2026 NPPES data Diagnostic Radiology Physician NPI 1942260088 MD
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MARK GARCIA, MD

Diagnostic Radiology Physician in WILMINGTON, Delaware. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
334
Medicare Part D claims · 106 beneficiaries · Diagnostic Radiology Physician avg: 63
Generic prescribing
58%
generic claims · 42% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$1.3K
26 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: MARK GARCIA, MD is a Diagnostic Radiology Physician ([object Object]) practicing in WILMINGTON, Delaware with a Medicare Part D prescribing footprint of 334 claims across 106 beneficiaries — 42% brand-name prescribing . Industry payments of $1.3K across 26 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: MARK GARCIA, MD filed 334 Medicare Part D claims in 2023 across WILMINGTON, Delaware. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

MARK GARCIA, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 2 hospital affiliations — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

MARK GARCIA, MD at a glance

Quality data not reported

NPI registry status

Active

Issued 03/24/2006

NPI 1942260088

Primary specialty

Diagnostic Radiology Physician

Mid-sized

39,474 US NPIs in this specialty

Medicare Part D claims

334 430% vs specialty avg

2023 prescription claims

Specialty avg: 63

Specialty distribution in Delaware

How Diagnostic Radiology Physician compares to other specialties among Delaware providers

Delaware providers

Diagnostic Radiology Physician share within Delaware

1. Diagnostic Radiology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Diagnostic Radiology Physician share within Delaware

Specialty board-certification context

Estimated specialty board-certified rate — Diagnostic Radiology Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Diagnostic Radiology Physician ABMS/AOA estimate

Est. board-certified rate (Diagnostic Radiology Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Diagnostic Radiology Physician) — ABMS / AOA estimate

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 GARCIA, MD is a Diagnostic Radiology Physician provider practicing in WILMINGTON, Delaware, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1942260088. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

MARK GARCIA, MD appears in the CMS NPPES registry as a Diagnostic Radiology Physician provider holding MD credentials at 701 N. CLAYTON ST., WILMINGTON, DE, 19805, with a listed phone of (302) 760-9002. NPI 1942260088 was issued on 03/24/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what GARCIA 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 334 prescription claims written by this provider, covering 106 Medicare beneficiaries and totaling roughly $181K in drug spend, split 42% brand-name and 58% generic by claim count, with an opioid prescribing rate of 5.1%. 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.

Diagnostic Radiology Physician is a mid-sized specialty nationwide, with 39,474 enrolled providers across 56 states and an average of 63 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

701 N. CLAYTON ST.
WILMINGTON, DE 19805

Provider Details

NPI 1942260088
Specialty Diagnostic Radiology Physician
Credentials MD
Gender Male
NPI Issued 03/24/2006

Hospital and facility affiliations

Facilities where MARK GARCIA, MD 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.

ENDOVASCULAR CONSULTANTS LLC
WILMINGTON, DE
SOUTHERN DELAWARE VASCULAR INSTITUTE, LLC
LEWES, DE

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 GARCIA, MD. Source: openpaymentsdata.cms.gov.

Total received

$1.3K

Largest payer

Merit Medical Systems Inc

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.

Brand vs generic prescribing mix · Above average

MARK GARCIA, MD — brand share 42.0%
Specialty average (est.)

42% brand-name claims vs 58% generic, on 334 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.

334
Total Claims
$181K
Total Drug Cost
106
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
678
Total Day Supply
18,316
Brand vs Generic
42% brand / 58% generic
Brand Drug Cost
$174K
Generic Drug Cost
$7K
Opioid Claims
17 (5.1% rate)
Antibiotic Claims
11

Patient Demographics

Average Patient Age
72.9 years
Avg HCC Risk Score
2.16
Gender Split
55% female / 45% male
Age Distribution
<65: 15, 65-74: 46, 75-84: 32, 85+: 13

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Xarelto
Rivaroxaban
100
Clopidogrel
Clopidogrel Bisulfate
54
Eliquis
Apixaban
36
Triamcinolone Acetonide
31
Methylprednisolone
19
Cilostazol
16
Prednisone
11

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

Diagnostic Radiology Physician Overview

How MARK GARCIA, MD fits within the Diagnostic Radiology Physician landscape nationally.

39,474
Diagnostic Radiology Physician Providers in US
56
States with Diagnostic Radiology Physician
63
Avg Claims per Provider

MARK GARCIA, MD's 334 claims are above the specialty average of 63.

Nearby Diagnostic Radiology Physician Providers in Delaware

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

Compare Diagnostic Radiology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is MARK GARCIA, MD's specialty?
MARK GARCIA, MD specializes in Diagnostic Radiology Physician and practices in WILMINGTON, Delaware. Credentials: MD.
How much does MARK GARCIA, MD prescribe under Medicare Part D?
In 2023, MARK GARCIA, MD wrote 334 Medicare Part D claims totaling $181K in drug costs for 106 beneficiaries.
Where is MARK GARCIA, MD located?
MARK GARCIA, MD is located at 701 N. CLAYTON ST., WILMINGTON, DE, 19805. Phone: (302) 760-9002.
What is MARK GARCIA, MD's NPI number?
MARK GARCIA, MD's National Provider Identifier (NPI) is 1942260088, issued on 03/24/2006.
Does MARK GARCIA, MD prescribe more brand-name or generic drugs?
MARK GARCIA, MD's prescribing is 42% brand-name and 58% generic drugs by claim count, with $174K in brand drug costs.
Does MARK GARCIA, MD prescribe opioids?
Yes, MARK GARCIA, MD had 17 opioid claims in 2023 with an opioid prescribing rate of 5.1%.
How many Diagnostic Radiology Physician providers are there in the US?
There are 39,474 Diagnostic Radiology Physician providers across 56 states in the US. The average Diagnostic Radiology Physician provider writes 63 Medicare Part D claims per year.
What drugs does MARK GARCIA, MD prescribe most often?
Based on 2023 Medicare Part D data, MARK GARCIA, MD's most frequently prescribed drugs include Xarelto, Clopidogrel, Eliquis. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does MARK GARCIA, MD accept Medicare?
MARK GARCIA, MD appears in CMS Medicare data with 334 Part D claims and 106 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify MARK GARCIA, MD's credentials?
MARK GARCIA, MD's NPI is 1942260088 with credentials MD. 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