2026 NPPES data Orthopaedic Surgery of the Spine Physician NPI 1275732166 MD
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RALPH GARZA, MD

Orthopaedic Surgery of the Spine Physician in SAN ANTONIO, Texas. 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
33
Medicare Part D claims · 15 beneficiaries · Orthopaedic Surgery of the Spine Physician avg: 362
MIPS score
49.6335/100
▼ 33 pts below national avg 83.1 · [object Object]
Industry payments
$759.96
3 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: RALPH GARZA, MD is a Orthopaedic Surgery of the Spine Physician ([object Object]) practicing in SAN ANTONIO, Texas with a Medicare Part D prescribing footprint of 33 claims across 15 beneficiaries . Their CMS MIPS Final Score of 49.6335/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $759.96 across 3 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: RALPH GARZA, MD reported a CMS MIPS final score of 49.6335 out of 100, below the 83.1 national average, and filed 33 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

RALPH GARZA, 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).

RALPH GARZA, MD at a glance

Below national average

NPI registry status

Active

Issued 07/12/2007

NPI 1275732166

Primary specialty

Orthopaedic Surgery of the Spine Physician

Niche

1,773 US NPIs in this specialty

Medicare Part D claims

33 91% vs specialty avg

2023 prescription claims

Specialty avg: 362

MIPS final score

49.6335/100 33.466499999999996% pts

Below average band

vs 83.1 national avg

Specialty distribution in Texas

How Orthopaedic Surgery of the Spine Physician compares to other specialties among Texas providers

Texas providers

Orthopaedic Surgery of the Spine Physician share within Texas

1. Orthopaedic Surgery of the Spine Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Orthopaedic Surgery of the Spine Physician share within Texas

Medicare quality performance — MIPS

RALPH GARZA, MD's 2023 MIPS final score plotted against the Orthopaedic Surgery of the Spine Physician national average

Below national average
MIPS Final Score
49.6335/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Orthopaedic Surgery of the Spine Physician) — 49.6335/100 vs national avg 83.1

0%100%National avg83%49.6%
MIPS final score (Orthopaedic Surgery of the Spine Physician) — 49.6335/100 vs national avg 83.1

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).

RALPH GARZA, MD is a Orthopaedic Surgery of the Spine Physician provider practicing in SAN ANTONIO, Texas, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1275732166. 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.

RALPH GARZA, MD appears in the CMS NPPES registry as a Orthopaedic Surgery of the Spine Physician provider holding MD credentials at 18626 HARDY OAK BLVD STE 300, SAN ANTONIO, TX, 78258, with a listed phone of (210) 495-9047. NPI 1275732166 was issued on 07/12/2007. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what GARZA 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 33 prescription claims written by this provider, covering 15 Medicare beneficiaries and totaling roughly $455 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 49.6335/100 for the 2023 performance year (Quality 73.2904, Cost 42.1545), compared with the national average of 83.1.

Orthopaedic Surgery of the Spine Physician is a narrow specialty nationwide, with 1,773 enrolled providers across 51 states and an average of 362 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

18626 HARDY OAK BLVD STE 300
SAN ANTONIO, TX 78258

Provider Details

NPI 1275732166
Specialty Orthopaedic Surgery of the Spine Physician
Credentials MD
Gender Male
NPI Issued 07/12/2007

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

49.6335
Final Score
Avg: 83.1
73.2904
Quality
42.1545
Cost
0
Promoting Interoperability

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 RALPH GARZA, MD. Source: openpaymentsdata.cms.gov.

Total received

$760

Largest payer

CSL Plasma 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 — Texas TMB 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 ~77K Texas medical licensees in 2023 — they are NOT specific to RALPH GARZA, MD. To verify RALPH GARZA, MD's current license status, search the TMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

344
Total board actions, Texas 2023
Across 334 cases
4.47
Actions per 1,000 licensees
Texas statewide rate
probation
Most common action type
94 cases

TMB 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 Texas 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.

33
Total Claims
$455
Total Drug Cost
15
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
43
Total Day Supply
1,163
Brand Drug Cost
$0
Generic Drug Cost
$455

Patient Demographics

Average Patient Age
68.3 years
Avg HCC Risk Score
1.79

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Gabapentin
15

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

Orthopaedic Surgery of the Spine Physician Overview

How RALPH GARZA, MD fits within the Orthopaedic Surgery of the Spine Physician landscape nationally.

1,773
Orthopaedic Surgery of the Spine Physician Providers in US
51
States with Orthopaedic Surgery of the Spine Physician
362
Avg Claims per Provider

RALPH GARZA, MD's 33 claims are below the specialty average of 362.

Nearby Orthopaedic Surgery of the Spine Physician Providers in Texas

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

Compare Orthopaedic Surgery of the Spine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is RALPH GARZA, MD's specialty?
RALPH GARZA, MD specializes in Orthopaedic Surgery of the Spine Physician and practices in SAN ANTONIO, Texas. Credentials: MD.
How much does RALPH GARZA, MD prescribe under Medicare Part D?
In 2023, RALPH GARZA, MD wrote 33 Medicare Part D claims totaling $455 in drug costs for 15 beneficiaries.
What is RALPH GARZA, MD's Medicare quality score?
RALPH GARZA, MD has a CMS MIPS Final Score of 49.6335/100 (Quality: 73.2904, Cost: 42.1545). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is RALPH GARZA, MD located?
RALPH GARZA, MD is located at 18626 HARDY OAK BLVD STE 300, SAN ANTONIO, TX, 78258. Phone: (210) 495-9047.
What is RALPH GARZA, MD's NPI number?
RALPH GARZA, MD's National Provider Identifier (NPI) is 1275732166, issued on 07/12/2007.
How many Orthopaedic Surgery of the Spine Physician providers are there in the US?
There are 1,773 Orthopaedic Surgery of the Spine Physician providers across 51 states in the US. The average Orthopaedic Surgery of the Spine Physician provider writes 362 Medicare Part D claims per year.
What drugs does RALPH GARZA, MD prescribe most often?
Based on 2023 Medicare Part D data, RALPH GARZA, MD's most frequently prescribed drugs include Gabapentin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does RALPH GARZA, MD accept Medicare?
RALPH GARZA, MD appears in CMS Medicare data with 33 Part D claims and 15 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify RALPH GARZA, MD's credentials?
RALPH GARZA, MD's NPI is 1275732166 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.
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