FRANK FARRELL GARCIA MD
NPI 1053674994
Hospitalist in Troy, NY

Active since June 15, 2012PECOS EnrolledAccepts Medicare Assignment
2215 BURDETT AVE, TROY, NY 12180(518) 271-3225 Get Directions Write a Review

NPPES record last updated: February 16, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 16, 2022, May 19, 2021, Nov 4, 2016 and 1 more (4 updates tracked since 2016).

About Frank Farrell Garcia Md NPPES

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

FRANK FARRELL GARCIA MD (NPI 1053674994) is an individual hospitalist provider in Troy, New York, licensed in New York (283101) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS, is affiliated with St Mary's Healthcare, and maintains a secondary practice location in Albany.

NPPES Registry Identity

NPI1053674994
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameFRANK FARRELL GARCIACredential: MD
Location Address2215 BURDETT AVETroy, NY 12180-2466
Mailing AddressPo Box 14890Albany, NY 12212-4890 · (518) 525-5634 · Fax (518) 649-4094
Sole ProprietorNo
Medical School CMSAlbany Medical College Of Union UniversityGraduated 2012
Enumeration DateJune 15, 2012
Last NPPES UpdateFebruary 16, 20224 updates tracked since enumeration
NPPES CertifiedFebruary 16, 2022
NPI 1053674994 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in NY · 283101
Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Also ListedFamily MedicineTaxonomy 207Q00000X · License 283101-1 (NY)
2215 BURDETT AVE, Troy, NY 12180

Secondary Practice Location 1

Location 1315 S Manning BlvdAlbany, NY 12208-1707 · Phone (518) 525-1550 · Fax (518) 525-6545

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

Frank Farrell 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 ID3870885833
PECOS Enrollment IDI20160712001468
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 4

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.

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.
751 services280 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
212 services205 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
179 services84 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.
44 services44 patients

Hospital Affiliations CMS Care Compare 3

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

St Mary's Healthcare

Acute Care Hospitals · Amsterdam, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330047
Location427 Guy Park AvenueAmsterdam, NY 12010 · Montgomery County
Emergency services Birthing friendly

St Peter's Hospital

Acute Care Hospitals · Albany, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330057
Location315 South Manning BoulevardAlbany, NY 12208 · Albany County
Emergency services Birthing friendly

Samaritan Hospital Of Troy, New York

Acute Care Hospitals · Troy, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330180
Location2215 Burdett AvenueTroy, NY 12180 · Rensselaer County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12180 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
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

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

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%124 patients5/55-star benchmark: 100%
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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers20 claims20 services$18.73 avg. paid by Medicare
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) E0630
DME-Other DME · category DE000N
1 supplier11 claims11 services$33.97 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers18 claims18 services$99.20 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Dietitian, Registered
2215 BURDETT AVE, SAMARITAN HOSPITAL - NUTRITION SERVICES
TROY, NY 12180
Internal Medicine
2215 BURDETT AVE
TROY, NY 12180
Physician Assistant
2215 BURDETT AVE
TROY, NY 12180
Nurse Practitioner (Psychiatric/Mental Health)
2215 BURDETT AVE
TROY, NY 12180
Physician Assistant
2215 BURDETT AVE
TROY, NY 12180
Psychologist
2215 BURDETT AVE, BEHAVIORAL HEALTH DEPT
TROY, NY 12180
General Acute Care Hospital
2215 BURDETT AVE, SUITE 200
TROY, NY 12180
Social Worker (Clinical)
2215 BURDETT AVE
TROY, NY 12180

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 Frank Garcia's NPI number?

The NPI number for Frank Garcia is 1053674994. It was assigned to this individual provider in the NPPES registry on June 15, 2012.

Where is Frank Garcia located?

Frank Garcia practices at 2215 Burdett Ave, Troy, NY 12180. The listed phone number is (518) 271-3225.

What is Frank Garcia's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Frank Garcia enrolled in Medicare?

Yes. Frank 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.

Is Frank Garcia affiliated with any hospitals?

According to CMS data, Frank Garcia is affiliated with St Mary's Healthcare, St Peter's Hospital and Samaritan Hospital Of Troy, New York.

When was this NPI record last updated?

The NPPES record for Frank Garcia was last updated on February 16, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.