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ERICA GARZA M.D.
NPI 1043522378
Obstetrics & Gynecology - Obstetrics in Austin, TX

Active since July 01, 2010PECOS EnrolledAccepts Medicare Assignment
805 E 32ND ST STE 101, AUSTIN, TX 78705(512) 479-6655(512) 479-0906 Get Directions Write a Review

NPPES record last updated: February 1, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 1, 2023, May 21, 2019 (2 updates tracked since 2019).

About Erica Garza M.d. NPPES

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

ERICA GARZA M.D. (NPI 1043522378) is an individual obstetrics provider in Austin, Texas, licensed in Texas (Q8482) and active in the NPI registry since July 2010. She is enrolled in Medicare PECOS, is affiliated with St David's Medical Center, and is a graduate of Texas A & M University System, Hsc, College Of Medicine (2010).

NPPES Registry Identity

NPI1043522378
Entity TypeIndividualFemale
Primary Taxonomy207VX0000X
Provider Legal NameERICA GARZACredential: M.D.
Location Address805 E 32ND ST STE 101Austin, TX 78705-2529
Mailing Address805 E 32nd St Ste 101Austin, TX 78705-2529 · (512) 479-6655 · Fax (512) 479-0906
Phone(512) 479-6655
Fax(512) 479-0906
Sole ProprietorNo
Medical School CMSTexas A & M University System, Hsc, College Of MedicineGraduated 2010
Enumeration DateJuly 1, 2010
Last NPPES UpdateFebruary 1, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 1, 2023
✔ NPI 1043522378 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & Gynecology · ObstetricsAllopathic & Osteopathic Physicians
Taxonomy Code207VX0000X
License✔ Licensed in TX · Q8482
Definition
A physician who specializes in diagnosis, treatment, and management of patients with obstetric conditions. Source: National Uniform Claim Committee
Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License Q8482 (TX)
805 E 32ND ST STE 101, Austin, TX 78705
Open in Google Maps ↗

Other Identifiers 1

Medicaid359698301TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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

Erica Garza 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 ID9830318682
PECOS Enrollment IDI20160701001569
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

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.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

St David's Medical Center

Acute Care Hospitals · Austin, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450431
Location919 E 32nd StAustin, TX 78705 · Travis County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78705 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
$131.95 typical visit price
range $57.88 – $174.00
Typical copayment $32.98 (range $14.47 – $43.50)
Most-billed visit code 99204
Established Patient
$71.95 typical visit price
range $18.88 – $142.23
Typical copayment $17.98 (range $4.72 – $35.55)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Cervical Cancer Screening
80%180 patients4/55-star benchmark: 98%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
39%126 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
40%224 patients3/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 2% · 108 patients
2%108 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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. CYNTHIA J. MINGEA M.D.
Obstetrics & Gynecology
805 E 32ND ST STE 101
AUSTIN, TX 78705
Travis County (512) 479-6656
CAROLINE ENG COHEN M.D.
Obstetrics & Gynecology (Obstetrics)
805 E 32ND ST STE 101
AUSTIN, TX 78705
Travis County (512) 479-6655

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 Erica Garza's NPI number?

The NPI number for Erica Garza is 1043522378. It was assigned to this individual provider in the NPPES registry on July 1, 2010.

Where is Erica Garza located?

Erica Garza practices at 805 E 32nd St Ste 101, Austin, TX 78705. The listed phone number is (512) 479-6655.

What is Erica Garza's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Obstetrics, with taxonomy code 207VX0000X.

Is Erica Garza enrolled in Medicare?

Yes. Erica Garza 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 Erica Garza accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 5 other insurers list Erica Garza 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 Erica Garza affiliated with any hospitals?

According to CMS data, Erica Garza is affiliated with St David's Medical Center.

When was this NPI record last updated?

The NPPES record for Erica Garza was last updated on February 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.