2026 NPPES data Family Nurse Practitioner NPI 1255977161 APRN, FNP-C
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REGINA GARCIA, APRN, FNP-C

Family Nurse Practitioner in LUBBOCK, 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
1K
Medicare Part D claims · 335 beneficiaries · Family Nurse Practitioner avg: 1K
Generic prescribing
97%
generic claims · 3% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
59.559/100
▼ 24 pts below national avg 83.1 · [object Object]
Industry payments
$2.9K
60 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

REGINA GARCIA, APRN, FNP-C reported a CMS MIPS final score of 59.559/100 — below the 83.1 national average — and filed 1,165 Medicare Part D claims in 2023.

59.559/100
MIPS score · -24 vs avg
1K
Part D claims, 2023
97%
generic prescribing
$2.9K
industry payments (Sunshine Act)

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.

REGINA GARCIA, APRN, FNP-C's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

60 5th percentile higher than 5% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). This entry sits in this band. 60–70: 13,906 scored providers (3%). Above this entry. 70–80: 118,074 scored providers (25%). Above this entry. 80–90: 129,887 scored providers (27%). Above this entry. 90–100: 189,403 scored providers (40%). Above this entry. This provider 0 100 every MIPS-scored clinician, bucketed by value

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

What does the federal data show about REGINA GARCIA, APRN, FNP-C?

Below national average

NPI registry status

Active

Issued 11/26/2019

NPI 1255977161

Primary specialty

Family Nurse Practitioner

High-volume

209,817 US NPIs in this specialty

Medicare Part D claims

1,165 5% vs specialty avg

2023 prescription claims

Specialty avg: 1,222

MIPS final score

59.559/100 23.540999999999997% pts

Mid-tier band

vs 83.1 national avg

Specialty distribution in Texas

How Family Nurse Practitioner compares to other specialties among Texas providers

Texas providers

Family Nurse Practitioner share within Texas

1. Family Nurse Practitioner42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Family Nurse Practitioner share within Texas

Medicare quality performance — MIPS

REGINA GARCIA, APRN, FNP-C's 2023 MIPS final score plotted against the Family Nurse Practitioner national average

Below national average
MIPS Final Score
59.559/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Family Nurse Practitioner) — 59.559/100 vs national avg 83.1

0%100%National avg83%59.6%
MIPS final score (Family Nurse Practitioner) — 59.559/100 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).

REGINA GARCIA, APRN, FNP-C appears in the CMS NPPES registry as a Family Nurse Practitioner provider holding APRN, FNP-C credentials at 3419 22ND ST, LUBBOCK, TX, 79410, with a listed phone of (806) 796-3000. NPI 1255977161 was issued on 11/26/2019. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what GARCIA 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 1,165 prescription claims written by this provider, covering 335 Medicare beneficiaries and totaling roughly $39K in drug spend, split 3% brand-name and 97% generic by claim count, with an opioid prescribing rate of 29.3%. 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 59.559/100 for the 2023 performance year (Quality 59.124, Cost 19.406), compared with the national average of 83.1.

Family Nurse Practitioner is a high-volume specialty nationwide, with 209,817 enrolled providers across 56 states and an average of 1,222 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

3419 22ND ST
LUBBOCK, TX 79410

Provider Details

NPI 1255977161
Specialty Family Nurse Practitioner
Credentials APRN, FNP-C
Gender Female
NPI Issued 11/26/2019

CMS Quality Score (MIPS)

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

59.559
Final Score
Avg: 83.1
59.124
Quality
19.406
Cost
84
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where REGINA GARCIA, APRN, FNP-C bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

NEUROSURGICAL ASSOCIATES , LLP
LUBBOCK, TX

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

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 REGINA GARCIA, APRN, FNP-C. Source: openpaymentsdata.cms.gov.

Total received

$2.9K

Largest payer

SI-BONE, 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 REGINA GARCIA, APRN, FNP-C. To verify REGINA GARCIA, APRN, FNP-C'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.

Brand vs generic prescribing mix · Generic-heavy

REGINA GARCIA, APRN, FNP-C — brand share 3.0%
Specialty average (est.)

