MICHAEL ANTHONY GARCIA M.D.
NPI 1013397488
Internal Medicine - Pulmonary Disease in Boston, MA
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
Specialties & Licenses 3
Secondary Practice Location 1
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
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.
Medicare Billing Reassignment
Medicare enrollment records show Michael Garcia reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Renton, WA 98055
- Reassigned Medicare billing, Washington enrollment
- 689 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 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.
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, WAPhysician 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.
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.
BOSTON, MA 02111
BOSTON, MA 02111
BOSTON, MA 02111
BOSTON, MA 02111
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 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.
Where is Michael Garcia located?
Michael Garcia practices at 800 Washington St, Boston, MA 02111. The listed phone number is (617) 636-5000.
What is Michael Garcia's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.
Is Michael Garcia enrolled in Medicare?
Yes. Michael 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 organization bills Medicare for Michael Garcia's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Michael Garcia reassigns Medicare benefits to Valley Medical Group-Renton (Renton, WA). The 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 Michael Garcia's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Michael Garcia accept?
Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Michael 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 Michael Garcia affiliated with any hospitals?
According to CMS data, Michael Garcia is affiliated with Valley Medical Center.
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.
# Michael Anthony Garcia, M.D. · NPI 1013397488
Pulmonary Disease physician in Boston, Massachusetts. Individual provider, active in the CMS NPPES registry since June 1, 2015.
## Identity
- **NPI:** 1013397488 (Entity type: Individual)
- **Enumerated:** June 1, 2015
- **Primary specialty:** Internal Medicine - Pulmonary Disease · taxonomy 207RP1001X
- **State license:** MD61252858 (Washington)
- **Sole proprietor:** No
## Practice location
- **Address:** 800 WASHINGTON ST, Boston, MA 02111-1552
- **Phone:** (617) 636-5000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Valley Medical Group-Renton (NPI 1619209574, Renton, WA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Connecticut School Of Medicine, class of 2015
## Record status
- **NPPES last updated:** June 27, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1013397488) · Data from the CMS NPPES public registry.