1. Home
  2. Directory
  3. Pennsylvania
  4. Thorndale
  5. Family Medicine
  6. NPI Profile

GISEL MARIE GARCIA GARCIA MD
NPI 1013659143
Family Medicine in Thorndale, PA

Active since April 09, 2022PECOS EnrolledAccepts Medicare Assignment
3451 LINCOLN HWY, THORNDALE, PA 19372(484) 227-9950(484) 227-9968 Get Directions Write a Review

NPPES record last updated: September 4, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 4, 2025, Apr 9, 2022 (2 updates tracked since 2022).

About Gisel Marie Garcia Garcia Md NPPES

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

GISEL MARIE GARCIA GARCIA MD (NPI 1013659143) is an individual family medicine provider in Thorndale, Pennsylvania, licensed in Pennsylvania (MD489339) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS, is affiliated with Paoli Hospital, and is a graduate of Rutgers New Jersey Medical School (2022).

NPPES Registry Identity

NPI1013659143
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameGISEL MARIE GARCIA GARCIACredential: MD
Location Address3451 LINCOLN HWYThorndale, PA 19372-1014
Mailing Address3803 W Chester Pike Ste 160Newtown Square, PA 19073-2336 · (484) 337-1632
Phone(484) 227-9950
Fax(484) 227-9968
Sole ProprietorNo
Medical School CMSRutgers New Jersey Medical SchoolGraduated 2022
Enumeration DateApril 9, 2022
Last NPPES UpdateSeptember 4, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 4, 2025
✔ NPI 1013659143 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in PA · MD489339
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3451 LINCOLN HWY, Thorndale, PA 19372
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Highmark Blue Cross Blue Shield Delaware.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

Gisel Marie Garcia 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 ID8527447879
PECOS Enrollment IDI20250723004851
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.

Hospital Affiliations CMS Care Compare 3

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

Paoli Hospital

Acute Care Hospitals · Paoli, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390153
Location255 West Lancaster AvenuePaoli, PA 19301 · Chester County
Emergency services Birthing friendly

Main Line Hospital Lankenau

Acute Care Hospitals · Wynnewood, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390195
Location100 Lancaster AveWynnewood, PA 19096 · Montgomery County
Emergency services Birthing friendly

Riddle Memorial Hospital

Acute Care Hospitals · Media, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390222
Location1068 West Baltimore PikeMedia, PA 19063 · Delaware County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19372 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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 2

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

DR. KATHLEEN KENT LAWLOR M.D.
Family Medicine
3451 LINCOLN HWY
THORNDALE, PA 19372
Chester County (484) 227-9950
COURTNEY M FORSYTH PA-C
Physician Assistant
3451 LINCOLN HWY
THORNDALE, PA 19372
Chester County (484) 227-9950

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 Gisel Garcia Garcia's NPI number?

The NPI number for Gisel Garcia Garcia is 1013659143. It was assigned to this individual provider in the NPPES registry on April 9, 2022.

Where is Gisel Garcia Garcia located?

Gisel Garcia Garcia practices at 3451 Lincoln Hwy, Thorndale, PA 19372. The listed phone number is (484) 227-9950.

What is Gisel Garcia Garcia's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Gisel Garcia Garcia enrolled in Medicare?

Yes. Gisel Garcia 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.

What insurance does Gisel Garcia Garcia accept?

Health plans from Highmark Blue Cross Blue Shield Delaware list Gisel Garcia 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 Gisel Garcia Garcia affiliated with any hospitals?

According to CMS data, Gisel Garcia Garcia is affiliated with Paoli Hospital, Main Line Hospital Lankenau and Riddle Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Gisel Garcia Garcia was last updated on September 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.