MICHAEL ANTHONY GARCIA M.D.
NPI 1013397488
Internal Medicine - Pulmonary Disease in Boston, MA

Q: What is Michael Garcia's NPI number?

The NPI number for Michael Garcia is 1013397488. It was assigned to this individual provider in the NPPES registry on June 1, 2015.

Q: What is Michael Garcia's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Q: When was this NPI record last updated?

The NPPES record for Michael Garcia was last updated on June 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since June 01, 2015PECOS EnrolledAccepts Medicare Assignment

800 WASHINGTON ST, BOSTON, MA 02111(617) 636-5000 Get Directions Write a Review

NPPES record last updated: June 27, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Michael Anthony Garcia M.d. NPPES

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

MICHAEL ANTHONY GARCIA M.D. (NPI 1013397488) is an individual pulmonary disease provider in Boston, Massachusetts, licensed in Washington (MD61252858) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS, is affiliated with Valley Medical Center, and maintains a secondary practice location in Renton.

NPPES Registry Identity

NPI1013397488

Entity TypeIndividualMale

Primary Taxonomy207RP1001X

Provider Legal NameMICHAEL ANTHONY GARCIACredential: M.D.

Location Address800 WASHINGTON STBoston, MA 02111-1552

Mailing Address800 Washington StBoston, MA 02111-1552 · (617) 636-5000

Phone(617) 636-5000

Sole ProprietorNo

Medical School CMSUniversity Of Connecticut School Of MedicineGraduated 2015

Enumeration DateJune 1, 2015

Last NPPES UpdateJune 27, 2022

NPPES CertifiedJune 27, 2022

✔ NPI 1013397488 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RP1001X

License✔ Licensed in WA · MD61252858

Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Also ListedInternal MedicineTaxonomy 207R00000X · License 263235 (MA), MD61252858 (WA)

Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License MD61252858 (WA)

800 WASHINGTON ST, Boston, MA 02111

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Secondary Practice Location 1

Location 14011 Talbot Rd S Ste 460Renton, WA 98055-5791 · Phone (425) 690-3484 · Fax (425) 690-9084

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Michael Anthony 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 ID2961791736

PECOS Enrollment IDI20220719003931

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.

Areas of Expertise CMS Part B claims 6

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.

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.

292 services127 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

102 services72 patients

Insertion of artery tube for blood sampling or infusion through skin 36620

This procedure involves placing a small tube into an artery, usually in the wrist or elbow, to collect blood samples or administer medication. It's done under local anesthesia and is a common, safe practice.

17 services16 patients

Insertion of non-tunneled central venous tube for infusion (5 years or older) 36556

This procedure involves placing a thin tube into a large vein, usually in the neck or chest, to administer medication or fluids. It's done under local anesthesia to minimize discomfort. It's a standard, safe procedure for individuals aged 5 and above.

15 services15 patients

Emergent insertion of breathing tube into windpipe using an endoscope 31500

This is a procedure where a thin tube is inserted into your windpipe to aid in breathing. It's done in emergency situations, using an endoscope, a tool with a light and camera, to ensure correct placement.

13 services12 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

12 services12 patients

Hospital Affiliations CMS Care Compare

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

Valley Medical Center

Acute Care Hospitals · Renton, WA

2/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number500088

Location400 S 43rd StRenton, WA 98055 · King County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02111 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

$144.11 typical visit price

range $63.72 – $189.86

Typical copayment $36.02 (range $15.93 – $47.46)

Most-billed visit code 99204

Established Patient

$111.18 typical visit price

range $21.07 – $155.29

Typical copayment $27.79 (range $5.26 – $38.82)

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.

AARON DICKSTEIN M.D.

Internal Medicine (Gastroenterology)

800 WASHINGTON ST, BOX 233
BOSTON, MA 02111

Suffolk County (617) 636-5883

THOMAS E BIGELOW

Technician/Technologist (Optician)

800 WASHINGTON ST, BOX 450
BOSTON, MA 02111

Suffolk County (617) 636-5857

SARAH MERRIMAN PERSING M.D.

Plastic Surgery