DR. GREGORY PAUL GARCIA M.D.
NPI 1003972183
Emergency Medicine in Burien, WA

Active since December 31, 2006PECOS EnrolledAccepts Medicare Assignment
16251 SYLVESTER RD SW, BURIEN, WA 98166(206) 431-5316 Get Directions Write a Review

NPPES record last updated: February 3, 2010. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Gregory Paul Garcia M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. GREGORY PAUL GARCIA M.D. (NPI 1003972183) is an individual emergency medicine provider in Burien, Washington, licensed in Washington (MD00043536) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS, is affiliated with Swedish Medical Center, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1003972183
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. GREGORY PAUL GARCIACredential: M.D.
Location Address16251 SYLVESTER RD SWBurien, WA 98166-3017
Mailing Address4753 Latona Ave NeSeattle, WA 98105-4833 · (206) 547-2495
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateDecember 31, 2006
Last NPPES UpdateFebruary 3, 2010
✔ NPI 1003972183 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in WA · MD00043536
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedEmergency Medicine · Emergency Medical ServicesTaxonomy 207PE0004X · License MD00043536 (WA)
16251 SYLVESTER RD SW, Burien, WA 98166

Other Identifiers 3

Medicare UPINI12520WA
Medicare ID-Type UnspecifiedG000141100WA
Medicare PING8887770WA

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Gregory Paul Garcia M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6406820919
PECOS Enrollment IDI20040820001055
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Gregory Garcia reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Physical Therapist
800 5TH AVE STE P100
Seattle, WA 98104
  • Reassigned Medicare billing, Washington enrollment
  • 663 clinicians in this Medicare group
Emergency Medicine
1035 116TH AVENUE NE
Bellevue, WA 98004
  • Reassigned Medicare billing, Washington enrollment
  • 50 clinicians in this Medicare group
Emergency Medicine
751 NE BLAKELY DR
Issaquah, WA 98029
  • Reassigned Medicare billing, Washington enrollment
  • 101 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
56 services52 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
50 services50 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
28 services24 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
14 services14 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Swedish Medical Center

Acute Care Hospitals · Seattle, WA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500027
Location747 BroadwaySeattle, WA 98122 · King County
Emergency services Birthing friendly

Overlake Hospital Medical Center

Acute Care Hospitals · Bellevue, WA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number500051
Location1035-116th Ave NEBellevue, WA 98004 · King County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98166 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$97.43 typical visit price
range $63.67 – $189.37
Typical copayment $24.35 (range $15.91 – $47.34)
Most-billed visit code 99203
Established Patient
$111.00 typical visit price
range $21.12 – $155.00
Typical copayment $27.75 (range $5.28 – $38.75)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Emergency Medicine
16251 SYLVESTER RD SW
BURIEN, WA 98166
Anesthesiology
16251 SYLVESTER RD SW
BURIEN, WA 98166
Psychiatry & Neurology (Psychiatry)
16251 SYLVESTER RD SW
BURIEN, WA 98166
Anesthesiology
16251 SYLVESTER RD SW
BURIEN, WA 98166
Emergency Medicine
16251 SYLVESTER RD SW
BURIEN, WA 98166
Nurse Practitioner (Gerontology)
16251 SYLVESTER RD SW
BURIEN, WA 98166
Emergency Medicine
16251 SYLVESTER RD SW
BURIEN, WA 98166
Anesthesiology
16251 SYLVESTER RD SW
BURIEN, WA 98166

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gregory Garcia's NPI number?

The NPI number for Gregory Garcia is 1003972183. It was assigned to this individual provider in the NPPES registry on December 31, 2006.

Where is Gregory Garcia located?

Gregory Garcia practices at 16251 Sylvester Rd SW, Burien, WA 98166. The listed phone number is (206) 431-5316.

What is Gregory Garcia's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Gregory Garcia enrolled in Medicare?

Yes. Gregory Garcia is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Gregory Garcia's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gregory Garcia reassigns Medicare benefits to 3 organizations: Swedish Health Services (Seattle, WA), Puget Sound Physicians PLLC (Bellevue, WA) and Eastside Emergency Physicians PLLC (Issaquah, WA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Gregory Garcia's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Gregory Garcia accept?

Health plans from Ambetter Health and Premera Blue Cross Blue Shield of Alaska list Gregory Garcia as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Gregory Garcia affiliated with any hospitals?

According to CMS data, Gregory Garcia is affiliated with Swedish Medical Center and Overlake Hospital Medical Center.

When was this NPI record last updated?

The NPPES record for Gregory Garcia was last updated on February 3, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.