2026 NPPES data Ophthalmology Physician NPI 1659302099 M.D.
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Mark Gallardo, M.D.

Ophthalmology Physician in El Paso, Texas. This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 22,090 in Ophthalmology 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
11K
Medicare Part D claims · 2K beneficiaries · Ophthalmology Physician avg: 1K
Generic prescribing
55%
generic claims · 45% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
76/100
▼ 7 pts below national avg 83.1 · Above neutral
Industry payments
$182.6K
91 payments · CMS Open Payments (Sunshine Act)
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Mark Gallardo, M.D. reported a CMS MIPS final score of 76/100 - below the 83.1 national average - and filed 10,572 Medicare Part D claims in 2023.

76/100
MIPS score · -7 vs avg
11K
Part D claims, 2023
55%
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.

Mark Gallardo, M.D.'s MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure

76 21st percentile higher than 21% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). This entry sits in this band. 80–90: 129,887 scored providers (27%). Above this entry. 90+: 189,403 scored providers (40%). Above this entry. This provider 0 100 every MIPS-scored clinician, bucketed by value

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 Mark Gallardo, M.D. sits

This provider among ophthalmology physician peers

Across the 9,866 ophthalmology physician providers who report both Medicare Part D prescribing and a MIPS quality score, Mark Gallardo, M.D. writes more Part D claims than 99% of them and scores higher on MIPS quality than 28% - 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

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality0255075100024.448.873.297.7Part D claim volume, percentile in specialtyMIPS quality, percentilePart D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 58Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 87Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 93Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 13Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 80Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 67Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 18Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 93Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 93Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 63Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 53Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 93Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 68Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 75Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 55Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 15Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 45Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 78Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 57Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 77Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 20Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 20Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 83Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 65Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 70Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 20Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 30Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 73Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 10Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 62Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 60Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 90Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 52Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 42Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 32Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 38Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 85Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 92Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 93Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 7Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 40Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 43Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 20Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 72Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 3Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 5Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 33Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 12Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 50Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 8Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 20Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 47Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 48Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 17Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 20Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 35Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 82Mark Gallardo, M.D.-Part D claim volume, percentile in specialty: 99 · MIPS quality, percentile: 28
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one ophthalmology physician peer from a representative sample of 60; the gold marker is Mark Gallardo, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

Board certification likely (heuristic, not verified)

Mark Gallardo, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 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 Mark Gallardo, M.D.?

Below national average

NPI registry status

Active

Issued 07/05/2006

NPI 1659302099

Primary specialty

Ophthalmology Physician

Mid-sized

22,090 US NPIs in this specialty

Medicare Part D claims

10,572 vs specialty avg

2023 prescription claims

Specialty avg: 1,420

MIPS final score

76/100 7.1 pts vs avg

Above neutral band

vs 83.1 national avg

Specialty distribution in Texas

How Ophthalmology Physician compares to other specialties among Texas providers

Texas providers

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

Behavior Technician - 5.6%Behavior Technician5.6%Student in an Organized Health Care Education/Training Program - 5.1%Student in an Organized Health Care Education/Training Program5.1%Family Nurse Practitioner - 4.5%Family Nurse Practitioner4.5%Professional Counselor - 4.4%Professional Counselor4.4%Pharmacist - 4.4%Pharmacist4.4%Speech-Language Pathologist - 3.9%Speech-Language Pathologist3.9%Ophthalmology Physician - 0.3%Ophthalmology Physician0.3%
Largest specialties in Texas (% of in-state providers)

Medicare quality performance, MIPS

Mark Gallardo, M.D.'s 2023 MIPS final score plotted against the Ophthalmology Physician national average

Below national average
MIPS Final Score
76/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Ophthalmology Physician) - 76/100 vs national avg 83.1

0%100%National avg83%76%
MIPS final score (Ophthalmology Physician) - 76/100 vs national avg 83.1

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).

Mark Gallardo, M.D. appears in the CMS NPPES registry as a Ophthalmology Physician provider holding M.D. credentials at 959 SUNLAND PARK DR STE 100, El Paso, TX, 79922, with a listed phone of (915) 542-0279. NPI 1659302099 was issued on 07/05/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Gallardo 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 10,572 prescription claims written by this provider, covering 1,857 Medicare beneficiaries and totaling roughly $2.0 million in drug spend, split 45% brand-name and 55% generic by claim count. 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. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 76/100 for the 2023 performance year (Quality 40, Cost 100), compared with the national average of 83.1.

