NPI registry status
Active
2026 NPPES data Family Medicine Physician NPI 1801068135 MD
Verify on CMS → Rafael Garcia, MD
Family Medicine Physician in Orange Park, Florida.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 147,760 in Family 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
4K
Medicare Part D claims · 143 beneficiaries · Family Medicine Physician avg: 3K
Generic prescribing
83%
generic claims · 17% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$152.98
7 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2023
What the federal data shows
Rafael Garcia, MD filed 3,728 Medicare Part D claims in 2023 as a Family Medicine Physician in Orange Park, Florida, prescribing 83% generic.
- 4K
- Part D claims, 2023
- 83%
- generic prescribing
- $152.98
- industry payments (Sunshine Act)
- ≥91st
- pct by Part D claim volume (lower-bound band)
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.
CMS NPPES provider registry desk
NPI 1801068135 · Family Medicine Physician
NPI-10 · ENUM-MID · TAX-MEGA · RX-MID · BOOK-MID · PHOTO-ENUM
- NPI-10 1801068135
- ENUM-MID 2008
- TAX-MEGA 148K Family Medicine
- RX-MID 3,728
- BOOK-MID 8,942 in Florida
- PHOTO-ENUM Hunter Davis · 2008
Rafael Garcia, MD's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023, across all CMS prescribers nationally
3,728 ≥ 91st percentile 91% of 1,370,886 prescribers are in lower value bands
Each bar is a band; taller bars hold more prescribers. 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.
The percentile is a conservative 100-claim band: it counts only prescribers in lower claim-volume bands. Medicare Part D claim volume is activity context, not a quality measure or recommendation. See methodology § corpus placement.
Source CMS Medicare Part D Prescriber Public Use File · 2023
◑
Board-eligible specialty (heuristic, not verified)
Rafael Garcia, MD practices in an ABMS-board-eligible specialty but we don't have enough CMS-participation signals to confirm active board-certified status. Consult CertificationMatters.org (the official ABMS public lookup).
What does the federal data show about Rafael Garcia, MD?
Quality data not reportedPrimary specialty
Family Medicine Physician
Medicare Part D claims
3,728 9% vs specialty avg
Specialty distribution in Florida
How Family Medicine Physician compares to other specialties among Florida providers
Board certification
Not published by CMS
CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Family Medicine Physician. Verify directly:
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).
Practice Address
Provider Details
| NPI | 1801068135 |
|---|---|
| Specialty | Family Medicine Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 03/27/2008 |
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 Rafael Garcia, MD. Source: openpaymentsdata.cms.gov.
Total received
$153
Largest payer
ITI, Inc. (d/b/a Intra-Cellular Therapies, 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.
License & disciplinary context - Florida FLDOH 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 ~75K Florida medical licensees in 2023 - they are NOT specific to Rafael Garcia, MD. To verify Rafael Garcia, MD's current license status, search the FLDOH public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
480
Total board actions, Florida 2023
Across 467 cases
6.40
Actions per 1,000 licensees
Florida statewide rate
monetary fine
Most common action type
138 cases
FLDOH 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 Florida disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Brand vs generic prescribing mix · Typical
Rafael Garcia, MD - brand share 17.0%
Family Medicine Physician average
17% brand-name claims vs 83% generic, on 3,728 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.
