2026 NPPES data Ophthalmology Physician NPI 1063477636 MD
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ROBERTO GARCIA, MD

Ophthalmology Physician in MAYAGUEZ, Puerto Rico. 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
328
Medicare Part D claims · 87 beneficiaries · Ophthalmology Physician avg: 1K
Generic prescribing
77%
generic claims · 23% brand-name · higher generic rates reduce patient out-of-pocket costs
What the federal data reveals: ROBERTO GARCIA, MD is a Ophthalmology Physician ([object Object]) practicing in MAYAGUEZ, Puerto Rico with a Medicare Part D prescribing footprint of 328 claims across 87 beneficiaries — 23% brand-name prescribing .

What stands out: ROBERTO GARCIA, MD filed 328 Medicare Part D claims in 2023 across MAYAGUEZ, Puerto Rico. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board-eligible specialty (heuristic — not verified)

ROBERTO 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).

ROBERTO GARCIA, MD at a glance

Quality data not reported

NPI registry status

Active

Issued 04/18/2006

NPI 1063477636

Primary specialty

Ophthalmology Physician

Mid-sized

22,090 US NPIs in this specialty

Medicare Part D claims

328 77% vs specialty avg

2023 prescription claims

Specialty avg: 1,420

Specialty distribution in Puerto Rico

How Ophthalmology Physician compares to other specialties among Puerto Rico providers

Puerto Rico providers

Ophthalmology Physician share within Puerto Rico

1. Ophthalmology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Ophthalmology Physician share within Puerto Rico

Specialty board-certification context

Estimated specialty board-certified rate — Ophthalmology Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Ophthalmology Physician ABMS/AOA estimate

Est. board-certified rate (Ophthalmology Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Ophthalmology Physician) — ABMS / AOA estimate

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).

ROBERTO GARCIA, MD is a Ophthalmology Physician provider practicing in MAYAGUEZ, Puerto Rico, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1063477636. 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.

ROBERTO GARCIA, MD appears in the CMS NPPES registry as a Ophthalmology Physician provider holding MD credentials at SN CALLE PERAL, MAYAGUEZ, PR, 00680, with a listed phone of (787) 831-8282. NPI 1063477636 was issued on 04/18/2006. 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 328 prescription claims written by this provider, covering 87 Medicare beneficiaries and totaling roughly $9K in drug spend, split 23% brand-name and 77% generic by claim count. 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.

Ophthalmology Physician is a mid-sized specialty nationwide, with 22,090 enrolled providers across 56 states and an average of 1,420 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

SN CALLE PERAL
MAYAGUEZ, PR 00680

Provider Details

NPI 1063477636
Specialty Ophthalmology Physician
Credentials MD
Gender Male
NPI Issued 04/18/2006

Brand vs generic prescribing mix · Typical

ROBERTO GARCIA, MD — brand share 23.0%
Specialty average (est.)

23% brand-name claims vs 77% generic, on 328 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.

328
Total Claims
$9K
Total Drug Cost
87
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
433
Total Day Supply
11,769
Brand vs Generic
23% brand / 77% generic
Brand Drug Cost
$6K
Generic Drug Cost
$3K

Patient Demographics

Average Patient Age
74.7 years
Avg HCC Risk Score
2.00
Gender Split
57% female / 43% male

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Latanoprost
157
Timolol Maleate
91
Levobunolol Hcl
15
Brimonidine Tartrate
14
Pilocarpine Hcl
13

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

Ophthalmology Physician Overview

How ROBERTO GARCIA, MD fits within the Ophthalmology Physician landscape nationally.

22,090
Ophthalmology Physician Providers in US
56
States with Ophthalmology Physician
1,420
Avg Claims per Provider

ROBERTO GARCIA, MD's 328 claims are below the specialty average of 1,420.

Nearby Ophthalmology Physician Providers in Puerto Rico

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

Compare Ophthalmology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is ROBERTO GARCIA, MD's specialty?
ROBERTO GARCIA, MD specializes in Ophthalmology Physician and practices in MAYAGUEZ, Puerto Rico. Credentials: MD.
How much does ROBERTO GARCIA, MD prescribe under Medicare Part D?
In 2023, ROBERTO GARCIA, MD wrote 328 Medicare Part D claims totaling $9K in drug costs for 87 beneficiaries.
Where is ROBERTO GARCIA, MD located?
ROBERTO GARCIA, MD is located at SN CALLE PERAL, MAYAGUEZ, PR, 00680. Phone: (787) 831-8282.
What is ROBERTO GARCIA, MD's NPI number?
ROBERTO GARCIA, MD's National Provider Identifier (NPI) is 1063477636, issued on 04/18/2006.
Does ROBERTO GARCIA, MD prescribe more brand-name or generic drugs?
ROBERTO GARCIA, MD's prescribing is 23% brand-name and 77% generic drugs by claim count, with $6K in brand drug costs.
How many Ophthalmology Physician providers are there in the US?
There are 22,090 Ophthalmology Physician providers across 56 states in the US. The average Ophthalmology Physician provider writes 1,420 Medicare Part D claims per year.
What drugs does ROBERTO GARCIA, MD prescribe most often?
Based on 2023 Medicare Part D data, ROBERTO GARCIA, MD's most frequently prescribed drugs include Latanoprost, Timolol Maleate, Levobunolol Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does ROBERTO GARCIA, MD accept Medicare?
ROBERTO GARCIA, MD appears in CMS Medicare data with 328 Part D claims and 87 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify ROBERTO GARCIA, MD's credentials?
ROBERTO GARCIA, MD's NPI is 1063477636 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.
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