGA 148K Family Medicine
- RX-MID 1,785
- BOOK-MID 15,933 in California
- PHOTO-ENUM Rachel Woodruff · 2010
Karla Garcia, M.D., M.P.H.'s Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023, across all CMS prescribers nationally
1,785 ≥ 83rd percentile 83% of 1,370,886 prescribers are in lower value bands
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.
The percentile is a conservative 100-claim band: it counts only prescribers in lower claim-volume bands. Medicare Part D claim volume is activity context, not a quality measure or recommendation. See methodology § corpus placement.
Source CMS Medicare Part D Prescriber Public Use File · 2023
✓
Board certification likely (heuristic, not verified)
Karla Garcia, M.D., M.P.H. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 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 Karla Garcia, M.D., M.P.H.?
Quality data not reportedPrimary specialty
Family Medicine Physician
Medicare Part D claims
1,785 48% vs specialty avg
Specialty distribution in California
How Family Medicine Physician compares to other specialties among California 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 Medicine Physician. Verify directly:
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).
Practice Address
Provider Details
| NPI | 1154647410 |
|---|---|
| Specialty | Family Medicine Physician |
| Credentials | M.D., M.P.H. |
| Gender | Female |
| NPI Issued | 04/12/2010 |
Hospital and facility affiliations
Facilities where Karla Garcia, M.D., M.P.H. 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.
Centro DE Salud DE LA Comunidad DE San Ysidro, Inc
Chula Vista, CA
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 - 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 Karla Garcia, M.D., M.P.H.. To verify Karla Garcia, M.D., M.P.H.'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
Karla Garcia, M.D., M.P.H. - brand share 14.0%
Family Medicine Physician average
14% brand-name claims vs 84% generic, on 1,785 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.
1,785
Total Claims
$249K
Total Drug Cost
129
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 3,947
- Total Day Supply
- 116,479
- Brand vs Generic
- 14% brand / 84% generic
- Brand Drug Cost
- $208K
- Generic Drug Cost
- $39K
Patient Demographics
- Average Patient Age
- 70.0 years
- Avg HCC Risk Score
- 1.15
- Gender Split
- 77% female / 23% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Karla Garcia, M.D., M.P.H. prescribes most
Top Medicare Part D drugs by claim count, 2023
- Metformin Hcl
Metformin Hcl
135 claims
- Atorvastatin Calcium
Atorvastatin Calcium
126 claims
- Losartan Potassium
Losartan Potassium
98 claims
- Amlodipine Besylate
Amlodipine Besylate
90 claims
- Lisinopril
Lisinopril
88 claims
- Hydrochlorothiazide
Hydrochlorothiazide
73 claims
- Omeprazole
Omeprazole
71 claims
- Gabapentin
Gabapentin
57 claims
| Drug | Claims |
|---|---|
| Metformin Hcl | 135 |
| Atorvastatin Calcium | 126 |
| Losartan Potassium | 98 |
| Amlodipine Besylate | 90 |
| Lisinopril | 88 |
| Hydrochlorothiazide | 73 |
| Omeprazole | 71 |
| Gabapentin | 57 |
| Fluticasone Propionate | 43 |
| Levothyroxine Sodium | 41 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Family Medicine Physician Overview
How Karla Garcia, M.D., M.P.H. fits within the Family Medicine Physician landscape nationally.
147,760
Family Medicine Physician Providers in US
56
States with Family Medicine Physician
3,418
Avg Claims per Provider
Karla Garcia, M.D., M.P.H.'s 1,785 claims are below the specialty average of 3,418.
Nationwide Family Medicine Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Garcia, both outside California so the neighborhoods are not geographic containment.
Same NPPES enumeration year (2010)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Family Medicine Physician Providers in California
Other clinicians with the same primary specialty enrolled in California, drawn from the same CMS NPPES roster as Garcia.
One of 15,933 Family Medicine Physician providers enrolled in California, 5 are shown here.
Dr. Omer Aba-Omer
MD
Santa Monica, CA
Dr. Michelle Ababa
MD
Wilmington, CA
Dr. Anna Tzeitel Abalos
MD
Roseville, CA
Dr. Adan Abarca
MD
Anaheim, CA
Dr. Lorraine Abate
M.D.
Sacramento, CA
Compare Family Medicine Physician nationally: see state-by-state distribution →
Frequently Asked Questions
What is Karla Garcia, M.D., M.P.H.'s specialty? ▼
Karla Garcia, M.D., M.P.H. specializes in Family Medicine Physician and practices in San Ysidro, California. Credentials: M.D., M.P.H..
How much does Karla Garcia, M.D., M.P.H. prescribe under Medicare Part D? ▼
In 2023, Karla Garcia, M.D., M.P.H. wrote 1,785 Medicare Part D claims totaling $249K in drug costs for 129 beneficiaries.
Where is Karla Garcia, M.D., M.P.H. located? ▼
Karla Garcia, M.D., M.P.H. is located at 4004 BEYER BLVD, San Ysidro, CA, 92173. Phone: (619) 205-6349.
What is Karla Garcia, M.D., M.P.H.'s NPI number? ▼
Karla Garcia, M.D., M.P.H.'s National Provider Identifier (NPI) is 1154647410, issued on 04/12/2010.
Does Karla Garcia, M.D., M.P.H. prescribe more brand-name or generic drugs? ▼
Karla Garcia, M.D., M.P.H.'s prescribing is 14% brand-name and 84% generic drugs by claim count, with $208K in brand drug costs.
How many Family Medicine Physician providers are there in the US? ▼
There are 147,760 Family Medicine Physician providers across 56 states in the US. The average Family Medicine Physician provider writes 3,418 Medicare Part D claims per year.
What drugs does Karla Garcia, M.D., M.P.H. prescribe most often? ▼
Based on 2023 Medicare Part D data, Karla Garcia, M.D., M.P.H.'s most frequently prescribed drugs include Metformin Hcl, Atorvastatin Calcium, Losartan Potassium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Karla Garcia, M.D., M.P.H. accept Medicare? ▼
Karla Garcia, M.D., M.P.H. appears in CMS Medicare data with 1,785 Part D claims and 129 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Karla Garcia, M.D., M.P.H.'s credentials? ▼
Karla Garcia, M.D., M.P.H.'s NPI is 1154647410 with credentials M.D., M.P.H.. 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.
- 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.