Philip Garcia, M.D.
Otolaryngology Physician · Springfield, IL
Philip Garcia, M.D. is an otolaryngology physician with a practice address in Springfield, Illinois, and NPI 1831295815, issued on Sep 16, 2006. Check the license (Illinois 036-086164, as entered in NPPES) on the Illinois Department of Financial and Professional Regulation; the Medicare figures below come from public CMS files.
- Name
- Philip Garcia
- Credential
- M.D.
- Primary taxonomy
- Otolaryngology Physician 207Y00000X
- License number
- 036-086164 IL
Self-reported in NPPES; status is on the state search - Practice location
- 1025 S 6TH St, Springfield, IL 62703
- Phone
- (217) 528-7541
- Enumerated
- Sep 16, 2006
- Record last updated
- May 22, 2020 (not updated in 6 years: call before relying on the address or phone)
- Medicaid ID
- 036086164 IL
- Medicare enrollment
- Enrolled (PECOS I20060109000611); accepts Medicare assignment
- Medical or professional school
- University Of Michigan Medical School, 1987
- Entity
- Type 1 · individual
8 nearest otolaryngology physician records → All 482 in Illinois → Look up another NPI →
Also registered at 1025 S 6TH St
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Arun Abraham, MDFamily Medicine Physician1508020546
- Philip Abraham, M.D.Pulmonary Disease Physician1548375629
- Jeffrey Adkins, CRNACertified Registered Nurse Anesthetist1992793954
- Deborah Albright, M.D.Internal Medicine Physician1639145360
- Stanley Allen, M.D.Internal Medicine Physician1285631127
- Jessica Alwerdt, PHYSICIAN ASSISTANTPhysician Assistant1669706057
Verify Philip Garcia in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersIllinois Department of Financial and Professional Regulation
Search for license 036-086164Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
81% more Medicare Part D claims than the average otolaryngology physician in 2024
977 Medicare Part D claims for 370 beneficiaries, against an average of 541 among the 8,339 providers of this specialty who prescribed in Part D. 55 claims were for opioids.
Most prescribed
- Levothyroxine Sodium117 claims
- Ciprofloxacin Hcl87 claims
- Famotidine85 claims
- Prednisone64 claims
- Omeprazole46 claims
- Ipratropium Bromide45 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.
No measured MIPS final score for 2023
CMS assigned the neutral MIPS final score of 75 without scoring Quality, Cost, Promoting Interoperability or Improvement Activities. It is an administrative threshold, so PlainDoctor does not compare it with measured clinicians.
Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $332.54
24 payments; by number, the most common kind was food and beverage; the largest payer was Inspire Medical Systems, Inc. The 6,429 providers of this specialty with any payment received $1,922.50 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
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
- Springfield Clinic, LLPSpringfield, IL
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Philip Garcia among 482 otolaryngology physician records in Illinois
Philip Garcia, M.D. is one of 482 otolaryngology 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 2006, is newer than 12% of them.
- NPI issued2006 · 12% of these records are older, 56% newer
- In a Medicare fileYes · 78% of these records are
- In the CMS Doctors and Clinicians fileYes · 60% of these records are
- Graduated1987 · median 2005 among the 290 with a school on file
- Record last updated2020 · 46% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207Y00000X and a Illinois practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Otolaryngology Physician providers in Illinois
There are 482 otolaryngology physician records in Illinois.
All 482 in Illinois → Every provider in Springfield → Otolaryngology Physician nationwide →
The 8 otolaryngology physician records with the nearest ZIP codes
- Sarah Fowler, M.D.Springfield, IL 627031609976513
- Xinyan Huang, MDSpringfield, IL 627031295862365
- Zaid Al-Zaghal, MDSpringfield, IL 627021801396064
- Mohammad Bilal AlsavafSpringfield, IL 627021831981224
- Trinithas Boyi, MDSpringfield, IL 627021689422842
- Emaan Dawood, MDSpringfield, IL 627021902738818
- Mitchell Heuermann, MDSpringfield, IL 627021295227783
- Rachel Karras, MDSpringfield, IL 627021285364414
Common questions
What is Philip Garcia, M.D.'s NPI number?
Philip Garcia, M.D.'s National Provider Identifier (NPI) is 1831295815, issued on Sep 16, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Philip Garcia, M.D. located?
The NPPES record lists a practice address at 1025 S 6TH St, Springfield, IL, 62703. Phone: (217) 528-7541. Providers update this record themselves, so call before visiting.
How can I verify Philip Garcia, M.D.'s license?
NPPES lists Illinois license number 036-086164, 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 Philip Garcia, M.D. prescribe under Medicare Part D?
In 2024, Philip Garcia, M.D. had 977 Medicare Part D claims for 370 beneficiaries; the average among otolaryngology physician prescribers was 541. Part D covers Medicare prescriptions only.
What is Philip Garcia, M.D.'s MIPS final score?
CMS assigned the neutral MIPS final score of 75 for 2023 without scoring any category, so it is not a measured result.
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.