JOSEPH MICHAEL GARCIA MD
NPI 1013413954
Family Medicine - Sports Medicine in Houma, LA

Q: What is Joseph Garcia's NPI number?

The NPI number for Joseph Garcia is 1013413954. It was assigned to this individual provider in the NPPES registry on March 31, 2018.

Q: What is Joseph Garcia's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Q: When was this NPI record last updated?

The NPPES record for Joseph Garcia was last updated on August 3, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 31, 2018PECOS EnrolledAccepts Medicare Assignment

1990 INDUSTRIAL BLVD, HOUMA, LA 70363(985) 868-9300 Get Directions Write a Review

NPPES record last updated: August 3, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 3, 2022, Mar 31, 2018 (2 updates tracked since 2018).

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About Joseph Michael Garcia Md NPPES

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

JOSEPH MICHAEL GARCIA MD (NPI 1013413954) is an individual sports medicine provider in Houma, Louisiana, licensed in Louisiana (330958) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS, is affiliated with Terrebonne General Medical Center - Parish, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1013413954

Entity TypeIndividualMale

Primary Taxonomy207QS0010X

Provider Legal NameJOSEPH MICHAEL GARCIACredential: MD

Location Address1990 INDUSTRIAL BLVDHouma, LA 70363-7055

Mailing Address1990 Industrial BlvdHouma, LA 70363-7055 · (985) 868-9300

Phone(985) 868-9300

Sole ProprietorYes

Medical School CMSOtherGraduated 2018

Enumeration DateMarch 31, 2018

Last NPPES UpdateAugust 3, 20222 updates tracked since enumeration

NPPES CertifiedAugust 3, 2022

✔ NPI 1013413954 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QS0010X

License✔ Licensed in LA · 330958

Definition

A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

1990 INDUSTRIAL BLVD, Houma, LA 70363

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, HMO Louisiana, UnitedHealthcare.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

Joseph Michael Garcia Md 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 ID5193077915

PECOS Enrollment IDI20220811000602

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 7

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

63 services33 patients

Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702

This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.

61 services18 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

54 services35 patients

Advance care planning, first 30 minutes 99497

Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.

25 services25 patients

Annual depression screening, 5 to 15 minutes G0444

An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.

23 services23 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

19 services19 patients

Hospital Affiliations CMS Care Compare 2

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

Terrebonne General Medical Center - Parish

Acute Care Hospitals · Houma, LA

4/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number190008

Location8166 Main StreetHouma, LA 70360 · Terrebonne County

Emergency services Birthing friendly

Leonard J Chabert Medical Center

Acute Care Hospitals · Houma, LA

OwnershipVoluntary non-profit - Other

CMS Certification Number190183

Location1978 Industrial BlvdHouma, LA 70363 · Terrebonne County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70363 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

$83.60 typical visit price

range $53.43 – $164.73

Typical copayment $20.90 (range $13.35 – $41.18)

Most-billed visit code 99203

Established Patient

$95.09 typical visit price

range $16.64 – $133.62

Typical copayment $23.77 (range $4.16 – $33.40)

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.

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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.

GERARD ANTHONY BERTOLINO M.D.

Pathology (Anatomic Pathology & Clinical Pathology)