NPPES file of Aug 9, 2026

Luis Edwin Gaona Garza, MD

Family Medicine Physician · Rockford, IL

Luis Edwin Gaona Garza, MD is a family medicine physician with a practice address in Rockford, Illinois, and NPI 1437735107, issued on Mar 22, 2021. Check the license (Illinois 036168560, as entered in NPPES) on the Illinois Department of Financial and Professional Regulation; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1437735107
Name
Luis Edwin Gaona Garza
Credential
MD
Primary taxonomy
Family Medicine Physician 207Q00000X
License numbers
036168560 IL
036.168560 IL
Self-reported in NPPES; status is on the state search
Practice location
815 Marchesano Dr, Rockford, IL 61102
Phone
(779) 696-5950
Enumerated
Mar 22, 2021
Record last updated
Sep 25, 2024
Medicare enrollment
Enrolled (PECOS I20241007000573); accepts Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 815 Marchesano Dr

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Matthew Aue, MDFamily Medicine Physician1699297606
  2. Stephanie Bertram, APRNFamily Nurse Practitioner1700365137
  3. Carly MolterFamily Nurse Practitioner1225826332
  4. Matteo Perrone, MDFamily Medicine Physician1063065225
  5. Daramis Toribio, APNFamily Nurse Practitioner1265979371

Verify Luis Edwin Gaona Garza in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersIllinois Department of Financial and Professional Regulation
    Search for license 036168560
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Illinois license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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82% fewer Medicare Part D claims than the average family medicine physician in 2024

630 Medicare Part D claims for 153 beneficiaries, against an average of 3,544 among the 117,163 providers of this specialty who prescribed in Part D.

  1. Luis Gaona Garza630
  2. Specialty average3,544

Most prescribed

  1. Atorvastatin Calcium43 claims
  2. Lisinopril42 claims
  3. Amlodipine Besylate27 claims
  4. Metformin Hcl Er21 claims
  5. Metformin Hcl20 claims
  6. Pantoprazole Sodium20 claims

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.

Industry payments in 2024: $71.42

1 payment: food and beverage; the largest payer was AstraZeneca Pharmaceuticals LP. The 55,478 providers of this specialty with any payment received $902.55 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Luis Gaona Garza$71.42
  2. Specialty average$902.55

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through one group practice

  1. Swedishamerican HospitalRockford, IL

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Luis Edwin Gaona Garza among 6,215 family medicine physician records in Illinois

Luis Edwin Gaona Garza, MD is one of 6,215 family medicine physician records with a practice address in Illinois. 78% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2021, is newer than 84% of them.

  • NPI issued2021 · 84% of these records are older, 13% newer
  • In a Medicare fileYes · 78% of these records are
  • In the CMS Doctors and Clinicians fileYes · 60% of these records are
  • Graduated2014 · median 2006 among the 3,714 with a school on file
  • Record last updated2024 · 54% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207Q00000X and a Illinois practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

145 family medicine physician records list a practice address in Rockford

They are 145 of the 3,893 NPPES records with a practice address in Rockford, and 6,215 family medicine physician records in Illinois.

The 8 family medicine physician records with the nearest ZIP codes

  1. Shamshad Anjum, MDRockford, IL 611021487753596
  2. Matthew Aue, MDRockford, IL 611021699297606
  3. Serene Bethune, D.O.Rockford, IL 611021811377617
  4. Katerina Doronila-Hughes, MDRockford, IL 611021942304456
  5. Jithinraj Edakkanambeth Varayil, MDRockford, IL 611021033591847
  6. Tina Haller-Wade, D.O.Rockford, IL 611021235175498
  7. Basil Jaradah, M.D.Rockford, IL 611021427368935
  8. Maninder KaurRockford, IL 611021326456419

Common questions

What is Luis Edwin Gaona Garza, MD's NPI number?

Luis Edwin Gaona Garza, MD's National Provider Identifier (NPI) is 1437735107, issued on Mar 22, 2021. An NPI identifies a provider in billing; it is not a license.

Where is Luis Edwin Gaona Garza, MD located?

The NPPES record lists a practice address at 815 Marchesano Dr, Rockford, IL, 61102. Phone: (779) 696-5950. Providers update this record themselves, so call before visiting.

How can I verify Luis Edwin Gaona Garza, MD's license?

NPPES lists Illinois license number 036168560, as entered by the provider. Search the Illinois Department of Financial and Professional Regulation at https://idfpr.illinois.gov/checklicense.html. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Luis Edwin Gaona Garza, MD prescribe under Medicare Part D?

In 2024, Luis Edwin Gaona Garza, MD had 630 Medicare Part D claims for 153 beneficiaries; the average among family medicine physician prescribers was 3,544. Part D covers Medicare prescriptions only.

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.