Ophthalmology Physician is a mid-sized specialty nationwide, with 22,090 enrolled providers across 56 states and an average of 1,420 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

959 SUNLAND PARK DR STE 100
El Paso, TX 79922

Provider Details

NPI 1659302099
Specialty Ophthalmology Physician
Credentials M.D.
Gender Male
NPI Issued 07/05/2006

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

76
Final Score
Avg: 83.1
40
Quality
100
Cost

Reporting: Group practice

Hospital and facility affiliations

Facilities where Mark Gallardo, M.D. 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.

EL Paso Eye Surgeons, P.A.
El Paso, TX

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Industry payments received (2024) - CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for Mark Gallardo, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$182.6K

Largest payer

Glaukos Corporation

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias, they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

License & disciplinary context - Texas TMB 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 ~77K Texas medical licensees in 2023 - they are NOT specific to Mark Gallardo, M.D.. To verify Mark Gallardo, M.D.'s current license status, search the TMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

344
Total board actions, Texas 2023
Across 334 cases
4.47
Actions per 1,000 licensees
Texas statewide rate
probation
Most common action type
94 cases

TMB 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 Texas disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Above average

Mark Gallardo, M.D. - brand share 45.0%
Ophthalmology Physician average

45% brand-name claims vs 55% generic, on 10,572 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.

10,572
Total Claims
$2.0M
Total Drug Cost
1,857
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
20,885
Total Day Supply
602,178
Brand vs Generic
45% brand / 55% generic
Brand Drug Cost
$1.6M
Generic Drug Cost
$354K

Patient Demographics

Average Patient Age
75.5 years
Avg HCC Risk Score
1.69
Gender Split
56% female / 44% male
Age Distribution
<65: 149, 65-74: 731, 75-84: 648, 85+: 329

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

What Mark Gallardo, M.D. 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
Latanoprost
2,074
Dorzolamide-Timolol
Dorzolamide Hcl/Timolol Maleat
1,615
Prednisolone Acetate
881
Brimonidine Tartrate
848
Timolol Maleate
644
Moxifloxacin
Moxifloxacin Hcl
494
Rhopressa
Netarsudil Mesylate
446
Dorzolamide Hcl
418
Combigan
Brimonidine Tartrate/Timolol
365
Vyzulta
Latanoprostene Bunod
358

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

Ophthalmology Physician Overview

How Mark Gallardo, M.D. fits within the Ophthalmology Physician landscape nationally.

22,090
Ophthalmology Physician Providers in US
56
States with Ophthalmology Physician
1,420
Avg Claims per Provider

Mark Gallardo, M.D.'s 10,572 claims are above the specialty average of 1,420.

Nearby Ophthalmology Physician Providers in Texas

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

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

Frequently Asked Questions

What is Mark Gallardo, M.D.'s specialty?
Mark Gallardo, M.D. specializes in Ophthalmology Physician and practices in El Paso, Texas. Credentials: M.D..
How much does Mark Gallardo, M.D. prescribe under Medicare Part D?
In 2023, Mark Gallardo, M.D. wrote 10,572 Medicare Part D claims totaling $2.0M in drug costs for 1,857 beneficiaries.
What is Mark Gallardo, M.D.'s Medicare quality score?
Mark Gallardo, M.D. has a CMS MIPS Final Score of 76/100 (Quality: 40, Cost: 100). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Mark Gallardo, M.D. located?
Mark Gallardo, M.D. is located at 959 SUNLAND PARK DR STE 100, El Paso, TX, 79922. Phone: (915) 542-0279.
What is Mark Gallardo, M.D.'s NPI number?
Mark Gallardo, M.D.'s National Provider Identifier (NPI) is 1659302099, issued on 07/05/2006.
Does Mark Gallardo, M.D. prescribe more brand-name or generic drugs?
Mark Gallardo, M.D.'s prescribing is 45% brand-name and 55% generic drugs by claim count, with $1.6M in brand drug costs.
How many Ophthalmology Physician providers are there in the US?
There are 22,090 Ophthalmology Physician providers across 56 states in the US. The average Ophthalmology Physician provider writes 1,420 Medicare Part D claims per year.
What drugs does Mark Gallardo, M.D. prescribe most often?
Based on 2023 Medicare Part D data, Mark Gallardo, M.D.'s most frequently prescribed drugs include Latanoprost, Dorzolamide-Timolol, Prednisolone Acetate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Mark Gallardo, M.D. accept Medicare?
Mark Gallardo, M.D. appears in CMS Medicare data with 10,572 Part D claims and 1,857 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Mark Gallardo, M.D.'s credentials?
Mark Gallardo, M.D.'s NPI is 1659302099 with credentials M.D.. 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.
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

Compiled from official public sources by the PlainDoctor editorial team.