Active NPI 1609805522 Individual Practitioner Male Practitioner

Dr. Adam Gregory De La Garza , MD

Ophthalmology • Birmingham, AL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Adam De La Garza, MD is a certified Ophthalmology practicing in Birmingham, AL. With approximately 24 years of clinical experience since graduating from Wake Forest University School Of Medicine in 2002, Dr. De La Garza delivers high-quality medical care to the local community at 1000 19TH ST S.

Dr. De La Garza maintains professional affiliations with The Emory Clinic Inc, Emory Medical Care Foundation Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, exam of visual field with limited testing, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1000 19th St S

Birmingham, AL 352054804

Telephone 2059300700

Associated Practice Facility / Clinic

🏢 Alabama Ophthalmology Associates, P.c. Facility NPI 1366484941

Medicare Profile & Education

Medical School

Wake Forest University School Of Medicine

Graduation Year

2002

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Birmingham, AL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

24 Yrs +1.5 yrs vs City Avg

City Avg: 22.5 Yrs

State Avg: 32.5 Yrs

Regional Practice Density

80 Specialists

Practicing in Birmingham, AL (257 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

84.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. De La Garza (24 Years) 24 Yrs

Birmingham Specialty Average (22.5 Years) 22.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	73	67	$475.49	$128.32
99213 Established patient office or other outpatient visit, typically 15 minutes	47	36	$335.86	$91.74
92081 Exam of visual field with limited testing	35	34	$117.33	$29.74
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	30	29	$666.43	$176.40
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$618.93	$161.87
15823 Removal of excessive skin and fat of upper eyelid	17	17	$4744.94	$779.34
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	13	13	$819.77	$223.55
67900 Repair of brow paralysis	11	11	$5537.45	$436.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	80	75	$441.00	$127.72
99213 Established patient office or other outpatient visit, typically 15 minutes	47	39	$314.57	$90.31
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	41	41	$581.85	$166.45
92081 Exam of visual field with limited testing	32	31	$108.38	$32.29
15823 Removal of excessive skin and fat of upper eyelid	17	17	$4482.18	$809.86
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	16	16	$759.75	$194.40
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	14	13	$635.00	$178.79
67966 Removal of over 1/4 of eyelid margin and repair of eyelid	13	13	$3265.00	$398.10
67900 Repair of brow paralysis	13	13	$5434.77	$376.17
67840 Removal of eyelid growth	13	11	$1197.31	$261.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	77	69	$420.06	$129.80
99213 Established patient office or other outpatient visit, typically 15 minutes	76	60	$296.62	$90.70
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	33	33	$543.55	$169.32
92082 Exam of visual field with intermediate testing	22	22	$144.55	$47.19
92083 Exam of visual field with extended testing	18	17	$192.89	$61.66
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	17	17	$586.94	$182.93
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$364.00	$109.45
67840 Removal of eyelid growth	15	12	$1224.00	$254.18
15823 Removal of excessive skin and fat of upper eyelid	15	15	$4130.40	$781.04
92081 Exam of visual field with limited testing	14	14	$104.14	$33.24
92012 Established patient problem focused exam of visual system	13	13	$159.00	$51.20
92285 Photography of content of eyes	13	13	$104.38	$21.36
67900 Repair of brow paralysis	11	11	$5140.36	$387.31
68840 Probing of nasal-tear duct	11	11	$801.64	$159.49
67904 Repair of tendon of upper eyelid	11	11	$4760.18	$789.16

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	104	75	$263.92	$92.51
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	58	55	$383.97	$131.28
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	34	34	$360.94	$113.68
92285 Photography of content of eyes	24	23	$95.29	$20.86
92082 Exam of visual field with intermediate testing	23	23	$151.91	$48.29
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$545.73	$169.94
67840 Removal of eyelid growth	21	18	$1180.95	$303.23
92012 Established patient problem focused exam of visual system	17	15	$158.12	$51.74
92083 Exam of visual field with extended testing	16	16	$203.00	$64.36
15823 Removal of excessive skin and fat of upper eyelid	14	14	$4324.57	$838.22
68840 Probing of nasal-tear duct	13	12	$852.31	$169.64
67900 Repair of brow paralysis	12	12	$4111.33	$383.33
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	11	11	$507.00	$183.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	87	73	$358.87	$107.92
99213 Established patient office or other outpatient visit, typically 15 minutes	51	39	$244.00	$74.66
92082 Exam of visual field with intermediate testing	29	27	$153.72	$47.38
92285 Photography of content of eyes	28	26	$91.21	$18.43
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$353.04	$107.26
92083 Exam of visual field with extended testing	26	24	$206.00	$61.02
68840 Probing of nasal-tear duct	11	11	$773.82	$155.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	61	54	$343.87	$108.72
99213 Established patient office or other outpatient visit, typically 15 minutes	42	37	$232.26	$74.23
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	42	42	$340.29	$108.35
92083 Exam of visual field with extended testing	13	13	$200.23	$64.12
92082 Exam of visual field with intermediate testing	11	11	$150.55	$47.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92285 Photography of content of eyes	269	261	$80.00	$18.47
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	223	223	$166.08	$100.85
92012 Established patient problem focused exam of visual system	128	104	$120.00	$81.67
15823 Removal of excessive skin and fat of upper eyelid	66	66	$1984.85	$746.43
67840 Removal of eyelid growth	27	24	$414.81	$225.26
67917 Extensive repair of turning-outward eyelid defect	27	25	$1027.78	$400.20
67900 Repair of brow paralysis	26	26	$2223.08	$396.29
68815 Probing of nasal-tear duct with insertion of tube or stent	18	16	$704.44	$132.31
15004 Preparation of skin graft site of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 100.0 sq cm or 1% body area for infants and children, or less	16	16	$550.00	$263.04
67903 Shortening or advancement of upper eyelid muscle to correct drooping or paralysis	16	16	$1780.00	$605.90
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	15	14	$1300.00	$498.13
67904 Repair of tendon of upper eyelid	13	13	$1476.92	$702.08
67950 Enlargement of eyelid margin	12	11	$795.00	$301.85
68720 Creation of drainage tract from tear sac to the nasal cavity	11	11	$1159.09	$701.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92285 Photography of content of eyes	274	274	$80.00	$18.24
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	249	249	$165.00	$100.00
92012 Established patient problem focused exam of visual system	122	100	$120.00	$78.68
15823 Removal of excessive skin and fat of upper eyelid	71	71	$1985.92	$746.98
67900 Repair of brow paralysis	32	32	$2362.50	$408.42
64612 Injection of chemical for paralysis of nerve muscles on side of face	27	11	$400.00	$163.03
67917 Extensive repair of turning-outward eyelid defect	24	23	$1125.00	$391.22
15004 Preparation of skin graft site of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 100.0 sq cm or 1% body area for infants and children, or less	21	20	$477.14	$261.81
67840 Removal of eyelid growth	21	18	$400.00	$238.63
67903 Shortening or advancement of upper eyelid muscle to correct drooping or paralysis	19	19	$1740.00	$544.94
67840 Removal of eyelid growth	15	13	$400.00	$92.95
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	13	13	$1147.69	$569.33
67904 Repair of tendon of upper eyelid	13	13	$1769.23	$729.84
67924 Extensive repair of turning-inward eyelid defect	12	11	$943.75	$438.92

