NPI registry status
Active
2026 NPPES data Maternal & Fetal Medicine Physician NPI 1639284946 MD
Verify on CMS → Patricia Garcia, MD
Maternal & Fetal Medicine Physician in Chicago, Illinois.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 2,112 in Maternal & Fetal 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
11
Medicare Part D claims · Maternal & Fetal Medicine Physician avg: 75
MIPS score
94.1/100
▲ 11 pts above national avg 83.1 · Exceptional
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Patricia Garcia, MD reported a CMS MIPS final score of 94.1/100 - above the 83.1 national average - and filed 11 Medicare Part D claims in 2023.
- 94.1/100
- MIPS score · +11 vs avg
- 11
- Part D claims, 2023
- 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.
Patricia Garcia, MD's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
94 Top 25% higher than 75% of 477,587 scored providers
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 Patricia Garcia, MD sits
This provider among maternal & fetal medicine physician peers
Across the 68 maternal & fetal medicine physician providers who report both Medicare Part D prescribing and a MIPS quality score, Patricia Garcia, MD writes more Part D claims than 0% of them and scores higher on MIPS quality than 71% - placing this provider in the lower-volume, high-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
Each dot is one maternal & fetal medicine physician peer from a representative sample of 60; the gold marker is Patricia Garcia, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Patricia Garcia, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting - 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 Patricia Garcia, MD?
High performer (top quartile)Primary specialty
Maternal & Fetal Medicine Physician
Medicare Part D claims
11 85% vs specialty avg
MIPS final score
94.1/100 11 pts vs avg
Specialty distribution in Illinois
How Maternal & Fetal Medicine Physician compares to other specialties among Illinois providers
Medicare quality performance, MIPS
Patricia Garcia, MD's 2023 MIPS final score plotted against the Maternal & Fetal Medicine Physician national average
- MIPS Final Score
- 94.1/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Maternal & Fetal Medicine Physician) - 94.1/100 vs national avg 83.1
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).
Patricia Garcia, MD appears in the CMS NPPES registry as a Maternal & Fetal Medicine Physician provider holding MD credentials at 675 N SAINT CLAIR ST, Chicago, IL, 60611, with a listed phone of (312) 695-7542. NPI 1639284946 was issued on 08/20/2006.
Medicare Part D records for calendar year 2023 show 11 prescription claims written by this provider, covering N/A Medicare beneficiaries and totaling roughly $456 in drug spend. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 94.1/100 for the 2023 performance year (Quality 82.6), compared with the national average of 83.1.
Maternal & Fetal Medicine Physician is a narrow specialty nationwide, with 2,112 enrolled providers across 52 states and an average of 75 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
Provider Details
| NPI | 1639284946 |
|---|---|
| Specialty | Maternal & Fetal Medicine Physician |
| Credentials | MD |
| Gender | Female |
| NPI Issued | 08/20/2006 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
94.1036
Final Score
Avg: 83.1
82.5938
Quality
100
Promoting Interoperability
Reporting: Alternative Payment Model
License & disciplinary context - Illinois IDFPR 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 ~42K Illinois medical licensees in 2023 - they are NOT specific to Patricia Garcia, MD. To verify Patricia Garcia, MD's current license status, search the IDFPR public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
106
Total board actions, Illinois 2023
Across 103 cases
2.52
Actions per 1,000 licensees
Illinois statewide rate
probation
Most common action type
38 cases
IDFPR 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 Illinois disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
11
Total Claims
$456
Total Drug Cost
N/A
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 17
- Total Day Supply
- 510
- Brand Drug Cost
- $0
- Generic Drug Cost
- $456
Patient Demographics
- Average Patient Age
- 68.0 years
- Avg HCC Risk Score
- 1.22
Maternal & Fetal Medicine Physician Overview
How Patricia Garcia, MD fits within the Maternal & Fetal Medicine Physician landscape nationally.
2,112
Maternal & Fetal Medicine Physician Providers in US
52
States with Maternal & Fetal Medicine Physician
75
Avg Claims per Provider
Patricia Garcia, MD's 11 claims are below the specialty average of 75.
Nearby Maternal & Fetal Medicine Physician Providers in Illinois
Other clinicians with the same primary specialty enrolled in Illinois, drawn from the same CMS NPPES roster as Garcia.
Jacques Abramowicz
Chicago, IL
Dr. Robert Abrams
M.D.
Springfield, IL
Dr. Henry Adekola
MD
Springfield, IL
Dr. Steven Ambrose
M.D.
Evergreen Park, IL
Dr. Richard Besinger
MD
Maywood, IL
Compare Maternal & Fetal Medicine 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 Illinois medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Maternal & Fetal Medicine 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.
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Frequently Asked Questions
What is Patricia Garcia, MD's specialty? ▼
Patricia Garcia, MD specializes in Maternal & Fetal Medicine Physician and practices in Chicago, Illinois. Credentials: MD.
How much does Patricia Garcia, MD prescribe under Medicare Part D? ▼
In 2023, Patricia Garcia, MD wrote 11 Medicare Part D claims totaling $456 in drug costs for N/A beneficiaries.
What is Patricia Garcia, MD's Medicare quality score? ▼
Patricia Garcia, MD has a CMS MIPS Final Score of 94.1/100 (Quality: 82.6). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Patricia Garcia, MD located? ▼
Patricia Garcia, MD is located at 675 N SAINT CLAIR ST, Chicago, IL, 60611. Phone: (312) 695-7542.
What is Patricia Garcia, MD's NPI number? ▼
Patricia Garcia, MD's National Provider Identifier (NPI) is 1639284946, issued on 08/20/2006.
How many Maternal & Fetal Medicine Physician providers are there in the US? ▼
There are 2,112 Maternal & Fetal Medicine Physician providers across 52 states in the US. The average Maternal & Fetal Medicine Physician provider writes 75 Medicare Part D claims per year.
Does Patricia Garcia, MD accept Medicare? ▼
Patricia Garcia, MD appears in CMS Medicare data with 11 Part D claims and N/A Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Patricia Garcia, MD's credentials? ▼
Patricia Garcia, MD's NPI is 1639284946 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
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.
- 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.
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.