Doctor profile · Federal record

Dr. Adam de la Garza, MD

Ophthalmic Plastic and Reconstructive Surgery Physician (CMS: Ophthalmology) · Ophthalmology Physician · Ophthalmology Physician · Ophthalmology Physician · Atlanta, GA

  • NPI 1609805522
  • Accepts Medicare
  • MIPS 86.9 / 100 · 2023
  • 24 yrs in practice
  • Licensed in 3 states
  • Male
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
1365B Clifton RD Ne
Atlanta, GA 303224003
(404) 778-2020

Credentials & registration

NPPES · NUCC
NPI registered
July 2006 — 20 yrs on file
Profile last updated
August 25, 2025
Year of graduation
2002 — 24 yrs since
Specialty taxonomy
207WX0200X — NUCC code
State licenses (3)
Georgia #081784 · Oklahoma #26270 · Iowa #36592
Medicaid (2)
IA #0727560 · OK #200197860A

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1609805522. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
286
Distinct HCPCS
10
Medicare allowed
$55,160
HCPCS Description Services Patients Avg allowed
99214 Established patient office or other outpatient visit, 30-39 minutes 80 75 $128
99213 Established patient office or other outpatient visit, 20-29 minutes 47 39 $90
99204 New patient office or other outpatient visit, 45-59 minutes 41 41 $166
92081 Exam of visual field with limited testing 32 31 $32
15823 Removal of excessive skin and fat of upper eyelid 17 17 $810
99205 New patient office or other outpatient visit, 60-74 minutes 16 16 $194
99215 Established patient office or other outpatient visit, 40-54 minutes 14 13 $179
67840 Removal of growth of eyelid 13 11 $261
67900 Repair of brow paralysis 13 13 $376
67966 Removal of over 1/4 of eyelid margin and repair of eyelid 13 13 $398

In context: peer comparison

Among 2 peers in Atlanta Ophthalmic Plastic and Reconstructive Surgery Physician, average services per provider: 28. This provider delivers 10× the peer median.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$256
Transactions
5
Manufacturers
1
Payer (manufacturer) Industry Txns Amount
Amgen INC. 5 $256.08

By nature of payment

Food and Beverage
$256

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
96
Patients
59
Total drug cost
$469
Drug Type Claims Patients Total cost
Erythromycin (Erythromycin Base) Brand 66 30 $425
Tramadol Hcl Generic 30 29 $44

Hospital affiliations

CMS Hospital Compare

Frequently asked questions

Auto-generated from federal data
What is Dr. Adam de la Garza's medical specialty?
Dr. Adam de la Garza practices Ophthalmic Plastic and Reconstructive Surgery Physician in Atlanta, GA.
Where does Dr. Adam de la Garza practice?
Dr. Adam de la Garza practices at 1365B Clifton RD Ne, Atlanta, GA 303224003. Office phone: 4047782020.
What is Dr. Adam de la Garza's NPI?
Dr. Adam de la Garza's National Provider Identifier (NPI) is 1609805522, issued by NPPES.
Does Dr. Adam de la Garza accept Medicare assignment?
Yes. Dr. Adam de la Garza accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Adam de la Garza commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99214); Established patient office or other outpatient visit (HCPCS 99213); New patient office or other outpatient visit (HCPCS 99204). Source: CMS Medicare Physician & Other Practitioners file.