NPPES file of Aug 9, 2026

Ralph Zachary Garza, MD

Orthopaedic Surgery Physician · San Antonio, TX

Ralph Zachary Garza, MD is an orthopaedic surgery physician with a practice address in San Antonio, Texas, and NPI 1275732166, issued on Jul 12, 2007. Check the license (Texas P6169, as entered in NPPES) on the Texas Medical Board; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1275732166
Name
Ralph Zachary Garza
Credential
MD
Primary taxonomy
Orthopaedic Surgery Physician 207X00000X
License number
P6169 TX
Self-reported in NPPES; status is on the state search
Practice location
18626 Hardy Oak Blvd Ste 300, San Antonio, TX 78258
Phone
(210) 495-9047
Enumerated
Jul 12, 2007
Record last updated
Dec 18, 2019 (not updated in 7 years: call before relying on the address or phone)
Fax
(210) 293-1515
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). A record is not a license: verify it with the state board.
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Also registered at 18626 Hardy Oak Blvd Ste 300

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Alaina ArringdaleFamily Nurse Practitioner1073284493
  2. Debra Del Valle, APRN FNP-CFamily Nurse Practitioner1639882467
  3. Joel Edionwe, M.DOrthopaedic Surgery of the Spine Physician1558897058
  4. Gregg Gurwitz, M.D.Orthopaedic Surgery of the Spine Physician1598764813
  5. Joel Jenne, M.D.Orthopaedic Surgery of the Spine Physician1457329906
  6. Arlene Martinez, DNPFamily Nurse Practitioner1194500389

Verify Ralph Zachary Garza in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersTexas Medical Board
    Search for license P6169
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Texas license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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The practice group's MIPS final score for 2023 (Medicare payment program): 49.6 of 100

The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score73.3
  2. Costout of 100 · 30%42.2
  3. Promoting interoperabilityout of 100 · 25%0.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $759.96

3 payments; by number, the most common kind was food and beverage; the largest payer was Csl Plasma Inc. The 15,003 providers of this specialty with any payment received $23,022.89 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Ralph Garza$760
  2. Specialty average$23,023

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Ralph Zachary Garza among 1,514 orthopaedic surgery physician records in Texas

Ralph Zachary Garza, MD is one of 1,514 orthopaedic surgery physician records with a practice address in Texas. 82% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2007, is newer than 54% of them.

  • NPI issued2007 · 54% of these records are older, 36% newer
  • In a Medicare fileYes · 82% of these records are
  • In the CMS Doctors and Clinicians fileNo · 67% of these records are
  • Record last updated2019 · 54% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207X00000X and a Texas practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Orthopaedic Surgery Physician providers in Texas

There are 1,514 orthopaedic surgery physician records in Texas.

The 8 orthopaedic surgery physician records with the nearest ZIP codes

  1. Charles Broome, MDSan Antonio, TX 782581720129992
  2. Stephen Burkhart, M.D.San Antonio, TX 782581366487498
  3. Ronald Connor, M.D.San Antonio, TX 782581811939820
  4. Matthew Dwyer, M.D.San Antonio, TX 782581083753925
  5. Wayne Lee, MDSan Antonio, TX 782581164406625
  6. Amanda Marshall, MDSan Antonio, TX 782581821077132
  7. Justin Robbins, M.D.San Antonio, TX 782581578547915
  8. Frank Schroeder, D.O.San Antonio, TX 782581528167368

Common questions

What is Ralph Zachary Garza, MD's NPI number?

Ralph Zachary Garza, MD's National Provider Identifier (NPI) is 1275732166, issued on Jul 12, 2007. An NPI identifies a provider in billing; it is not a license.

Where is Ralph Zachary Garza, MD located?

The NPPES record lists a practice address at 18626 Hardy Oak Blvd Ste 300, San Antonio, TX, 78258. Phone: (210) 495-9047. Providers update this record themselves, so call before visiting.

How can I verify Ralph Zachary Garza, MD's license?

NPPES lists Texas license number P6169, as entered by the provider. Search the Texas Medical Board at https://profile.tmb.state.tx.us/Search.aspx. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

What is Ralph Zachary Garza, MD's MIPS final score?

The 2023 MIPS final score is 49.6 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.

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.