Paul R. Garcia, MD
NPI 1144731498ActiveIndividual· Family Medicine· Janesville, WI
Family Medicine (MD) with Dean Health Systems Inc, practicing in Janesville, Wisconsin. Their prescriptions cost Medicare Part D more than their services did: $749,424 for 9,362 claims, against $85,226 paid for services in 2024. Lists Ssm Health St Mary's Hospital - Janesville and 1 other hospital as hospital affiliations.
Overview
| NPI | 1144731498 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Oct 13, 2017 |
| Last updated in NPPES | Nov 7, 2022 |
| Certified by provider | Nov 7, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 67993-20 | WI |
| Student in an Organized Health Care Education/Training Program | 390200000X | 67993-20 | WI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Family Practice (WI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 403 |
|---|---|
| Services billed | 1,171 across 49 procedure codes |
| Paid by Medicare | $85,226 |
Part D prescriptions in 2024
| Prescriptions (claims) | 9,362 · 20,357 30-day fills |
|---|---|
| Patients | 817 |
| Total drug cost | $749,424 |
| Generic share | 89% of claims |
Education and affiliations
| Graduation year | 2015 |
|---|---|
| Medicare specialty | Family Practice |
| Telehealth | Offers telehealth |
Medical group
- Dean Health Systems IncSun Prairie, WI · 1,159 clinicians
Hospital affiliations
- Ssm Health St Mary's Hospital - JanesvilleJanesville, WI
- Ssm Health St Mary's Hospital - MadisonMadison, WI
Other facilities
- Ssm Health at Home Home Health-WisconsinHome health agency · Madison, WI
- Agrace HospicecareHospice · Madison, WI
- Ssm Health at Home HospiceHospice · Baraboo, WI
- Rock HavenNursing home · Janesville, WI
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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