Medical Specialties & State Licenses

CMS Verified: 2026-07-10

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License AL 54096

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Ophthalmology - Ophthalmic Plastic and Reconstructive Surgery

NUCC Taxonomy Code: 207WX0200X

State License GA 081784

A physician who specializes in oculofacial plastic and reconstructive surgery. This subspecialty combines orbital and periocular surgery with facial plastic surgery, and includes aesthetic and reconstructive surgery of the face, orbit, eyelid, and lacrimal system. Practitioners evaluate, diagnose and treat conditions involving the eyelids, brows, midface, orbits, lacrimal systems and surrounding and supporting structures of the face and neck.

Ophthalmology

NUCC Taxonomy Code: 207W00000X

State License OK 26270

Ophthalmology

NUCC Taxonomy Code: 207W00000X

State License IA 36592

Ophthalmology

NUCC Taxonomy Code: 207W00000X

State License GA 081784

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

0727560 (IA)

Medicaid State Provider ID

200197860A (OK)

Commercial Insurance / Payer ID Wellmark Bcbs

25275 (IA)

Hospital & Practice Group Affiliations

Emory Medical Care Foundation Inc

80 Jesse Hill Jr Dr Se, Atlanta, GA 303033031

Phone: 4046161000

The Emory Clinic Inc

1365 Clifton Rd Ne, Atlanta, GA 303221013

Phone: 4047787525

Secondary Practice Locations

1365b Clifton Rd Ne

Atlanta, GA 303224003

Phone: 4047782020

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

8 Associated Practitioners

Dr. Walter Parker , MD

Ophthalmology

NPI 1114362688

Doctor of Medicine (M.D.)

Dr. Robert Phillips , MD

Ophthalmology

NPI 1134122658

Doctor of Medicine (M.D.)

Dr. Colette Jackson , MD

Ophthalmology - Pediatric Ophthalmology and Strabismus Specialist

NPI 1174943138

Doctor of Medicine (M.D.)

Dr. Frederick Elsas , MD

Ophthalmology

NPI 1225031743

Doctor of Medicine (M.D.)

Dr. Jennifer Davidson , MD

Ophthalmology - Pediatric Ophthalmology and Strabismus Specialist

NPI 1528379716

Doctor of Medicine (M.D.)

Dr. Matthew Vicinanzo , MD

Ophthalmology - Ophthalmic Plastic and Reconstructive Surgery

NPI 1740283266

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events

📍

Updated Practice Location July 10, 2026

Registered at 1000 19TH ST S, BIRMINGHAM, AL 352054804 (Tel: 2059300700)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 10, 2026

Ophthalmology (License #54096 in AL)

📍

Updated Practice Location January 30, 2023

Registered at 1365B CLIFTON RD NE, ATLANTA, GA 303224003 (Tel: 4047782020)

📍

Updated Business Mailing Address January 30, 2023

Registered at 1365B CLIFTON RD NE, ATLANTA, GA 303221013 (Tel: 4047782020)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 11, 2019

Ophthalmology (License #26270 in OK)

✅

NPI Profile Active October 15, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location October 15, 2012

Registered at 14000 N PORTLAND AVE, STE 101, OKLAHOMA CITY, OK 731344003 (Tel: 4055210041)

📍

Updated Business Mailing Address October 15, 2012

Registered at 14000 N PORTLAND AVE, STE 101, OKLAHOMA CITY, OK 731344003 (Tel: 4055210041)

👤

Provider Name / Credentials Updated October 15, 2012

Recorded as ADAM DE LA GARZA, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 15, 2012

Ophthalmology (License #26270 in OK)

🟢

Initial NPI Registration & Enumeration July 02, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1609805522

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 02, 2006

Last Update: July 10, 2026

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1365b Clifton Rd Ne

Atlanta, GA 303221013

Phone: 4047782020

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.