3% brand-name claims vs 97% generic, on 1,165 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.

1,165
Total Claims
$39K
Total Drug Cost
335
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,398
Total Day Supply
40,421
Brand vs Generic
3% brand / 97% generic
Brand Drug Cost
$17K
Generic Drug Cost
$22K
Opioid Claims
341 (29.3% rate)

Patient Demographics

Average Patient Age
69.9 years
Avg HCC Risk Score
1.46
Gender Split
65% female / 35% male
Age Distribution
<65: 84, 65-74: 147, 75-84: 75, 85+: 29

Top Prescribed Drugs (Medicare Part D)

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

What REGINA GARCIA, APRN, FNP-C prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Gabapentin
299
Tramadol Hcl
214
Acetaminophen-Codeine
Acetaminophen With Codeine
117
Tizanidine Hcl
98
Cyclobenzaprine Hcl
92
Pregabalin
85
Duloxetine Hcl
61
Meloxicam
46
Celecoxib
27
Movantik
Naloxegol Oxalate
24

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

Family Nurse Practitioner Overview

How REGINA GARCIA, APRN, FNP-C fits within the Family Nurse Practitioner landscape nationally.

209,817
Family Nurse Practitioner Providers in US
56
States with Family Nurse Practitioner
1,222
Avg Claims per Provider

REGINA GARCIA, APRN, FNP-C's 1,165 claims are below the specialty average of 1,222.

Nearby Family Nurse Practitioner Providers in Texas

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

Compare Family Nurse Practitioner nationally: see state-by-state distribution →

Frequently Asked Questions

What is REGINA GARCIA, APRN, FNP-C's specialty?
REGINA GARCIA, APRN, FNP-C specializes in Family Nurse Practitioner and practices in LUBBOCK, Texas. Credentials: APRN, FNP-C.
How much does REGINA GARCIA, APRN, FNP-C prescribe under Medicare Part D?
In 2023, REGINA GARCIA, APRN, FNP-C wrote 1,165 Medicare Part D claims totaling $39K in drug costs for 335 beneficiaries.
What is REGINA GARCIA, APRN, FNP-C's Medicare quality score?
REGINA GARCIA, APRN, FNP-C has a CMS MIPS Final Score of 59.559/100 (Quality: 59.124, Cost: 19.406). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is REGINA GARCIA, APRN, FNP-C located?
REGINA GARCIA, APRN, FNP-C is located at 3419 22ND ST, LUBBOCK, TX, 79410. Phone: (806) 796-3000.
What is REGINA GARCIA, APRN, FNP-C's NPI number?
REGINA GARCIA, APRN, FNP-C's National Provider Identifier (NPI) is 1255977161, issued on 11/26/2019.
Does REGINA GARCIA, APRN, FNP-C prescribe more brand-name or generic drugs?
REGINA GARCIA, APRN, FNP-C's prescribing is 3% brand-name and 97% generic drugs by claim count, with $17K in brand drug costs.
Does REGINA GARCIA, APRN, FNP-C prescribe opioids?
Yes, REGINA GARCIA, APRN, FNP-C had 341 opioid claims in 2023 with an opioid prescribing rate of 29.3%.
How many Family Nurse Practitioner providers are there in the US?
There are 209,817 Family Nurse Practitioner providers across 56 states in the US. The average Family Nurse Practitioner provider writes 1,222 Medicare Part D claims per year.
What drugs does REGINA GARCIA, APRN, FNP-C prescribe most often?
Based on 2023 Medicare Part D data, REGINA GARCIA, APRN, FNP-C's most frequently prescribed drugs include Gabapentin, Tramadol Hcl, Acetaminophen-Codeine. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does REGINA GARCIA, APRN, FNP-C accept Medicare?
REGINA GARCIA, APRN, FNP-C appears in CMS Medicare data with 1,165 Part D claims and 335 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify REGINA GARCIA, APRN, FNP-C's credentials?
REGINA GARCIA, APRN, FNP-C's NPI is 1255977161 with credentials APRN, FNP-C. 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