Enrique Garcia-Valenzuela, MD
NPI 1356316855ActiveIndividual· Ophthalmology, Retina Specialist· Des Plaines, IL
Ophthalmology, Retina Specialist (MD) with Midwest Retina Consultants SC, practicing in Des Plaines, Illinois. In 2024 Medicare paid $2,114,883 for 1,305 patients, and Part D covered 685 of their prescriptions, 46% of them generic. Apellis Pharmaceuticals, Inc. was the largest of 7 companies reporting payments in 2025, $260.04 in all, mostly food and beverage. Lists Northwest Community Hospital 1 and 1 other hospital as hospital affiliations.
Overview
| NPI | 1356316855 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Feb 20, 2006 |
| Last updated in NPPES | Dec 20, 2021 |
| Certified by provider | Dec 20, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Ophthalmology, Retina Specialist Primary | 207WX0107X | 036113179 | IL |
| Ophthalmology | 207W00000X | 036-113179 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Ophthalmology (IL) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 1,305 |
|---|---|
| Services billed | 25,755 across 62 procedure codes |
| Paid by Medicare | $2,114,883 |
Part D prescriptions in 2024
| Prescriptions (claims) | 685 · 1,030 30-day fills |
|---|---|
| Patients | 194 |
| Total drug cost | $17,108 |
| Generic share | 46% of claims |
Education and affiliations
| Graduation year | 1991 |
|---|---|
| Medicare specialty | Ophthalmology |
Medical group
- Midwest Retina Consultants SCArlington Heights, IL · 6 clinicians
Hospital affiliations
- Northwest Community Hospital 1Arlington Heights, IL
- St Alexius Medical CenterHoffman Estates, IL
Industry payments (Open Payments)
- 2025$260.04 · 10 payments from 7 companies
- 2024$441.12 · 18 payments from 7 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Apellis Pharmaceuticals, Inc. | $61.76 | 2 |
| Ani Pharmaceuticals, Inc. | $53.75 | 2 |
| Astellas Pharma US Inc | $43.43 | 2 |
| Regeneron Healthcare Solutions, Inc. | $37.83 | 1 |
| Genentech USA, Inc. | $26.89 | 1 |
What the 2025 payments were for
- Food and Beverage$260.04 · 10 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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