3,728
Total Claims
$366K
Total Drug Cost
143
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 6,368
- Total Day Supply
- 170,799
- Brand vs Generic
- 17% brand / 83% generic
- Brand Drug Cost
- $315K
- Generic Drug Cost
- $48K
- Opioid Claims
- 156 (4.2% rate)
- Antibiotic Claims
- 164
Patient Demographics
- Average Patient Age
- 71.1 years
- Avg HCC Risk Score
- 1.79
- Gender Split
- 58% female / 42% male
- Age Distribution
- <65: 21, 65-74: 68, 75-84: 42, 85+: 12
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Rafael Garcia, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Atorvastatin Calcium
Atorvastatin Calcium
304 claims
- Eliquis
Eliquis
140 claims
- Levothyroxine Sodium
Levothyroxine Sodium
124 claims
- Losartan Potassium 119
Losartan Potassium
119 claims
- Amlodipine Besylate 115
Amlodipine Besylate
115 claims
- Metformin Hcl 99
Metformin Hcl
99 claims
- Gabapentin 82
Gabapentin
82 claims
- Lisinopril 81
Lisinopril
81 claims
| Drug | Claims |
|---|---|
| Atorvastatin Calcium | 304 |
| Eliquis Apixaban | 140 |
| Levothyroxine Sodium | 124 |
| Losartan Potassium | 119 |
| Amlodipine Besylate | 115 |
| Metformin Hcl | 99 |
| Gabapentin | 82 |
| Lisinopril | 81 |
| Tramadol Hcl | 78 |
| Tamsulosin Hcl | 64 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Family Medicine Physician Overview
How Rafael Garcia, MD fits within the Family Medicine Physician landscape nationally.
147,760
Family Medicine Physician Providers in US
56
States with Family Medicine Physician
3,418
Avg Claims per Provider
Rafael Garcia, MD's 3,728 claims are above the specialty average of 3,418.
Nationwide Family Medicine Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Garcia, both outside Florida so the neighborhoods are not geographic containment.
Same NPPES enumeration year (2008)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Family Medicine Physician Providers in Florida
Other clinicians with the same primary specialty enrolled in Florida, drawn from the same CMS NPPES roster as Garcia.
One of 8,942 Family Medicine Physician providers enrolled in Florida, 5 are shown here.
Dr. Kellie Aarons
MD
Tampa, FL
Dr. Zoilo Abad
MD
Miami, FL
Dr. Flor Abalos Escalona
APRN-FNP
Miami, FL
Dr. Aschanti Abarca Selva
M.D
Naples, FL
Dr. Syed Abbas
DO
Sebring, FL
Compare Family Medicine Physician nationally: see state-by-state distribution →
Frequently Asked Questions
What is Rafael Garcia, MD's specialty? ▼
Rafael Garcia, MD specializes in Family Medicine Physician and practices in Orange Park, Florida. Credentials: MD.
How much does Rafael Garcia, MD prescribe under Medicare Part D? ▼
In 2023, Rafael Garcia, MD wrote 3,728 Medicare Part D claims totaling $366K in drug costs for 143 beneficiaries.
Where is Rafael Garcia, MD located? ▼
Rafael Garcia, MD is located at 151 COLLEGE DR STE 3, Orange Park, FL, 32065. Phone: (904) 214-6719.
What is Rafael Garcia, MD's NPI number? ▼
Rafael Garcia, MD's National Provider Identifier (NPI) is 1801068135, issued on 03/27/2008.
Does Rafael Garcia, MD prescribe more brand-name or generic drugs? ▼
Rafael Garcia, MD's prescribing is 17% brand-name and 83% generic drugs by claim count, with $315K in brand drug costs.
Does Rafael Garcia, MD prescribe opioids? ▼
Yes, Rafael Garcia, MD had 156 opioid claims in 2023 with an opioid prescribing rate of 4.2%.
How many Family Medicine Physician providers are there in the US? ▼
There are 147,760 Family Medicine Physician providers across 56 states in the US. The average Family Medicine Physician provider writes 3,418 Medicare Part D claims per year.
What drugs does Rafael Garcia, MD prescribe most often? ▼
Based on 2023 Medicare Part D data, Rafael Garcia, MD's most frequently prescribed drugs include Atorvastatin Calcium, Eliquis, Levothyroxine Sodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Rafael Garcia, MD accept Medicare? ▼
Rafael Garcia, MD appears in CMS Medicare data with 3,728 Part D claims and 143 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Rafael Garcia, MD's credentials? ▼
Rafael Garcia, MD's NPI is 1801068135 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.
- 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
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.