Paul Garvin, MD
Transplant Surgery Physician in Saint Louis, Missouri. This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 1,026 in Transplant Surgery 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.
What the federal data shows
Paul Garvin, MD reported a CMS MIPS final score of 31.7/100 - below the 83.1 national average - and filed 334 Medicare Part D claims in 2023.
- 31.7/100
- MIPS score · -51 vs avg
- 334
- 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.
Paul Garvin, MD's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
32 3rd percentile higher than 3% 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 Paul Garvin, MD sits
This provider among transplant surgery physician peers
Across the 248 transplant surgery physician providers who report both Medicare Part D prescribing and a MIPS quality score, Paul Garvin, MD writes more Part D claims than 82% of them and scores higher on MIPS quality than 0% - 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
Each dot is one transplant surgery physician peer from a representative sample of 60; the gold marker is Paul Garvin, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
Paul Garvin, 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 Paul Garvin, MD?
Below national averagePrimary specialty
Medicare Part D claims
MIPS final score
Specialty distribution in Missouri
How Transplant Surgery Physician compares to other specialties among Missouri providers
Largest specialties in Missouri (% of in-state providers)
Transplant Surgery Physician ranks #268 among Missouri's specialties (0% of in-state providers)
Each bar is a specialty's share of the Missouri provider total, by primary NUCC taxonomy. The highlighted bar is Transplant Surgery Physician; the long tail of smaller specialties is omitted for legibility.
Medicare quality performance, MIPS
Paul Garvin, MD's 2023 MIPS final score plotted against the Transplant Surgery Physician national average
- MIPS Final Score
- 31.7/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Transplant Surgery Physician) - 31.7/100 vs national avg 83.1
Quality benchmarks
- National MIPS avg 2023 reporting year
- Quality dim CMS Quality category
- Cost dim CMS Cost category
- Specialty volume Transplant Surgery Physician US NPIs
31.7/100 MIPS final score - 51.4 pts below the 83.1 national average
Quality, Cost, Promoting Interoperability, and Improvement Activities composite score for the 2023 performance year. Specialty: Transplant Surgery Physician. Quality dim: 18.1. Cost dim: 59.
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).
Paul Garvin, MD appears in the CMS NPPES registry as a Transplant Surgery Physician provider holding MD credentials at 10004 KENNERLY RD, Saint Louis, MO, 63128, with a listed phone of (314) 543-5963. NPI 1407950017 was issued on 09/12/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Garvin 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 75 Medicare beneficiaries and totaling roughly $21K in drug spend. 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 31.7/100 for the 2023 performance year (Quality 18.1, Cost 59), compared with the national average of 83.1.
Transplant Surgery Physician is a narrow specialty nationwide, with 1,026 enrolled providers across 48 states and an average of 275 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 | 1407950017 |
|---|---|
| Specialty | Transplant Surgery Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 09/12/2006 |
Verify this provider's license
PlainDoctor pulls this profile from the CMS NPPES public registry. Confirm Paul Garvin, MD's current license status, disciplinary history, and board certifications with the Missouri Board of Registration for the Healing Arts in Missouri before relying on this page for a clinical or care decision.
How we sourced this profile
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
Reporting: Group practice
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 Paul Garvin, MD. Source: openpaymentsdata.cms.gov.
Total received
$141
Largest payer
Amgen 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.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
Prescribing Breakdown
- 30-Day Fills
- 490
- Total Day Supply
- 13,549
- Generic Drug Cost
- $14K
- Antibiotic Claims
- 15
Patient Demographics
- Average Patient Age
- 65.2 years
- Avg HCC Risk Score
- 3.66
- Gender Split
- 53% female / 47% male
- Age Distribution
- <65: 30, 65-74: 30, 75-84: N/A, 85+: N/A
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Paul Garvin, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Allopurinol
Allopurinol
22 claims
- Alprazolam
Alprazolam
18 claims
- Febuxostat
Febuxostat
14 claims
- Lisinopril
Lisinopril
13 claims
- Furosemide
Furosemide
12 claims
- Pantoprazole Sodium
Pantoprazole Sodium
12 claims
- Prednisone
Prednisone
12 claims
- Gabapentin
Gabapentin
11 claims
| Drug | Claims |
|---|---|
| Allopurinol | 22 |
| Alprazolam | 18 |
| Febuxostat | 14 |
| Lisinopril | 13 |
| Furosemide | 12 |
| Pantoprazole Sodium | 12 |
| Prednisone | 12 |
| Gabapentin | 11 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Transplant Surgery Physician Overview
How Paul Garvin, MD fits within the Transplant Surgery Physician landscape nationally.
Paul Garvin, MD's 334 claims are above the specialty average of 275.
Nearby Transplant Surgery Physician Providers in Missouri
Other clinicians with the same primary specialty enrolled in Missouri, drawn from the same CMS NPPES roster as Garvin.
Compare Transplant Surgery 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 Missouri medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Transplant Surgery 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
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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