NPI registry status
Active
2026 NPPES data Ophthalmology Physician NPI 1063477636 MD
Verify on CMS → Roberto Garcia, MD
Ophthalmology Physician in Mayaguez, Puerto Rico.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 22,090 in Ophthalmology 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
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
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Roberto Garcia, MD filed 328 Medicare Part D claims in 2023 as a Ophthalmology Physician in Mayaguez, Puerto Rico, prescribing 77% generic.
- 328
- Part D claims, 2023
- 77%
- generic prescribing
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.
Roberto Garcia, MD's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023, across all CMS prescribers nationally
328 Top 43% higher than 57% of 1,370,886 prescribers
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.
Source CMS Medicare Part D Prescriber Public Use File · 2023
◑
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).
What does the federal data show about Roberto Garcia, MD?
Quality data not reportedPrimary specialty
Ophthalmology Physician
Medicare Part D claims
328 77% vs specialty avg
Specialty distribution in Puerto Rico
How Ophthalmology Physician compares to other specialties among Puerto Rico 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 Ophthalmology 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).
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.
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.
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
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%
Ophthalmology Physician average
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.
What Roberto Garcia, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Latanoprost
Latanoprost
157 claims
- Timolol Maleate
Timolol Maleate
91 claims
- Levobunolol Hcl 15
Levobunolol Hcl
15 claims
- Brimonidine Tartrate 14
Brimonidine Tartrate
14 claims
- Pilocarpine Hcl 13
Pilocarpine Hcl
13 claims
| 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.
Dr. Alejandro Acosta Rivera
M.D.
San German, PR
Dr. Alejandro Acosta-Ortiz
MD
Cabo Rojo, PR
Dr. Luma Al-Attar
MD
Manati, PR
Dr. Luis Alcaraz
M.D.
Aguadilla, PR
Dr. Vicente Alcaraz
MD
San Juan, PR
Compare Ophthalmology Physician nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the Puerto Rico medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Ophthalmology Physician peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
Healthcare Guides
Learn more about finding, verifying, and understanding healthcare providers.
How to Find a Doctor
Step-by-step guide to choosing a provider
Verify Credentials
Check NPI, board certification & license status
Medical Specialties Explained
Who treats what and how specialties differ
Understanding Medicare Claims Data
What prescribing data reveals about a provider
In-Network vs Out-of-Network
How insurance networks affect your costs
Telehealth Guide
Virtual care options and coverage in 2026
Explore Puerto Rico
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
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
Compiled from official public sources by the PlainDoctor editorial team.